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<DIV><B>From:</B> <A title=ruglucia@PAHO.ORG
href="mailto:ruglucia@PAHO.ORG">Ruggiero, Mrs. Ana Lucia (WDC)</A> </DIV>
<DIV style="FONT: 10pt arial"><BR> </DIV>
<DIV class=Section1>
<P class=MsoNormal style="MARGIN-LEFT: 0.5in"><FONT face=Arial color=#333399
size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial">International
Campaign to Revitalise Academic Medicine <o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal style="MARGIN-LEFT: 0.5in"><B><FONT face=Arial color=#333399
size=2><SPAN
style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial">Milbank
Memorial Fund, July 2005 <o:p></o:p></SPAN></FONT></B></P>
<P class=MsoNormal style="MARGIN-LEFT: 0.5in"><FONT face=Arial color=#333399
size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial"><o:p> </o:p></SPAN></FONT></P>
<P class=MsoNormal style="MARGIN-LEFT: 0.5in"><FONT face=Arial color=#333399
size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial">Available online at:
<A
href="http://www.milbank.org/reports/0507FiveFutures/0507FiveFutures.html"><FONT
color=#333399><SPAN
style="COLOR: #333399">http://www.milbank.org/reports/0507FiveFutures/0507FiveFutures.html</SPAN></FONT></A>
<o:p></o:p></SPAN></FONT></P>
<P style="MARGIN-LEFT: 0.5in"><A name=5futuresfn17><FONT face=Arial
color=#333399 size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial">"Academic medicine"
might be defined as the capacity of the system for health and health care to
think, study, research, discover, evaluate, innovate, teach, learn, and improve.
Accordingly, little could be more important, particularly because new
discoveries in science offer tremendous opportunities, and emerging diseases
pose huge threats. Indeed, the contribution of academic medicine to human health
over the last century has been extraordinary. </SPAN></FONT></A><FONT face=Arial
color=#333399 size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial"><o:p></o:p></SPAN></FONT></P>
<P style="MARGIN-LEFT: 0.5in"><FONT face=Arial color=#333399 size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial">The public's and the
government's greater understanding of the central importance of health to
societies has led to unprecedented scientific advances. New genetic
technologies, rapid advances in cell and molecular biology, and imaging
technologies promise even more innovation and progress. Recent investments in
academic medicine, most notably in the <st1:country-region w:st="on">United
States</st1:country-region> and the <st1:place w:st="on"><st1:country-region
w:st="on">United Kingdom</st1:country-region></st1:place>, are unparalleled. But
can academic medicine lead the way into the twenty-first century?
<o:p></o:p></SPAN></FONT></P>
<P style="MARGIN-LEFT: 0.5in"><FONT face=Arial color=#333399 size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial">Several national
reports suggest that this prospect may be in doubt and critics are becoming
increasingly concerned that academic medicine is in crisis around the world.
