The reasons for the University of Michigan's decision to end development of a health maintenance organization are outlined from its different perspectives as an employer, health care provider, and medical school. Among the considerations were employee attitudes, insurance costs, competition, and revenue sources of the medical school. (MSE)

The creation and evolution of an internal medicine clerkship in three large teaching hospitals undergoing transition from affiliated hospitals to the university hospitals of a new medical school, the Uniformed Services University of the Health Sciences, is summarized. (Author/MLW)