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Academic medical centers in the United States entered the doldrums in the 1970s as federal funds were cut back. Currently, the general fiscal crisis in North America has enveloped the medical schools and their affiliated teaching hospitals. Chronic anxiety about financial survival has become a way of life for many teachers and researchers who previously were accustomed to the rarefied financing of the ivory tower.
Lewis and Sheps have written the most cogent and potentially useful analysis of this crisis that has yet appeared. The book is an exhaustive analysis of the history and current problems of academic medical centers.
The Sick Citadel: The American Academic Medical Center and the Public Interest.. Ann Intern Med. 1984;100:624. doi: 10.7326/0003-4819-100-4-624_1
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Published: Ann Intern Med. 1984;100(4):624.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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