BARRY H. KAPLAN, M.D., PH.D.
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To the editors: The "solutions" offered by Rogers and Blendon (1) reveal the same lack of insight that resulted in the problems facing academic medicine today. The first and most basic problem is the assumption of some mystical "leadership of academic centers." Most departmental chairpersons and deans are hard-driving, highly competitive, egocentric persons selected for their success in developing expanding programs. They are, as a group, totally unsuited emotionally for dealing with declining resources. Any notion that this group will cooperate in mutual self-interest to limit growth is without precedent.
For example, it has been clear for 10 years that
KAPLAN BH. The Academic Medical Center. Ann Intern Med. ;101:396. doi: 10.7326/0003-4819-101-3-396
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Published: Ann Intern Med. 1984;101(3):396.
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