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Section II: Creating a Vision for the Future
Pages 11-21

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From page 11...
... It has established an integrated management and health system under a central officer and trains over half of the health professionals in the State of Oregon, sponsoring more than 95 percent of the graduate medical education programs in the state. OHSU has a history as a safety net provider that is based on its origins as a county hospital.
From page 12...
... relative to care delivery, with some AHCs viewing the delivery of clinical care as an adjunct to the education and research mission, and others viewing clinical care as the central part of the tripartite mission. Elaine Rubin commented that the Association of Academic Health Centers (AAHC)
From page 13...
... In response to the comments raised, Dr. Bloom commented on the interaction between the clinical care role of AHCs and the educational role.
From page 14...
... In summary, Dr. Hundert recommenclecl that the education of health professionals cross boundaries between undergraduate, graduate and continuing education, as well as across hospital, office and community settings.
From page 15...
... Finally, recent events related to bioterrorism call for greater interaction between AHCs and the public health system. A Perspective from Public Health James Curran, M.D., M.P.H., Dean and Professor of Epidemiology, The Rollins School of Public Health, Emory University Dr.
From page 16...
... the ability to affect either of the first two. Discussion Linda Rosenstock, M.D., Dean of the UCLA School of Public Health, briefly described another Institute of Meclicine committee that she currently co-chairs on Educating Public Health Professionals for the 21 St Century, since the work of that committee is likely to complement the work of the Committee on the Roles of Academic Health Centers in the 21St Century.
From page 17...
... Larry Lewin suggested that a better understanding is needed about the relationship between the university, individual schools and the AHC. The Oregon Health and Science University was creates!
From page 18...
... In Dr. Fischbach's view, "there is a desperate need to restructure departments in academic health centers." For example, the AHC enterprise faces a serious tension when trying to recruit a leader in biomedical research who can simultaneously manage a $300 million per year business for the hospital.
From page 19...
... Broder sees the primary missions of academic health centers as: 1) defining and providing state of the art care for the patients they serve, 2)
From page 20...
... In Dr. Brocler's view, the question is how to maximize the interactions between academic health centers and private sector organizations to create the types of relationships that many seek.
From page 21...
... Data on their value to the internal operations of AHCs, its costs and quality are largely unavailable. Discussion Larry Lewin suggested that AHCs would seem to be natural supporters of health services research, but there seems to be little demand for it from practitioners in academic health centers.


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