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September 1995

Impact of Changes in Practice Patterns on Surgical Research

Arch Surg. 1995;130(9):939-941. doi:10.1001/archsurg.1995.01430090025011

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AS DIFFICULT as it has been to cover what sort of research funding might be available under a system that does not intend to provide any funds for research, or to summarize various government plans, none of which came off, my assignment to talk about changing practice patterns is even more speculative and even less optimistic, since what I think is about to happen is going to be all bad. Even before any changes in practice patterns, we were not in good shape in surgical research. A little over a year ago, the Institute of Medicine had a subcommittee that was charged to consider surgical research. Dr Debas was the chair of that committee, and Dr Wells, Dr Thompson, and I served on it. We concluded that surgery, perhaps more than any other clinical discipline, needed to increase its research, and for several reasons this was true before any impact

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