Threatened by sharp cuts in state government support and stagnant federal research funding, US public research universities are becoming fragile ecosystems. By charting flows of research dollars through a leading public research university-the University of California, San Francisco (UCSF)-this book illuminates how such schools work to cope with these funding threats and how the challenges and coping strategies affect organization and direction of research. Academic leaders, faculty, administrators, and students will learn how a complex academic health center manages its revenues, expenses, and diverse academic cultures. For the first time, they can begin to understand arcane mysteries of indirect cost recovery, sponsored funds, capital investment, endowments, debt, and researchers' salaries.

This is an unmistakable time of crisis and confusion about the purpose, value, and sustainability of higher education in the United States. Data continues to show substantial benefits for students who complete a four-year degree, yet Americans from all backgrounds are losing confidence in the nation's institutions of higher learning, and political and economic challenges for colleges and universities seem greater than ever. How can faculty, administrators, governing boards, and other stakeholders address these challenges effectively? Holden Thorp and Buck Goldstein draw on interviews with higher education thought leaders and their own experience inside and outside the academy to address these problems head on. Now in paperback with a new preface by the authors, Our Higher Calling presents a forceful case for the enduring value of higher education along with pragmatic recommendations for how campus leaders can engage in constructive dialogue about necessary change.

In Making Room in the Clinic, Julie Fairman examines the context in which the nurse practitioner movement emerged, how large political and social movements influenced it, and how it contributed to the changing definition of medical care. Drawing on primary source material, including interviews with key figures in the movement, Fairman describes how this evolution helped create an influential foundation for health policies that emerged at the end of the twentieth century, including health maintenance organizations, a renewed interest in health awareness and disease prevention, and consumer-based services.

2014 AJN BOOK OF THE YEAR AWARD! 2014 DOODY’S CORE TITLE Now in its third edition, this highly acclaimed text remains the leading comprehensive textbook and professional reference for Clinical Nurse Specialist (CNS) education and practice. Supported by theory, research, and current literature, the book focuses on CNS roles and scope of practice; expanding opportunities in primary and home care settings; and outcomes of CNS practice throughout the care continuum and across the three spheres of impact. The third edition is updated to reflect current trends affecting CNS practice, with several new chapters that focus on telehealth, home care, and quality improvement. The text begins with an overview of the evolution, attributes, philosophical underpinnings, and key outcomes of CNSs in the United States. It then addresses nursing interventions, quality, and care delivery, as well as the business side of CNS practice—consultation, mentoring, project management, and entrepreneurship. It features examples of CNS practice in a variety of settings and specialty areas. This resource provides students and professionals with the guidance required to achieve core competencies and improve patient outcomes. NEW TO THE THIRD EDITION: Updated to reflect current practices and the latest core competencies Features a new section—Creating a Culture of Quality—that addresses patient safety, high-reliability organizations, Big Data, and efficiency Highlights emerging areas of CNS practice such as telehealth, pediatric palliative care, wound care, and home care KEY FEATURES: Emphasizes the importance of the CNS practitioner as expert clinician, consultant, researcher, and educator Written and edited by more than 40 individuals representing the “Who’s Who” of CNS nursing Highlights core competencies and practice outcomes identified in NACNS’s 2019 Statement on Clinical Nurse Specialist Practice and Education Presents models of CNS specialty care and CNS practice with outcomes Includes discussion questions, ethical considerations, analysis and synthesis exercises, and clinical application considerations Instructor’s PowerPoint slides included

This updated volume provides a guide to the theories and concepts of leadership in surgery. New chapters on team motivation, understanding different healthcare systems, and leadership negotiation are included. Practical management skills are also covered, including how to manage difficult personalities, change management, and conflict resolution techniques. Leadership in Surgery examines the skills and characteristics needed to be a good leader and aims to improve surgical leadership. The book is relevant to both trainees and practicing surgeons.

The Transformation of Academic Health Centers: The Institutional Challenge to Improve Health and Well-Being in Healthcare's Changing Landscape presents the direct knowledge and vision of accomplished academic leaders whose unique positions as managers of some of the most complex academic and business enterprises make them expert contributors. Users will find invaluable insights and leadership perspectives on healthcare, health professions education, and bio-medical and clinical research that systematically explores the evolving role of global academic health centers with an eye focused on the transformation necessary to be successful in challenging environments. The book is divided into five sections moving from the broad perspective of the role of academic health centers to the role of education, training, and disruptive technologies. It then addresses the discovery processes, improving funding models, and research efficiency. Subsequent sections address the coming changes in healthcare delivery and future perspectives, providing a complete picture of the needs of the growing and influential healthcare sector. - Outlines strategies for academic health centers to successfully adapt to the global changes in healthcare and delivery - Offers forward-thinking and compelling professional and personal assessments of the evolving role of academic health centers by recognized outstanding academic healthcare leaders - Includes case studies and personal reflections, providing lessons learned and new recommendations to challenge leaders - Provides discussions on the discovery process, improving funding models, and research efficiency

The Indiana University School of Medicine: A History tells the story of the school and its faculty and students in fascinating detail. Founded in the early 20th century, the Indiana University School of Medicine went on to become a leading medical facility, preparing students for careers in medicine and providing healthcare across Indiana. Historian William Schneider draws on a treasure trove of historical images and documents, to recount how the school began life as the Medical Department in 1903, and later became the Indiana University School of Medicine, which was established as a full four-year school after merging with two private schools in 1908. Thanks to state support and local philanthropy, it quickly added new hospitals, which by the 1920s made it the core of a medical center for the city of Indianapolis and the only medical school in the state. From modest beginnings, and the challenges of the Great Depression and the Second World War, the medical school has grown to meet the demands of every generation, becoming the leading resource for not only the education of physicians and for the conducting of medical research but also for the care and treatment of patients at the multi-hospital medical center. Today, the school boasts an annual income of over $1.5 billion, with over 2,000 full-time faculty teaching 1,350 MD students, and over $250 million in external research funding.