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professions in the greater Kansas City region. Ultimately, the Academy's programs and facilities will be expanded to serve national and international educational needs as the market warrants.

The Academy is the vehicle for planning, designing, organizing and carrying out a range of continuing education programs and activities for all of the major medical and health professional groups, including physicians, nurses, hospital administrators, technicians, health agency managers and many more. An environment will exist within the Academy to attract all categories of professional health personnel and foster a social and academic relationship among them. The Academy will provide a means for participation by members in community work projects and will provide a forum for dis~ cussion and evaluation of community health programs.

The Academy is viewed as:

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A center for the organization of continuing education efforts.

A sponsor for sabbatical leave residencies and extended

three to four month refresher programs for physicians in
practice.

An integral part of the communications network among area
hospitals and health centers.

An important resource for the Medical School staff. A way
of extending the Medical School's lectures, demonstrations,
exhibits and teaching programs into the health community.
A vehicle for participation in community activity and policy
matters when appropriate.

The recently funded Model Cities Health Center is an example of a project fully operational with a portion of the Executive Vice President's time the only HRI resource committed. Dr. Charles Wilkinson,

Executive Director of the Greater Kansas City Mental Health Foundation

and a member of the HRI Board will discuss that project. Thank you for this opportunity.

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Senator EAGLETON. Dr. Wilkinson.

STATEMENT OF CHARLES B. WILKINSON, M.D., EXECUTIVE DIRECTOR, GREATER KANSAS CITY MENTAL HEALTH FOUNDATION

Dr. WILKINSON. I would first like to express my appreciation for the opportunity of appearing, also in behalf of the psychiatric community I would like to express my appreciation.

As a consultant to a local health corporation that is establishing a comprehensive health center in the model cities' community, I would like briefly to address myself to several of the pertinent areas specified in Senator Eagleton's letter as they relate to the development and functioning of this health facility.

This much needed comprehensive health center has as its objective, quite simply, to treat people in need of care and to also keep those not in need of care, healthy. An integral part of the achievement of these goals require the development of a series of "new" positions for residents of the area to be served. A program for training that hopefully can be standardized and evaluated, which then could have some national significance, is being created.

In time this center can be visualized as one of several communitybased facilities that can serve as a training area for health professionals who will be required to be more knowledgeable about the totality of health care in comparison to the more limited and often isolated educational experience present in traditional medical educational institutions.

Perhaps one of the most significant things, however, at least in the stages of development currently taking place, is the collaboration with the various existing health facilities and health implementing organizations. In the latter instance particular reference is being made to the Health Resources Institute. Plans also involve utilization of the medical center in an advisory capacity but even more importantly for "back-up" services, that is, emergencies, hospitalization, specialty consultation in pediatrics, surgery, psychiatry, et cetera. These important areas can be handled principally by the medical center on Hospital Hill. The general idea is to create a linkage of health facilities that are interdependent and capable of extracting for its clients the best of what is available in health care.

Senator EAGLETON. Thank you very much, doctor. I said we would try to conclude-I am so proud of myself-by 3 o'clock, and, by God, 3 she is.

Dr. SMULL. Senator, could I just make a statement?

Senator EAGLETON. What are you trying to do ruin my record? [Laughter.]

Go ahead, Doctor.

Dr. SMULL. I would be very remiss, because I am personally pleased to be associated with so much talent in Kansas City. The board of directors of HRI, which you will notice on the letterhead, includes Mr. Nathan Stark, chairman; Mr. Robert Fizzell, secretary; Mr. Homer Wadsworth, treasurer; Dr. Edward Cross, vice provost for health affairs; Mr. George Dillon, president of Butler Manufacturing Co.; Mr. James Doarn, executive director of the Mid-America Council of Governments; Dr. Wilkinson, and Mr. Harkins, executive vice-presidents.

Thank you, Senator.

Senator EAGLETON. Thank you, gentlemen.

Let me say we have had, by my computation, in the 5 hours of testimony, some 28 witnesses. This has been, I think, not only in terms of quantity but, more importantly, in terms of quality, a very, very fine presentation. It has covered the full spectrum.

It has been a very, very well-rounded hearing, with points of view from all facets, most of the medical and even from the consumer field. I am sorry we didn't include some representatives of the nursing profession. We received a telegram from June H. Robinson, executive secretary, second district, Missouri Nurses' Association, in which she pointed out the fact that no one from that profession was on today's witness list. I apologize for that oversight.

I can say, for Miss Robinson, that we did hear from representatives of the nursing profession in our hearings in St. Louis on Wednesday, so they were on our mind, and their views were heard. I am sorry we didn't include any here from them today.

We will receive statements from the American Academy of General Practice, Kansas City being their home office, and they will submit

a statement to us.

I will say to anyone here who has testified or anyone who has not, that the record will remain open for at least 2 weeks for additional statements, statistics, data, any other such material as one may wish to supply, and we will be glad to receive it and include it in the record.

Finally, my thanks to Dr. Robinson, our host, for today's hearings in this very pleasant hearing room. This expedited the handling of the hearing and we appreciate his courtesy in arranging this.

I don't want to add any more testimonials to Homer Wadsworth. He has already been anointed about as high as one can go, but Homer was, as he has always been, very helpful to me and to Jim Murphy and others in facilitating the rounding up of the witnesses and coordi nating the holding of these hearings. They just don't occur. You know, we just don't send out a bunch of letters and people show up. It takes somebody to assist in that and Homer did wonderful work.

Thanks, are also due Bob Brown who really did thework that Homer is getting credit for. So thanks to everyone. These have been good hearings. No one can predict with any certitude what will come out of this, but I think we have a good, solid record upon which to make at least somewhat more intelligent recommendations with respect to legislation in the health manpower field.

I think legislation in the health manpower field will be forthcoming in the next session of Congress, and unless we hear from the people as to what they think such legislation ought to be, it perhaps won't be as effective or as meaningful as we would like it to be.

Once again, my thanks to one and all.

At this point I order printed in the appendix other pertinent material submitted for the record.

The hearing is adjourned.

(Thereupon, at 3:05 p.m. the hearing was adjourned.)

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