31.   Large academic centers typically have a daily conference to discuss difficult cases, and specimens can be viewed by a few experts through a multiheaded microscope.

32.   Like academic medical centers everywhere, those hospitals require billions of federal dollars a year to pay for patient care and medical training.

33.   Look for peer-reviewed, published studies by well-known academic centers or research institutions.

34.   Mattingly of Harvard Pilgrim agreed that Managed care executives tend to look askance at academic medical centers.

35.   Medicare cuts have been especially hard on academic medical centers, which have suffered reductions in special payments designed to subsidize the cost of training medical interns and residents.

36.   Most academic philanthropic centers in the United States are financed by foundations like the Kellogg and Eli Lilly Foundations and the Pew Charitable Trusts.

37.   NEMC remains the only major academic medical center to stand alone.

38.   No longer does the pharmaceutical industry rely on career researchers at academic medical centers, whose professional reputations are forged on the quality of their data.

39.   Normally, drug companies must seek full reviews and approval from IRBs at all academic medical centers involved in a national clinical trial.

40.   On the other, to compete as a behemoth among prestigious academic medical centers, the new system will have to attract many more higher-paying patients.