Funding: An Overview
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As a medical student, resident, and even as a junior attending, I spent little time thinking about money and where it came from. Sure, I filled out billing sheets for my clinical time seeing patients and doing procedures, and every month when my department administrator handed me my P&L statement, I glanced at it, not really paying much attention to the details, unable to interpret it. Frankly, at that time, I considered the economics of medicine and medical research somewhat distasteful and undignified. After all, I was an academic physician and my goal was to pursue medical science in its purest form, unsullied by things like money. Money would surely always flow freely because any worthwhile effort would be supported. Right? But exactly how that worked—i.e., the who, what, where, when, and how—I gave only glancing consideration.