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Council of Teaching Hospitals and Health Systems (COTH)

The Council of Teaching Hospitals and Health Systems (COTH) focuses on how changes in the nation’s health care system and health care policy uniquely impact teaching hospitals and health systems.

Transitioning to new council for health system executives

The AAMC Board of Directors and the AAMC Assembly have approved the transition of COTH to the Council of Academic Health System Executives (CAHSE). The new council will focus on the unique challenges faced by system-level leaders who oversee the highly complex clinical enterprises that improve health care outcomes while supporting medical education, research, and community collaboration. More information will be provided during the transition and leading up to the launch of the new council, which will become effective July 1, 2024. Read more about the transition.


Academic medicine touches the lives of Americans every day. The AAMC’s vast network of 156 medical schools and nearly 400 teaching hospitals – the institutions of academic medicine – drive research and innovation and provide complex patient care.

issue brief

Some VBC models have achieved net savings, while others have resulted in relatively modest net spending. Are we measuring “value” appropriately?

  • March 30, 2023

Council of Teaching Hospitals and Health Systems

COTH members include the CEOs, presidents, and other executives who lead the AAMC’s nearly 400-member teaching hospitals and health systems. They concentrate on issues specific to academic medicine, such as demonstrating its value and societal good; financing graduate medical education; funds flow and enterprise-wide mission alignment; mergers, acquisitions, and partnerships with community providers.

Recognized as a benchmark for leadership excellence in patient care, medical education, and research, COTH membership is for hospitals and health systems by application. Applicants must be reviewed by the COTH Administrative Board and approved by the AAMC Board of Directors. Applicants must have both a formal and documented affiliation agreement with an accredited medical school and/or school of osteopathic medicine, and at least one ACGME-accredited residency program. Review a list of current AAMC-member hospitals and health systems.

Becoming a member of COTH allows you access to a variety of resources. Learn about COTH membership benefits.

The COTH Administrative Board works with AAMC staff and the membership at large to develop and implement resources and programming that addresses critical issues for AAMC-member teaching hospitals/health systems and the executives who run them. The COTH Chair and Chair-Elect serve on the AAMC Board of Directors as representatives of hospital and health system members. Learn more about COTH leadership.

COTH members (and their designated representatives) may access a range of AAMC members-only benefits including: financial and operational benchmarking data and reports; advocacy and advocacy-related resources; affinity groups, LISTSERVs, data, networking, and learning opportunities for professionals sharing similar roles and responsibilities at member institutions across the country; quality improvement initiatives; support for new health care payment and delivery models; physician workforce data; discounted use of certain AAMC services such as VSLO; discounted meeting registration and publication fees; and much more.

For more information about the AAMC affinity groups to which COTH members may designate representatives, visit the AAMC Affinity Groups site.

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