ROGER J. BULGER, M.D., is currently President and Chief Executive Officer of the Association of Academic Health Centers. Before his appointment in 1988, Dr. Bulger served for 10 years as President of the University of Texas Health Science Center at Houston, professor of medicine at the University of Texas Health Medical School at Houston, and professor of public health at the University of Texas School of Public Health at Houston. Earlier he served as the second dean of the University of Massachusetts School of Medicine and chancellor of the University of Massachusetts Medical Center campus at Worcester. He was the first executive officer of the Institute of Medicine, serving that organization during its first formative years. Dr. Bulger has served on numerous government and private advisory committees on issues related to health policy and higher education, including the Board of Directors of Georgetown University, the Board of the Association for Health Services Research (of which association he was president in 1992-1993), the Advisory Committee on Scientific Integrity of the Assistant Secretary of Health, and the Special Medical Advisory Group of the Department of Veterans Affairs. Dr. Bulger also chaired the Institute of Medicine's Committee to Study Medical Professional Liability and the Delivery of Obstetrical Care. He has written numerous articles in the fields of infectious diseases, internal medicine, and human values and public policy related to health and medicine. The two most recent of his books on health policy are In Search of the Modern Hippocrates and Technology, Bureaucracy and Healing in America: A Post Modern Paradigm. Dr. Bulger is a member of the Institute of Medicine, a fellow in the American College of Physicians, a fellow of the Infectious Diseases Society of America, a member of the Society of Medical Administrators, and a fellow in the Royal Society of Medicine, London.

ELLIOTT S. FISHER, M.D., M.P.H., is Associate Professor of Medicine and Community and Family Medicine in the Center for the Evaluative Clinical Sciences (CECS) at Dartmouth Medical School and the Department of Veterans Affairs Medical Center in White River Junction, Vermont. He directs the VA Outcomes Group, which conducts policy-related research for the Department of Veterans Affairs and is co-director of the VA General Medicine Faculty Development Fellowship. He is also co-director of the Health Policy curriculum in Dartmouth's newly established postgraduate program in the Evaluative Clinical Sciences. He received his undergraduate and MD degrees from Harvard and his Masters of Public Health from the University of Washington, where he was a Robert Wood Johnson Clinical Scholar. His primary research interests are in the measurement of health system performance, the development of methods for resource allocation, and the use of administrative databases for health care research.

SPENCER FOREMAN, M.D., is president of Montefiore Medical Center in the Bronx, New York. As chairman of the Association of American



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