Abstract:
:The present paper hypothesizes that the top positions in academic medicine are generally occupied by less talented and skilled physicians who find more time to spare for administrative activities as compared to physicians who are successful in their research projects or enjoy their skills as practicing clinicians. A physician's utility in advancing a medical career can be modeled as the product of two preferences, administration and biomedical work, weighted by time and talent, respectively. It corresponds with a characteristic Cobb-Douglass utility function of economics, which physicians will try to maximize in pursuing their preferences. The utility function becomes maximized if the split between administration and research mirrors the split between free time and talent, respectively. Physicians with few talents and lots of time to spare will accumulate in administration and politics, whereas those with talents and little time will remain committed to biomedical research or clinical practice.
journal_name
Med Hypothesesjournal_title
Medical hypothesesauthors
Sonnenberg Adoi
10.1016/j.mehy.2007.01.045subject
Has Abstractpub_date
2007-01-01 00:00:00pages
218-20issue
1eissn
0306-9877issn
1532-2777pii
S0306-9877(07)00111-9journal_volume
69pub_type
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journal_title:Medical hypotheses
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pub_type: 传,历史文章,杂志文章
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