21.   Doctors worry they are losing the thoughtful culture that has flourished at academic medical centers for decades.

22.   Drug and biotechnology companies could take the credit for amounts they spend on clinical trials to test new drugs and medical devices at academic medical centers.

23.   Expanding scientific research that is closely related to weapons design at academic centers, the report warned, raises the risk of the proliferation of advanced nuclear weapons technology.

24.   For one thing, most academic medical centers operate by consensus among turf-guarding medical superstars not known for small egos.

25.   He and others see missed opportunities, particularly at a time when academic medical centers are in dire financial straits.

26.   He said that large private IRBs approve clinical trials within a week, while academic medical centers typically require four to eight weeks.

27.   He went to New York Presbyterian Hospital, the large academic medical center where I work, for answers, but his medical history provided no clues.

28.   In many cities, academic medical centers are also the largest employers of both skilled and entry-level workers.

29.   In recent years, industry has been paying for more research in academic medical centers.

30.   It has not shielded the hospitals from the fiscal distress felt by academic medical centers nationwide.