EVERYONE IN medicine knows that managed care will revolutionize our future. Academic surgeons are charged with meeting these great changes while protecting the residency programs that allow fulfillment of the Hippocratic dictum to replicate ourselves by teaching generations who follow. A second major responsibility of academicians is to develop new information by research. I do not think it is an exaggeration to say that medical education and research in America face a totally unprecedented challenge. No commercial provider of health care is interested in participating in the costs of education or research. Institutions that provide teaching and research cannot compete, in costs of providing care, with those that do not. Some solution must be found.
The annual program of the Society of Surgical Chairmen, held in Boston, Mass, October 30, 1994, was devoted to attempts to foresee the ways in which the advent of managed care will affect surgical residency training