JACC Vol. 24, No. 4 October 1994:1145 1145
~A~~~~ .I. , FACC President, Americm College of Cardiology
If the public debate about hdth SYS~CNI reform has do11e nothing else it has lirmly established that Americans place great VillUC oil tile qUidity of thC health CilK tllcy reccivc. Polling data show that high quality health care is one of the core values held by a large majority of Americans. adults surveyed believe that it is absolutely csscntial or very important that there be no decline in the quality of care in any reform of our health care system. It is well for us to reflect on this because it tells us much about ourselves as well as the patients we serve.
In the past, issues of quality were entrusted to the profes- sion. The College and other professional societies direct their
energies and resources largely to continuing medical educa- tion, iinplicitly if not explicitly, in the pursuit of quality. These educational activities focus on technology assessment and a critical examination of the application of technology to clinical practice. Basic science and clinical research are regularly reported at our Annual Scientific Session, and a variety of other educational forums are offered to the membership to better understand the use of new and established technology in the care of patients. I use “technology” broadly here to include devices, pharmaceuticals and medical and surgical procedures used in medical care and the organizational and supportive
systems within which such care is provided (I). In recent years the issue of quality is no longer left to the
“experts.” As costs of health care have escalated and particu- larly as various health system reforms are proposed that could influence, either favorably or unfavorably, quality of health
care, quality has become a public issue. One of the byproducts of engaging in the public debate is
the need to understand what the public means by quality health care, We need to know this in order to speak clearly in linking our commitment to excellence with the public’s insistence on
quality. Again, polling data are helpful. The public associates
Address for correspondence: Daniel J. Ullyot, MD, 182X El Camintr R4. Suite 802, Burlingamd, California 94010.
quality with medical science and technology. Americans care deeply about continued medical research above all other research. Of equal importance, the public wants to receive the benefits of medical technology in the context of ;I caring, committed personal relationship with its physicians.
In our dialogue with the public we have chosen to empba- size access, choice and quality, as symbolized by our ACC/
ACQ logo. I believe that the reason our Campaign theme has resonated with the public is because we have effectively associated the public’s insistence on quality with access to specialty care. Choice of physician is the means by which access to high quality specialt!* care is assured; choice represents the public’s opportunity to ensure their own quality. No plan, administrator or insurance scheme can be allowed ta take away choice.
The lesson of the Campaign for us as individuals is that we are the trustees of the science and technology that defines us. Specialty medicine has developed and flourished in response to new discovery. One must have experts who are trained to apply new technology: experts in turn develop tomorrow’s new science and technology through research and innovation. We must continue to insist on the highest technical proficiency to which each of us is capable. Above all, we must acknowledge, given the “asymmetries of knowledge” (2) that necessarily exist between patient and doctor, that the highlv personal service we have the privilege to render is in the end based on trust. Appropriate application of medical science and technology is a big part of that trust. Quality medical care demands a personal commitment by a well trained physician, one patient at a time. The right doctor at the right time, indeed, is a slogan we can
proudly espouse.
I. Retlig RA. Medical innovation duels cost contuinment Hcallh All’airs 1994; Summcrp 9.
2. Blumenthal D. The vital role of professionalism in health cart reform. Heahh Affairs, p. 252.
01994 hy the American College of Cardiology 0735lOY7/Y4/$7.00
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6061
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Em
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12)
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y H
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) 92
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To
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rain
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for
1994
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Ad
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al S
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Bey
on
d 3
rd Y
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s P
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48
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48
201
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48
235
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4802
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135
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4834
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4073
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4807
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) 454
-880
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) 966
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tal T
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1994
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07
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9730
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(20
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15-2
430
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. (9
08)
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l H
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v. S
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8 39
2 2
JACC Vol. 24, No. 4 cktober 19% 1146-77
Palo Alto
CO Denver
New Haven
DC Washington
FL Gainesville
GA Allattta
92103
94143
80218
06510
. Sciences Cu.
