The Metropolitan Academic Medical Center provides a careful reexamination of developments of the past decade, offers insights for improving medical education, biomedical research, and health care services, and examines the fate of the medical academy.

Introduction -- Overview -- American Academic Health Centers and the Postmodern Era -- Are Academic Medical Centers in Trouble? -- Renewing the Covenant -- Getting to Health Reform: Faulty Maps, Poor Directions -- Integrating Community-Responsive Medicine into the Urban Safety-Net Hospital -- Tensions in the Metropolitan Academic Medical Center -- Academic Health Centers: Financing and Future Options -- Federal Support of Biomedical Research 1945–1993 -- Should Academic Medical Centers Relate to Regional Needs? -- Summary -- Cornell University Medical College