Academic Mission Research Articles

Physician Wellness in Academic Cardiovascular Medicine: A Scientific Statement From the American Heart Association.

Academic medicine as a practice model provides unique benefits to society. Clinical care remains an important part of the academic mission; however, equally important are the educational and research missions. More specifically, the sustainability of health care in the United States relies on an educated and expertly trained physician workforce directly provided by academic medicine models. Similarly, the research charge to deliver innovation and discovery to improve health care and to cure disease is key to academic missions. Therefore, to support and promote the growth and sustainability of academic medicine, attracting and engaging top talent from fellows in training and early career faculty is of vital importance. However, as the health care needs of the nation have risen, clinicians have experienced unprecedented demand, and individual wellness and burnout have been examined more closely. Here, we provide a close look at the unique drivers of burnout in academic cardiovascular medicine and propose system-level and personal interventions to support individual wellness in this model.

Discursive Enactments of Knowledge Production in Engineering Education

Engineering education is under the sway of wide-ranging dynamics and drifts that have bearing on how education is enacted in relation to the research and innovation obligations of universities. Academic, applied, and third mission drifts seem to configure higher education in new ways. The article sets out to critically explore how knowledge production is discursively enacted in the teaching-research-practice-nexus in engineering universities of applied science (UAS) in Denmark. This paradigmatic case study maps discursive positionings and discusses how these positionings aspire to transform engineering education in the light of the wide-ranging drifts in higher education. Based on 17 qualitative in-depth interviews with researchers, teachers, and managers, the article maps the discursive positions taken and not-taken in relation to the enactment of the teaching-research-practice-nexus. The exploration is guided by a theory-method-package inspired by situational analysis and interviewing methods developed in practice-based approaches as interview-to-the-double. The analysis identifies four discursive positions in the teaching-research-practice-nexus that enact knowledge production in engineering UAS differently. Furthermore, three unavailable discursive positions are identified. Interpretive flexibility makes different discursive enactments of knowledge production possible. The study concludes that (1) that the primary mission of UAS in Denmark is teaching; research and engagement with practice are subordinate missions; (2) that the applied and third mission drift has been effective in instituting alternative discursive enactments; (3) some positions are seemingly discursively illegitimate. The undisputability of the educational mission – and the applied and third mission drifts – seems to effectively outweigh academic drift in the Danish UAS.

Review of "Challenges and Opportunities for the Academic Mission Within Expanding Health Systems" by Chhabra KR, Diaz A, Byrnes ME, Rajkumar A, Yang P, Dimick JB, Nathan H. Ann Surg 2022;275(6):1221-1228.

Review of "Challenges and Opportunities for the Academic Mission Within Expanding Health Systems" by Chhabra KR, Diaz A, Byrnes ME, Rajkumar A, Yang P, Dimick JB, Nathan H. Ann Surg 2022;275(6):1221-1228.

Understanding Motivators for Academic Engagement in Hospital Medicine: A Needs Assessment Survey

Introduction: Academic hospital medicine groups are attempting to sustain and develop growth in their non-clinical, academic missions. We sought to evaluate the academic interests and motivators of hospital medicine faculty. Methods: We conducted a survey on academic engagement of hospitalist faculty at two North Carolina hospitals, at an academic-community hybrid site and at a tertiary referral center, as a needs-assessment to inform future faculty development work for hospitalist groups. Survey questions included current academic engagement, measures of professional success, experience with mentorship, academic productivity and burn out. Results: Most respondents (82%) reported being academically engaged, and most also expressed interest in more opportunities within an area of non-clinical, academic interest (69%), while 39% reported burnout. Self-satisfaction with academic work (25%) and earning internally funded non-clinical time (16%) were the most frequently cited measures of career success in hospital medicine. Conclusions: Academic hospitalists in our study were engaged in academic activity but not primarily motivated to pursue academic projects to achieve traditional measures of scholarship and promotion, such as publications and grants.

