title: A case for change: disruption in academic medicine.
abstract: Disruptive technologies allow less expensive and more efficient processes to eventually dominate a market sector. The academic health center's tripartite mission of education, clinical care, and research is threatened by decreasing revenues and increasing expenses and is, as a result, ripe for disruption. The authors describe current disruptive technologies that threaten traditional operations at academic health centers and provide a prescription not only to survive, but also to prosper, in the face of disruptive forces.
authors.affiliation: Dr. Kahn is Peterman-Prosser Professor and senior associate dean, Tulane University School of Medicine, New Orleans, Louisiana. Dr. Maurer is executive director, Levy-Rosenblum Institute, Freeman School of Business, Tulane University, New Orleans, Louisiana. Dr. Wartman is president and CEO, Association of Academic Health Centers, Washington, DC. Dr. Sachs is senior lecturer, Harvard Medical School, Department of Obstetrics and Gynecology, Massachusetts General Hospital, Boston, Massachusetts.
authors.forename: Marc J
authors.initials: MJ
authors.lastname: Kahn
authors.forename: Ralph
authors.initials: R
authors.lastname: Maurer
authors.forename: Steven A
authors.initials: SA
authors.lastname: Wartman
authors.forename: Benjamin P
authors.initials: BP
authors.lastname: Sachs
mesh_terms: D000046:Academic Medical Centers / Q000191:economics / Q000458:organization & administration*; D035843:Biomedical Research / Q000191:economics / Q000458:organization & administration; D020811:Biomedical Technology / Q000191:economics; D003695:Delivery of Health Care / Q000191:economics / Q000458:organization & administration*; D004501:Education, Medical / Q000191:economics / Q000458:organization & administration*; D018166:Health Care Reform / Q000191:economics / Q000458:organization & administration; D008490:Medical Informatics / Q000458:organization & administration; D009936:Organizational Innovation; D014481:United States