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Bigger chairs at smaller tables
1Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA, USA. Jack.Ende@uphs.upenn.edu
Insights
Academic clinical department chairs face overwhelming responsibilities beyond traditional roles, especially in medicine. This commentary argues for limiting departmental scope to enhance focus on core missions like patient care and teaching.
Area of Science:
- Medical Education
- Healthcare Management
- Academic Medicine
Background:
- Chairs of academic clinical departments, particularly in medicine, are burdened with responsibilities exceeding traditional duties.
- Current departmental structures and reporting relationships create significant challenges for leadership.
Purpose of the Study:
- To address the challenges faced by chairs of academic clinical departments.
- To propose a solution for improving the focus and satisfaction of academic chairs.
Main Methods:
- This is a commentary, not a research study. It presents an argument based on the author's observations and experience.
Main Results:
- Departments of medicine have grown excessively large, hindering chairs' ability to focus on traditional missions.
- Chairs are struggling to balance administrative demands with clinical care and teaching responsibilities.
Conclusions:
- Limiting the scope of clinical and research programs within departments of medicine is recommended.
- Reducing departmental scope can help academic chairs regain traditional prominence and job satisfaction.
Abstract:
As noted in the commentary by Kastor, chairs of academic clinical departments in medical schools now find themselves beleaguered by issues and responsibilities-and in reporting relationships-that are beyond the traditional scope of those positions. The situation is particularly acute in departments of medicine. This commentary suggests that departments of medicine have become too large and that chairs are no longer able to focus on the more traditional missions of the department of medicine, most notably direct clinical care and teaching. An argument is made for limiting the scope of departments' clinical and research programs, thereby enabling academic chairs to regain the level of prominence and satisfaction that has traditionally been associated with those distinguished positions.
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