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The purpose of this paper is to present a case study which details the successful development, design and deployment of a leadership course for academic medical department chairs. The course provides a needed local and contextual alternative to the lengthy and often theoretical MBA/MHA.

Faculty developers used a multi-tiered methodology for developing the physician leadership course. The methodology consisted of literature findings, needs assessment, stakeholder input and structured interviews with administrative leaders.

The research, stakeholder input and interviews revealed an increasing number of physician leaders with a general lack of fundamental administrative leadership skills. These shortfalls are largely because of underexposure to core management competencies during medical school and limited contextual knowledge outside their organization. There is an urgent need for leadership development opportunities aimed at current and future academic medical department chairs.

This research is limited by the assumptions that the curriculum meets the ever-changing needs of health-care leaders, the course’s focus on academic medical department chairs within the Texas Medical Center and the lack of long range follow-up data to substantiate the effectiveness of the curriculum content and course structure.

The Academic Medical Department Leadership course offers valuable management skills training which complements standard medical training. Much of the course structure and content is adaptable to physician administrative and leadership positions in all settings.

Although the Academic Medical Department Leadership course is a response to a local concern, the study offers a generalizable approach to addressing the demand for skilled physician leaders.

The purpose of this paper is to discuss a unique leadership curriculum developed at the University of Florida and its impact on the leadership skills and values of the anesthesiology residents since its conception. The authors instituted a voluntary anesthesiology residency leadership development program at their institution to fill a perceived gap in leadership training. Mounting evidence reveals that strong clinical leadership skills improve outcomes for patients and health-care institutions. Additionally, this growing body of literature indicates that optimal outcomes result from effective team behaviors and skills, which are directed through the requisite clinical leadership. Unfortunately, adding leadership training into the existing medical education curriculum is a formidable challenge regardless of the level of learner.

To evaluate learners, the authors used the Aspiring leaders in Healthcare-Empowering individuals, Achieving excellence, Developing talents instrument, which is a validated and reliable assessment of leadership competency in health-care professionals. In 2017, the authors surveyed the past five graduating classes from the department (classes of 2012-2016), using the two graduating classes before the program’s implementation as a historical control group.

The survey was sent to 96 people, of whom 70 responded (73 per cent). Those participants who usually or always participated in the program responded with higher leadership-readiness skills scores than those who occasionally, rarely or never participated in the program. Notably, those who had participated in another leadership development course at any time had higher skills scores than those who had never participated.

The study’s data provide evidence that residents who either, often or always participated in the leadership development program perceived themselves to be better equipped to become effective health-care leaders as opposed to residents who never, rarely or occasionally participated.

This paper seeks to provide evidence that the long‐term success of capital‐intensive technology products requires continuous integration of innovations in the form of new features and capabilities that meet broad user preferences.

Magnetic resonance imaging (MRI) research centers, which represent lead users in this industry, are used as a case study. An online survey was developed to identify and rank the main factors behind brand switching, then secondary sources are used to confirm the research results.

A multi‐faceted approach to data collection is used to show that product innovations in the form of specific features are the main motive for switching to a new technology, consistent with the expectation that lead users seek technologies that maintain leading‐edge positions.

There are limitations to generalizing from this case study to other industries. The findings can be generalized to industries with similar characteristics, such as aircraft and heavy machinery manufacturing. In practice, managers should find a reliable strategy to assess factors underpinning brand switching that is unique to their industry. Determining the main factors behind switching is a critical matter when defining the appropriate strategy to keep their market share from eroding.

The literature reports considerable research that investigates brand switching. However, most of it focuses on highly competitive markets for consumer goods. This paper addresses a paucity of knowledge about what influences lead users of capital‐intensive products to switch between brands.

Two major approaches to organizational transformation (OT) are identified as “Drive” and “Grow” theories. Each has a serious flaw but they can be combined to form a stronger approach. However, managing the hybrid presents special challenges, including an acceptance of paradox. Five case studies are used to gain insight into OT at a process level, into the cross-conflicts and environmental reactions, including “the organizational immune reaction”. Two propositions are formulated: the bi-focal formula (regarding the agreement between an OT initiative and its host organizational unit) and the partnership proposition (regarding shared leadership of OT initiatives).

Literature on organizational commitment of employees has long established that quality of work life (QWL) is a significant determinant. However, the strength of the relationship between organizational commitment and QWL is more complicated given the diversity of employees and the broad scope of organizational commitment as a construct. The researchers break down organizational commitment into three distinct measures as extant literature suggests and then explore the role played by gender in a culturally rich context as in Egypt.

