This study investigated the association between organizational behavior in military medical centers and the faculty development of its medical corps officers assigned to teaching positions. Results showed a strong relationship between organizational behavior of an institution and the development of its faculty members. (GLR)

This paper proposes that physicians' use of computerized medical information systems in the practice of medicine can assist delivery of cost-effective, high-quality patient care and help expand clinical research. However, benefits can be realized only if clinicians participate in system development and implementation and if senior institutional…

A study of factors influencing tenure of 382 medical school deans from 1985-1994 found that, at the schools that were less healthy financially, were under the same ownership as the primary teaching hospital, and had small faculties, deans tended to have shorter tenures and higher turnover. Possible reasons for these findings and implications for…

Gives an overview of the decisions, activities, events, and issues that influenced the process of change at eight medical schools participating in a large-scale medical curriculum development project. Focus is on three stages of the change process: planning and creating the climate for change, making the change, and reinforcing the new model.…

Dartmouth Medical School (New Hampshire) was one of 16 institutions receiving Generalist Physician Initiative grants, enabling it to accelerate institutional changes. Principles successful in achieving change included capitalizing on a sense of urgency for change, creating and empowering a guiding coalition, developing and communicating the…

A survey of 580 senior medical students in 10 schools investigated perceptions of mistreatment during undergraduate medical education; a follow-up survey of 571 subjects examined perceptions of mistreatment during the first year of residency. Similar results from the two surveys is seen as providing compelling evidence that the perceived level of…

A study examined four "bimodal" medical schools (University of Washington, University of North Carolina, University of California/San Francisco, University of California/San Diego), ranked highly in both production of primary care physicians and receipt of National Institutes of Health research grants. The study examined institutional…

Suggests that changes in the structure of medical education can contribute to creating a health care system that helps end domestic violence. Medical educators can provide training experiences that foster understanding of complex social issues and development of cooperative skills, help students integrate them into routine practice, and model…

A joint cholesterol research venture between a University of Massachusetts medical center and a health maintenance organization, the Fallon Healthcare System, is described, focusing on issues arising from the two institutions' differing priorities and perspectives concerning health care and research. While such a collaborative arrangement can hold…

The current approach to research, teaching, clinical service, and administration at academic health centers is reviewed, and the traditional values underpinning this approach are challenged. A new form of faculty management that matches the individual faculty member's priorities and skills with the health center mission and which focuses on the…

A scale designed to measure professional attitudes and behaviors associated with the medical education and residency training environment was pilot-tested by 529 medical students and residents in five institutions. The scale's internal reliability was relatively high, and factor analysis revealed three subscales. Results are interpreted as an…

In the new health care environment, academic health center (AHC) faculty must transcend the outdated view that the roles of scholar, scientist, and healer are in opposition to those of leader and manager. If AHCs are to survive and prosper through their current cultural transition, faculty must understand all these roles as part of their…

Describes the faculty development efforts at eight medical schools participating in a large-scale medical curriculum development project, exploring faculty-development topics and the methods and ways the institutions motivated faculty to participate. Outcome measures used to gauge program effectiveness are also discussed. Concludes that approaches…

Central governance of undergraduate medical school curriculum is compared with traditional departmental approaches, based on experiences at the University of Pittsburgh (Pennsylvania). It is argued that centralized governance has more advantages but greater cost. A major challenge of this approach is in resolution of faculty conflict between…

Describes strategies used by 10 academic medical centers to preserve missions in face of changing demands and declining resources. Strategies include balancing planning and opportunism, developing new approaches for faculty participation in governance, experimenting with organization of core functions, listening to the customer, aligning…