Word: ebert
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Tosteson is still involved in talking and listening here, feeling out the Med School's faculty in general terms before he begins to discuss specific programs. But if Tosteson is anything like Ebert, he has plans. Shortly after Ebert became dean of the Medical School in 1965 he began work on setting up the Harvard Community Health Plan, a health maintenance organization that would emphasize primary and preventive care--a progressive shift in emphasis not especially easy to implement, given the Med School's largely conservative faculty. Most analysts of the U.S. health care system view the shift...
...innovations for enhancing primary care were a pet project of Ebert, the issue that puts an eager glint in Tosteson's eye is innovation in teaching. Tosteson points out that "the amount of information potentially relevant to the work of a physician, considering the broad spectrum of roles possible, is infinite for all practical purposes." "I take 'teaching' to mean promoting, encouraging and catalyzing learning," he says. "I do not believe that verb means transferring from the mind of the teacher to the mind of the student some bits" of information, he adds...
...still feeling out possible changes in the teaching set-up, he has already changed the school's administrative structure to fit his style. He has created four deanships under his direction to handle four specific areas of concern--finance and business, students and alumni, academic programs, and medical services. Ebert's administrative set-up had less structure; when he retired after 12 years as dean, the school's administration had more informal lines of command...
Tosteson has chosen Henry Meadow as his dean for finance and business. Meadow handled the same affairs with a different title under Ebert. The dean for students and alumni, Dr. Daniel Federman, is new to the Med School administration. Tosteson has not yet appointed the deans for academic programs or medical services. The latter will also serve as vice president of the Affiliated Hospitals Center, a group of three Harvard-affiliated teaching hospitals that is building one consolidated facility...
...really a council of hospital officials--Tosteson hopes better to coordinate the activities of the 13 hospitals affiliated with Harvard. Tosteson says the council, which includes the chairmen of the board of each affiliated hospital, was created in the early '60s for fund-raising purposes, but fell into disuse. Ebert reinvigorated the group three years ago with strong encouragement from President Bok, Tosteson says...