The current approach to research, teaching, clinical service, and administration at academic health centers is reviewed, and the traditional values underpinning this approach are challenged. A new form of faculty management that matches the individual faculty member's priorities and skills with the health center mission and which focuses on the…

Case studies of 10 medical schools identified innovative mechanisms of faculty governance and management to enlist faculty in meeting demands of a competitive marketplace, including appointment letters explicitly specifying roles and responsibilities; annual, objective, performance reviews; salary tied to performance; lengthened pretenure period;…