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Academic Psychiatry 23:82-87, June 1999
© 1999 Academic Psychiatry

Ensuring the Survival of Academic Psychiatry in the New Health Care Era

Larry R. Faulkner, M.D. and Joseph D. Bloom, M.D.

Dr. Faulkner is Vice President for Medical Affairs and Dean, School of Medicine, University of South Carolina; and Dr. Bloom is Dean, Oregon Health Sciences University School of Medicine. Address correspondence and reprint requests to Dr. Faulkner, Vice President for Medical Affairs and Dean, School of Medicine, University of South Carolina, Columbia, SC 29208; e-mail: Faulkner{at}med.sc.edu

The authors contend that academic psychiatry will only survive in the future if it helps to fulfill the crucial requirement of academic medicine in the new health care era. They present six basic requirements of academic medicine: 1) effective, efficient, and responsible organizations; 2) quality educational programs of appropriate type and size; 3) linkage to health care networks; 4) primary care capacity and services; 5) restructured systems for research; and 6) effective leadership. Specific strategies for departments of psychiatry to help meet the requirements of academic medicine are outlined. The authors present major implications of these proposed strategies for psychiatric chairs, faculty, and the professional organizations that serve them. (Academic Psychiatry 1999; 23:82–87)

Key Words: Academic Medicine • Health Care Reform • Survival, Academic Psychiatry




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