医学院院长的演变：从家长式领导到首席执行官再到系统院长。
The Evolution of the Medical School Deanship: From Patriarch to CEO to System Dean.
作者信息
Schieffler Danny A, Farrell Philip M, Kahn Marc J, Culbertson Richard A
机构信息
Manager of Program Review and Assessment in the Office of Academic Affairs at the Steinhardt School of Culture, Education, and Human Development at New York University in NY.
Emeritus Dean and a Professor of Pediatrics and Population Health Sciences at the University of Wisconsin-Madison School of Medicine and Public Health.
出版信息
Perm J. 2017;21:16-069. doi: 10.7812/TPP/16-069.
Medical school deanship in the US has evolved during the past 200 years as the complexity of the US health care system has evolved. With the introduction of Medicare and Medicaid and the growth of the National Institutes of Health, the 19th-century and first half of the 20th-century role of the medical school dean as guild master transformed into that of resource allocator as faculty practice plans grew in scope and grew as an important source of medical school and university revenue. By 2000, the role of the medical school dean had transformed into that of CEO, with the dean having control over school mission and strategy, faculty practice plans, education, research dollars, and philanthropy. An alternative path to the Dean/CEO model has developed-the System Dean, who functions as a team player within a broader health system that determines the mission for the medical school and the related clinical enterprise. In this paper, the authors discuss the evolution of the medical school dean with respect to scope of authority and role within the health care system.
在美国，随着美国医疗保健系统复杂性的演变，医学院院长职位在过去200年里也经历了演变。随着医疗保险和医疗补助计划的引入以及国立卫生研究院的发展，19世纪和20世纪上半叶医学院院长作为行会会长的角色，随着教师执业计划规模的扩大以及其成为医学院和大学重要收入来源，转变为资源分配者的角色。到2000年，医学院院长的角色已转变为首席执行官，院长对学校使命和战略、教师执业计划、教育、研究资金和慈善事业拥有控制权。一种替代院长/首席执行官模式的路径已经出现——系统院长，他在一个更广泛的医疗系统中作为团队成员发挥作用，该系统决定医学院和相关临床企业的使命。在本文中，作者讨论了医学院院长在医疗保健系统中的权力范围和角色的演变。
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