University Social Mission in the Wartime under Knowledge Society

The article is dedicated to the growing social role of universities under knowledge society and its revision during wartime and post-war revival. This role has not received due attention of Ukrainian scholars and higher education stakeholders; on the contrary, in western academic discourse university third mission (also referred to as social mission) is actively discussed and several studies on university roles during conflict and post-conflict recovery are available. The article aims at conceptualization of university third mission relevant for Ukraine’s higher education of today as the country is striving towards knowledge society, higher education modernization and its alignment with European Higher Education Area, as well as fighting against Russian Federation aggression and planning economic recovery and national revival. Knowledge is a key concept in interpretation and definitions of three university missions: knowledge is generated or produced via research (second mission); it is disseminated and promoted via teaching and learning (first mission); the essence of the third / social mission is to apply knowledge for problem-solving and general societal benefit. Application of knowledge is not limited to technological innovations and know-hows and covers social, humanitarian, cultural, business and entrepreneurship, economic, political and other domains. Knowledge is becoming the major problem-solving tool; and demand for knowledge is growing among different categories of knowledge workers engaged in problem definition, decision-making and implementation in different economic sectors and spheres of life. Problems and challenges incurred by war make them the most serious grievances of today’s Ukraine. Multiple challenges faced by Ukrainian society, economy, territories, industries will require the wisdom of all Ukrainian higher education institutions and knowledge workers and can only be addressed effectively via innovative approaches and mobilization of many partners: local and international, academic and non-academic, private and public, non-profit and commercial. Due to their specific features (multidiscipline expertise, access to international knowledge sharing and good practices exchange, non-profit focus, multiple perspectives and diversity of opinions), universities like no other institutions are well-positioned to establish and run partnerships, project consortia, lead innovation ecosystems, catalyse and contribute to reconstruction and revival processes.

Taking stock: The impacts of the COVID-19 pandemic on University–Community engagement

This article examines the impact of the COVID-19 pandemic on university–community engagement (UCE) as an academic mission. The aim of the work is to outline the ways in which UCE has been functioning since the turbulent onset of the pandemic in the spring of 2020. The study undertakes a systematic review of the UCE literature to identify major trends, raising important questions regarding ongoing scholarly discussions and managerial/policy debates on the subject. The results show seven distinct types of engagement responses by higher education institutions (HEIs) across the globe. In addition, the review identified that HEIs faced difficulties in either adapting existing engagement practices or while establishing new ones, especially regarding the efficient use of digital technologies. In terms of implications, the findings suggest that the pandemic has resulted in new debates about the societal role of HEIs, with medium- and long-term implications for policy and management.

Pharmacie clinique au sein de quatre CHU de la francophonie, intégration et encadrement des pharmaciens cliniciens : une étude exploratoire

Pharmacy practice continues to evolve worldwide. The clinical role of the pharmacists is increasingly recognized and their integration into the health care team is irreversible. Despite this progress, there are still a wide disparity in the scope of practice provided by hospital pharmacists around the world. This disparity can be attributed to a variety of factors. The primary objective is to describe the organization of clinical pharmacy in four university hospitals in four French-speaking countries. The secondary objective is to identify similarities and differences and to identify perspectives for the future. This is an exploratory cross-sectional descriptive study. The study targeted a university hospital (CHU) in France, Belgium, Switzerland and Canada (Quebec). A volunteer expert pharmacist involved in the management of clinical pharmacy at each hospital was approached at the initiative of a team member. A working group of five pharmacists was set up. During the year 2021, the group met virtually on ten occasions. Although all institutions have an academic mission, they have very different numbers of beds and volumes of activity. The number of pharmacists is also very different (0.83 FTE pharmacist/1000 admissions in Belgium, 0.22 in France, 0.59 in Switzerland and 2.39 in Quebec). In all countries, pharmacists provide clinical pharmacy services to patients in a centralised or decentralised manner, including, to various extent, prescription analysis, medication reconciliation, pharmaceutical interviews and discharge plans. Clinical pharmacy practice is very heterogeneous in a selection of four French-speaking teaching hospitals. Identification of similarities and differences may inspire improvements in the organization of clinical pharmacy activity. This work has contributed to the establishment of a community of practice on clinical pharmacy in the French-speaking world.

