These are much more separatist and perhaps difficult to bring into the interdisciplinary approach. The financial problems currently within the Medical School are creating low morale for many of the clinicians. Some clinicians are asking what is the mission of the clinicians and why should they stay at the university. The current challenges created by managed care and indigent care are creating problems for everyone in the medical field. The larger teaching universities are troubled by indigent care while the larger medical practices are also losing money from the managed care system.
Clinical practice is a financial mess across the city and the nation.
Practices are struggling with determining the correct balance between clinical patients and the number of clinicians needed for quality care. The School of Nursing has watched the balancing act of educator, clinician and researcher over many years. The trend in the beginning was for the clinicians to perform only at the hospitals. The clinical nurses then moved towards educating the students and away from the care settings. Today the model consists of nurse practitioners running a few clinics in which they bring the students in for patient education.