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The Journal of Bone and Joint Surgery 81:1785-7 (1999)
© 1999 The Journal of Bone and Joint Surgery, Inc.

Commentary

Another Endangered Species*

ROBERT F. MCLAIN, M.D.

*The Cleveland Clinic Foundation 1999 Orthopaedic Research Day Vignette, Read at the Research Day ceremonies, June 17, 1999.

Environmental issues continue to occupy a good portion of the news and editorial thinking of contemporary society. No matter what we do, we are asked to think about the environmental impact of our actions. As we build, raze, and change the world around us, we worry about destruction of habitats, conservation of resources, and endangerment of species—and rightly so. In acknowledging the importance of that theme, I would like to discuss some of the factors that currently affect a different kind of environment—the one in which we work—which is facing real pressures from our current economic and political climate. Instead of the rain forest, I am alluding to our own ecosystem, the rather delicately balanced world of academic medicine, and to academic orthopaedics in particular.

I think the environmental analogy is reasonable. People already talk routinely about the health-care environment, the managed-care environment, and the medicolegal climate. Also, our academic . . . [Full Text of this Article]


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