This paper is based on a sample of 117 respondents from small and medium enterprises (SMEs). Items used in the survey were extracted from previous research studies. The survey consisted of 39 questions to measure the three research variables. QWL was measured using Zin’s (2004) developed questionnaire. The items covered seven dimensions: growth and development, participation, physical environment, supervision, pay and benefits, social relevance and workplace integration. The reported Cronbach’s alpha for the scale was 0.93. Items were measured on a five-point Likert scale.

The researchers empirically found that gender plays only a minor and moderating role in the relationship between QWL and affective commitment. The researchers conclude the study with implications for policy, practice and future research.

This study had several limitations. First, the sample size was relatively small. Second, the sample composition (singular focus on SMEs in Egypt) was not diverse enough. Third, the tools used in collecting the data were not adjusted to the national cultural context. Fourth, the study lacks an experimental design which is a limitation (Shadish et al., 2002). These limitations, taken together, limit the generalizability of the results and conclusions from the study. Thus, the results are suggestive rather than definitive. Additionally, only the association between variables was investigated, and the researcher did not clearly explore the cause–effect relationships. Whether QWL is the antecedent or the consequence is another research question yet to be explored.

It is recommended for future researchers to enlarge and diversify the sample. Additional investigations of the role of gender as a mediator or moderator need to be explored. Researchers should also study the roles of other demographic variables to highlight behavioural and attitudinal variables that significantly affect QWL.

While the primary relationship between “perceived quality of work life” and “organizational commitment” is well established in existing literature across many organizational contexts, there is a paucity of research on the moderating and/or mediating effects of third attitudinal variables on this primary relationship. Hence, the main focus of this study was to empirically test the moderating and/or mediating effects of gender on the relationship between “perceived quality of work life” and “organizational commitment.” The researchers examine organizational commitment more granularly in terms of its components, namely, affective, continuance and normative commitments.

Because stereotypically masculine behaviors are required for effective leadership, examining female chairs’ leadership in academic medicine can provide insight into the complex ways in which gender impacts on their leadership practices. The paper aims to discuss this issue.

The author interviewed three female clinical chairs and compared the findings to interviews with 28 of their faculty. Grounded theory analysis of the subsequent text gathered comprehensive, systematic, and in-depth information about this case of interest at a US top-tier academic medical center.

Four of five themes from the faculty were consistent with the chair’s narrative with modifications: Prior Environment (Motivated by Excellence), Tough, Direct, Transparent (Developing Trust), Communal Actions (Creating Diversity of Opinion), and Building Power through Consensus (an “Artful Exercise”) with an additional theme, the Significance (and Insignificance) of a Female Chair. While faculty members were acutely aware of the chair’s gender, the chairs paradoxically vacillated between gender being a “non-issue” and noting that male chairs “don’t do laundry.” All three female chairs in this study independently and explicitly stated that gender was not a barrier, yet intuitively used successful strategies derived from the research literature.

This study suggests that while their gender was highlighted by faculty, these women dismissed gender as a “non-issue.” The duality of gender for these three female leaders was both minimized and subtly affirmed.

