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Acad Radio11999; 6:187-190 1 From the Department of Radiology, University of Iowa, College of Medicine, 200 Hawkins Dr, Iowa City, IA 52242 (E.A.F.), and the Department of Diagnostic Radiology, Henry Ford Hospital, Detroit, Mich (W.L.S.). Received and accepted for publication September 30, 1998. Address reprint requests to E.A.F. ©AUR, 1999 demic faculty has grown dramatically in recent years, and there are now more full-time faculty than students in our nation's medical schools. As an offshoot of this growth, many academic physicians now devote the majority of their time to research activities, as there are strong incentives to do so (3). The increased number of faculty accentuates the difficulty of financing academic activities. There has been an almost 400% growth in funding for medical centers since the early 1980s (Table) (4,5). Although there has been a relative reduction in income from traditional sources, such as tuition, appropriations, and endowments, until very recently clinical income has increased concomitantly as a percentage of total revenue. Research income has decreased on a relative basis but remains the basis of about 30% of medical school resources. The current environment of reducing health care expenses in all categories is now diminishing clinical income (6). Faculty in most academic radiology departments have additional responsibilities not found in private practice that consume substantial resources, such as providing indigent health care |