An Integrated Academic Information Management System (IAIMS) at the Johns Hopkins: Plans and Progress Robert E. Reynolds, M.D. Associate Dean for Administration Johns Hopkins University School of Medicine To set the tone o f my remarks I would like to share with you my view from the Deans' Office of the perilous situation confronting academic health centers today. Over the past four decades medical science and health care services have flourished in America and reached unparalleled heights, in large measure as a result of the enormous financial investment by the American people, both publicly and privately, into research, facilities, health services and health education. Today, as these investments are already paying handsome and enviable dividends, the external world in which we exist is changing radically. The very circumstances which underpined our growth and success are being questioned - - and altered. One only has to observe our research funding diminishing, our student applicant pool decreasing, our malpractice insurance rates and malpractice suits skyrocketing, our own residents and faculty leaving academic medicine to compete with us from their community hospital vantage point (often with better and new equipment, without the problems of our patient mix, location and old facilities).
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