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R. Paul Miller, MD; Rudolph J. Napodano, MD

Arch Intern Med. 1979;139(10):1172-1175.

Abstract
Affiliation between community hospitals and university centers has become a prominent trend. St Mary's Hospital, a 298-bed community hospital, affiliated with the University of Rochester, School of Medicine and Dentistry, and in five years developed an academic program. The strategies we utilized included the following: (1) definition of the number of specialists needed for the hospital's patient population; (2) development of specific subspecialty units with more than one member with the primary intent of fostering an investigative program; (3) analysis of total projected faculty salary and laboratory renovation and equipment costs to allow staged development of the program; (4) design of a flexible research area; and (5) joint use of equipment and space with the Clinical Laboratory Service. The program was financed through third-party reimbursement, faculty-generated Department of Medicine funds, gifts by private patrons, and extramural grants. At a time of diminishing investigative support, a medium-sized community hospital can develop a research program.

(Arch Intern Med 139:1172-1175, 1979)

Author Affiliations
From the Department of Medicine, St Mary's Hospital, and the Department of Medicine, University of Rochester, School of Medicine and Dentistry, Rochester, NY.

Footnotes
Accepted for publication March 19, 1979.

Reprint requests to the Department of Medicine, St Mary's Hospital, 89 Genesee St, Rochester, NY 14611 (Dr Miller).

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