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Clinical Excellence in Academia: Perspectives From Masterful Academic Clinicians


      To better understand and characterize clinical excellence in academia by exploring the perspectives of clinically excellent faculty in the top American departments of medicine.


      Between March 1 and May 31, 2007, 2 investigators conducted in-depth semistructured interviews with 24 clinically excellent Department of Medicine physicians at 8 academic institutions. Interview transcripts were independently analyzed by 2 investigators and compared for agreement. Content analysis identified several major themes that relate to clinical excellence in academia.


      Physicians hailed from a range of internal medicine specialties; 20 (83%) were associate professors or professors and 8 (33%) were women. The mean percentage of time physicians spent in clinical care was 48%. Eight domains emerged as the major features of clinical excellence in academia: reputation, communication and interpersonal skills, professionalism and humanism, diagnostic acumen, skillful negotiation of the health care system, knowledge, scholarly approach to clinical care, and passion for clinical medicine.


      Understanding the core elements that contribute to clinical excellence in academia represents a pivotal step to defining clinical excellence in this setting. It is hoped that such work will lead to initiatives aimed at measuring and rewarding clinical excellence in our academic medical centers such that the most outstanding clinicians feel valued and decide to stay in academia to serve as role models for medical trainees.
      ACGME ( Accreditation Council of Graduate Medical Education), AMC ( academic medical center), PBLI ( practice-based learning and improvement)
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      Linked Article

      • The Contemporary Medical Community: Leadership, Mentorship, and Career Choices
        Mayo Clinic ProceedingsVol. 83Issue 9
        • In Brief
          Modern medicine is undergoing a revolution in the diagnosis and treatment of diseases and in the processing, use, and distribution of medical information. The core features of this revolution are aimed at providing safe, cost-effective medical care that will improve patient outcomes. Every aspect of this change is associated with vast quantities of research and accompanying publications. However, one element missing from the mix is equally aggressive research directed toward understanding the core values and needs of medical practitioners.
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