Journal of Clinical Psychology in Medical Settings, Vol. 4, No. 1, 1997 Report of the Working Group on Clinical Services 1,2 William C. Sanderson, 3 William T. Riley, 4 and Sussie Eshun 3 Prepared by the Working Group on Clinical Services from the November 1995 Georgetown conference sponsored by the Association of Medical School Psychologists, this paper focuses upon issues related to the effects of health care reform and changes to the health care system on psychologists practicing within academic health care settings. Discussion of the changes in the health care economic system and the call for cost-effectiveness produced five specific suggestions for psychology to establish accountable, data-based models of behavioral health care. KEY WORDS: health care reform; health care economics; health psychology; academic medical settings. INTRODUCTION The Working Group on Clinical Services was comprised of psycholo- gists representing a diversity of academic health science centers in the United States and Canada. Members began by discussing the changing role of psychologists at their institutions, with a primary focus on clinical serv- ices. We then compiled a list of common challenges and brainstormed strategies that could be implemented to survive these challenges. These 1Group members included William Sanderson (Chair), Daniel Armstrong, Sharon Berry, Mark Blais, Cathy Conboy, Glenn Pancyr, Scott Richards, William Riley, and Ivan Mensh (AMSP Board Liaison). 2 Requests for reprints should be addressed to Cynthia D. Belar, Ph.D., Department of Clinical and Health Psychology, Box 100165, University of Florida Health Science Center, Gainesville, Florida 32610. 3 Albert Einstein College of Medicine, Montefiore Medical Center, The Bronx, New York. 4 Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia. 5 1068-9583/97fl30(M)005$12.50fl ® 1997 Plenum Publishing Corporation