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What is the best way to structure an academic med center?

In 2008, the Cleveland Clinic reorganized into an institute structure that groups physicians of different specialities organizationally and physically by disease type — into a Vascular Institute, a Digestive Disease Institute, and so on.  In this group of very short essays, academic physicians discuss pros and cons of the new Cleveland Clinic model and whether it can and should be adopted by other academic medical centers.

Sources: Young, J.B., and Cosgrove, D.  Commentary: change we must, putting patients first with the institute model of academic health center organization.  Academic Medicine;87(5):552-554; and, Karpf, M., and Lofgren, R.  Commentary: institutes versus traditional administrative academic health center structures.  Academic Medicine;87(5):555-556; and, Kastor, J.A.  Point-counterpoint: The Cleveland Clinic institute system is the right structure for academic health centers in the 21st century.  Academic Medicine;87(5):558; and, Kastor, J.A.  Point-counterpoint: the traditional departmental model is the right structure for academic health centers in the 21st century.  Academic Medicine;87(5):559.  Click here to access these articles on the publisher’s website: http://journals.lww.com/academicmedicine/pages/currenttoc.aspx  Posted by the AHA Resource Center, (312) 422-2050, rc@aha.org

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