The Academic Medical System: Reinvention to Survive the Revolution in Health Care |
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| Authors: | Marvin A. Konstam Joseph A. Hill Richard J. Kovacs Robert A. Harrington James A. Arrighi Amit Khera |
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| Affiliation: | 1. The CardioVascular Center, Tufts Medical Center, Boston, Massachusetts;2. Division of Cardiology, University of Texas Southwestern Medical Center, Dallas, Texas;3. Department of Medicine, Krannert Institute of Cardiology, Indiana University, Indianapolis, Indiana;4. Department of Medicine, Stanford University School of Medicine, Stanford, California;5. Warren Alpert Medical School of Brown University and the Lifespan Cardiovascular Institute, Providence, Rhode Island |
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| Abstract: | Academic medical centers (AMCs) are presently facing enormous challenges arising from a prospective decline in government funding for research and education, shifting payment models emphasizing efficiency and value, and increasing competition. Left unabated, these challenges will drive many AMCs to de-emphasize or forsake their core missions in an effort to survive. Stemming from a symposium held at the 2015 Scientific Sessions of the American College of Cardiology titled, “The Academic Medical Center of the Future,” we propose a series of changes, including internal restructuring, system-wide partnership, and novel approaches to support research and education, that are designed to better position AMCs to compete and face their growing challenges in a manner that preserves their essential missions. In aggregate, these changes will facilitate establishing the academic medical system of the future. |
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| Keywords: | academic medical center health care system medical economics medical education research funding ACC American College of Cardiology AMC academic medical center AMS academic medical system CVC cardiovascular center GME graduate medical education IOM Institute of Medicine |
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