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Abstract
Osteopathic medical schools are in an excellent position to cooperate with managed care providers because of an overlap of their common objectives. The authors maintain that osteopathic medical schools and managed care providers need to work together to promote integrated graduate medical education-managed care systems or face the possibility of being at the mercy of a fragmented healthcare reform movement. Issues related to common objectives and barriers to integrated graduate medical education-managed care systems are discussed, along with possible solutions.