I N D E X
Academic Consortium on Integrative Medi-
cine, 164, 167–69
academic medical centers: Association of
American Medical Colleges (aamc), 57,
115, 133–34, 165, 182, 205, 222; Associa-
tion of American Physicians (aap), 182,
205, 222; center at Duke, 23, 25–31,
34–35, 51–54, 61, 67–69, 132–37; changes
in concepts and functions, 1, 3, 17–20,
35, 99–100, 142–43, 153–54; charity and
specialty care delivery by, 17, 127; clinical
and translational research of, 5, 16, 66,
119, 130–37, 213; decentralized character
of early, 19–20, 31–32; depts. and power
structures in, 19, 31, 73; as ­ drivers of
medical knowledge and innovation, 5, 16,
21, 22–24, 34–35, 66–68, 118, 131–36; as ­
drivers of new industries, 17, 34, 118–19,
136, 179–80, 252; as ­ drivers of specializa-
tion, 16, 18–19, 191, 242, 245; economic
importance of, 17, 21, 79, 82, 110, 145, 209;
financial structures and vulnerabilities of,
20, 53–54, 70, 84, 108, 139–42; health care
delivery by, 17, 143, 149–50; health care
delivery through Duke University Medi-
cal Center (dumc) and Duke University
Health System (duhs), 141–43, 152–54;
influence of Flexner Report on structures
of, 15, 16–17; integrative medicine in,
163–65, 168–69; leading in U.S., 34, 168,
252; national crisis of, 20–21, 32, 43, 67,
138–39, 206; research as basis for reputa-
tions of, 34, 46, 134–35, 243–44, 252; U.S.
government support of research by, 16,
66–67, 134; vs. medical schools, 18
Activase, 11, 131–32
acute care, 114, 249
African Americans: Dr.  Charles Drew case,
146; Maltheus Avery case, 146; community
health care programs for, 126; constraints
of to Duke’s public clinics, 29, 124–25;
Danny  O. Jacobs, 117, 126, 239; Duke
laundry fa­cil­i­ty (1989), 39–40; “Duke
Plantation” (1989), 80, 123, 129, 145; Hay-
wood  L. Brown, 117, 126, 238; impact of
workforce reduction on at Duke, 110, 125;
interactions with local black community,
125–26, 147; lasting socioeconomic impact
of discrimination and segregation on
local, 124–25, 145–46; legacy of racism at
Duke, 123–24, 129, 145–46; in low-­paying
positions at Duke (1989), 39–40, 80,
145; as  medical students at Duke, 123–24,
126–27; minority task force at Duke, 125;
Note: Italicized numbers indicate a figure; n indicates an endnote
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