Indeed, the lack of basic infrastructure in many countries has meant that
academic medicine is floundering, if not absent. Even the current funding in
industrialized countries will be wasted if structural changes are not made to
allow academic medicine to capitalize on new investments At a time when the
health burden, poverty, globalization, and innovation all are growing, academic
medicine seems to be failing to realize its potential and its global social
responsibility. …..”<o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal style="MARGIN-LEFT: 0.5in"><B><FONT face=Arial color=#333399
size=2><SPAN
style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial">Table
of Contents <o:p></o:p></SPAN></FONT></B></P>
<P style="MARGIN-LEFT: 0.5in"><FONT face=Arial color=#333399 size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial"><A
href="http://www.milbank.org/reports/0507FiveFutures/0507FiveFutures.html#foreword#foreword"><FONT
color=#333399><SPAN style="COLOR: #333399">Foreword</SPAN></FONT></A> <BR><A
href="http://www.milbank.org/reports/0507FiveFutures/0507FiveFutures.html#acknowledgments#acknowledgments"><FONT
color=#333399><SPAN style="COLOR: #333399">Acknowledgments</SPAN></FONT></A>
<BR><A
href="http://www.milbank.org/reports/0507FiveFutures/0507FiveFutures.html#academic#academic"><FONT
color=#333399><SPAN style="COLOR: #333399">Academic Medicine in the Twenty-first
Century </SPAN></FONT></A><BR><A
href="http://www.milbank.org/reports/0507FiveFutures/0507FiveFutures.html#instabilities#instabilities"><FONT
color=#333399><SPAN style="COLOR: #333399">Instabilities in Academic Medicine
</SPAN></FONT></A><BR><A
href="http://www.milbank.org/reports/0507FiveFutures/0507FiveFutures.html#drivers#drivers"><FONT
color=#333399><SPAN style="COLOR: #333399">Drivers of the
Future</SPAN></FONT></A> <BR><A
href="http://www.milbank.org/reports/0507FiveFutures/0507FiveFutures.html#scenario#scenario"><FONT
color=#333399><SPAN style="COLOR: #333399">Scenario Planning</SPAN></FONT></A>
<BR><A
href="http://www.milbank.org/reports/0507FiveFutures/0507FiveFutures.html#five#five"><FONT
color=#333399><SPAN style="COLOR: #333399">Five Scenarios</SPAN></FONT></A>
<o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal style="MARGIN-LEFT: 1in"><FONT face=Arial color=#333399
size=2><SPAN style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial"><A
href="http://www.milbank.org/reports/0507FiveFutures/0507FiveFutures.html#inc#inc"><EM><I><FONT
face=Arial color=#333399><SPAN
style="COLOR: #333399; FONT-FAMILY: Arial">Academic Inc.: "Academic Medicine
Flourishes in the Private Sector"</SPAN></FONT></I></EM></A>
<o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal style="MARGIN-LEFT: 1in"><FONT face=Arial color=#333399
size=2><SPAN style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial"><A
href="http://www.milbank.org/reports/0507FiveFutures/0507FiveFutures.html#reformation#reformation"><EM><I><FONT
face=Arial color=#333399><SPAN
style="COLOR: #333399; FONT-FAMILY: Arial">Reformation: "All Teach, Learn,
Research, and Improve"</SPAN></FONT></I></EM></A> <o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal style="MARGIN-LEFT: 1in"><FONT face=Arial color=#333399
size=2><SPAN style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial"><A
href="http://www.milbank.org/reports/0507FiveFutures/0507FiveFutures.html#public#public"><EM><I><FONT
face=Arial color=#333399><SPAN style="COLOR: #333399; FONT-FAMILY: Arial">In the
Public Eye: "Success Comes from Delighting Patients and the Public and Using the
Media"</SPAN></FONT></I></EM></A> <o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal style="MARGIN-LEFT: 1in"><FONT face=Arial color=#333399
size=2><SPAN style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial"><A
href="http://www.milbank.org/reports/0507FiveFutures/0507FiveFutures.html#GAP#GAP"><EM><I><FONT
face=Arial color=#333399><SPAN style="COLOR: #333399; FONT-FAMILY: Arial">GAP
(Global Academic Partnership): "Academic Medicine for Global Health
Equity"</SPAN></FONT></I></EM></A> <o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal style="MARGIN-LEFT: 0.5in"><FONT face=Arial color=#333399
