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THE STRUCTURE AND FUNCTION OF DEPARTMENTS OF MEDICINE
1BIRMINGHAM, ALABAMA.
Insights
Departments of medicine are crucial academic medical units, impacting faculty, revenue, and research. Understanding their structure and function is key to improving medical schools and advancing healthcare missions.
Area of Science:
- Medical Education
- Academic Medicine
- Healthcare Management
Background:
- Departments of medicine are the largest units in medical schools and academic medical centers.
- They represent a significant portion of faculty, clinical revenue, and research funding, including up to 45% of NIH funding.
- Their structure and function are critical for fulfilling their roles and advancing institutional missions.
Purpose of the Study:
- To define departments of medicine and their historical context.
- To outline the mission of departments of medicine.
- To describe the key issues facing these departments in 2016.
Main Methods:
- Review of the structure and function of academic medical departments.
- Historical analysis of medical departments.
- Definition of departmental missions and challenges.
Main Results:
- Departments of medicine are central to medical schools, contributing significantly to faculty, patient care, and research.
- Their operational structure and functional effectiveness are vital for institutional success.
- Specific challenges facing these departments in 2016 were identified.
Conclusions:
- The structure and function of departments of medicine are essential for the success of medical schools and academic medical centers.
- Lessons learned from these departments can inform improvements in other academic units.
- Optimizing departmental operations is key to advancing medical education, research, and patient care.
Abstract:
The structure and function of departments of medicine are important for several reasons. First, departments of medicine are the biggest departments in virtually every medical school and in most universities with a medical school, and they are the largest professional units in most academic medical centers. In fact, Petersdorf described them as "the linchpins of medical schools" (1). Departments of medicine account for one-fourth or more of the academic medical enterprise: they include about one-fourth of the faculty of medical school, account for roughly one-fourth of the patient care and clinical revenue of academic medical centers, and their faculty perform a disproportionate share of teaching and research, accounting for up to 45% of National Institutes of Health (NIH) - funded research in some medical schools. Second, the department's ability to fulfill its role and advance its mission depends on its structure and function. Finally, lessons learned from examining the structure and function of departments of medicine may guide other departments and schools of medicine themselves in improving their structure and function. This paper describes the issues that face departments of medicine in 2016. I begin by providing the context for these issues with a definition of a department of medicine, describing briefly the history of departments, and stating their mission.
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