Linked Life Data

15894430

Source:http://linkedlifedata.com/resource/pubmed/id/15894430

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2005-5-30
pubmed:abstractText
The present analysis addresses the question of how it has been possible for academic medicine to grow and lose its creative productivity at the same time. A mathematical model is developed to simulate the mechanisms that govern growth of medical systems over time. Time-dependent growth of system size increases the occurrence of statistical deviations of all system parameters. Deviations are correlated with costs and creative output. As deviation-induced costs start to strain the system's tolerance, means become implemented to restrict deviation, which ultimately also reduces its creative output. To maintain growth combined with high levels of creative output, an academic medical system would need to continuously branch off and nurture smaller subsystems, which pursue their own set of goals relatively independently of the overall academic structure.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:issn
0306-9877
pubmed:author
pubmed:issnType
Print
pubmed:volume
65
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
400-4
pubmed:meshHeading
pubmed:year
2005
pubmed:articleTitle
The inevitable rise of mediocrity in academic medicine.
pubmed:affiliation
Portland VA Medical Center, P3-GI, Gastroenterology Section, 3710 SW US Veterans Hospital Road, Portland, OR 97239, United States. sonnenbe@ohsu.edu
pubmed:publicationType
Journal Article