The polity of academic medicine

A critical analysis of autocratic governance

Steven J. Willing, Richard Gunderman, Philip L. Cochran, Todd Saxton

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

How should academic radiology departments be governed? This question has rarely been directly addressed in the radiology literature. The dominant model of administration in present-day academic departments differs from that typically seen in private group practices. Whereas private group practices tend to follow a democratic model whereby key decisions must be supported by a majority of the partners, in academic institutions, medical school deans and department chairs generally possess great latitude in strategic and operational decision making. This article considers arguments for and against "top-down" governance in academia. The rationale supporting this form of governance is weak, and the best evidence from the fields of management and organizational behavior suggests it may in fact be detrimental.

Original languageEnglish
Pages (from-to)972-980
Number of pages9
JournalJournal of the American College of Radiology
Volume1
Issue number12
DOIs
StatePublished - 2004

Fingerprint

Group Practice
Private Practice
Radiology
Medicine
Medical Schools
Decision Making

Keywords

  • Academic medicine
  • Autocracy
  • Chair
  • Chairperson
  • Democracy
  • Governance
  • Practice management

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

The polity of academic medicine : A critical analysis of autocratic governance. / Willing, Steven J.; Gunderman, Richard; Cochran, Philip L.; Saxton, Todd.

In: Journal of the American College of Radiology, Vol. 1, No. 12, 2004, p. 972-980.

Research output: Contribution to journalArticle

Willing, Steven J. ; Gunderman, Richard ; Cochran, Philip L. ; Saxton, Todd. / The polity of academic medicine : A critical analysis of autocratic governance. In: Journal of the American College of Radiology. 2004 ; Vol. 1, No. 12. pp. 972-980.
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