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The promise of academic medicine has never been greater. Society's enormous investment during the last half-century has fueled extraordinary progress in the prevention, diagnosis, and treatment of human disease and provided remarkable insight into human biology. Previously unthinkable advances in patient care and the overall health of society are close at hand. At the same time, the challenges to academic medicine have never been greater, requiring new approaches to education, research, and clinical care while adapting to sweeping changes in the economic, legislative and societal landscape.
 Our need to grow runs counter to prevailing economic trends. Health care funding, philanthropy and support for research are under pressure. Costs are rising for regulatory compliance, malpractice insurance, and increasingly sophisticated equipment and facilities.
Our institutional resources will be targeted to - building academic programs to maintain or achieve national or international prominence.
- building programs in other key areas in which an academic medical center must be active to incorporate major advances into its curricula, research, and clinical practice.
- addressing deficiencies or problems within our enterprise, particularly in the physical and administrative infrastructure.
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