search Center and maintains an active surgical practice. He received his M.D. from the University of Kansas in 1965. Dr. Detmer was elected a member of the Institute of Medicine in 1991 and is chair of the Institute's Board on Health Care Services.

JOHN M. EISENBERG, M.D., M.B.A., is chairman of the Department of Medicine, physician-in-chief, and Anton and Margaret Fuisz Professor of Medicine at Georgetown University Medical Center. Dr. Eisenberg received his M.D. from Washington University School of Medicine in 1972 and his M.B.A. from the Wharton School. Dr. Eisenberg is a member of numerous professional and honorific organizations, including the Institute of Medicine, to which he was elected in 1988.

RICHARD G. A. FEACHEM, CBE, PhD, DSc(Med), is Dean-Emeritus of the London School of Hygiene and Tropical Medicine and senior adviser in the Human Development Department at the World Bank. Dr. Feachem received his PhD in environmental health from the University of New South Wales in 1974 and his MD from the University of London in 1991. Among his many professional honors, Dr. Feachem was recently awarded a CBE by the Queen of England for his services in the field of international public health.

JEFF GOLDSMITH, Ph.D., is president of Health Futures, Inc., and a lecturer in the Department of Medicine of the Pritzker School of Medicine at the University of Chicago. He earned his Ph.D. in sociology from the University of Chicago in 1973. Dr. Goldsmith was a recipient of the Corning Award for excellence in health planning from the American Hospital Association's Society for Healthcare Planning in 1990 and has twice received the Dean Connely Award for best health care article (1985 and 1990) from the American College of Healthcare Executives.

PAUL F. GRINER, M.D., is vice president and director of the Center for the Assessment and Management of Change in Academic Medicine of the Association of American Medical Colleges. Dr. Griner received his M.D. in 1959 from the University of Rochester School of Medicine and Dentistry. He is a nationally recognized authority on medical decision-making and the delivery of health services. Dr. Griner was elected a member of the Institute of Medicine in 1986.

MICHAEL M. E. JOHNS, M.D., is professor of otolaryngology–head and neck surgery, vice president for medical affairs, and dean of the faculty at Johns Hopkins University School of Medicine. A specialist in the management of head and neck tumors, Dr. Johns is an internationally known cancer surgeon and is also well known for his studies of the effects and outcomes of a variety of cancer treatments—including surgery, radiation therapy, and chemotherapy. He received his M.D. from the University of Michigan Medi-

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