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AAMC Annual Meeting and Annual Report 1983

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AAMC Annual Meeting and Annual Report 1983 Association of American Medical Colleges Annual Meeting and Annual Report . 1983 (1) ::o Table of Contents Chairman's Address 219 Annual Meeting Plenary Session ..................................... .. 222 The Current Status of Academic Medical Center-HMO Relationships ..................................... .. 222 Special General Session. .............................. .. 222 Council ofAcademic Societies. ......................... .. 223 Council ofDeans 223 Council ofTeaching Hospitals 223 Organization ofStudent Representatives 223 GSA/Minority Affairs Section .... ..................... .. 224 Minority Affairs Program ............................. .. 224 Women in Medicine. ........•........................ .. 224 Data Bases in- Academic Medicine ........... .. 225 Faculty Roster System ... 1t •••••••••••••••••••••••••••• •• 225 Institutional Profile System. ........................... .. 225 Group on Business Affairs. ............................ .. 225 Group on Institutional Planning 225 Group on Medical Education. .......................... .. 226 Liaison Committee on Medical Education 228 Group on Public Affairs. .............................. .. 229 Group on Student Affairs 230 Research in Medical Education. ........................ .. 230 Assembly Minutes. .................................... .. 233 Annual Report Executive Council, Administrative Boards ................ .. 238 The Councils -. ...................... .. 239 National Policy 247 Working with Other Organizations. ..................... .. 252 Education .......................................... .. 255 Biomedical and Behavioral Research 258 Faculty ............................................ .. 260 Students ........................................... .. 261 Institutional Development ............................. .. 264 Teaching Hospitals 265 Communications. ...................................... 270 Information Systems ....... .. 272 AAMC Membership ................................. .. 274 Treasurer's Report. .................................. .. 274 AAMC Committees. ................................. .. 276 AAMC Staff. ....................................... .. 280 218 Chairman's Address What's Right About American Medicine Steven c. Beering, M.D., Se.D. Benjamin Disraeli once said: "The health university to be as open to all kinds of of the people is really the foundation students as itwas to new ideas. He wanted upon which all their happiness and all his faculty to provide not just the tradi­ their powers as a state depend." Gathered tional disciplines but to offer practical § here today are students and teachers, pro- subjects-such as science and engineer­ ~ ] '. viders and consumers, researchers, and ing-in realistic settings. He wanted the i radministrators. There are rep~esentatives university to become an essential partner ~ t~ of government, the lay publIc, and the with other segments of society in plan­ ~ I~· media. Each ofus comes from a different ning, building, and developing our new ~ : background but all of us share the same country. u - goal-a healthy America. And the best In 1846, when Charles Eliot returned ~ . way to assure this goal is to maintain and from Europe to assume the presidency of . improve our system of medical educa­ Harvard, he was troubled that American tion, scientific research, and compassion­ medical education consisted oflittIe more ate care. than vocational training. He insisted on We owe our success in large measure bringing the medical school into the uni­ ao to the life and thought of three great versity. He called for a full-time faculty <.l:1 Americans-Jefferson, Eliot, and Flex­ and demanded the same scientific vigor ner. that he expected from the other research In 1819, ThomasJefferson founded the sciences. University ofVirginia. This was going to In 1910, Abraham Aexner surveyed a different kind of school. He was the American medical education scene oncerned that our early colleges were and made five major recommendations: . mall copies of their European counter­ (a) relate the medical school to the uni­ ·Parts. What we needed in America was versity to improve teaching; (b) create a n institution which would teach "knowl­ scientific learning environment by the ge useful to this day." H'e wanted his provision of laboratories; (e) appoint a full-time faculty with research interests; This paper was delivered at the November 8, (d) allow students to participate in actual 1983, plenary session ofthe Annual Meeting ofthe patient care; and (e) emphasize the sci­ ssociation of American Medical Colleges, Wash­ entific approach to clinical problems. 'ngton, D.C. Or. Beering. president ofPurdue University, was It took us nearly 50 years to implement e 1982-83 chairman ofthe AAMC.