iCitE
20010
20010
CM ‘s National Med. at-.*
Geof~tcwtt Univ. Hospital
32610 Univ. of Florida College of Medicine*
33136 Jackson Memorial Hospital* University of Miami Med. Ctr.
30322 Emory Univ. School of Medicine* Henrietta Egleston flospital Grady Memorial Hospital
30912 . College of GA Hosp. end Clinics
.l.W (303
C. .D. (203) 785-2022
c. Mariin. M.D. (202) 745-2020
S. Shapbo, M.D. (202) 687-6871
R. Puccianelli. M.D. R. Hamzeh. M.D. C. spemlua M.D. N. Avasarala, M.D. J. Skimming, M.D. (904) 392-6431
H. Gelband, M.D. (305) 549-6659
D. Jones. M.D. (404) 248-51 I I
W. Stxoog, M.D. (706) 72 l-2336
I
4
3
1
1
2
0
I
3
I
2
2
2
2
0
4
4
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3
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0
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0
0
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II
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3
4
7
3
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Tattdidatcs residing outside North America may apply for clinical, bands-on third-year training
1168 EDUCATION UPDATE JACC Vol. 24, No. 4 October MM:1 M-77
STATEKITY~P INSTITUTION/HOSPITAL PROGRAM DIRBCfOR 1st Yr. 2ndYr. 3rd Yr. Other Total
Applications Due for 3996-97
IA Iowacity
IL Chicago
LA N%W
MA Boston
MD Baltimotv
MI AlUbArkw
Dcmk
MN M
R
MO !it.Imtis
NC
52242 tJniv.of IowaHospitalsand Clinics
60614 ChiMmt’s-Hospital+ Nutthwama Univ.
60612 Rush Me&ad College BHS atist Hospital d Med. ctr.
46202
mpitmi for childml
70112 Turn u&e&y school of Medicii tdv. Mad Ctr. Hosp. and Clink MediaJFbuadstion
02115 CWdtcn’sHospital” HanmlMcdicrlschool
21205 llte Johns Hopkins University* TRe Johns Hopkins Hospital
481094 C.S. Mott Childten’s Hospital* Univ. of MichigM
48201
Univ. of hlii Hosp. & cR&
55905 Mayo wuate schd of Medicine
63110 CWdtcn’sH~’ ww univ. SdKtol of Medicii
27710 Duke Univ. Med. Ctr.*
11203 SUNY - fkkttcc Ctt. at Btooklytt’ B-tdakHospittdMsdctr. KinsrCOUWHOSpWCtK
L. Mahoney, M.D. (319) 3562837
D. Bensoa, Jr., M.D. (312) 880-4367
A. Cutiktta, M.D. (3 12) 9426003
R. Hunviu, M.D. (317) 2748906
A. Pickoff. M.D.
J. Lock, M.D. (617) 735-7313
S. Ritter, M.D. H. Taussig. M.D. (410) 6149707
A. Rosenthal, MD. (3 13) 9368993
M. Bpwitt. M.D. (313) 745-5831
A. Roahini. M.D. (612) 626.2755
C. Potter. M.D. GM) 284-3297
A. Sttawm M.D. (3 14) 454-609s
A. Gttmott. Jr., M.D. (919) 681-2958
D. Nudcl, M.D. (718) 270-2881
2 2 I 0 5 02lOll95
I I I I 4 OLYOll95
I 1 I 0 3
2 I 0 0 4 oma95
2 I I 0 4
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2 1 3 0 6 O9lOU94
8 8 8 6 30 1mU94
6 02AW95
6 01131AJ5
3 OV28l96
JACC Vol. 24, No. 4 October 1994~1146-77
AppBiti0l-t.5
lhe for 1996-97
New Hyde Park II042
New York
New York 10016
New York I0029
New York 10032
Rochester I4442
syeacuse 13210
Cincinnati 45229
Cleveland 44106
0 Portland 97201
PA Hershey 17033
Philadelphia 19104
Philadelphia 19134
Pittsburgh 15213
SC Charleston 29425
TN Memphis 38105
Nashville 37232
Schneider Children’
D. F~~rn~. M.D. (212) 746.3566
Coiumbja Univ. Coil. of
E. Clark, M.D. (716) 275-4661
a’s Hospital Med. Cu.* D. Schwartz, M.D. Univ. of Ciicianati School of Medicine (513) 559-8265
Rainbow Babies & Children’s Hospital* K. zahka, M.D. Case We-stem Reserve Univ. School of Med. (216) 844-7919
Oregon Health Sciences University* D. Sahn. M.D. (503) 494-2192
Milton S. tiershey Med. Ctr.* 6. Baylen, M D. (717) 531-8674
LXildren’s Hospital-Philadelphia P. Weinberg, M.D. Univ. of Pennsylvania School of Medicine (215) 590-3274
St. Christopher’s Hospital for Cbildre~* R. Doaner. M.D. Pediatric Heart Institute (2115) 427-5106
Children’s Hospita! of Pittsburgh* F. Frisker. M.D. (412) 692-S540
Medical Univ. of South Carolina* P. Gillette7 M.D. C. Case, M.D. (803) 792-3287
Le Bonheur CIildren’s Med. Ctr.* B. A&I% M.D. (901) 572-3380
Vanderbilt Med. Ctr. Vanderbilt Univ. School of Medicine Vaadetbilt Univ. Hospital
T. Graham, Jr., M.D. (615) 322-7447
I
0
I
1
3
0
1
4
2
2
0
4
I
t
3
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1
2
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KY31194
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07/0119~
01101l95
0x28/95
I113Ql95
02io1l95
09/30/95
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*Candidates residing outside North America may apply for clinical, hands-on third-year training
1170 EDUCATION UPDATE JACC ‘Jnl. 24. No. 4 October 19%4:1146-77
STAWClTYt2XP INSTlTUTION/HOSPiTAL PROGRAM DIRB~OR 1st Yr. 2ndYr. 3rd Yr. Other Total
A@kations
TX 75235
77030
VA h 22908
23298 M
26SM
D. Fii, MD. (214) 640.2339
i. Briclcer, M.D. T. Vaqp, M.D.
