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Office of Public Relations
P.O. Box 3354 '
Duke University Medical Center
Durham, North Carolina 27710
Dr. KING
341 PEEKINS LIBi;ARY
CAMPUS -LAIL
Febmaiy 25-March 4,1977
We would like to list lectures, symposia and other activities at the medical center in the
Intercom Calendar. If information about your event does not appear, the reason is either that
we did not receive it or that we received it too late for printing deadlines. Notices can be
accepted for the Calendar no later than one week prior to publication. Notices may be sent to
Box 3354, Hospital. If last minute scheduling makes it impossible to send a written notice in
time, please call 684-4148.
Friday, February 25
12:30 p.m.
1 p.m.
2 p.m.
Tuesday, March 1
12 noon
1 p.m.
3:30 p.m.
Biochemistry Seminar. Dr. Sue Wickner, National Institutes of
Health, will speak on “DNA Synthesis by E. coli Replication
Proteins in vitro," Rm 147, Nanaline H. Duke BIdg. Coffee at
12:15 p.m. in the lobby.
Network for Continuing Medical Education (NCME). Program
on “The Treatment of Anerobic and Mixed Aerobic/Anaerobic
Infections, Parts I, II, III." View in Rms M-405, M-410, 2031 and
Medical Student Lounge (Channel 7 or 9) at Duke and Rms A3002
(by appointment only), C9013, D3008, CCU and classrooms and
media learning lab of Allied Health Bldg. at VA Hospital.
Anatomy Seminar. Alan Walker, Dept, of Anthropology, Harvard
University, will speak on "Dietary Adaptations in Early
Hominids," Rm 143, Jones Bldg. Coffee and cookies at 1:45 p.m.
Pathology Research Conference. Dr. Charles Daniels, pathology,
will speak on "Interaction of Herpes Simplex Virus with Human
Leukocytes," Rm M-204.
NCME. See Fri., Feb. 25 for program listing. View in School of
Nursing Aud., Rm 1017.
Colloquium on Health Policy. Dr. Robert Sullivan, assistant
professor of community health sciences and medicine, will speak
on "Quality Assessment in Ambulatory Care," Rm 224, Social
Sciences Bldg.
by the Camera
Wednesday, March 2
1p.m. NCME. See Fri., Feb. 25 for program listing and viewing areas.
2 p.m. Film on "30 Minutes on Infectious Disease," including "ABC:
Anaerobic Bedside Culture," "Chemotherapy: Killer or Cure?"
"Transmission of Pseudomonal Infections," "Cutaneous Signs of
Systemic Disease," and "Diagnostic Hotline-." View in Rm
M-406.
Thursday, March 3
1 p.m.
NCME. See Fri., Feb. 25 for program listing and viewing areas.
BUSY SPOT —
Cynthia Harris, re
ceptionist in the
Emergency Room,
keeps a log of all
new patients seen
there. A 1976
graduate of South
Granville High
School in Creed-
moor, she says her
job is "pretty excit
ing at times. I meet a
lot of people.”
(Photo by Ina Fried)
Costs Up, Income Down, Tuition Climbs
(Continued from page 1)
But, McGinty added, by that year
other sources of income to help
finance medical education were at an
all-time high, and they have dropped
off dramatically since.
"In 1974-75, we received $321,000
from two federal programs — the
Basic Improvement Grant (BIG) and
the Physicians Augmentation
Program (PAP)," McGinty said. "But
in 1975, both programs ended."
McGinty said that in 1974-75 Duke
received federal capitation money
(the amount the federal government
provides to help defray the cost of
educating a variety of health care
professionals, including doctors)
totaling $922,000.
It has steadily dropped, and the
1977-78 capitation forecast for Duke
is $445,000 — less than half what it
was three years ago, McGinty said.
Other Sources
The remaining source of
government support of medical
education is state capitation, and
that has registered a small increase,
h-om $504,000 in 1974-75 to $600,000
currently.
The School of Medicine receives a
percentage of the university's
endowment, and that income is off
by about $89,000 from what it was in
1974-75, McGinty said.
"In summary," the financial officer
explained, "we receive $702,000 less
in government support money and
$89,000 less in endowment income
that we did back in 1974-75 when our
tuition was $2,900."
Even the tuition at its projected
level for next year — $5,050 for
first-year students and $4,400 for
others — will not compensate for the
loss in income from federal
capitation and endowment, McGinty
said.
Not Just Salaries
At the same time, he added, the
cost of medical education continues
to increase. "When we talk about
educating a medical student,”
McGinty said, "people don't
understand that that cost includes all
expenses, not just the salaries of the
faculty.
"Just as real an expense in the
budget is the cost of operating the
buildings and equipment to include
housekeeping, repairs, insurance,
safety and an increasing amount for
electricity, gas, steam, and other
utilities. Every effort is made to have
agencies sponsoring research in this
space to reimburse their appropriate
share of this expense, and all patient
care space is separated and charged
to the appropriate hospital or clinic
department.
"Another element in addition to
faculty expenses," he said, "are
administrative and clerical expenses
in the departments and
administrative levels, the library and
central teaching facility. The medical
school pays its appropriate share of
centralized university general and
administrative expenses such as
accounting, personnel, bursar,
purchasing, student loan office, and
university administration.
Tight Budgets
"These 'indirect' expenses are
continually examined very closely
and budgets for these areas are very
tight. However, utility, coal, and
other energy costs are affecting the
medical school very severely, as well
as the hospital and the entire
university," McGinty added.
"Overall the, medical school's
annual operating budget is about $50
million for all of its education,
research, research training, and
service programs including direct
and indirect costs of these programs.
Agencies sponsoring various
research, training, and service
programs provide about'$35 million
of this and the remainder is derived
from endowment, contributions
from the physicians' private practice,
private philanthropy, tuition, federal
and state capitations, and university
support," he explained.
"At the present time, tuition from
medical students accounts for
approximately four and a half per
cent of the cost of supporting the
faculty salaries and other expenses,
direct and indirect, of the basic
science departments, and
approximately three and a half per
cent of the clinical departments,"
McGinty said.
While tuition has increased,
McGinty noted that the student body
has grown and that student aid
funds have increased significantly
also. Grants and loans to medical
students from the School of
Medicine and other university
sources increased from $283,300 in
1970-71 to $757,700 in 1975-76, a
$474,400 growth.
Scholarship Growth
As recently as 1%3, Duke had only
$500 in scholarship funds available
for the entire medical school.
By contrast, in 1976-76
non-govemment scholarship funds
received by the medical school
totaled almost $131,000. Major
sources totaling $7,000 or more per
year included the Medical School
Faculty Wives ($31,771); the Mary
Duke Biddle Foundation ($25,439);
Hillory Wilder ($13,303); Thomas C.
Bost Foundation ($9,089); Lettie Pate
Whitehead Foundation ($8,238); Dr.
John H. Lane Memorial ($7,859); and
the Duke Hospital Auxiliary ($7,000).
Financial assistance to students
from external sources (including the
American Medical Association,
bank-guaranteed loans, armed forces
""scholarships and the National Health
Service Corps) increased from about
$164,000 in 1970-71 to $543,000 in
1975-76, an increase of $379,000.
In accordance with requirements
to obtain federal funding, Duke
increased its medical school entering
class size from 84 to 104 in 1970-71
and up to 114 in 1972-73.
Where'd They Go?
Personnel functions formerly
handled by the office at Room
1160, Hospital, have been moved
to the Personnel Office in Room
160, Bell Building.
Employee Relations
representatives Wanda P-
Crenshaw and Gloria M. McAuley
will move across the hall to Room
1150, Hospital, about March 1.