In order for research programs at academic medical centers and universities to survive and thrive in the increasingly challenging economic, political and regulatory environment, successful transformation is extremely important. Transformation and quality management techniques are increasingly well established in medical practice organizations. In…

The University of Pittsburgh School of Medicine's Division of General Internal Medicine is described, focusing on personnel and organization, educational programs, clinical and research activities, special programs, finances, and related issues and pressures. The program is proposed as a model for other institutions. (MSE)

The evolution and structure of the plan is described, along with economic and political factors influencing its development. Comparison of faculty numbers, clinic earnings, salaries, and research funding since 1958 shows rapid initial growth followed by marked slowing of growth. State and federal funding changes have also had significant effects.…