size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial">
<A
href="http://www.milbank.org/reports/0507FiveFutures/0507FiveFutures.html#fully#fully"><EM><I><FONT
face=Arial color=#333399><SPAN style="COLOR: #333399; FONT-FAMILY: Arial">Fully
Engaged: "Academic Medicine Engages Energetically with all
Stakeholders"</SPAN></FONT></I></EM></A> <BR><A
href="http://www.milbank.org/reports/0507FiveFutures/0507FiveFutures.html#using#using"><FONT
color=#333399><SPAN style="COLOR: #333399">Using the Scenarios</SPAN></FONT></A>
<o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal style="MARGIN-LEFT: 0.5in"><FONT face=Arial color=#333399
size=2><SPAN style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial"><A
href="http://www.milbank.org/reports/0507FiveFutures/0507FiveFutures.html#testing#testing"><EM><I><FONT
face=Arial color=#333399><SPAN
style="COLOR: #333399; FONT-FAMILY: Arial">Testing
Assumptions</SPAN></FONT></I></EM></A> <o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal style="MARGIN-LEFT: 0.5in"><FONT face=Arial color=#333399
size=2><SPAN style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial"><A
href="http://www.milbank.org/reports/0507FiveFutures/0507FiveFutures.html#recognizing#recognizing"><EM><I><FONT
face=Arial color=#333399><SPAN
style="COLOR: #333399; FONT-FAMILY: Arial">Recognizing
Uncertainty</SPAN></FONT></I></EM></A> <o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal style="MARGIN-LEFT: 0.5in"><FONT face=Arial color=#333399
size=2><SPAN style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial"><A
href="http://www.milbank.org/reports/0507FiveFutures/0507FiveFutures.html#widening#widening"><EM><I><FONT
face=Arial color=#333399><SPAN
style="COLOR: #333399; FONT-FAMILY: Arial">Widening
Perspectives</SPAN></FONT></I></EM></A> <o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal style="MARGIN-LEFT: 0.5in"><FONT face=Arial color=#333399
size=2><SPAN style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial"><A
href="http://www.milbank.org/reports/0507FiveFutures/0507FiveFutures.html#addressing#addressing"><EM><I><FONT
face=Arial color=#333399><SPAN
style="COLOR: #333399; FONT-FAMILY: Arial">Addressing Dilemmas and
Conflicts</SPAN></FONT></I></EM></A> <o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal style="MARGIN-LEFT: 0.5in"><FONT face=Arial color=#333399
size=2><SPAN style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial"><A
href="http://www.milbank.org/reports/0507FiveFutures/0507FiveFutures.html#deepening#deepening"><EM><I><FONT
face=Arial color=#333399><SPAN
style="COLOR: #333399; FONT-FAMILY: Arial">Deepening
Understanding</SPAN></FONT></I></EM></A> <o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal style="MARGIN-LEFT: 0.5in"><FONT face=Arial color=#333399
size=2><SPAN style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial"><A
href="http://www.milbank.org/reports/0507FiveFutures/0507FiveFutures.html#exploring#exploring"><EM><I><FONT
face=Arial color=#333399><SPAN
style="COLOR: #333399; FONT-FAMILY: Arial">Exploring Strategic
Questions</SPAN></FONT></I></EM></A> <BR><A
href="http://www.milbank.org/reports/0507FiveFutures/0507FiveFutures.html#searching#searching"><FONT
color=#333399><SPAN style="COLOR: #333399">Searching for Common Features:
Lessons from the Scenarios</SPAN></FONT></A> <BR><A
href="http://www.milbank.org/reports/0507FiveFutures/0507FiveFutures.html#notes#notes"><FONT
color=#333399><SPAN style="COLOR: #333399">Notes</SPAN></FONT></A> <BR><A
href="http://www.milbank.org/reports/0507FiveFutures/0507FiveFutures.html#references#references"><FONT
color=#333399><SPAN style="COLOR: #333399">References</SPAN></FONT></A>
<o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal style="MARGIN-LEFT: 1in"><FONT face=Arial color=#333399
size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial"><o:p> </o:p></SPAN></FONT></P>
<P class=MsoNormal style="MARGIN-LEFT: 0.5in"><FONT face=Arial size=2><SPAN
style="FONT-SIZE: 10pt; FONT-FAMILY: Arial"><o:p></o:p></SPAN></FONT> </P></DIV></BODY></HTML>