FrontMatter -- REVIEWERS -- PREFACE -- ACKNOWLEDGMENTS -- CONTENTS -- EXECUTIVE SUMMARY -- 1 INTRODUCTION -- 2 FORCES FOR CHANGE -- 3 THE ACADEMIC HEALTH CENTER AS A REFORMER: THE EDUCATION ROLE -- 4 THE ACADEMIC HEALTH CENTER AS A MODELER: THE PATIENT CARE ROLE -- 5 THE ACADEMIC HEALTH CENTER AS A TRANSLATOR OF SCIENCE: THE RESEARCH ROLE -- 6 THE CONSEQUENCES OF CURRENT FINANCING METHODS FOR THE FUTURE ROLES OF AHCS -- 7 EXPECTATIONS FOR THE AHC OF THE 21ST CENTURY -- 8 CREATING SYSTEMS FOR CHANGE IN AHCS -- REFERENCES -- APPENDIXES -- Appendix A ACADEMIC HEALTH CENTERS: ALL THE SAME, ALL DIFFERENT, OR… -- APPENDIX A TABLES -- Appendix B COMMITTEE ON THE ROLES OF ACADEMIC HEALTH CENTERS IN THE 21ST CENTURY.