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501

$5,100,000 under U. S. Public Law 88-129 for the $8,500,000 Basic
Science unit, and our request has to compete with requests from a
large number of universities. We must act quickly and broadly. This
means more planning dollars and more men than we now have; otherwise
we lose our opportunity. I cannot stress too much the vital need for the
above three-pronged Master Planning. We will be looking more and
more to the matching Federal funds, and more detailed plans are a
prerequisite.

"We are particularly fortunate in that Dr. Clark, Division Administra-
tor, is a member of the recently appointed 15-man National Advisory
Council for Education for the Health Professions which helps administer
Public Law 88-129.

Health Planning Council

"On recommendation of the U. S. Public Health Service a Health Planning
Council is now being organized in Durham, Orange and Wake Counties
as a pilot project in comprehensive areawide health planning. The three
county governments, medical societies, industry, and Duke and UNC at
Chapel Hill are cooperating in an effort to do long range planning to meet
the existing inadequacy of health care in the Research Triangle area.
This study program is meaningful not only because the Council can be
the prototype for other areawide planning groups through North Carolina,
but more particularly for the University since Memorial Hospital is the
only hospital in Orange County.

Division of Health Affairs Organizational Structure

"The organizational structure of the Division, unique in this part of the
southeast, has been under attack from some members of the Medical
School faculty and administration. Remember that the Medical/Health
Center at Chapel Hill is one of only seven such centers in the United
States having all six units. Duke has only the usual three Medical
School, Nursing School and Hospital units.

"During the May 11, 1964 meeting of the Trustees Committee on
Health Affairs Chancellor Aycock was requested to give his opinion on
the organizational structure with which he has worked intimately since
1955. May I quote from the May meeting minutes - the Chancellor
stated it was his judgment that the existing administrative structure
was more feasible at this time than any alternative arrangement that
he could envision. The Division Advisory Board is essential as the
coordinating focus for the five Schools concerned. The Chancellor
continued that it is imperative that the Division of Health Affairs main-
tain a separate budget system, coordinated through the Divisional Adminis-
tration. The N.C. Memorial Hospital, although administratively within
the School of Medicine, must serve as the teaching laboratory for other
professional groups as well. The basic science departments of the
School of Medicine provide instruction essential to the other units. An
alternative to the existing system might require the creation of parallel
and competing departments. He concluded that he had no suggestions
for any change at this time.

"Your Trustees Committee concurs in the Chancellor's opinions.

Chancellor Aycock's Leadership.

"I cannot close this report without recording the strong leadership
Chancellor Aycock has given the Division of Health Affairs during the past
eight years. His grasp of the essential problems and the potentialities
of this complex Division with its 1577 full-time students (not counting
Extension, summer school and special students), 375 full-time and 160
part-time faculty, over 1500 supporting personnel, $18,000,000 annual
operating budget covering teaching, research and patient care programs,
has been outstanding. His patience has been long-suffering, he has
listened and then acted with precision and sound judgments. We will
miss his thoughtful and forceful leadership.

"Your Committee believes that the Division of Health Affairs, despite its
growing pains, has been developing along sound lines. Many of its programs
have achieved national and international recognition. After fourteen years

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