title: Begin with ethics. The rest will follow.
abstract: Solutions to some of the challenges facing Academic Health Sciences Centres (AHSC) might be found in expanding their mandate from the traditional tripartite definition - teaching, research and patient care - to include an equally important fourth mandate - responsibility to the community. Indeed, it could be argued that the current movement towards community-based teaching will exert such funding and organizational pressure on AHSCs that fundamental change will be forced upon them.
authors.affiliation: Society of Rural Physicians of Canada, Ontario, Canada.
authors.forename: Keith
authors.initials: K
authors.lastname: MacLellan
mesh_terms: D000046:Academic Medical Centers / Q000941:ethics* / Q000458:organization & administration*; D002170:Canada; D003153:Community Health Services / Q000458:organization & administration* / Q000600:supply & distribution; D003159:Community-Institutional Relations; D004991:Ethics, Institutional; D006801:Humans; D012941:Social Responsibility