THE INTERFACE OF ACADEMIC AND COMMUNITY PRACTICE IN MEDICAL AND GRADUATE MEDICAL-EDUCATION

Historically, the interaction between academic departments of otolaryn gology-head and neck surgery and the community practice of the special ty has been erratic, anecdotal, and often strained. A general sense of autonomy and isolationism that has characterized many university prog rams coupled with a paranoia on the part of many practitioners with re spect to concerns about protecting their patient base have led to an u neasy relationship. Difficulties with managed care now threaten this r elationship even more. It is clearly time to seek a solution that can enhance the educational opportunities for medical students and residen ts.