1 (713) 770-5600
univ. ofv
s. Bind& MD (304) 293-7036
1 I 1 I 4 02101/95
5 5 5 4 19 Olt31195
97 96 86 33 312
JACC Vol. 24, No. 4 Qctober 199411146-77
CA Loma Linda
Los AQgei~
San Diego
San Francisco
Stanford
CO Denver
CT New Haven
DC Wdiigton
Washington
92202
90024
90033
95817
92103
94143
94305
80262
06510
20037
20307
VA Med. Ctr. (San Diego)
Univ. 0fCalifomia-San Fmcisco*
Stanford Univ. School of Medicine B. Rei& M.D. VA Med. Ctr. (Palo Alto) (415) 723-577 I
Univ. of Colordo Hhh. Sciences Ctr. University Hospital Denver VA Med. Ctr. The Chiklren’s Hospital
F. Grover, M.D. (303) 270-8527
Yak University S&ml of Medicine* J. Baldwin, M.D. Yale-New Haven HDspitd (203) 785-2704
George Washington University Washington Hospital Center Chikhen’s National Hospital Washington VA Hospital
B. Aaron. M.D. (202) 994-3547
llmwic Surgery Service M. Barry. MD. Walter Reed Am~y Med Ctr (202) 576-1433
S. Jam&on, M.D. (619) 543-6133
F. Hartley. M.D. (4 15) 496.4609
2
1
1
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4
2
1
1
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2
1
2
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0
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8
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1172 EDUCATlOId UPDATE JACC Vol. 24. NO. 4
October 1994: 1146-77
PRGGRAM DIRECrGR
32610
33136
30322
30912
52242
60612
a612
60637
60611
60153
46202
66103
40536
40292
701 I2
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G. Kaiser, M.D. R. Thw. M.D. (305) 324-5834
R. Guyton, M.D. (404) 248-3629
J. Rubin, M.D. (706) 721-3226
(319) 356-2761
VA MG. CT%. :!Csssa Ciity,
H. Najafi. M.D. (312) 942.6373
R. tkwz, M.D. f- 62) 7956
R. Katp, M.D. (312) 702~2500
R. , M.D. (312) 908.3121
R. Pifarm, M.D. (708121ti588
J. Brown. M.D. (317f274.7150
J. Mawr, M.D. (913) 588-2840
R. c%lley, M.D. #Otis 323d495
L. Gray, Jr., M.D. (502) 5883198
f. Pilpn, M.D. W4) 582-7998
2
2
3
2
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2
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2
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0
I
2
1
0
0
3
0
0
2
0
0
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0
0
0
0
0
0
0
0
I
0
0
0
a
0
0
4
I
0
0
0
0
3
4
10
3
4
6
2
2
3
8
5
I
2
4
2
02w97
02mli96
03kW96
01mms
JACC Vol. 24. No. 4 EDUCATlON UPDATE E1-73
New Orleans
Boston
Boston
Boston
Boston
Boston
MD Baltimore
Baltimore
MI Ann Adwr
Detroit
Detiuit
MN Minneapolis
Rochester
MO Columbia
02111
021 I.5
Ne St.
