RT Journal
A1  McMahon LF
T1 Academic practice—against all odds: Comment on “physician perception of the impact of productivity measures on academic practice”
JF Archives of Internal Medicine
JO Archives of Internal Medicine
YR 2012
FD June 25
VO 172
IS 12
SP 969
OP 970
DO 10.1001/archinternmed.2012.2026
UL http://dx.doi.org/10.1001/archinternmed.2012.2026
AB 
Medicine has evolved dramatically over the past half century. We have witnessed the emergence of the National Institutes of Health as a driver of the research enterprise, the advent of Medicare and Medicaid paying for care that used to be either nonexistent or deemed charity care, the development of “big pharma,” large hospital companies, venture capital investment in health care, and other similar developments. How has this new reality of health care—the medical industrial complex1—altered the world of academic medicine and the nature of faculty positions?