Don't be an accidental physician executive

How can physicians begin crafting a career with intention and careful thought? Before you go leafing through The Physician Executive or the New England Journal of Medicine's Positions sections, you'll need to conduct a thorough career evaluation of where you are and where you want to go. There are more career tracks in more types of organizations available to you as a physician executive than ever before. There is also considerable turbulence, creating unexpected opportunities. The times have never been better for aggressive, energetic physician executives who want to move up and out.     

Diagnosis of a stalled career

What should physician executives do to prepare for a career move? This is not a list of items to improve technical skills and knowledge, but information on how to accurately and clearly present your experience and gain credibility. A few of the basic career preparations that physician executives must make include: (1) Get your paperwork in order, both a resume and a curriculum vitae; (2) seek feedback and critical input; (3) refresh or establish your interviewing skills; and (4) focus on your communications techniques. Physicians executives cannot rest on their deserved laurels as strong practitioners when aspiring to a senior management role. It is critical to emphasize other skills--decisiveness, communication, and management experience in a range of health care organizations.     

Rolling with the shakes: an insight into teenagers’ perceptions of recovery after the Canterbury earthquakes

Natural disasters are harmful worldwide events that inflict multiple psychosocial impacts on disaster-exposed individuals. A significant proportion of affected individuals are teenagers (13–18 years old) who, compared with adults, have been historically overlooked in disaster research. The literature is particularly sparse concerning teenagers’ recovery from natural disasters, specifically what recovery means to them and the contributing factors towards their positive recovery. Therefore, the aim of the current study was to gain deeper insight into this largely unexplored area by conducting five focus groups with teenagers (16–18 years) who experienced at least one of the Canterbury, New Zealand, earthquakes since and including the initial September 2010 earthquake. This study directly asked teenagers about their recovery over the three years after the initial earthquakes, with data being analysed using thematic analysis. Two main themes were identified: (1) perceptions of recovery, with three sub-themes (i) knowledge and being less frightened, (ii) talking about the earthquakes and (iii) shift in perspectives; and (2) contributing factors to recovery, with three sub-themes (i) participation in the community response, (ii) returning to school and (iii) the rebuild of Christchurch. These factors provide insight into how we can better support the recovery process for disaster-exposed teenagers to reduce long-term distress.     

Till Debt do us Part: A Model of Divorce and Personal Bankruptcy

The number of personal bankruptcies has increased dramatically since 1990, and a growing number of filers are divorced. While previous research shows that divorce significantly increases the probability of bankruptcy, these studies assume divorce is exogenous. This study uses the Panel Study of Income Dynamics to investigate the relationship between divorce and bankruptcy. Single-equation probit results show that divorce significantly increases the probability of bankruptcy and bankruptcy significantly increases the probability of divorce. However, after controlling for endogeneity, the effect of divorce on bankruptcy and the effect of bankruptcy on divorce both fall by a significant amount and are statistically insignificant. The findings suggest that future research needs to more carefully model the role that financial distress plays within a marriage.

Corporate Environmentalism and Organic Agriculture in Australia: The Case of Uncle Tobys1

Abstract Recent expansion in the organic food industry represents an increasing awareness amongst an array of actors of the implications of conventional agriculture. In particular, the organic agriculture movement has been driven by both organic producers and consumers concerned about the environmental implications of food production and the health effects associated with food consumption. The recent institutionalization of the organic movement in organic regulatory bodies and through the involvement of food companies has encapsulated other actors within this network. This paper looks specifically at Uncle Tobys, a producer of breakfast cereals, which joined this network when it decided to produce an organic breakfast cereal called “Organic Vita Brits.” The integration of this company has expanded the range of actors participating within the organic network and altered the relationships between them. The temporary involvement of Uncle Tobys in the organic food industry has also resulted in a shift in the construction of meaning of “organic.” The limited success, despite many efforts to appeal to green consumers, of Uncle Tobys within this network suggests that organic food remains a niche product, consumed by a minority of consumers.     

Proximity (Mis)perception: Public Awareness of Nuclear,Refinery, and Fracking Sites

Whether on grounds of perceived safety, aesthetics, or overall quality of life, residents may wish to be aware of nearby energy sites such as nuclear reactors, refineries, and fracking wells. Yet people are not always accurate in their impressions of proximity. Indeed, our data show that only 54% of Americans living within 25 miles of a nuclear site say they do, and even fewer fracking-proximal (30%) and refinery-proximal (24%) residents respond accurately. In this article, we analyze factors that could either help people form more accurate perceptions or distort their impressions of proximity. We evaluate these hypotheses using a large national survey sample and corresponding geographic information system (GIS) data. Results show that among those living in close proximity to energy sites, those who perceive greater risk are less likely to report living nearby. Conversely, social contact with employees of these industries increases perceived proximity regardless of actual distance. These relationships are consistent across each site type we examine. Other potential factors—such as local news use—may play a role in proximity perception on a case-by-case basis. Our findings are an important step toward a more generalizable understanding of how the public forms perceptions of proximity to risk sites, showing multiple potential mechanisms of bias.