41.   On the other, to compete as a behemoth among prestigious academic medical centers.

42.   One team is a consortium of academic centers, mostly in the United States and Britain but with members in France, Germany, China and Japan.

43.   PET, a pricey technology that has traditionally been confined to academic centers, could soon make its way into community hospitals.

44.   Researchers at other academic centers like the MIT Media Laboratory and Stanford University have long worked on similar projects.

45.   Relative value is considered a more sophisticated yardstick than simply counting the number of visits, especially at academic medical centers where doctors treat the sickest patients.

46.   Schwartz runs an academic medical center that prides itself on its liver, bone-marrow and pancreas transplant programs.

47.   Some academic medical centers already have such clinics, including at least three in Boston and Worcester, but they are not widespread.

48.   Teaching hospitals argue that the health plans are pocketing much of the money that Medicare sends to HMOs to pay for their patients to use academic medical centers.

49.   Teaching hospitals argue that HMOs pocket that money instead of sending their patients to the academic medical centers, a position that the health plans dispute.

50.   The archives are accessible to large numbers of people and close to academic centers near the downtown Manhattan site, he said.