“‘Cause Even Though Perfect It’s Not/ It’s the Best Thing This World’s Got” – or Not?

Abstract This short reply considers and rejects from the point of view of Religious Studies, proposals that something of “religious literacy” should be salvaged, either for pedagogical or for other pragmatic purposes. It further rejects suggestions that the critique of religious literacy entails an obligation on the part of the critic to find an alternative raison d’être for Religious Studies. The resonance of religious literacy clearly derives from a powerful legacy of institutional social discipline spanning nearly 500 years; yet only very recently has the concept been re-purposed as core academic mission. Therefore, the costs of abandoning religious literacy now are minimal (except for those institutions who rashly bet everything on the paradigm); by comparison, the costs of pursuing it seem high and include a possible re-assimilation of academic to other historical institutions of social discipline such as penitentiaries (with “residential” and other “reformatory” schools representing significant hybrid or transitional formations).

Research performance of academic psychologists in the United Kingdom

Research performance metrics inform decision making across the higher education sector. In this study we calculated up-to-date lifetime bibliometric research performance norms for academic psychologists in the UK, stratified by academic level and university mission group. Our performance metrics were publications, citations, h-index scores, first-author publications and average SJRs (SCImago Journal Ranks) for published in journals. These metrics were extracted from Scopus for a representative sample of 1339 academic psychologists employed at UK universities offering BPS (British Psychological Society) accredited undergraduate courses. We found that lifetime performance increased with seniority, though not in the predictable manner observed overseas. Academic psychologists in the Russell Group outperformed those outside of the Russell Group on all metrics, but these differences were largely due to the very strong research performance of the Russell Group professoriate, and could not be accounted for by the tendency for Russell Group academics to have been research active for a longer period of time than their equivalents outside the group. Overall, the research performance of UK academic psychologists was comparable to that of their Australian equivalents. Our research performance norms will be useful for benchmarking at the individual, departmental and institutional levels. However, they must be interpreted in context and considered alongside other indicators of scholarly productivity and performance.

