Landefeld C Seth
BIRMINGHAM, ALABAMA.
Trans Am Clin Climatol Assoc. 2016;127:196-211.
The structure and function of departments of medicine are important for several reasons. First, departments of medicine are the biggest departments in virtually every medical school and in most universities with a medical school, and they are the largest professional units in most academic medical centers. In fact, Petersdorf described them as "the linchpins of medical schools" (1). Departments of medicine account for one-fourth or more of the academic medical enterprise: they include about one-fourth of the faculty of medical school, account for roughly one-fourth of the patient care and clinical revenue of academic medical centers, and their faculty perform a disproportionate share of teaching and research, accounting for up to 45% of National Institutes of Health (NIH) - funded research in some medical schools. Second, the department's ability to fulfill its role and advance its mission depends on its structure and function. Finally, lessons learned from examining the structure and function of departments of medicine may guide other departments and schools of medicine themselves in improving their structure and function. This paper describes the issues that face departments of medicine in 2016. I begin by providing the context for these issues with a definition of a department of medicine, describing briefly the history of departments, and stating their mission.
医学系的结构和功能之所以重要，有几个原因。首先，在几乎每一所医学院以及大多数设有医学院的大学里，医学系都是规模最大的系，并且在大多数学术医学中心里，它们是最大的专业单位。事实上，彼得斯多夫将它们描述为“医学院的关键支柱”(1)。医学系在学术医学事业中占四分之一或更多：它们包括医学院约四分之一的教员，占学术医学中心患者护理和临床收入的约四分之一，并且其教员在教学和研究方面的占比过高，在一些医学院中占国立卫生研究院（NIH）资助研究的比例高达45%。其次，医学系履行其职责和推进其使命的能力取决于其结构和功能。最后，从审视医学系的结构和功能中吸取的经验教训可能会指导其他医学系和医学院自身改进其结构和功能。本文描述了2016年医学系所面临的问题。我首先通过给出医学系的定义、简要描述医学系的历史并阐述其使命，为这些问题提供背景。
