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In the past, university-affiliated medical institutions have sought faculty members who could engage in investigative research, publish, teach, and also act as role models by providing exemplary patient care. In the days of relative financial largesse, when third-party payers were reimbursing for medical care on the "cost plus" basis and the government spent more generously for research, funds for support of faculty salaries could be recovered from many sources. In the past era, the worth of a faculty member to a medical institution was measured mostly in terms of ability to initiate and complete research projects, garner grant funds, engage in scholarly endeavors, publish, teach, and generally play an active role in advancement of medical knowledge. Now, clinical members of the faculty of a medical school are expected to accomplish all these tasks while generating cash flow that will yield a net revenue sufficient to cover costs expended for salary
KENNETH M. GRUNDFAST. The Faculty Member-Medical School Relationship of the Future. Arch Otolaryngol Head Neck Surg. 1986;112(7):709–710. doi:10.1001/archotol.1986.03780070021004