学术使命的守护者:呼吁所有教师
概括
学术医疗中心的合并往往将教育和研究任务放在一边. 将临床收入再投资于学术追求和培训学术医生对于学术医学的未来至关重要.
科学领域:
- 卫生政策 卫生政策
- 学术医学 学术医学
- 医疗保健管理的管理
背景情况:
- 学术医学中心 (AMC) 与非学术组织合并,以提高临床收入和财务利.
- 合并的目的是交叉补贴教育和研究的核心学术使命.
- 从历史上看,医学院院长管理临床实践计划以资助学术活动.
研究的目的:
- 批判性地审查AMC合并对学术使命和教师福祉的影响.
- 检查合并的学术卫生系统中治理变化的意外后果.
- 为决策过程提供有关AMC合并趋势的延续的信息.
主要方法:
- 分析合并的学术卫生系统中的治理转变.
- 审查财务积累从教师实践计划后合并.
- 评估教师在临床服务和学术努力之间分配的时间.
主要成果:
- 由于治理变化,合并往往使学术使命被边缘化.
- 教师实践收入可能不再直接有利于医学院.
- 对教育和研究的财政支持与医疗系统内临床企业的增长相竞争.
- 教师在学术活动中的参与往往被减少,以增加临床服务.
结论:
- 在合并的学术卫生系统中,教育和研究任务的活力受到损害.
- 倡导重新投资临床边缘到教学和研究是必不可少的.
- 发展致力于学术使命的学术医生作为卫生系统领导者是必要的.
- 资助学术使命必须是学术卫生系统的义务,以确保学术医学的未来.
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