Bringing reality to the job hunt process. Interview by Barbara J. Linney

A substantial percentage of the positions that open in medical management are filled through the use of recruitment firms. This is especially true of more senior positions, but it applies across the full spectrum of openings. If the working arrangement between the recruitment firm and the potential candidate is to be effective, certain key ingredients are necessary. The author interviewed a selection of principals of recruitment firms that operate extensively or exclusively in the medical management sector of executive recruitment. What she discovered about their "wish lists" for candidates' characteristics and levels of job hunting sophistication are summarized in the following statements.     

The Exchange of Aesthetics: Women's Work and ‘The Gift’

Drawing on empirical research data on the work of flight attendants, this paper will explore Marcel Mauss's theory of ‘gift’ exchange relations, with particular reference to his concern with the ‘exchange of aesthetics’ (Mauss 1954), as an analytical model which may contribute to our understanding of ‘women's work’ in contemporary Western societies, of which, we shall argue, the work of female flight attendants is a notable example. It will begin by locating the authors' analytical and theoretical concerns with ‘women's work’ within the context of recent empirical research. It will then go on to outline briefly a Maussian model of exchange relations and to identify the potential utility of this analytical model for the study of women's work. This paper then goes on to offer an analytical account of empirical research into the work of flight attendants and to analyse the ways in which airline service provision constitutes a critical case study of women's work, certain elements of which involve a form of ‘gift’ exchange relations which operate, not as an alternative to, but inside — and in the interests of — commodity exchange relations. Finally, in the light of recent feminist work, this paper will conclude by suggesting the wider implications of this analytical model for the study of gender and work.     

Trading sex: Voluntary or coerced? The experiences of homeless youth

This study examined the circumstances surrounding a homeless youth's “decision “ to trade sex for food, money, shelter, or drugs. Forty homeless youth in 4 Midwestern states participated in individual, in‐depth qualitative interviews. Interviewers recruited youth through both service agencies and street outreach. The findings revealed that approximately one third of the sample had some experience with trading sex, whether it was in the form of having traded sex, having been propositioned to trade sex but having refused, or having friends or acquaintances that had traded sex. Young people's reports indicated that they had traded sex for things they deemed necessary in order to survive (i.e., food, shelter, money, or drugs) and that they did not want to trade sex, but did so because they were desperate and lacked alternatives. Additionally, others were coerced, manipulated, or forced to do so, indicating that the decision to trade sex is not always voluntary. We discuss the implications of these findings in terms of cumulative effects on youths’ later development. Directions for future research among this population are also discussed.     

Multiply robust inference for statistical interactions

A primary focus of an increasing number of scientific studies is to determine whether two exposures interact in the effect that they produce on an outcome of interest. Interaction is commonly assessed by fitting regression models in which the linear predictor includes the product between those exposures. When the main interest lies in the interaction, this approach is not entirely satisfactory because it is prone to (possibly severe) bias when the main exposure effects or the association between outcome and extraneous factors are misspecified. In this article, we therefore consider conditional mean models with identity or log link which postulate the statistical interaction in terms of a finite-dimensional parameter, but which are otherwise unspecified. We show that estimation of the interaction parameter is often not feasible in this model because it would require nonparametric estimation of auxiliary conditional expectations given high-dimensional variables. We thus consider 'multiply robust estimation' under a union model that assumes at least one of several working submodels holds. Our approach is novel in that it makes use of information on the joint distribution of the exposures conditional on the extraneous factors in making inferences about the interaction parameter of interest. In the special case of a randomized trial or a family-based genetic study in which the joint exposure distribution is known by design or by Mendelian inheritance, the resulting multiply robust procedure leads to asymptotically distribution-free tests of the null hypothesis of no interaction on an additive scale. We illustrate the methods via simulation and the analysis of a randomized follow-up study.     

Child neglect and adolescent violence: examining the effects of self-control and peer rejection

Child maltreatment researchers have often suggested that experiences with child neglect have long-term, negative effects. Child neglect is thought to have particularly adverse effects on self-control, peer relations, and delinquency. In this research, we examine the relationship of child neglect with adolescent violence via self-control and peer rejection. Using prospective, longitudinal data from a community sample, we find that child neglect adversely affects peer rejection and violence. Neglected children were more likely to be rejected by their peers in early adolescence and were more likely to be violent later in adolescence. Contrary to theoretical predictions, child neglect was not a significant predictor of self-control. Implications for delinquency and child maltreatment researchers are discussed.     

