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About the Teaching Medicine Series | p. xv |
Introduction: Views of Educational Leadership in Internal Medicine | p. xvii |
The Leadership Challenge in Internal Medicine | p. 1 |
Defining Leadership | p. 1 |
Leadership Styles | p. 3 |
Qualities and Values of Leadership | p. 4 |
Developing Leadership Skills | p. 6 |
Personnel Development | p. 8 |
Are Leaders Always Scholars? | p. 9 |
Developing New Leaders: Succession Planning | p. 9 |
The Risks of Leadership | p. 10 |
Concluding Thoughts | p. 11 |
The Changing Structure of Medical Education: A Historical Perspective | p. 15 |
From Apprenticeship to a Revolution in Medical Education | p. 16 |
Medicine and Science | p. 18 |
How to Tell a Specialist | p. 19 |
How to Train a Specialist | p. 21 |
National Organizations, National Challenges | p. 22 |
Libby Zion and House Staff Work Hours | p. 24 |
New Challenges for a New Century | p. 26 |
The Organization of Medical Education: A Brief Guide | p. 31 |
Interacting Dimensions and Components | p. 32 |
Medical Education: A Broader Definition | p. 33 |
Selecting the Right Students | p. 33 |
The Terms We Use: UME, GME, and CME | p. 34 |
Key Positions in the Medical School | p. 35 |
Divisions of Medical Education | p. 36 |
Key Positions in the Departments | p. 43 |
Key Positions With the Hospital | p. 43 |
Leadership, Governance, and Accreditation | p. 44 |
Conclusion | p. 49 |
Understanding Systems of Education: What to Expect of, and for, Each Faculty Member | p. 51 |
The Pyramid of Educators | p. 52 |
All Teachers | p. 57 |
Core Teachers | p. 62 |
Academic Directors | p. 65 |
Institutional Leaders: Chairs, Deans, and CEOs | p. 68 |
Conclusion | p. 71 |
Developing a Career in Academic Medicine | p. 73 |
Two Scenarios | p. 73 |
Understanding Promotion: The Sooner the Better | p. 75 |
Choosing the Appropriate Career "Track" | p. 77 |
Documenting Progress: The Curriculum Vitae and Educator's Portfolio | p. 78 |
Developing a "Reputation" | p. 84 |
Accepting Opportunities as an Educator | p. 85 |
Faculty Attrition and Why It Is Undesirable | p. 86 |
Leadership Opportunities in Academic Medicine | p. 93 |
If It All Goes Wrong: Rescuing and Restarting a Career | p. 97 |
Conclusion | p. 98 |
What Do Leaders Need to Know About Curriculum Planning? | p. 101 |
Planning a Curriculum | p. 102 |
Curriculum Cycles: Maintenance, Enhancement, and Transitions | p. 121 |
Developing the Skill Set for Curriculum Development | p. 123 |
Curriculum Development as Scholarship: Making It Count Twice | p. 124 |
Evaluating Educational Programs | p. 129 |
Why Perform Program Evaluation? | p. 130 |
Key Definitions and Distinctions | p. 131 |
Essential Versus Desirable | p. 131 |
Reliability and Validity | p. 132 |
Stakeholders | p. 133 |
Unit of Analysis | p. 134 |
Existing Versus New Programs | p. 135 |
Frameworks for Program Evaluation | p. 135 |
Types of Outcome Measures | p. 140 |
Monitoring Programs | p. 146 |
Additional Practicalities and Getting Started | p. 147 |
Conclusion | p. 147 |
Developing a System for Evaluation of Learners | p. 151 |
Linking the Culture of Evaluation and Quality Improvement | p. 153 |
The Initial Questions | p. 153 |
Getting Help | p. 154 |
Traditional Approaches to Evaluation of Clinical Competence | p. 155 |
The Rise of Psychometrics | p. 156 |
Do You Evaluate Performance or Competence? | p. 157 |
Contemporary Approaches to Clinical Evaluation | p. 157 |
Tool Selection and Use | p. 163 |
Models and Blueprints in the Assessment of Trainees | p. 168 |
Choosing Tools | p. 170 |
Direct Observation by Trained Clinicians | p. 171 |
Additional Frontiers and Challenges | p. 175 |
Getting Started in Educational Research | p. 179 |
Moving to an Outcomes-based System | p. 181 |
Deciding What to Study | p. 182 |
Educational Research Methods | p. 185 |
Research Strategy | p. 186 |
Context | p. 187 |
Using Both Quantitative and Qualitative Methods | p. 189 |
Other Forms of Scholarship | p. 190 |
Single-Institution Studies | p. 191 |
Disseminating Your Findings | p. 191 |
Resources and Funding | p. 192 |
Resources to Get Started | p. 194 |
Learning About Educational Research | p. 194 |
Concluding Thoughts | p. 195 |
Profiles of Leaders in Medical Education | p. 199 |
Contents | p. 199 |
The Method | p. 200 |
"Results" | p. 201 |
Themes and Discussion | p. 202 |
Conclusion | p. 202 |
Daniel Federman | p. 203 |
Kelley Skeff | p. 208 |
Arthur Rubenstein | p. 214 |
Jordan J. Cohen | p. 219 |
Holly Humphrey | p. 224 |
Jack Ende | p. 229 |
Lawrence Smith | p. 235 |
James Woolliscroft | p. 241 |
Faith Fitzgerald | p. 247 |
W. Dale Dauphinee | p. 252 |
Thomas Nasca | p. 257 |
Charles Griffith | p. 263 |
Ruth-Marie E. Fincher | p. 268 |
Marshall Wolf | p. 273 |
Steven Weinberger | p. 278 |
Index | p. 285 |
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