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Related Experiment Videos

A paradigm shift in academic medicine?

M T Rabkin1

  • 1CareGroup, Inc., Boston, MA 02215, USA.

Academic Medicine : Journal of the Association of American Medical Colleges
|March 4, 1998
PubMed
Summary
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Academic medicine is undergoing a paradigm shift, driven by changes in financing and operational frameworks. While the core mission remains, adapting to new financial realities is crucial for sustaining scholarship and service.

Area of Science:

  • Medical Education
  • Health Systems Research
  • Academic Medicine

Background:

  • Academic medicine faces significant transformations impacting its core functions.
  • Traditional operational and financial frameworks are being challenged.
  • The definition of a paradigm shift involves destabilization and replacement of a governing conceptual framework.

Purpose of the Study:

  • To evaluate whether recent fundamental changes in academic medicine constitute a paradigm shift.
  • To analyze 25 ongoing changes within academic medicine.
  • To assess the impact of financial destabilization on academic medicine's mission.

Main Methods:

  • Conceptual analysis of paradigm shift definition.
  • Descriptive commentary on 25 identified changes in academic medicine.

Related Experiment Videos

  • Assessment of changes in cost considerations, population health focus, and physician interdependence.
  • Main Results:

    • The core mission of academic medicine (patient care, teaching, research) remains unchanged.
    • The financing and operational framework of academic medicine have become destabilized.
    • A new conceptual consensus is emerging, indicating a paradigm shift in its business operations.

    Conclusions:

    • Academic medicine is experiencing a paradigm shift, particularly in its financial and operational structures.
    • The core mission's capacity for good has increased, despite systemic destabilization.
    • A call for innovation and adaptation is made to forge a sustainable future for academic medicine.