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July 2012, Vol 147, No. 7 >

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Special Article | July 2012

Developing Academic Surgery in a Socialized Health Care System:  A 35-Year Experience

Andre Duranceau, MD; Jocelyne Martin, MD, MSc; Moishe Liberman, MD, PhD; Pasquale Ferraro, MD
Arch Surg. 2012;147(7):668-673. doi:10.1001/archsurg.2012.499.
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The most important benefit of a socialized health care system is the elimination of the threat of personal financial ruin to pay for medical care. Serious disadvantages of a socialized health care system, particularly in a university hospital setting, include restricted financial resources for education and patient care, limited working facilities, and loss of physician-directed decision making in planning and prioritizing. This article describes how a group practice model has supported clinical and academic activities within the faculty of medicine of our university and offers this model as a possible template for other surgical and medical disciplines working in an academic socialized environment.
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Figure 1. Thoracic Surgery Division administrative and financial model.

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Figure 2. Thoracic Surgery Research Foundation of Montreal annual contributions of the group practice.

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Figure 3. Thoracic Surgery Research Foundation of Montreal annual donations.

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Figure 5. Peer-reviewed articles, chapters, and books.

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Figure 6. Participation in professional societies.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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