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Appendix B: Workshop Summaries
Pages 295-301

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From page 295...
... Ruth Hanft, M.A., Vice President, Delta Corporation, Washlagton, D.C. George Harrell, M.D., Vice President for Medical Sciences, Emeritus, Pennsylvania State University, Hershey, Pennsylvania Philip Lee, M.D., Professor of Social Medicine ant Director, Institute for Health Policy Studies, University of California, San Francisco Leah Lowensteln, Moo., D.Phil~., Dean and Vice President, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania Elena Nightingale, M.D., Ph.D., Senior Scholar-in-Residence, Institute of Medicine, Washington D.C.
From page 296...
... In s rate schools and their af f iliated hospitals, additional non-educational driving forces are derived from state legislatures, which may put limits am QlE slots or further direct hospital decisions through reimbursement constraints. O The thinking about the teaching hospital~medical school relationship should distinguish between intrinsic factors ant external constraints -- the latter should not be allowed to dominate thinking about the former.
From page 297...
... In subsequent committee discussion, Doug Collins underlined the need for medical schools to define their goals and stick to them a little better, rather than being led away from them by the teaching hospitals, but Bob Tranquata said, "it is no contest . " Walter Rosenblith remarked that he too was impresses with the shift in power balance toward the hospital, but Fred Robbins questioned whether there had really been a shift -- rather, the reality might just be more apparent than it had been previously.
From page 298...
... Walter Rosenblith noted that the motivations seem to be centrifugal, pulling the hospital and medical school further and further apart. It's important for the ION planning study to suggest a mechanism to think through changes in teaching hospitals.
From page 299...
... Walter Rosenblith, Ing. Rad., Institute Professor, Massachusetts Institute of Technology, Cambridge, Massachusetts Michael ZubRoff, Ph.~., Professor and Chairman, Department of Community and Family Medicine, Dartmouth Medical School, ant Professor of Health Economics, Amos Tuck School of Business Administration, Dartmouth College, Hanover, New &mpshire 299
From page 300...
... 2) Improved estimates of various surgery ratios and procedure rates, as these are important components of estimating physician supply.
From page 301...
... Research funds will be falling, with increasing pressure for revenues from affiliated hospitals. Tuition is holding it's own, maybe going up slightly, but it is typically only a small piece of the total medical school budget.


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