Belonging Beyond Borders by Annik Bilodeau

Reviewed by: Belonging Beyond Borders by Annik Bilodeau Maia Fernández Lamarque Bilodeau, Annik. Belonging Beyond Borders. U of Calgary P, 2021. Pp. 254. ISBN 978-77385-159-4. Bilodeau’s recent publication, Belonging Beyond Borders (2021), aligns with the current educational trends in US universities on multiculturalism and globalization, that proposes these aspects of higher education as part of their academic mission and values. [End Page 307] Belonging Beyond Borders’ central theme is cosmopolitanism as an aesthetic in Latin American literature. The book is divided in 3 major parts where Bilodeau discusses the role of transculturation cosmopolitism and globalism in three Latin American authors: Elena Poniatowska, Mario Vargas Llosa and Jorge Volpi. The introduction gives an overview of cosmopolitanism and its two-sided conceptualization as an “imperial connotation” and as a more traditional notion of pluralism. The author embraces the most recent articulation of the term as “rooted cosmopolitanism” in the context of Latin American culture. For Bilodeau, decoloniality and rooted cosmopolitanism are not purely philosophical or theoretical but are, in fact, practices. As shown in the analyses of the works of these three prominent writers, cosmopolitanism is the engagement with your own identity and locality but at the same time the creation of a dialog and links with the world community. Chapter 1 examines Elena Poniatowska’s novel La flor de lis (1988) and the parallelism with Poniatowska’s own biography in the center of conscientious cosmopolitanism. The main character in La flor de lis is also born in Europe as Poniatowska herself and moves to Mexico as an adolescent. The author articulates three main ideas in this chapter: transculturation, acculturation and hybridism in the context of Latin American culture. Bilodeau bases her arguments upon the theoretical ideas of Fernando Ortiz, Octavio Paz and N. García Canclini. Hybridism, for example, is discussed in this chapter as the mixture of cultures and byproduct of colonialism according to Octavio Paz, and the combination of elite and popular cultures, to Canclini. Bilodeau affirms that through these concepts engrained in the history and evolution of Mexico and its relationship with Europe, flor de lis represents “the rejection of cosmopolitanism and the adoption of cultural hybridity” (61). Chapter 2 examines another “cosmopolitan” author, Mario Vargas Llosa. As in chapter 1, Bilodeau recounts and compares Vargas Llosa’s life and ideological transformation to that of his characters. The analysis is made between two central notions: political and aesthetic cosmopolitanism. The analysis of Flora Tristán and grandson artist Paul Gauguin, main characters in El paraíso en la otra esquina (2003), and Roger Casement’s protagonist in El sueño del celta (2010), as two examples of Vargas Llosa’s variations of cosmopolitism, are the axis of the chapter. The author compares Tristán’s cosmopolitanism and her commitment and engagement with other experiences and cultures around the world along with her utopian views as unattainable and chimerical. Gauguin’s cosmopolitanism, argues Bilodeau, is also related to his utopian search for artistic inspiration but falls into his individualistic quest for the unreachable ultimate aesthetic form. At the same time, Gauguin, unlike his grandmother’s altruistic views of humanity, is anti-cosmopolitan when he superposes his own hedonistic sexual pleasures unto others needs and/or health. Both characters fail in their attempt to reach their utopia, asserts Bilodeau. In El sueño del celta, the character contains the ambiguity of being cosmopolitan but also a nationalist. Nationalism and patriotism are two terms that the author asserts are ingrained in this character and in Vargas Llosa himself. In his Nobel Prize Literature speech in 2010, Vargas Llosa made it explicit that the former is negative, abstruse, the root of racism and other social maladies. The latter, patriotism, on the other hand, only enriches our experience as humans. In the third and most extensive chapter, Bilodeau analyzes Mexican author Jorge Volpi’s two novels: El fin de la locura (2003) y No será la tierra (2006) in the context of “global novels.” Again, the author relates Volpi’s personal experiences as a citizen of the world with his approach to literature. Volpi has been criticized for being not “Mexican enough” since his literary universe depicts characters...

Awareness and Strategies of the implementation of the Law on Intellectual Property Rights in the State Universities and Colleges in Western Visayas

This study determined the awareness and strategies of implementation of the law on intellectual property rights in the state universities and colleges in Western Visayas. Universities and Colleges are eliciting and harnessing the talents of the faculty, staff, students and alumni in advancing their respective academic missions, specifically in the area of research. Through the years many universities and colleges has maximized the use of its resources in creating products, and processes which are novel in nature. These are either derivatives or products of improvements, of inventions to benefit instruction which gain practical use in the society. The awareness of the possible infringement of the privileges due to the rightful owner of a copyright work, invention and innovation, the idea of protecting their rights demands. The use of intellectual property bears a social function. To this end, the State shall promote the diffusion of knowledge and information for the promotion of national development and progress and for the common good. It is in this perspective, that the researcher works to determine the extent by which Universities and Colleges of Western Visayas implement programs on Intellectual Property Rights, it relation to the overall performance of an educational institution. The respondents of this study are the deans, department heads and the faculty of the four members of the stateuniversities and college in Western Visayas specifically located in the city and province of Iloilo. A universal and purposive sampling was adopted in this study. The deans and department heads were the universal sample, while the faculty are purposive samples and represent the ten percent of the whole faculty populace having apermanent status. In the level of awareness on the provisions of the law on intellectual property rights existing in institutions, the result showed that the weighted mean was 2.318 which means that the respondent were less aware of the provision of the intellectual property rights. In the level of implementation of strategies of the law on intellectual property rights being practiced in institutions showed that the weighted mean was 1.812 which means that the respondent have observed to the least extent in the implementation of strategies of the law on intellectual property rights. In the problems encountered with their degree of seriousness in connection with the enforcement of the intellectual property rights law the result showed that the over-all weighted mean was 1.39 which means that the respondent have not seriously encountered problems with the enforcement of the intellectual property rights in their institution due to unpracticed of the law. In terms of the significant variance in the use of strategies for the enforcement of the law on intellectual property rights in the four state institutions in Western Visayas the result showed that Sig. value was 0.000 which is less than the Alpha level at 0.05 therefore the variance in the use of strategies in the implementation of intellectual property rights law in four state institutions in Western Visayas was significant and the null hypothesis was rejected.

