Behavioral Medicine: St. Louis Style

This article describes a unique multidisciplinary division in which 8 clinical programs are all administered by psychologists working in a university medical center setting. The increasingly complex environment of a university medical center is discussed in terms of academic mission, competitiveness of health care, and professional roles. The development of this division is reviewed in relation to a number of critical issues, such as organizational structure, academic versus clinical demands, business operations, and one version of a scientist-practitioner model in practice.