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By Institute of Medicine, Board on Health Care Services, Committee on the Roles of Academic Health Centers in the 21st Century, Linda T. Kohn

Policymakers might want to create incentives to aid innovation and alter in AHCs. In reaction, AHCs might want to bring up the extent of co-ordination and integration throughout their roles and the person businesses that include the AHC in the event that they are to effectively adopt the kinds of adjustments wanted. "Academic healthiness facilities" lays out a method to begin a continuous and long term strategy of switch.

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First, the Flexner Report of 1910 called for reform of medical education to include a 4-year curriculum comprising 2 years of basic sciences and 2 years of clinical teaching; university affiliation (instead of proprietary schools); requirements for entrance to medical schools; encouragement of active learning, with limited use of lectures and learning by memorization; and emphasis on problem solving and critical thinking (Regan-Smith, 1998; Ludmerer, 1999). By the 1920s, medical education at the hospital bedside had become mandatory (Rosenberg, 1987).

Robert Galvin from General Electric provided the committee with a perspective on managing large, complex, and diversified organizations. Catherine Dower of the Center for Health Professions, University of California, San Francisco, discussed with the committee how the workforce is changing generally, as well as within the domain of health care. The committee relied on a variety of sources for data on the status of AHCs. Requested data were provided by the Association of Academic Health Centers, the Association of American Medical Colleges, and the American Association of Colleges of Nursing.

At the same time, as health professionals learn more about the field and gain more experience in applying the science of genomics to people, the care they deliver will also evolve. STUDY PROCESS The committee’s statement of task is presented in Box 1-1. The committee held six meetings during the course of the study. , patients, low-income populations, health plans), and experts in health policy and financing. The workshop agenda is presented in Appendix B. html. The committee also heard from a number of experts at its other meetings.

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