Bank Wakaf Mikro The Moderation Effect on Islamic Microfinance Preference in East Java

There are many institutions in East Java Such as Sharia Kopwan, Baitul Maal Wat Tanwiil (BMT) and also Bank Wakaf Mikro (BWM), but they have many problems including the moderation effect. It caused by many factors like Islamic product design, Islamic product business and Islamic Good Governance implementation. The purpose of this study is to investigate the moderation effect of BWM in East Java. This paper was conducted qualitatively with a multiple case studies approach in six cash waqf institution in East Java. It was conducted that the moderation in BWM had similarities correction in product design management of fund, using ijaroh. The Islamic product business were chosen to the productive poor around the Islamic Boarding School and should to academic mission. Last, to upgrade Islamic good governance, BWM ought to collect the waqf funds directly, exclude LAZNAS BSM UMAT.

Geography for All: The Community College Geographer

Geographers at two-year colleges play a pivotal role in educating future geographers; however, little research has explored the demographics and work of two-year college professors nationally or the role of geography courses at these institutions. A questionnaire sent to two-year college geographers captured working conditions of faculty at U.S. community colleges. Results show high job satisfaction, alongside concerns over the “hidden” nature of the discipline. Results also show that most two-year program faculty embrace innovative pedagogy and are strong advocates of geography but lack diversity and are often the sole geographers at their institutions. To better serve all geography students, faculty at four-year colleges should do more to promote employment at two-year colleges as a rewarding career to graduate students and work with two-year college faculty to promote the discipline while supporting transfer. Such efforts might be especially important at minority-serving institutions to help increase diversity among two-year college faculty. Additionally, national organizations such as the American Association of Geographers and others should better support two-year faculty, especially adjuncts, in their academic mission by both advocating for their material needs (better pay) and convening workshops aimed at instructors offering innovative pedagogy.

Differentiated Visions: How Ontario Universities See and Represent Their Futures

This paper is concerned with long term strategic planning in higher education and focuses on Ontario’s strategic mandate agreement (SMA) sector planning framework. In 2012, the province initiated its new SMA planning process by requiring all higher education institutions to propose their own strategies for their academic visions, missions, and objectives. The proposals submitted by Ontario’s universities furnish the empirical content of this paper: a historically unique, comprehensive and comparable set of documents capturing institutions’ self-understanding and plans for their respective futures. Using concepts from organizational theory, content analysis of universities’ SMA proposals reveals divergent strategies, both in terms of institutional administrative responsiveness to the SMA process as well as the academic (i.e., education and scholarship) content of the submissions. In addition, two further sub-themes are analysed: proposals for experiential learning and so-called town-gown connections. Both themes also reveal very different visions amongst institutions. In general, the proposals appear to be independent of institution type and community size/location. Setting the stage for future research, the paper concludes with policy discussion of: (i) the possibilities for institutional diversity in the context of policy discourses on institutional differentiation; (ii) implications for system planning given the structure and process of Ontario’s ongoing SMA framework.

