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Challenges to academic family medicine in the current health care environment.
Fam Med. 2000 Apr; 32(4):240-5.FM

Abstract

BACKGROUND

Changes in health care delivery and funding have placed strains on academic medical centers' ability to meet their multiple missions. To gain insight into how this new academic landscape is affecting academic primary care, this study examined the current status and perceived challenges at nine departments of family medicine at allopathic and osteopathic medical schools.

METHODS

Site visits were made to nine academic departments of family medicine where key informant interviews were conducted with several individuals in key leadership positions. Sites were chosen to maximize diversity among departments along a variety of factors, such as location, size, mission, and type of school (private versus public). Interviews were transcribed and analyzed by a three-person multidisciplinary team for key themes.

RESULTS

Analysis of interviews revealed five major challenges for academic departments of family medicine: 1) adjusting to new clinical demands in the academic health center, 2) organizing and administering new initiatives in community-based education, 3) recruiting and retaining faculty, 4) developing and maintaining research capacity, and 5) serving multiple missions (education, clinical care, and academic pursuits) in times of financial restraint.

CONCLUSIONS

Significant challenges face academic departments of family medicine. The success or failure of departments of family medicine to meet these challenges could serve as a bellwether for how primary care fits into the future overall scheme of academic health centers.

Authors+Show Affiliations

Department of Family Medicine, Medical University of South Carolina, USA. huestowj@musc.eduNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

10782369

Citation

Hueston, W J., et al. "Challenges to Academic Family Medicine in the Current Health Care Environment." Family Medicine, vol. 32, no. 4, 2000, pp. 240-5.
Hueston WJ, Mainous AG, Bazell C, et al. Challenges to academic family medicine in the current health care environment. Fam Med. 2000;32(4):240-5.
Hueston, W. J., Mainous, A. G., Bazell, C., & Connor, M. K. (2000). Challenges to academic family medicine in the current health care environment. Family Medicine, 32(4), 240-5.
Hueston WJ, et al. Challenges to Academic Family Medicine in the Current Health Care Environment. Fam Med. 2000;32(4):240-5. PubMed PMID: 10782369.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Challenges to academic family medicine in the current health care environment. AU - Hueston,W J, AU - Mainous,A G,3rd AU - Bazell,C, AU - Connor,M K, PY - 2000/4/27/pubmed PY - 2000/6/8/medline PY - 2000/4/27/entrez SP - 240 EP - 5 JF - Family medicine JO - Fam Med VL - 32 IS - 4 N2 - BACKGROUND: Changes in health care delivery and funding have placed strains on academic medical centers' ability to meet their multiple missions. To gain insight into how this new academic landscape is affecting academic primary care, this study examined the current status and perceived challenges at nine departments of family medicine at allopathic and osteopathic medical schools. METHODS: Site visits were made to nine academic departments of family medicine where key informant interviews were conducted with several individuals in key leadership positions. Sites were chosen to maximize diversity among departments along a variety of factors, such as location, size, mission, and type of school (private versus public). Interviews were transcribed and analyzed by a three-person multidisciplinary team for key themes. RESULTS: Analysis of interviews revealed five major challenges for academic departments of family medicine: 1) adjusting to new clinical demands in the academic health center, 2) organizing and administering new initiatives in community-based education, 3) recruiting and retaining faculty, 4) developing and maintaining research capacity, and 5) serving multiple missions (education, clinical care, and academic pursuits) in times of financial restraint. CONCLUSIONS: Significant challenges face academic departments of family medicine. The success or failure of departments of family medicine to meet these challenges could serve as a bellwether for how primary care fits into the future overall scheme of academic health centers. SN - 0742-3225 UR - https://www.unboundmedicine.com/medline/citation/10782369/Challenges_to_academic_family_medicine_in_the_current_health_care_environment_ DB - PRIME DP - Unbound Medicine ER -