OVERVIEW

According to the latest count, there were over 1,700 hospitals in the U.S. providing graduate training to medical students. Teaching  hospitals may be referred to as major teaching hospitals (of which there are over 300) or minor teaching hospitals

Major teaching hospitals are often referred to as academic medical centers, or AMCs. Academic medical centers are not only affiliated with a medical school but are often located on the same campus. 

Academic medical centers in the United States are world renowned  for their cutting-edge high-tech facilities and services. Their mission is threefold: to educate health professions students, to care for patients, and to conduct research. 

[Data source: AHA DataViewer
www.ahadataviewer.com 

Lit search terms for Medline Academic medical centers Hospitals, teaching

Internship and residency Schools, medical Schools, nursing www.pubmed.gov

American Hospital Association Resource Center 
rc@aha.org

Last updated 6/12/15 

            

Teaching hospitals

“The student is to collect and evaluate facts. The facts are locked up in the patient. To the patient, therefore, he must go.” (Abraham Flexner, Medical Education in the United States and Canada, 1910)

American Hospital Association resources 

American Hospital Association. (2015, June). Teaching hospitals: Preparing tomorrow’s physicians today. TRENDWATCH.  http://www.aha.org/research/reports/tw/15june-tw-teachinghosp.pdf 

Rasmussen, E. (2014, Oct. 7). America’s teaching hospitals: Training tomorrow’s health care workforce. AHASTAT.  http://blog.aha.org/post/americas-teaching-hospitals-training-tomorrows-   health-care-workforce 

American Hospital Association. (2013, Dec. 11). Teaching hospitals: Vital for tomorrow’s health care.  http://www.aha.org/research/policy/infographics/teaching-hospitals.shtml 

Report on residents. Washington, D.C.: Association of American Medical Colleges.  https://www.aamc.org/data/421300/residentsreport.html 

White papers / reports

Institute of Medicine. (2014). Graduate medical education that meets the nation’s needs. Washington, D.C.: The National Academies Press.  http://www.nap.edu/catalog/18754/graduate-medical-  education-that-meets-the-nations-health-needs

Health Research Institute. (2012, Feb.). The future of the academic medical center: Strategies to avoid a margin meltdown. PricewaterhouseCoopers. http://pwchealth.com/cgi-local/hregister.cgi/reg/the-future-  of-academic-medical-centers.pdf

Organizations 

Accreditation Council for Graduate Medical Education www.acgme.org 

American Hospital Association.  www.aha.org 

American Osteopathic Association  www.osteopathic.org 

Association of American Medical Colleges www.aamc.org

Directories 

Council of Teaching Hospitals and Health Systems. COTH Membership Directory. https://www.aamc.org/members/coth/ 

Key journals

Academic Medicine -- JAMA. The Journal of the American Medical Association -- The New England Journal of Medicine 

Recent and landmark articles 

DiSesa, V.J., and Kaiser, L.R. (2015, July). What’s in a name? The necessary transformation of the academic medical center in the era of population health and accountable care. Academic Medicine, 90(7), 842-845.  http://journals.lww.com/academicmedicine/Fulltext/2015/07000/What_s_in_a_Name   of.8.aspx

Ellner, A.L., Stout, S., and others. (2015, July). Health systems innovation at academic health centers: leading in a new era of health care delivery. Academic Medicine, 90(7), 872-880.  http://journals.lww.com/academicmedicine/Abstract/2015/07000/Health_Systems_Innovation_at_Academic_Health.14.as   px 

Kroch, E., Duan, M., and others. (2015, June). The effectiveness of a multicenter quality improvement collaborative in reducing inpatient mortality. Journal of Patient Satisfaction, 11(2), 67-72.  http://journals.lww.com/journalpatientsafety/Fulltext/2015/06000/The_Effectiveness_of_a_Multicenter_Quality.1.aspx 

Borden, W.B., Mushlin, A.I., and others. (2015, May). A new conceptual framework for academic health centers. Academic Medicine, 90(5), 569-573.  http://journals.lww.com/academicmedicine/Fulltext/2015/05000/A_New_Conceptual_Framework_for_Academic_Health.   14.aspx

Sabetti, H., Kahn, M.J., and Sachs, B.P. (2015, May). The “for-benefit” academic medical center: a solution for survival.  Academic Medicine, 90(5), 599-602.  http://journals.lww.com/academicmedicine/Abstract/2015/05000/The9.aspxFor_BenefitAcademic_Medical_CenterA.1 

Stein, D., Chen, C., and Ackerly, D.C. (2015, May). Disruptive innovation in academic medical centers: balancing accountable and academic care. Academic Medicine, 90(5), 594-598.  http://journals.lww.com/academicmedicine/Abstract/2015/05000/Disruptive_Innovation_in_Academic_Medical_Centers_.18.aspx 