Ethnic Validity: A Model for Families on Uncharted Seas

This paper provides an ethnic validity framework as a model for conceptualizing and understanding the lives of ethnic minority families and the individuals in them. It outlines the ecological context of minorities (nonculture-defining groups) in a culture defined and dominated by a culture-defining group majority. Cross-ethnic/racial and cross-cultural studies organized around themes of acculturation and psychosocial competence are cited to substantiate the utility of this model. Their findings also provide a basis for outlining individual, family, and societal intervention approaches which can facilitate each group’s ethnic validity and lead to a culturally diverse society which is more equitable for all of its members.     

Pedagogical Dramas and Transformational Play: Narratively Rich Games for Learning

Although every era is met with the introduction of powerful technologies for entertainment and learning, videogames represent a new contribution binding the two and bearing the potential to create sustained engagement in a curricular drama where the player's knowledgeable actions shape an unfolding fiction within a designed world. Although traditionally, stories involve an author, a performer, and an audience, much of the power of videogames as media for advancing narrative springs from their affordance for the player to occupy more than one role—and sometimes all three—simultaneously. In the narratively rich videogames that we design, players have the opportunity to perform actions, experience consequences, and reflect on the underlying social values that these situations were designed to engage, affording a type of narrative transactivity. Elsewhere we have discussed designing these media as contexts for engaging academic content; here we illuminate the power of videogames to engage children in ideological struggles as they are experienced in game-based adaptations of classic literature. Toward this end, we present our theoretical argument for the power of games as a contemporary story medium, grounding this discussion in the context of two game design projects and their implementations. Implications are discussed in terms of the potential of immersive, interactive media—videogame technology, in short—for achieving wide-ranging educational ends.     

A longitudinal study of the effects of early abuse on later victimization among high-risk adolescents

Although previous research on adolescents finds a link between early abuse and later victimization, the majority of this research is cross-sectional and based on samples of currently homeless adolescents. Therefore, factors that predict the likelihood of victimization have not been systematically examined. As such, the current study longitudinally examines the effects of early abuse and poor parenting on victimization via running away, delinquency, and early sexual onset among a sample of over 700 currently housed high-risk adolescents. Results revealed that having experienced sexual and physical abuse, as well as lower levels of parental monitoring and closeness, significantly predicted running away at wave 1. Adolescents who had run at wave 1 were significantly more likely to run again, more likely to engage in delinquency, and more likely to have had an early sexual onset at wave 3, all of which significantly predicted victimization at wave 4.     

Vice President of Medical Affairs--moving on up to CEO?

Increasingly, physician executives are reaching the conclusion that if they choose, they may be viable candidates for CEO positions. While this opinion has merit, it must be tempered by marketplace realities. A fundamental issue for VPMAs aspiring to become CEOs is that they have little formalized training or education for CEO roles. Also, they may lack team-building skills--a critical success factor. Physician executives who seek out professional development opportunities that enhance both their interpersonal/management and "business" skills--accounting, finance, and planning--are more likely to be attractive candidates and succeed once they are in the position. Another consideration is that the CEO position usually has a precursor role--the COO. This position is the training ground for the CEO. Physician executives aspiring to be CEO will want to consider the following suggestions: (1) Make your intentions known; (2) groom your successor; (3) request a title change; (4) get your master's degree; (5) pursue professional development opportunities; (6) consider leaving the organization; and (7) talk with your family.     

Developmental deviations in happy victimization across early childhood predict behavioral adjustment in middle childhood

This study examined whether the development of happy victimizing (HV) from early to middle childhood predicted prosocial and aggressive behaviors 3 years later. Participants included 150 children (50% female, M_age at study onset = 4.53 years) and their parents at four annual time points. At each time point, semi-structured interviews were conducted to assess children's emotional expectations after committing hypothetical transgressions. Child and parent reports of children's prosocial behaviors and aggression were provided at the beginning and end of the study. Children who experienced faster declines in HV reported higher prosocial behaviors 3 years later, controlling for initial levels of prosocial behaviors. Children who exhibited increases or lesser declines in HV reported higher aggression at the study end. The development of HV was not related significantly to parent reports of prosocial behaviors and aggression in middle childhood. Findings confirm theorizing on the normative developmental trajectory of HV and suggest that deviations in HV across early childhood may partially explain later behavioral adjustment.