Rebecca Gasior Altman is a graduate student in the Department of Sociology at Brown University. Her focus is on medical sociology, environmental sociology, organizational theory, and social movement theory. Her current research projects analyze narratives about community toxics activism, environmental advocacy support organizations, and medical waste.Phil Brown is Professor of Sociology and Environmental Studies at Brown University. He is currently examining disputes over environmental factors in asthma, breast cancer, and Gulf War-related illnesses, as well as toxics reduction and precautionary principle approaches that can help avoid toxic exposures. He is the author of No Safe Place: Toxic Waste, Leukemia, and Community Action (Phil Brown & Edwin Mikkelsen), co-editor of a collection, Illness and the Environment: A Reader in Contested Medicine, and editor of Perspectives in Medical Sociology.Daniel M. Cress is Associate Professor of Sociology in the Department of Behavioral and Social Sciences at Western State College of Colorado. His research and teaching interests include social movements – particularly among poor and marginalized groups, environmental sociology, and globalization. His published work has focused on protest activity by homeless people.Jennifer Earl is an Assistant Professor of Sociology at the University of California, Santa Barbara. Her research areas include social movements and the sociology of law, with research emphases on the social control of protest, social movement outcomes, Internet contention, and legal change. Her published work has appeared in a number of journals, including the American Sociological Review, Sociological Theory, and the Journal of Historical Sociology.Myra Marx Ferree is professor of Sociology at the University of Wisconsin-Madison. Her work on social movements has focused on women’s mobilizations and organizations in Germany, the U.S., and transnationally, most recently looking at interactions between American and Russian feminists (Signs, 2001), German and American abortion discourses and the definition of radicalism (AJS, 2003), and the European Women’s Lobby in relation to transnational women’s organizations on the web (Social Politics, 2004).Joshua Gamson is Associate Professor of Sociology at the University of San Francisco. He is author of Freaks Talk Back: Tabloid Talk Shows and Sexual Nonconformity (Chicago, 1998), Claims to Fame: Celebrity in Contemporary America (California, 1994), and numerous articles on social movements, gay and lesbian politics, popular culture and media. He is currently working on a biography of the disco star Sylvester.Teresa Ghilarducci is Associate Professor of Economics and Director of the Higgins Labor Research Center at the University of Notre Dame. She is author of Labor’s Capital: The Economics and Politics of Private Pensions (MIT Press) and Portable Pension Plans for Casual Labor Markets: Lessons from the Operating Engineers Central Pension Fund (with Garth Mangum, Jeffrey S. Petersen & Peter Philips). She is a former Board of Trustees member of the Indiana Public Employees Retirement Fund, a former advisory board member for the Pension Benefit Guaranty Corporation, and a Fellow of the National Academy of Social Insurance.Brian Mayer is a doctoral student in the Sociology Department at Brown University. His interests include environmental and medical sociology, as well as science and technology studies. His recent projects include an investigation of the growth of the precautionary principle as a new paradigm among environmental organizations and a study of social movements addressing environmental health issues.Sabrina McCormick is a doctoral student in the Department of Sociology at Brown University. She is a Henry Luce Foundation Fellow through the Watson Institute of International Studies. Her main interests are environmental sociology, medical sociology, and the politics of development. As a Luce Fellow, she is engaged in comparing environmentally-based movements in the U.S. and Brazil. Additional special interests include the social contestation of environmental illness, the insertion of lay knowledge into expert systems, and the role of social movements in these struggles. She has recent publications by Ms. Magazine and The National Women’s Health Network related to these areas.Rachel Morello-Frosch is an assistant professor at the Center for Environmental Studies and the Department of Community Health, School of Medicine at Brown University. As an environmental health scientist and epidemiologist, her research examines race and class determinants of the distribution of health risks associated with air pollution among diverse communities in the United States. Her current work focuses on: comparative risk assessment and environmental justice, developing models for community-based environmental health research, children’s environmental health, and the intersection between economic restructuring and environmental health. Her work has appeared in Environmental Health Perspectives, Risk Analysis, International Journal of Health Services, Urban Affairs Review, Annals of the American Academy of Political and Social Sciences, and Environment and Planning C. She also sits on the scientific advisory board of Breast Cancer Action in San Francisco.Daniel J. Myers is Associate Professor, Chair of Sociology, and Fellow of the Kroc Institute for International Peace Studies at the University of Notre Dame. He has published work on collective violence, racial conflict, formal models of collective action, urban poverty, and the diffusion of social behavior in the American Sociological Review, American Journal of Sociology, Journal of Conflict Resolution, and Mobilization. He is also author of Toward a More Perfect Union: The Governance of Metropolitan America and The Future of Urban Poverty (both with Ralph Conant), and Social Psychology (5th edition) with Andy Michener and John Delamater. He is currently conducting a National Science Foundation-funded project examining the structural conditions, diffusion patterns, and media coverage related to U.S. racial rioting in the 1960s.Sharon Erickson Nepstad is Assistant Professor of Sociology at Duquesne University and the author of Convictions of the Soul: Religion, Culture, and Agency in the Central America Solidarity Movement (Oxford University Press, 2004).Francesca Polletta is Associate Professor of Sociology at Columbia University. She is the author of Freedom