Reviewing Grant Review

April 29th, 2010 by pcahn

The latest issue of Academic Medicine features a commentary by Leslie Costello called “Is NIH Funding the ‘Best Science by the Best Scientists?‘” In it, she contends that changes to the NIH review process of R01 grants have introduced elements that undermine the central mission to reward the most worthy proposals.

Deciding what constitutes the “best science” will always require subjective judgment. On a recent round of grants that I reviewed, I was curious to see the comments of my fellow peer reviewers. Applications that I had graded with the lowest score others had given the highest score. It was rare to find the grant that all three reviewers marked with the same score.

Subjective though it may be, grant reviewing does tend to identify the applicants who have thought most carefully about their proposed projects. Those scientists will be the most effective stewards of the money the committee awards.

Diversifying the Academy

April 28th, 2010 by pcahn

Yesterday the American Academy for the Advancement of Science released a handbook on the legal framework for increasing diversity in higher education.

While most universities understand the need for considering diversity in the recruitment process, the path to hiring can be lined with legal potholes. This comprehensive guide establishes what criteria hiring committees may take into account in their efforts to attract a diverse pool of candidates.

It's helpful to know that considering a job candidate's record in fostering an inclusive work environment falls within the bounds of appropriate behavior. All hiring committees can benefit from thinking of ways beyond the quantitative to measure candidates' value.

Difficult Colleagues

April 27th, 2010 by pcahn

The Faculty Development and Diversity Committee is helping sponsor a visit next week from Dan O'Connell. Dr. O'Connell is a clinical psychologist with an expertise in communication. His public talk at BU will focus on how to deal with disruptive colleagues.

In just my first few weeks here, I have already heard stories about doctors who physically bully co-workers, humiliate students, and intimidate younger colleagues. I have no reason to believe that BU is exceptional.

In a tragic story from today's New York Times a doctor shot and killed another doctor in Connecticut after clashing while working together. After the mass murder earlier this year by a professor at the University of Alabama, it is clear that higher education is not immune to workplace violence.

After Dr. O'Connell's visit, I will report on his suggestions for dealing with disagreements in the workplace.

Meeting Mania

April 26th, 2010 by pcahn

The Department of Medicine hosted Beverly Brown today to speak about how to run meetings effectively. What I liked about her presentation was how she emphasized that meetings are part of work even though too often they get in the way of work.

With a little planning and structure, meetings can be effective in brainstorming ideas, making a decision, or sharing information. I will take away the idea of sending out minutes to the previous meeting with action items and people's names highlighted. That way at the next meeting, members feel accountable for following through.

It's also easy to forget to put the most urgent items on the top of the agenda. The more open-ended discussions can go at the end, where they are more likely to get truncated because of time limits. In perhaps the best suggestion, Dr. Brown asked, "What's so magical about the one-hour meeting?" Making them 45 or 30 minutes will spur productivity.

Say It Plainly

April 23rd, 2010 by pcahn

Yesterday I talked to two researchers on the medical campus. Both expressed to me the need for grant writers to share their drafts with colleagues before submitting them. You don't want the second person to read your grant to be a member of the review panel.

The Faculty Development and Diversity website offers links to grant writing resources. Still, there's no substitute for going over your prose with an experienced editor--or even an interested family member. If the specific aims of the grant are clear to an intelligent outsider, you've done your job.

A good place to start is with removing all jargon. There's even an organization devoted to promoting clean prose. On their website, the Center for Plain Language gives key principles for writing in an accessible way. Using plain language does not mean removing complexity; it means bringing your ideas to a wider audience.

A Head for Research

April 22nd, 2010 by pcahn

The media reported yesterday that the National Football League has donated $1 million to BU School of Medicine's Center for the Study of Traumatic Encephalopathy.

The grant supports their research into the long-term effects of concussions on professional football players. Best of all, it comes with no strings attached.

With federal funding increasingly difficult to obtain, the example of our colleagues shows the importance of seeking creative sources for research support.

As I hear about other unusual granting agencies, I'll post them on the Faculty Development and Diversity website.

Finding Mentors

April 21st, 2010 by pcahn

One of the priorities of the Faculty Development and Diversity Committee is to establish a mentoring program within the Department of Medicine and across the Boston University medical campus.

All the faculty at this institution have already benefited from the guidance of mentors, whether or not they participated in a formal program. As they seek to advance professionally outside the protection of graduate school, mentors will be even more crucial.

A talk I saw on-line reminded me of the importance of mentors. Temple Grandin, a scientist who writes about human-animal relationships, told an audience at a TED conference how important mentors had been to her success. Growing up with autism, she needed the inspiration of a mentor to show her how to channel her talents.

Conquering Conferences

April 20th, 2010 by pcahn

We just finished a round of faculty development grants in the Department of Medicine. It is always a happy task to award money to deserving applicants.

The faculty we reviewed plan to attend conferences on topics from doctor-patient communication to academic leadership. I remember my first professional conference. I diligently highlighted sessions in the agenda ahead of time but was then disappointed when I was one of only a handful of people in the meeting rooms.

Soon I discovered that most of the action happens at the hotel bar or in the corridors. The networking opportunities--not the paper presentations--were the most valuable part of the experience.  One expert who elaborates on this advice has a blog post about how to maximize conference participation.

Running barefoot

April 19th, 2010 by pcahn

In honor of today's Boston Marathon, I want to share a site dedicated to barefoot running. With the success of  Chris McDougall's book Born to Run about the Tarahumara Indians, more athletes have become interested in "natural" ways of running.

There is still more hype than science around the benefits of running without shoes. We do know that humans evolved to run long distances. We also know that most Africans who grow up running unshod tend to strike the ground with their forefeet first. What we don't know is whether returning to this kind of running offers any gain for those of us in urban centers.

For now, researchers remind us to run the way we feel most comfortable.

Patient Care

April 16th, 2010 by pcahn

In yesterday's faculty meeting, members of the Department of Medicine discussed a proposal for improving hospital care. In just the few days I have been a part of the department, the attention the faculty pay to patient outcomes is apparent.

My training is as a social scientist, not a health provider, but illness is often a cultural construct as well as a physical one. Journalist Anne Fadiman describes a dramatic example of this in her book, The Spirit Catches You and You Fall Down.

In the tale of a Hmong family interacting with the western medical system, she suggests that much confusion and pain could have been avoided if doctors had taken the Hmong belief system into account. Medical anthropologist Arthur Kleinman suggests a simple way for physicians to see illness through the patients' eyes.