Brigham and Women’s Hosp. IcI~l~m~~s Hospital
02114
021 I8 University Hospital* Doston C ospttnl Lahey Clinic Med. Ctr. Boston City ~~s~~t~
02215
01655 Univ. of Massachusetts Med. Cu. St. Vincent Hospital Children’s Hospital and Med. Ctr.
21201 arylanmd AfIiliated Hospitals
21287 The Johns Hopkins Hospital
48109 University of Michigan Hospitals*
48201 Harper Hospital Cltildmn’s Hospital Michigan Detroit Receiving Hospital
48203 Bi-County Comnty. Hosp. & L.Roudini. D.Q. Riverside Ckteopathic (313) 593-9000
55455
55905
65212
Univ. of Minnesota Hospital Hetmepin Ct. Med. Ctr. St. Paul-Ramsey Med. Ctr. VA Med. Cu. (Minneapolis) U of MN Med. School
Mayo Gtaduate School of Medicine* Mayo Med. Ctr. Mayo Clinic Rochester Methodist Hosp. St. Mruys Hosp. of Rochester
U&v. oFMisswri Hospital & Clinics*
J. Qchsner, MD (504) 842-4073
D. Payne. M.D. (617) 956-5593
L. Cohn, M.D. (617) 732-9678
. Buckley. MD. (617) 926-2806
(617) 638-9350
S. L&v&sky. M.D. (617) 632-8383
(508) 856-2216
J. McLaughlin. M.D. (410) 328-5842
V. Cott, M.D. (410)955-2800
M. chlinger. M.D. (313)936-4975
L. Stephenson, M.D. (3 13) 993-0584
R. Bolman, 111. M.D. (612) 625-3902
H. Schaff, M.D. (509) 284-9069
J.Curtir: M.D. (314) 882-6954
Tandidates residing outside Nonh America may apply for cl&al, hands-on second-year wg
I
I
3
3
2
I
I
I
2
3
2
0
2
2
1
I
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3
2
I
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2
3
2
2
2
2
I
0
0
0
2
I
I
I
0
2
0
2
0
2
I
0
0 2
0 2
L-I 6 01/01/96
0 7 01101l96
0 4 01131195
0 3 01/01/96
0 3 12/01/94
0 2 09/01/95
0 6
0 6 06tOll96
0 6
0 2
0 6
8
0
I3
2
OllOL196
WOl/95
12/31/94
12/15/95
01/31/45
1174 EDUCATION UPDATE JACC Vol. 24, No. 4 October 1994:1146-77
STATEKlTYiZIP INSTlTUTION/HOSPITAL PROGRAM DIRECTOR 1st Yr. 2ndYr. 3rdYr. Other Total
Applications for
1997-98
Kansas City 64111 St. Luke’s Hospital J. Pielder. M.D. m L 12!31/95
(816)931-7743
St. lads 63110 St. Lads Univ. Gmup of Hospitals G. Kaiser, M.D. St. Louis Univ. Hospital (314) 577-8351 St. Louis VA Med. Ctr.
2 03/Oli95
Cmdinal Glemoa Childten’s Hospital
SI. Louis 63110 Barnes Hmpital J. Cox. M.D. JmishHc@tal (314) 362-6185 tzhibmb Hospital (All at washitqtea university School of Medkine)
9 01/01/96
MS JaCkt@ll 39216 univ, of lsssippi Med. cl&
University Hospital VA Med. Ctr.
B. He& M.ID. (601) 984-5170
2
NC Chapel Hill 27599 Univ. of No& CarolindSchool of Med., B. Wilcox. MD,
Div. of Cnrdi~c surg. (919) 966-3381
Chariotta 28232 Caroliaas Med. Ctr. F. Robi& M.D. (704) 355-4QO5
27710 hke Univ. Med. Ctr.’ D. Sabii, Jr., M.D. J. Duke, M.D. (919) 684-2831
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3
4
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3
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2
2
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3
f
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2
4
I
I
I
I
1
1
2
2
0
0
0
0
I
2
4
0
I
I
I
0
I
0
0
0
0
3
0
0
0
4
0
0
0
0
0
0
0
3
3 01131/96
7 il/30!96
I6 02@1195
Winsoon-sa?cr? 23137 Bowmaa Gtay School of Medicine J. Hammon, Jr., M.D. North Carolina Baptist Hospital (910) 716-2124
I l/30/94
NJ New Bntmwick 08903 UMDNJ.Robett Wood Johnson Mad Sch
R.W. Jo&ion Univ. Hasp&al St. &m’s Mad. Cur. Deborah Hcatt aad Lung Center
12115196 (908) 235-7806
Newa& 07112 Newark Beth Is& Med. Ctr.* Cltildrem’s Hospit& of NJ.
1. G&hi&y, M.D. (201) 926-732s
06/30/95
Newark 07103 UMDNJ-New Jemy Medical Sclml _._ -.__ _. J. Dmaitoe, M.D. (201) 982-5678
09!3OEJS UMDNJ~Wtdwrsity Hospital CbiMmanoQpitalofNewJemy
Med. Ctr.
