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May 1995

The Integration of Clinical Care and Laboratory Research: A Model for Medical Progress

Author Affiliations

Colonel, US Army Medical Corps

Arch Surg. 1995;130(5):461-471. doi:10.1001/archsurg.1995.01430050011001

THE DUTIES of the President of the Western Surgical Association center on the delivery of this address, and as I was escorted to the podium 1 year ago, I began the mental search for a topic that would catch the interest of the membership. To help in that search, I have reviewed the Presidential Addresses delivered since 1947 and have classified those according to topic to avoid redundancy and to identify an ecologic niche (Table 1).

The box score of Presidential Address topics made it obvious that neither clinical activities nor research had been overworked. Accordingly, I have chosen to address both of those "orphan" topics and illustrate how the planned integration of clinical care and multidisciplinary laboratory research at the US Army Burn Center in San Antonio, Tex, has resulted in significant advances in burn patient care, all of which are applicable to other critically ill patients as well.