The field of academic medicine, through its tripartite mission, has for decades driven scientific achievement, translated biomedical research into improved clinical outcomes, and educated the next generation of researchers and medical practitioners. Throughout its history, it has remained resilient in the face of changing political and funding environments and evolving attitudes toward science and medicine. However, rarely has academic medicine confronted changes as abrupt and destabilizing as those unfolding today. To successfully navigate this moment and preserve its essential mission of advancing research, patient care, and medical training, we propose a roadmap for leadership at academic medical centers. First, stand firm in the face of political and policy pressures, defend core principles, and remain committed to the mission. Second, build strong financial stewardship through increased operational efficiency, prioritize mission-critical programs, core academic functions and consolidate non-aligned activities. Third, remodel research and education and innovate with artificial intelligence. Fourth, strengthen commitment to the workforce, and prioritize support for vulnerable early-career trainees and faculty. Finally, align research and clinical priorities with public priorities to strengthen the social compact between medicine and the communities it serves and increase public trust.
Dzau et al. (Fri,) studied this question.
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