Is an Endless Meeting: Democracy in American Social Movements (University of Chicago, 2002) and editor, with Jeff Goodwin and James M. Jasper, of Passionate Politics: Emotions and Social Movements (University of Chicago, 2001). She has published articles on culture, collective identity, emotions, law, and narrative in social movements, and on the civil rights, women’s liberation, new left, and contemporary anti-corporate globalization movements.Nicole C. Raeburn is Assistant Professor and Chair of Sociology at the University of San Francisco. She is the author of the book, Changing Corporate America from Inside Out: Lesbian and Gay Workplace Rights (University of Minnesota Press, 2004). Her new research project compares the adoption of gay-inclusive workplace policies in the corporate, educational, and government sectors.Leila J. Rupp is Professor and Chair of Women’s Studies at the University of California, Santa Barbara. A historian by training, her teaching and research focus on sexuality and women’s movements. She is coauthor with Verta Taylor of Drag Queens at the 801 Cabaret (2003) and Survival in the Doldrums: The American Women’s Rights Movement, 1945 to the 1960s (1987) and author of A Desired Past: A Short History of Same-Sex Sexuality in America (1999), Worlds of Women: The Making of an International Women’s Movement (1997), and Mobilizing Women for War: German and American Propaganda, 1939–1945 (1978). She is also editor of the Journal of Women’s History.David A. Snow is Professor of Sociology at the University of California, Irvine. He taught previously at the universities of Arizona and Texas. He has authored numerous articles and chapters on homelessness, collective action and social movements, religious conversion, self and identity, framing processes, symbolic interactionism, and qualitative field methods; and has authored a number of books as well, including Down on Their Luck: A Study of Homeless Street People (with Leon Anderson), Shakubuku: A Study of the Nichiren Shoshu Buddhist Movement in America, 1960–1975, and The Blackwell Companion to Social Movements (edited with Sarah Soule & Hanspeter Kriesi). His most current research project involves an NSF-funded interdisciplinary, comparative study of homelessness in four global cities (Los Angeles, Paris, São Paulo, and Tokyo).Sarah A. Soule is an Associate Professor of Sociology at the University of Arizona. Her research examines U.S. state policy change and diffusion and the role social movements have on these processes. Current projects include the NSF-funded “Dynamics and Diffusion of Collective Protest in the U.S.” from which data for this paper come; an analysis of state-level contraception and abortion laws; an analysis of state ratification of the Equal Rights Amendment; and an analysis of state-level same-sex marriage bans. She has recently completed an edited volume, The Blackwell Companion to Social Movements, with David Snow and Hanspeter Kreisi.Verta A. Taylor is Professor of Sociology at the University of California, Santa Barbara. She is coauthor with Leila J. Rupp of Drag Queens at the 801 Cabaret (University of Chicago Press) and Survival in the Doldrums : The American Women’s Rights Movement, 1945 to the 1960s (Oxford University Press); co-editor with Laurel Richardson and Nancy Whittier of Feminist Frontiers VI (McGraw-Hill); and author of Rock-a-by Baby: Feminism, Self-Help and Postpartum Depression (Routledge). Her articles on the women’s movement, the gay and lesbian movement, and social movement theory have appeared in journals, such as The American Sociological Review, Signs, Social Problems, Mobilization, Gender & Society, Qualitative Sociology, Journal of Women’s History, and Journal of Homosexuality.Nella Van Dyke is currently an Assistant Professor in the Sociology Department at Washington State University. Her research focuses on the dynamics of student protest, social movement coalitions, hate crimes, and the factors influencing right-wing mobilization. Her recent publications include articles in Social Problems and Research in Political Sociology. She is currently conducting research on the AFL-CIO’s Union Summer student internship program and its influence on student protest, how the tactics of protest change over time, and how movement opponents influence the collective identity of gay and lesbian movement organizations.Stephen Zavestoski is an Assistant Professor of Sociology at the University of San Francisco. His current research examines the role of science in disputes over the environmental causes of unexplained illnesses, the use of the Internet as a tool for enhancing public participation in federal environmental rulemaking, and citizen responses to community contamination. His work appears in journals such as Science, Technology & Human Values, Journal of Health and Social Behavior, Sociology of Health and Illness, and in the book Sustainable Consumption: Conceptual Issues and Policy Problems.

Hope and death anxiety as the important sources of adjustment can affect the attitude, health status and quality of life in patients undergoing hemodialysis. Hopelessness and death anxiety are considered as the important factors in patients undergoing hemodialysis, because these can avoid non-adherence and increase mortality rate. This study aims to investigate the effect of the cognitive–behavioral intervention on hope and death anxiety in patients undergoing hemodialysis.

In this randomized controlled clinical trial, 84 patients undergoing hemodialysis were included, who were then divided into two groups as the cognitive–behavioral intervention group (n = 42) and the control group (n = 42). The experimental group received eight sessions of individual chair-side cognitive–behavioral intervention. To measure the hope level and death anxiety, Hearth Hope Scale and Templer’s Death Anxiety Scale were used as tools once at the beginning and once at the end of the study.

The mean scores of the hope levels in the intervention group significantly improved compared to the control group. Furthermore, the mean scores of the death anxiety levels significantly decreased in the intervention group compared to the control group.

Cognitive–behavioral interventions are significantly effective on promoting the level of hope and decreasing the level of death anxiety in patients undergoing hemodialysis. Therefore, applying this psychological intervention to design the individual education programs is recommended.