Warning: file_get_contents() [function.file-get-contents]: SSL operation failed with code 1. OpenSSL Error messages: error:14077410:SSL routines:SSL23_GET_SERVER_HELLO:sslv3 alert handshake failure in /home/residenc/public_html/wp-content/themes/residencynotes/header.php on line 26

Warning: file_get_contents() [function.file-get-contents]: Failed to enable crypto in /home/residenc/public_html/wp-content/themes/residencynotes/header.php on line 26

Warning: file_get_contents(http://webbiscuits.net/images/blan.gif) [function.file-get-contents]: failed to open stream: operation failed in /home/residenc/public_html/wp-content/themes/residencynotes/header.php on line 26
Wednesday, December 6th 2006

Grand Rounds Volume 3, #11

Grand Rounds is up at The Antidote. Just another nice medical blog to add to my reading list (maybe I should move my Path book to the top of that list).

My favorite link is to a discussion of academic healthcare centers in the future of reformed American medical care.

Academic health science centers and teaching hospitals exert leverage in the patient care arena with the manpower provided by residency and fellowship training programs. With the funding of Medicare and Medicaid, the large patient population cared for in the clinics became a source of revenue in addition to referrals sent to specialty units.

There will be pain but some centers will carve out new missions early and lead health care reform.