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Faculty practice plans. Profile and critique.

G K MacLeod, M R Schwarz

    JAMA
    |July 4, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Commercialism in medical schools resurfaced, leading to a significant rise in faculty practice plans (FPPs). Defective management models and governance issues raise concerns about accountability in medical education.

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    Area of Science:

    • Medical Education
    • Healthcare Management
    • Academic Medicine

    Background:

    • The Flexner report aimed to end commercialism in medical schools, but it reappeared later.
    • Between 1960 and 1985, funding changes spurred a 20-fold increase in faculty practice plans (FPPs) across US medical schools.

    Purpose of the Study:

    • To survey all 127 US medical schools regarding faculty practice plans.
    • To evaluate the impact of commercialism and funding policies on medical school management and governance.

    Main Methods:

    • A comprehensive survey of all 127 US medical schools was conducted.
    • Analysis of funding policies and their impact on the development and management of FPPs.

    Main Results:

    • Faculty practice plans (FPPs) grew from 6 to 118 between 1960 and 1985.

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  • Federal funding policy fluctuations created management deficiencies, especially for FPPs.
  • Issues identified include revenue disposition, for-profit FPPs, lucrative physician compensation, departmental autonomy, and governance.

    • Conclusions:

    • The rise of commercialism and faculty practice plans has created complex management and governance challenges.
    • Questions of conflict of interest and accountability have emerged, warranting further evaluation.
    • A re-evaluation of commercialism's effects on medical education is needed, similar to the Flexner report's impact.