JAMA Intern Med. 2013 Oct 14;173(18):1739-41. doi: 10.1001/jamainternmed.2013.7763.
The achievements of academic medical centers in improving clinical care, advancing scientific discovery, and training the next generation of scientists and clinicians have been remarkable. But today, academic medicine is in great danger from shrinking support for each of its core missions--clinical care, research, and education. This unprecedented crisis also brings a unique opportunity for radical change in the culture, organization, and operation of academic medical centers.
学术医疗中心在改善临床护理、推进科学发现以及培养下一代科学家和临床医生方面取得了显著成就。但如今，学术医学正面临着临床护理、研究和教育这三个核心使命的支持日益减少的巨大危险。这场前所未有的危机也为学术医疗中心的文化、组织和运营带来了彻底变革的独特机遇。