87131 Univ. of New Mexk~ Med Ctr.* J. Wmly, M.D. (50.5) 2726901
w15196
12208
IO467
II203
Albany MedkaiCQuege’ St.bte&HQ#tal
A&t Einsrei College of Medkine MoatefimMed.CIr.
SUNY HItIt. Sciem CIr. at BrookJyn* LubanMed.Cw. Kings county Hospital Center Brooklya VA Hospital . . MapmoardesMed.Ctr. VA Med. Ctr. NY
V. Emark. M.D. (518) 262-5714
W. Gay. M.D. (718) 920-5541
J. Cunningham M.D. (718) 270-1981
04/01196
12131195
02/28/95
JACC Vol. 24, No. 4 October 199k I146-77
ST-A P
New Hyde Park
New York
NEW York
New York
New York
Rochester
Syracuse
eveland
Clevela&
coblmbus
OR Portland
PA Hershey
Phihdelphia
14215
11042
10021
10029
10016
14642
13210
44106
44195
43210
73190
97201
17033
19107
(7 16) 898-5092
R. Gliepp. M.D.
(492) 241-8181
New York Univ. Med. Ctr. Bellevue Hospital VA Hospital
(212) 263-6384
m. How. of tbe Univ. of Rochester 6. Hicks. M.D. Rocl&er Genemi Hospital (716) 275-5384
SUNY Health Science Center of Syracuse Grouse-king Memorial Hospital (315) 464-5549
University Hospital of Cleveland* A. Geha, M.D. VA Med. Ctr. (216) 844-3051 Cleveland MetroHealth
C. Fraser, Jr., M.D. (216) 445-6816
Ohio State Univ. Affilix&d Hospitals P. Myemwia. M.D. (614) 293-8866
Univ. of Oklahoma College of Medicine Childten’s Hosp. of OK University Hosp. VA Med. Ctr. (OK City)
R. Elk%, M.D. (405) 271-5789
The Oregon HIP. Sciences Univ.* A. Cobanoglu, M.D. VA Med. Ctr. (Portland) (503) 494-7820
Milton S. Hershey Med. CtrflA State Univ. W. Pierce. M.D. University Hospital (717) 531-8328
‘Thnas Jefferson University R &lie, M.D. Wilmington Med. Ctr. (215) 955-5654 Children’s Hospita!
2
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1
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0
0
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2
0
0
0
0
2
0
0
0
0
I
0
0
0
0
0
0
I
0
I
5
0
0
0
0
0
4
2 Spring 1996
4 12(31/94
6 02101196
4
7
5
2
5
17
3
2
2
2
3
03/15/96
01401/96
01/01/96
02/01/95
06’01/96
I 2/30/95
01101l96
unknown
12f3ll96
03tOli96
02/01/96
-did&es residing outside Notth Ametica may apply for clinical, hands-on sewed-year training
1176 EDUCATION UPDATE JACC Vol. 24, No. 4
October 1991:1146-77
STAWCSTY/?+lP INSTlTUTION/HOSPlTAL PROGRAM
19102
19104
15261
15212
38163
37232
7523.5
78234
Gel 17555
77225
77030
78284
T. M.D. (2 022
* B. Griffith, M.D. (412)64B-9890
Wmpi F.Crawfordq Jr.,M.D. (803) ~2~569~
ufliv.ofTexeB (4w)772-1203
D.Cooky. M.D. c713~791-1900
K. M.D. 0 2089
nTurbf&d.Ctr.
J. fhlbon, M.D. (210)567-6863
I
2
2
2
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2
2
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3
3
1
1
2
2
2
1
2
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2
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0
3
3
2
I
0
2
0
I
0
I
2
0
0
0
0
0
2
0
1
2
0
0
0
0
0
0
0
0
0
5
4
I
6
3
4
4 U
6 1 lBw94
2 09/15/96
I
6 o2l15l96
6 02/01/96
3 spring 1996
JACC Vo ,NQ.4 October I 1146-77
e city
Morgantown
8413%
22908
53792
53226
26506
univ. of v ed.c?r.*
s
John I... Doyne Hospital
West Virginie Univ. oslongahn General Hosp.
s. an&. Jr.. M.D. 2 (801) m-S3I 1
I. 03
(304) 293.4869
158 158 47 47 413
05/01/96
+~dates residing outside North Anmica may apply for clinical. hands-on -d-year training