-!, , these various recommendations, but we 219 220 Journal ofMedical Education VOL. 59, MARCH 1984 Ch got thejob done. Today, our open system We discovered that we are living at least of of universal education, our universities, 10 years longer than the actuarial tables me' and our medical centerS are matched in had predicted. We also learned that the ( only few places in the world. However, last decade of life is the most expensive. tivi progress was not universal or continuous. It is then that we rely on Social Security me' And by the 1960s, we were cognizant of and consume fully one-third ofthe federal bili manpower shortages, uneven physician health care dollar. J distribution, and problems with access, For awhile we assumed the trouble lay disc availability, and afTordability of medical in poor management, overuse ofthe sys- ern care. In 1965, we invented Medicare; and tem, lack of advertising, absence of con- to a when we gathered for our Association of sumer choices, not enough competition, ity American Medical Colleges Annual or even fraud. Gradually it became evi- res}: Meeting in November 1968, we were dent that the cost ofmodern technology, put ready to discuss changes in the medical coupled with increasing need, was at the entt curriculum to meet the "health care cri­ root ofthe dilemma. tior sis." So it is time once again to reorder our: UP' It was an altogether remarkable meet­ priorities and to draw up another agenda er ing. We not only changed the structure of for concerted action: - air t our entire organization but also agreed to 1. The individual must learn about". the following actions: (a) to increase the health risks and use common sense. ~ enrollment ofeach medical school by 10 2. Public schools, colleges, andthe meJ percent; (b) to admit students from di­ dia must teach social awareness and pre-~ ns!· verse economic, cultural, and geographic vention oflife-style problems. t atlc backgrounds; (c) to assume responsibility 3. Cities and. counties must monitor~. h) t for graduate medical education; (d) to public health matters, and provide-atl' osr. concern ourselves with the organization least in part-for the poor, the elderlY,r or and delivery ofhealth services; (e) to help and individuals in institutions. ~ eah. control rising health care costs by training 4. The states must provide for welfare, - W: paramedical personnel; (j) to encourage public health, and environmental con- -ne: our graduates to work in underserved cerns. areas; (g) to experiment with shorter and 5. Employers must make the work decentralized curricula; and (h) to de­ place safe and provide reasonable insur- ­ velop teaching programs in new fields ance coverage. such as family medicine, emergency med­ 6. The third-party payers should pa icine, and ambulatory care. for ambulatory care and pool risks and Most of us will remember these points provide prospective reimbursements. as the general marching orders for the 7. Physicians must act as informed fie ensuing decade. We did well and com­ duciaries and safeguard the quality 0 pleted the job in record time. It is the care, assess new technology, and help ed· ­ mark ofthe American genius that we rise ucate the public. to crises and usually with such enthusi­ 8. Congress must provide for indigents asm as to overcompensate..And so it was and medical research. Furthermore, in not surprising that the 1970s ended with order to make good on our promises to the recognition that our resource alloca­ the young, the elderly, the minorities, the tions were inadequate and that we had, veterans, the aliens, the disabled, and the in fact, promised more than we could institutionalized, we must recognize the deliver. necessity to spend more than 10 percent '84 Chairman#s Address/Beering 221 :ast of the GNP on health care; we have the transplants, bypass surgery, advances in lIes means and the moral imperative. geriatrics and immunology, the CAT '.he 9. The AAMC must emphasize crea- scanner, magnetic resonance, dialysis, vee tivity and quality as the most effective chemotherapy, synthetic insulin, and ity measure to meet our national responsi- high-technology monitoring. ~ral bilities. There is much here to support the ar­ America is the world leader in scientific gumentthat American medicine is excep­ .ay ,discovery, medical education, and mod­ tional. We have a magnificent capacity 'ys- em medical care. We can point with pride for imagination. We have knowledge, In- to a record of: (a) progress and productiv­ skills, determination, programs, prod­ In, ity enhanced by freedom of inquiry and ucts-in short, steady and spectacular ~vi- responsible public funding; (b) a balanced progress. ~, public-private partnership in our research As Americans we have special tradi­ .h e enterprise; (c) the development ora func­ tions of
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