Enlightenment values of Erich Fromm’s humanistic psychoanalysis

<p id="p00005">Erich Fromm’s humanistic psychoanalysis theory integrated the basic elements of European cultural traditions, including rationalism, humanism, critical attitude, and Messianism. His main work was to analyze the people in his community and the society in which he lived, with the standards of rationalism and humanism and the methods of psychoanalytic psychology, and to explore the ways of achieving the ideal society and realizing human development. The essence of this work is enlightenment. As a humanistic philosopher in the 20th century, Fromm inherited the unfinished business from those enlightenment philosophers in the 17th and 18th centuries and opened up a way to solve the dilemma of existence debated by his contemporaries, which, in turn, helped modern people overcome the inertia of human nature (i.e., regression toward a child state) and move toward rationality and independence. Grounded in the sense of insecurity that modern people experienced, Fromm deeply analyzed the pathological mechanisms of authoritarianism, nationalism, and consumerism, and suggested a social reform program based on the principles of humanism. <break/>As mentioned, Fromm profoundly analyzed the psychological mechanisms and the consequences that modern people relied on to alleviate or even eliminate their sense of insecurity by embracing authoritarianism, nationalism, and consumerism. Those behaviors and the underlying psychological constructs are seemingly becoming more serious nowadays, which highlights the depth and foresight of Fromm’s theory. Inspired by his theory, researchers have conducted empirical studies on the relevant topics in Fromm’s psychology. The findings of those works provide new evidence supporting Fromm’s theory that the enlightenment values of his humanistic psychoanalysis are still practically significant for the solution to the challenges to human development in the 21st century. <break/>In his 40-year academic career, Fromm demonstrated how clearly and steadily his social values and personal academic missions were. Given his contributions, Fromm should be considered an enlightenment scholar. According to Immanuel Kant, enlightenment is defined as “man’s emergence from his self-incurred immaturity.” It is so convenient to be immature! Enlightenment requires that we know what we don’t know, discover what we haven’t discovered, exercise the right to criticism without any constraint, endure the loneliness of independence, and then think of ourselves as mature and responsible human beings. Only if <italic>the perfectibility of man</italic> indicated by philosophers exists and only if we human beings have room to improve will enlightenment continue to play its role in people’s self-realization and function as a premise of human development. Whether an independent person or human beings at large, self-growth never ends on one hand, and to overcome the regressive inertia of human nature never ends on the other. As long as this conflict exists, the task of enlightenment will never be completed, and, in this regard, Fromm’s humanistic psychoanalysis theory will continue to inspire people with its unique values and perspectives.

Amend, Replace and Cut Off

The prominent Brazilian romantic author Antônio Gonçalves Dias (1823-1864) visited Europe from 1854 to 1858, on an official academic mission on behalf of the Brazilian government and emperor Pedro II, to whom this letter is addressed. The emperor was responsible for gathering a group of intellectuals in the Brazilian Historical Geographic Institute. Gonçalves Dias went to Germany in 1856 and met editor and bookseller Brockhaus in Leipzig in 1857, who edited three books of his: Cantos, Os Timbiras and the Tupi-Portuguese dictionary, which is mentioned in this letter. The importance of this document lies not only in the fact that it is a correspondence between two highly important Brazilian personalities of the 19thcentury, but also in its importance in the history of academic practice in Brazil and its relation to Continental Europe. It is important to note that Gonçalves Dias was not only an author of poems and plays, but also a lawyer, linguist and ethnographer. The content of this letter might also be of great interest to tupinologists, as this discipline was held in high regard in Brazil at the time, largely due to the Brazilian romantics. The original text of the letter used in this translation was taken from the records of the Moreira Salles Institute, which in turn took it from the Annals of the National Library in Rio de Janeiro.

Athletics, Academics, and the Financial Condition of U.S. Private Colleges

Many private colleges in the U.S. face financial difficulty. The role of athletics in the financial condition of U.S. colleges is subject to controversy. Supporters argue that collegiate sports draw students, improve student quality, and increase donor support. Detractors argue that athletics are costly and undermine the academic mission of the institution. In this paper, we examine metrics of athletic and academic quality to determine their effects on the financial health of a sample of U.S. private colleges. Our findings indicate that higher spending on athletics reduces an institution’s financial health and that academic quality increases an institution’s financial health.

Increasing Pediatricians' Scholarly Productivity on and off the Tenure Track.

