Strengthening Research in Academic OB/GYN Departments (1992) / Chapter Skim
Currently Skimming:
5 DEPARTMENTAL AND LEADERSHIP ISSUES
5 DEPARTMENTAL AND LEADERSHIP ISSUES
Pages 125-140
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 125... ...
These departments, U~t31 a came of outstanding investigators, including basic scientists, are also He only ones Tut are considered able to provide an excellent endowment for paining He next generation of investigators. Most academic departments of OBtGYN do not rank highly ~ the academic pantheon ols heir medical cents, but Hey nevertheless provide excellent clinical training and health core..
|
From page 126... ...
It becomes a Catch 22 situation. Sac presmrc on fi~cul~ to gc~atc clinical practice income is, to a great cadent, 2hc rcs~ of the salaries required to attract physicians to acadcme.
|
From page 127... ...
. in order to manikin the economic friability of the department Id a low population density sme moth limited TIC base, public funding of higher education including medical schools is marginal at best.
|
From page 128... ...
Yet although service income has replaced research income as the leading source of revenues, it does not follow ~ clinical income provides much discretionary money that d~arUn~t chairs can use to support investigation. A survey of medical faulty practice plane ~ 1980 found chat 42 percent of revenues w\ent to direct physician compassion, 11 percent to physics fringe benefits, and 33 percent to operating expenses.
|
From page 129... ...
mmy cases He dean was prepare to make an ink in developing a "search-in~ve OB/GYN department, skim because die school was aborting to become a major player ~ Diversity research and was therefore investing in all clinical debts, at over times Cause OBIGYN lagged behind other departs Ed needed to be upgraded. ~ several cases the medical school inveshnent was anally quite mirrors either braless a new chair brought moor foundation fimding ninth him or her or because foundation support was quickly obtained.
|
From page 130... ...
Accomplishing this cross-subsidy without aligning clinical faculty red Bat the chair convince them ~ 'chanced investigative capabilities would benefit the Kent as well as the discipline as a whole. A well established strategy and one singly endorsed by chain who wrote to the color enhancing departmental research capabilities Is the recruitment of basic scientists who brig essential knowledge and skills to the department and, ideally, wow alongside OB/GYNs in collaborative efforts.
|
From page 131... ...
Collaborative Lodgements cm also provide mentoring that is not available in the OB/GYN department, and potential young investigators can benefit from the laboratories of collabo~a~g basic science d~arUnents. Collaborative activities can be building blocks for a deportment that does not yet have sufficient comity to stand alone as a research entity: Hey can ensure a level of research activity while junior faculty move toward independence and the decrement establishes itself as a research center able to recnut m~estigators.
|
From page 132... ...
. increase tile Biblical income used to s~port research; conduct important epide~oiological and bebavioral r~h that is relevant to OB/GYN; and create n~ter~pa~entaI ~ ~g~ Maim Would also, when possible, establish a foundation ~ Cal receive contributions Ham padents and other supported, deco be ~ to support young investigators and for over prose am encourage research.
|
From page 133... ...
And if a significant group of academic leaders are not actively Hang Me case for expanded research, it is not su~pnsing tom prof~onal organizations, whose membership Is predominantly practitioners' display a low level of ins ~ advancing research. The emergence of nasal leaders from the academic ranks and their ascent to positions of influence should not be taken for granted.
|
From page 134... ...
, which is fo~g a committee to encourage research. This committee is expected to wow win other organi~ons in developing and sHmulating research In Anemia Of He 126 chairs who bonded to a questionnaire about topics obey would like to have sdd~d in management selnin~rs, 88 expressed an ink set on developing ah programs s · ~ another survey, department chairs identified research experience as among He qualides they lacked, reflecting an enc~a~g awareness of the need for restitch expenence for those holding the position of department c~ir.6 Thus some OBIGYN groups are already moving in usefill directions; yet even gamer roles for them and others are feasible.
|
From page 135... ...
~ 1985, the American Psychiatric Association established an Office of Research. This office is attempting to elevate He profile of research the discipline in many ways: it publishes a guar~rly report It highlights research policy shifts, legislative ismes, and relevant published reports; it also acts as an information resource listing grant opportunities, gaining opportunities, "d Search matings, as well as fearing discussions of paining issues Ed exciting research developments.
|
From page 136... ...
Not only does Congress appropriate the federal research money, but it imposingly ties that money to specific goals and activities.9 If OBIGYN is to Unease the contribution of federal Ends to its research areas, it must par~cipab, in Be edition of those who influence approbations. This requires that Be leaders of die profession emphasize Be role of OB/GYN research in the resolution of important problems.
|
From page 137... ...
before the Subcommittee on Health Ad He Ennronm~t of the House Committee on Energy and Commerce, in which He GAO commented ~ the National lbsti~tes of Heal~'s ~ implementation of a policy on itlcl~ing women ~ clinical trials, questions have been raised in He press, ~ Congress, and at NIH about whether the nation's research enterprise is doing justice to women's health. The prominence being given to these issues strengthens He case for ~nvest~g federal fimds and medical school resounds in d~parUn~ts of OB/GYN.
|
From page 138... ...
This is reflected in a major new research Vitiate proposed by Bernadine Healy, director of NIH, the establishment at NIH of the Office of Research on Women's Health, and an army of legislative proposals from Congress. The emerging Simon of a need to foster research on issues related to womeD's health offers an usp~cedented oppo~ni~ to confirm He role of OB/GYN .
|
From page 139... ...
Wasbington, D C.: Association of American Medical Colleges, Awry 1991. 2 Association of American Mctica1 Colleges, staff communication, to the IOM Con~mit~cc to Plan A Study of the Remaseb Capabilities of OB/GYN.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.