title: Research in academic medical centers: two threats to sustainable support.
abstract: Reductions in federal support and clinical revenue jeopardize biomedical research and, in turn, clinical medicine.
authors.affiliation: Senior Vice Chancellor for the Health Sciences, John and Gertrude Petersen Dean, School of Medicine, and Professor of Medicine and Molecular Genetics, University of Pittsburgh, Pittsburgh, PA 15261, USA. alevine@pitt.edu.
authors.forename: Arthur S
authors.initials: AS
authors.lastname: Levine
authors.affiliation: Dean and Ensign Professor, Yale University School of Medicine, New Haven, CT 06520, USA.
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Alpern
authors.affiliation: Dean and Vice Chancellor for Academic Affairs, Duke University School of Medicine, Durham, NC 27710, USA.
authors.forename: Nancy C
authors.initials: NC
authors.lastname: Andrews
authors.affiliation: Provost, Boston University Medical Campus, Dean, School of Medicine, Boston, MA 02118, USA.
authors.forename: Karen
authors.initials: K
authors.lastname: Antman
authors.affiliation: Vice Chancellor for Health Affairs, Dean, School of Medicine, Vanderbilt University, Nashville, TN 37232, USA.
authors.forename: Jeffrey R
authors.initials: JR
authors.lastname: Balser
authors.affiliation: Associate Senior Vice Chancellor for Science Strategy and Planning in the Health Sciences, University of Pittsburgh, Pittsburgh, PA 15261, USA.
authors.forename: Jeremy M
authors.initials: JM
authors.lastname: Berg
authors.affiliation: Dean, Case Western Reserve University School of Medicine, Senior Vice President for Medical Affairs, Case Western Reserve University, Cleveland, OH 44106, USA.
authors.forename: Pamela B
authors.initials: PB
authors.lastname: Davis
authors.affiliation: Executive Vice President for Academic Affairs and Provost, Dean, UT Southwestern Medical School, UT Southwestern Medical Center, Dallas, TX 75390, USA.
authors.forename: J Gregory
authors.initials: JG
authors.lastname: Fitz
authors.affiliation: Dean, School of Medicine and Public Health, Vice Chancellor for Medicine Affairs, University of Wisconsin-Madison, Madison, WI 53705, USA.
authors.forename: Robert N
authors.initials: RN
authors.lastname: Golden
authors.affiliation: Executive Vice President and Dean of the Faculties of Health Sciences and Medicine, Chief Executive, Columbia University Medical Center, New York, NY 10032, USA.
authors.forename: Lee
authors.initials: L
authors.lastname: Goldman
authors.affiliation: Executive Vice President, University of Pennsylvania for the Health System, Dean, Raymond and Ruth Perelman School of Medicine University of Pennsylvania, Philadelphia, PA 19104, USA.
authors.forename: J Larry
authors.initials: JL
authors.lastname: Jameson
authors.affiliation: Dean, School of Medicine, A. Lorris Betz Senior Vice-President for Health Sciences, CEO, University of Utah Health Care, Salt Lake City, UT 84132, USA.
authors.forename: Vivian S
authors.initials: VS
authors.lastname: Lee
authors.affiliation: Richard T. Crane Distinguished Service Professor, Dean of the Division of the Biological Sciences and the Pritzker School of Medicine, Executive Vice President of Medical Affairs, The University of Chicago, Chicago, IL 60637, USA.
authors.forename: Kenneth S
authors.initials: KS
authors.lastname: Polonsky
authors.affiliation: Dean, Michigan State University College of Human Medicine, East Lansing, MI 48824, USA.
authors.forename: Marsha D
authors.initials: MD
authors.lastname: Rappley
authors.affiliation: Vice President for Medical Affairs, University of Maryland, John Z. and Akiko K. Bowers Distinguished Professor, and Dean, University of Maryland School of Medicine, Baltimore, MD 21201, USA.
authors.forename: E Albert
authors.initials: EA
authors.lastname: Reece
authors.affiliation: Dean of the Medical Faculty, CEO, Johns Hopkins Medicine, Baltimore, MD 21205, USA.
authors.forename: Paul B
authors.initials: PB
authors.lastname: Rothman
authors.affiliation: Dean, Roy J. and Lucille A. Carver College of Medicine, Professor of Anesthesiology, Pharmacology & Biochemistry, The University of Iowa, Iowa City, IA 52242, USA.
authors.forename: Debra A
authors.initials: DA
authors.lastname: Schwinn
authors.affiliation: Spencer T. and Ann W. Olin Distinguished Professor, Executive Vice Chancellor for Medical Affairs, and Dean, Washington University School of Medicine, St. Louis, MO 63110, USA.
authors.forename: Larry J
authors.initials: LJ
authors.lastname: Shapiro
authors.affiliation: The Marilyn and Stanley M. Katz Dean, Albert Einstein College of Medicine, Bronx, NY 10461, USA.
authors.forename: Allen M
authors.initials: AM
authors.lastname: Spiegel
mesh_terms: D000046:Academic Medical Centers; D035843:Biomedical Research; D006801:Humans; D035501:Uncertainty