scholarly journals Exploring Departmental Leadership: How Department Chairs Can Be Transformative Leaders

Author(s):  
Kate Quinn
2021 ◽  
pp. 019459982110042
Author(s):  
Jenny X. Chen ◽  
Shivani A. Shah ◽  
Vinay K. Rathi ◽  
Mark A. Varvares ◽  
Stacey T. Gray

Graduate medical education (GME) is funded by the Centers for Medicare and Medicaid Services through both direct and indirect payments. In recent years, stakeholders have raised concerns about the growth of spending on GME and distribution of payment among hospitals. Key stakeholders have proposed reforms to reduce GME funding such as adjustments to statutory payment formulas and absolute caps on annual payments per resident. Otolaryngology departmental leadership should understand the potential effects of proposed reforms, which could have significant implications for the short-term financial performance and the long-term specialty workforce. Although some hospitals and departments may elect to reduce resident salaries or eliminate positions in the face of GME funding cuts, this approach overlooks the substantial Medicare revenue contributed by resident care and high cost of alternative labor sources. Commitment to resident training is necessary to align both the margin and mission of otolaryngology departments and their sponsoring hospitals.


2012 ◽  
Vol 45 (01) ◽  
pp. 138-145
Author(s):  
Michael Brintnall

The annual executive director's report documents APSA's activities and directions for the year. The traditional core activities for a learned society are its journals and conferences. APSA, like its counterparts, also supports the discipline and the professional interests of members in a variety of ways: support for department chairs and academic programs, engagement with federal policymaking on support for scholarship and education, and attention to the pipeline of prospective new scholars in the discipline. Some of these initiatives focus on resources for individual political scientists, such as our mentoring initiative, and many are built around management of the commons of the discipline and efforts to assure that we collectively address matters that affect the discipline. APSA is active on many of these fronts, and this report in particular highlights those APSA activities that help support the disciplinary community as a whole.


2015 ◽  
Vol 167 (4) ◽  
pp. 787-788 ◽  
Author(s):  
Robert W. Wilmott ◽  
Jon S. Abramson ◽  
H. Dele Davies ◽  
Marianne E. Felice ◽  
Bonita Stanton ◽  
...  

2012 ◽  
Vol 45 (01) ◽  
pp. 87-92 ◽  
Author(s):  
Todd A. Collins ◽  
H. Gibbs Knotts ◽  
Jen Schiff

AbstractWe know little about the amount of career preparation offered to students in political science departments. This lack of information is particularly troubling given the state of the current job market and the growth of applied degree programs on university campuses. To address this issue, this article presents the results of a December 2010 survey of 279 political science department chairs that asked questions about the level of career preparation in their respective departments. Based on our empirical findings, we believe that political science departments are not doing enough to address their students' career preparation. Our results demonstrate that most departments rely on voluntary internships and faculty advisers to address career-related issues for political science majors. Only a few departments use required internships, required resumes, specific classes related to career preparation, and social media sites such as Facebook and LinkedIn to support career preparation. We also found substantial differences in career preparation across department type (BA, MA, and PhD) and between public and private universities, urban and rural universities, and universities with different average SAT scores. Our findings should interest faculty and administrators who are concerned with different approaches to career preparation on college campuses.


2019 ◽  
Vol 47 (5) ◽  
pp. E14 ◽  
Author(s):  
Julia Velz ◽  
Flavio Vasella ◽  
Kevin Akeret ◽  
Sandra F. Dias ◽  
Elisabeth Jehli ◽  
...  

OBJECTIVESkin depressions may appear as undesired effects after burr-hole trepanation for the evacuation of chronic subdural hematomas (cSDH). Placement of burr-hole covers to reconstruct skull defects can prevent skin depressions, with the potential to improve the aesthetic result and patient satisfaction. The perception of the relevance of this practice, however, appears to vary substantially among neurosurgeons. The authors aimed to identify current practice variations with regard to the application of burr-hole covers after trepanation for cSDH.METHODSAn electronic survey containing 12 questions was sent to resident and faculty neurosurgeons practicing in different parts of the world, as identified by an Internet search. All responses completed between September 2018 and December 2018 were considered. Descriptive statistics and logistic regression were used to analyze the data.RESULTSA total of 604 responses were obtained, of which 576 (95.4%) provided complete data. The respondents’ mean age was 42.4 years (SD 10.5), and 86.5% were male. The sample consisted of residents, fellows, junior/senior consultants, and department chairs from 79 countries (77.4% Europe, 11.8% Asia, 5.4% America, 3.5% Africa, and 1.9% Australasia). Skin depressions were considered a relevant issue by 31.6%, and 76.0% indicated that patients complain about skin depressions more or less frequently. Burr-hole covers are placed by 28.1% in the context of cSDH evacuation more or less frequently. The most frequent reasons for not placing a burr-hole cover were the lack of proven benefit (34.8%), followed by additional costs (21.9%), technical difficulty (19.9%), and fear of increased complications (4.9%). Most respondents (77.5%) stated that they would consider placing burr-hole covers in the future if there was evidence for superiority of the practice. The use of burr-hole covers varied substantially across countries, but a country’s gross domestic product per capita was not associated with their placement.CONCLUSIONSOnly a minority of neurosurgeons place burr-hole covers after trepanation for cSDH on a regular basis, even though the majority of participants reported complaints from patients regarding postoperative skin depressions. There are significant differences in the patterns of care among countries. Class I evidence with regard to patient satisfaction and safety of burr-hole cover placement is likely to have an impact on future cSDH management.


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