The article analyzes three challenges confronting academic medical centers in the areas of education, patient care, and research. Encouraged are: (1) an expanded role by medical centers in training primary care physicians; (2) modification of physician reimbursement policies; and (3) resolution of conflicts of interest for biomedical scientists in…

An AAMC ad hoc committee on research fraud identified three steps institutions might take to combat fraud in medical research: determination of the magnitude of the problem by a formal study; institution of guidelines for research, publication, and promotion; and establishment of policies for investigating allegations of fraud. (Author/MLW)