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Managing in Academics: A Health Center Model
Abstract
Managing in Academics is a timely book for this period of profound change influencing health care and academic health centers. The book's purpose is to help those steering the academic health center ship navigate safely through rough seas and dangerous reefs,The book succeeds only in part, because during times of rapid change some topics lose their initial wisdom and timeliness by the time they appear in print. Fortunately, most of the contents, distributed through 20 chapters, survive present changes; however, to maintain freshness, some chapters will need frequent updating in future editions. Others may already have become victims of progress. "Computer Systems," for example, reflects a reality several years back and appears outdated.Each chapter can stand by itself. The first and last give the reader an excellent macro view of the challenges facing academic health centers. The respective authors, who are both in charge of academic health centers,
Addressing important but complex research questions often necessitates the creation of innovative mixed methods designs. This report describes an approach to developing research designs for studying important but methodologically challenging research questions.
The Methodological Think Tank has been held annually in conjunction with the Primary Care Research Methods and Statistics Conference in San Antonio since 1994. A group of 3 to 4 methodologists with expertise balanced between quantitative and qualitative backgrounds is invited by the think tank coordinators to serve on a 2-day think tank to discuss a research question selected from those submitted in response to a call for proposals. During the first half-day, these experts explore the content area with the investigator, often challenging beliefs and assumptions. During the second half-day, the think tank participants systematically prune potential approaches until a desirable research method is identified.
To date, the most recent 7 think tanks have produced fundable research designs, with 1 being funded by a K award and 4 by R01 grants. All participating investigators attributed much of their success to think tank participation. Lessons learned include (1) the importance of careful selection of participating methodologists, (2) all think tank communities of inquiry must go through 4 stages of development from pseudocommunity to community, and (3) the critical importance of listening by the investigator.
Researchers and academic departments could use this process locally to develop innovative research designs.
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