Zuckerman, A.M., and Golden, R.N. (2015, Jan.-Feb). The scale imperative for academic medical centers: Part 1, approach. Journal of Healthcare Management, 60(1), 8-13; and, Zuckerman, A.M., and Golden, R.N. (2015, Mar.-Apr.). The scale imperative for academic medical centers: Part 2, case study. Journal of Healthcare Management, 60(2), 86-90.   https://ache.org/pubs/jhm/jhm_index.cfm 

Daschle, T.A. (2015, Jan.) Academic medicine in a transformational time. Academic Medicine, 90(1), 11-13.  http://journals.lww.com/academicmedicine/Fulltext/2015/01000/Academic_Medicine_in_a_Transformational_Time.8.asp   x 

Wilensky, G. (2014, Dec. 17). The challenges of reforming graduate medical education payments. JAMA, 312(23), 2479- 2480.     http://jama.jamanetwork.com/article.aspx?articleid=2040186 

Brotherton, S.E., and Etzel, S.I. (2014, Dec. 10). Graduate medical education, 2013-2014. JAMA, 312(22), 2427-2445.   http://jama.jamanetwork.com/article.aspx?articleid=2020352&resultClick=3 

Myers, J.S., and Nash, D.B. (2014, Oct.). Graduate medical education’s new focus on resident engagement in quality and safety: will it transform the culture of teaching hospitals? Academic Medicine, 89(10), 1328-1330.  http://journals.lww.com/academicmedicine/Abstract/2014/10000/Graduate_Medical_Education_s_New_Focus_on_Resid   ent.12.aspx 

Berkowitz, S.A., and Pahira, J.J. (2014, Sept.). Accountable care organization readiness and academic medical centers. Academic Medicine, 89(9), 1210-1215.  http://journals.lww.com/academicmedicine/Abstract/2014/09000/Accountable_Care_Organization_Readiness_and.10.aspx 

Grover, A., Slavin, P.L., and Wilson, P. (2014, June 19). The economics of academic medical centers. The New England Journal of Medicine. 370(25), 2360-2362. http://www.nejm.org/doi/pdf/10.1056/NEJMp1403609 

Jain, S.H., Rosenblatt, M., and Duke, J. (2014, June 4). Is big data the new frontier for academic-industry collaboration?  JAMA, 311(21), 2171-2172, http://jama.jamanetwork.com/article.aspx?articleid=1854520

Grumbach, K., Lucey, C.R., and Johnston, S.C. (2014, Mar. 19). Transforming from centers of learning to learning health systems: challenges for academic health centers. JAMA, 311(11), 1109-1110.  http://jama.jamanetwork.com/article.aspx?articleid=1841977 

Barzansky, B., and Etzel, S.I. (2013, Dec. 4). Medical schools in the United States, 2012-2013. JAMA, 310(21), 2319- 2327.     http://jama.jamanetwork.com/article.aspx?articleid=1787392 

Washington, A.E., Coye, M.J., and Feinberg, D.T. (2013, Nov. 13). Academic health centers and the evolution of the health care system. JAMA, 310(18), 1929-1930. http://jama.jamanetwork.com/article.aspx?articleid=1769902

Fuchs, V.R. (2013, Sept. 11). Current challenges to academic health centers. JAMA, 310(10), 1021-1022.  http://jama.jamanetwork.com/article.aspx?articleid=1727080

“The student is to collect and evaluate facts. The facts are locked up in the patient. To the patient, therefore, he must go.” (Abraham Flexner, Medical Education in the United States and Canada, 1910) 

American Hospital Association Resources

 American Hospital Association. (2015, June). Teaching hospitals: Preparing tomorrow’s physicians today. TRENDWATCH.  http://www.aha.org/research/reports/tw/15june-tw-teachinghosp.pdf 

Rasmussen, E. (2014, Oct. 7). America’s teaching hospitals: Training tomorrow’s health care workforce. AHASTAT.  http://blog.aha.org/post/americas-teaching-hospitals-training-tomorrows-   health-care-workforce 

American Hospital Association. (2013, Dec. 11). Teaching hospitals: Vital for tomorrow’s health care.  http://www.aha.org/research/policy/infographics/teaching-hospitals.shtml 

American Hospital Association. (2009, Sept.). Teaching hospitals: Their impact on patients and the future health care workforce. TRENDWATCH.  http://www.aha.org/research/reports/tw/twsept2009teaching.pdf 

Data sources 

AAMC data book: Medical schools and teaching hospitals by the numbers. Washington, D.C.: Association of American Medical Colleges.  https://www.aamc.org/data/databook/ 

AAMC survey of resident/fellow stipends and benefits. Washington, D.C.: Association of American Medical Colleges.  https://www.aamc.org/data/stipend/ 

MGMA academic practice compensation and production survey for faculty and management. Englewood, Colo.: Medical Group Management Association.    http://www.mgma.com/industry-data/survey-reports/academic-   physician-compensation-survey 

Report on medical school faculty salaries. Washington, D.C.: Association of American Medical Colleges. https://www.aamc.org/data/ 

 

 

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