Departments, Divisions and Centers in the Evolution of Medical Schools

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Departments, Divisions and Centers in the Evolution of Medical Schools Eugene Braunwald, MD  The American Journal of Medicine  Volume 119, Issue 6, Pages 457-462 (June 2006) DOI: 10.1016/j.amjmed.2005.11.025 Copyright © 2006 Elsevier Inc. Terms and Conditions

Figure 1 Organization of clinical departments and divisions in medical schools and teaching hospitals circa 1955. Cardiovasc. = cardiovascular; GI = gastrointestinal; Musc. Skel. = musculoskeletal; Med = medicine; Surg = surgery; Peds = pediatrics; Pathol = pathology; Radiol. = diagnostic radiology and radiotherapy. The American Journal of Medicine 2006 119, 457-462DOI: (10.1016/j.amjmed.2005.11.025) Copyright © 2006 Elsevier Inc. Terms and Conditions

Figure 2 Organization circa 1965. The ovals shown by the red dotted lines represent informal, multidepartmental, disease and organ system based “affinity groups.” Not illustrated are affinity groups in pre-clinical departments. The American Journal of Medicine 2006 119, 457-462DOI: (10.1016/j.amjmed.2005.11.025) Copyright © 2006 Elsevier Inc. Terms and Conditions

Figure 3 Organization circa 1990. Disease and organ system based centers, denoted by solid red ovals have replaced some, but not all, affinity groups shown by the red dotted lines. The American Journal of Medicine 2006 119, 457-462DOI: (10.1016/j.amjmed.2005.11.025) Copyright © 2006 Elsevier Inc. Terms and Conditions

Figure 4 Organization of medical schools and academic medical centers in 2005. In addition to a full complement of disease and organ system based centers, three examples of cross-cutting technology-based centers denoted by the broken yellow lines are shown. Not illustrated is the important involvement of preclinical faculty in both types of centers. The American Journal of Medicine 2006 119, 457-462DOI: (10.1016/j.amjmed.2005.11.025) Copyright © 2006 Elsevier Inc. Terms and Conditions