The "modest" proposal advanced by Friedman and McCabe in this issue of the Journal (7) that "All third-party payers of health care (private and public) should cover the clinical care costs (within the financial agreements of policy provisions) but not the research costs associated with patient participation in National Cancer Institute (NCI)-sponsored therapeutic clinical trials" can be an acce...

BACKGROUND The health care delivery system is experiencing enormous flux. The knowledge and skills sets required of today's physicians include expertise in competency areas that have not been included in the traditional medical curricula. The Undergraduate Medical Education for the 21st Century (UME-21) project was designed to develop innovative curricula that addressed the training necessary f...

Implementing change in organizations is a key nursing leadership competency. At the same time, it is a daunting responsibility. Fortunately, models of successful change illustrate useful concepts for leaders. Change concepts embedded in successful models include careful use of power, reason, reeducation, structure, behavior, and technology. This article discusses models of change. Learning from...

Leontowicz identifies the topic of argumentation as a critical competency for medical students and practicing physicians, and suggests that the topic be included as part of medical education programs. I would first like to applaud the author for identifying this topic, and I would like to contribute to the conversation with a few observations concerning argumentation as it relates to medical pr...

This program focused on practice-level service change as a means of improving patient care and developing leadership skills of 19 general practitioners (GPs) and aimed to: promote and support change in leadership thinking and practice, facilitate practice-led service improvement, support career development, support continuing professional development, and contribute to the development of extend...

BACKGROUND Few new Residency Program Directors (PD) are formally trained for the demands and responsibilities of the leadership aspect of their role. Currently, there are no comprehensive frameworks that describe specific leadership competencies that can inform PD self-reflection or faculty development. METHODS The authors developed a Postgraduate Program Director Competency Inventory (PPDCI)...

OBjECTIvEs To study the effects of the University of North Carolina at Chapel Hill (UNC) Interdisciplinary Leadership Development Program (ILDP) on interprofessional attitudes, beliefs, and use of skills. ILDP is a collaboration among five campus-based U.S. Maternal and Child Health Bureau-funded training programs. These programs included Leadership Education in Neurodevelopmental and Related D...