Physician faculty have increasingly been appointed to nontenure track positions, which provide limited support for scholarly activity. We evaluated how a centralized departmental research group affected the scholarly productivity of faculty on and off the tenure track. A research team providing both mentorship and logistical study support was implemented in 2018. We identified a pre-intervention cohort of physician faculty employed in July 2016, and a postintervention cohort, employed in July 2018. A publication search was conducted for these cohorts in the period 2017 to 2018 and 2019 to 2020, respectively. Seventy-five faculty were included in the analysis, with approximately two-thirds appointed on the clinical (nontenure) track. In the pre-intervention cohort (n = 59), 15 faculty (25%) had at least one publication in the period 2017 to 2018. In the postintervention cohort (n = 59), 33 faculty (56%) published at least one article in the period 2019 to 2020 (P = .001). Multivariable random-effects regression analysis confirmed that postintervention, odds of publishing in a given year increased for both clinical-track and tenure-track faculty. Both clinical and tenure-track faculty contribute to the academic mission at medical schools, yet scholarly activity is supported and rewarded for tenure-track faculty more often than for clinical-track faculty. Our centralized research team successfully fostered scholarly activity among both clinical-track and tenure-track faculty.

Myles Brand: Intecollegiate Athletics Within the Limits of the Academic Mission Alone

During his NCAA presidency, Myles Brand led novel academic reforms that gained deserved national recognition, but his defense of the educational and academic value of IA should be equally acknowledged since this was, for Brand, the ultimate reason why universities should support intercollegiate athletics (IA) in the first place. In this article, I describe the development of Brand’s view of the educational value of IA that preceded his signature 2006 publication ‘The Role and Value of Intercollegiate Athletics in Universities.’ I then explain Brand’s Integrated View of IA in his 2006 article and focus on his key argumentative strategy: the analogy of the educational value of IA to the educational value of performing arts like music and dance. I contend that Brand did not bring his persuasive analogical argument to its full logical conclusions since IA should contribute to a new academic major in Sport Performance and some of the very character virtues that Brand identified as developed ideally by IA are now recognized as essential academic liberal learning outcomes. I conclude by raising some criticisms of Brand’s view based on the organizational framework and policies of IA that create difficulties for the full realization of its educational value. Nonetheless, at a momentous time in U.S. higher education when university priorities and budgets are under perhaps unprecedented scrutiny, Brand’s insistence that IA must be integrated with the academic mission is more relevant than ever.

Siamit: A Novel Academic-Tribal Health Partnership in Northwest Alaska.

American Indians and Alaska Natives hold a state-conferred right to health, yet significant health and health care disparities persist. Academic medical centers are resource-rich institutions committed to public service, yet few are engaged in responsive, equitable, and lasting tribal health partnerships to address these challenges. Maniilaq Association, a rural and remote tribal health organization in Northwest Alaska, partnered with Massachusetts General Hospital and Harvard Medical School to address health care needs through physician staffing, training, and quality improvement initiatives. This partnership, called Siamit, falls under tribal governance, focuses on supporting community health leaders, addresses challenges shaped by extreme geographic remoteness, and advances the mission of academic medicine in the context of tribal health priorities. Throughout the 2019-2020 academic year, Siamit augmented local physician staffing, mentored health professions trainees, provided continuing medical education courses, implemented quality improvement initiatives, and provided clinical care and operational support during the COVID-19 pandemic. Siamit began with a small budget and limited human resources, demonstrating that relatively small investments in academic-tribal health partnerships can support meaningful and positive outcomes. During the 2020-2021 academic year, the authors plan to expand Siamit's efforts with a broader social medicine curriculum, additional attending staff, more frequent trainee rotations, an increasingly robust mentorship network for Indigenous health professions trainees, and further study of the impact of these efforts. Such partnerships may be replicable in other settings and represent a significant opportunity to advance community health priorities, strengthen tribal health systems, support the next generation of Indigenous health leaders, and carry out the academic medicine mission of teaching, research, and service.