he secretary ushers me into the office for my final interview of the day-an upper-level medical school administrator. He is running late. I await him in his quiet office that is resplendent with comfortable furniture and the trappings of what we have come to think of as the richest profession-medicine. The plush carpet, the rich wooden hues of the matching tables and chairs, the fleet of secretaries for one individual are impossible to find when I interview colleagues in other professions such as education or social work. Even medicine, however, has hit on hard times. This administrator's medical school is running a deficit in the millions. Threats of faculty layoffs are imminent; a lawsuit by faculty who feel that their contracts and rights of tenure have been abrogated is soon to be filed in court. I am here to interview the individual about his views on the problems of the medical school in general and, in particular, what changes, if any, need to be made to tenure codes. Over the last two years, I have interviewed close to 90 individuals on public and private campuses in the United States. In an age of rapid technological change that reorients not only how we work with our students, but also how we collect data, I also have received over 500 e-mail messages from colleagues in colleges and universities about what they see happening on their own campuses. Tenure is under attack. The medical school administrator, although speaking about issues germane to a medical school, echoes conversations I have had on other campuses and in other schools.
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