Goldman L
J Investig Med. 1996 Aug;44(6):296-303.
In early 1995, Lee Goldman, MD, left his post as chief medical officer at the Brigham and Women's Hospital in Boston to become the chairman of medicine at the University of California, San Francisco. A well-respected clinical epidemiologist, Goldman has been among the leading proponents of utilizing critical pathways to improve the efficiency of clinical care. His appointment as leader of a department steeped in a strong tradition of basic research was widely seen as another marker in the ascendancy of the field of health services research. However, in just his first year, Goldman has been active in working to further solidify his department's strong basic research foundation as well as expand its research scope, all in what many consider to be the most difficult and volatile of managed care markets. Interviewed on the wards of the UCSF medical center, Goldman reflected on the highly dynamic managed care environment of northern California, and the need to adapt medical training to the rules of a new era in health care.
1995年初,医学博士李·戈德曼辞去了波士顿布里格姆妇女医院首席医疗官的职位,成为加利福尼亚大学旧金山分校的医学系主任。戈德曼是一位备受尊敬的临床流行病学家,一直是利用关键路径提高临床护理效率的主要支持者之一。他被任命为一个有着深厚基础研究传统的系的负责人,这被广泛视为卫生服务研究领域崛起的又一个标志。然而,就在他上任的第一年,戈德曼就积极致力于进一步巩固他所在系强大的基础研究基础,并扩大其研究范围,而这一切都是在许多人认为最难且最不稳定的管理式医疗市场中进行的。在加州大学旧金山分校医疗中心的病房接受采访时,戈德曼反思了北加利福尼亚高度动态的管理式医疗环境,以及使医学培训适应医疗保健新时代规则的必要性。