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Left: Surgery in the Sint Annadal hospital 1986. | Archive azM Right: Portrait of J.Verhey, chairman of the board of the Sint Annadal hospital and first chairman of the board of the academic hospital Maastricht from 1980 until 1990. | RHCL 197 Walsum committee and to the parliamentary group of the faculty of medicine had been given the core task of innovating labour party. Annadal was to expand gradually and be brought medical education and health care. The key principles were set in alignment with the demands of academic patient care, out in the philosophy of the eighth faculty of medicine. education and research. Eventually, when it met academic Prominent elements were emphasis on primary care and the standards, Annadal hospital would transition to an academic establishment of a Medical Regional Centre (MRC). The MRC hospital that would be housed in a new building. Before this would constitute a virtual academic centre together with scenario was implemented, however, the hospital had to cross collaborating regional hospitals. This concept did not provide mountains of complex challenges and valleys of doubts about for a traditional academic hospital. For a long time, the MRC the road taken. In the run-up to academic status, regular patient occupied the minds of many people in the region and in the care was not only continued but expanded considerably. In faculty, with passionate supporters and equally fiercely 1973, when the first academic specialists arrived on the scene, convinced opponents. The MRC was never formed. The debate Sint Annadal hospital had 780 beds, sixty specialists, fifty on the MRC, both within and outside Maastricht, created residents and a total of almost 1,200 employees. The hospital uncertainty with respect to the academic role of Sint Annadal. had a dialysis department, a general intensive care unit and a Slow decision making about the government coronary care unit. contribution in the ministries was a serious impediment to the Meanwhile, as Annadal was expanding, the Committee development of an academic hospital. Initially, discussions with on the Preparation of a Maastricht Medical Faculty, chaired by the government concerned policies and substance, but once the Dr J.G. Tans, had not been idle. In 1973, the first professors years of the post war economic book were over, discussions were appointed and in September 1974, the first fifty students with successive ministers and ministers of state increasingly commenced their medical education in Maastricht. That was revolved around financial matters. The promised government the real beginning of an academic hospital. This required not contribution was long in materialising, causing Annadal to draw only more staff and beds, but also compliance with academic on its monetary reserves for much longer than had been requirements. In order to achieve this, the Government- foreseen to fund academic developments. Annadal Agreement was signed on 20 August, 1975. The course Within the hospital the process was also a source of of events during the following years might give the impression friction. Governing a continuously expanding general hospital that the board and staff of the hospital had agreed to the as well as an academic hospital under construction proved too academic undertaking without any clear view of the complexity much of a good thing for board and management. In 1977, a of the operation for the board, for hospital infrastructure and second board was installed in addition to the Sint Annadal for the medical staff. board. The Annadal board was responsible for the running of As a matter of fact the complexity of the change from the existing hospital, while the board of Maastricht hospital regular to academic hospital was not only attributable to the fully concentrated on the objectives of the academic hospital Sint Annadal hospital but also inherent to the fact that the new and preparations for construction of a new building. In fact this


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