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.     

Sexual and gender identity work on social media

How do sexual and gender minorities use social media to express themselves and construct their identities? We discuss findings drawn from focus groups conducted with 17 sexual and gender minority social media users who shared their experiences of online harms. They include people with gay, lesbian, bisexual, trans, queer, asexual, non-binary, pansexual, poly, and kink (LGBTQ+) identities. We find that sexual and gender minorities face several challenges online, but that social media platforms provide important spaces for them to feel understood and accepted. We use Goffman's work to explore how sexual and gender minorities engage in ‘front region’ performances online as part of their identity work. We then turn to Hochschild's concepts of ‘feeling rules’ and ‘framing rules’ to argue that presentations of self, or front region performances, must include the role of feelings and how they are socially influenced to be understood.     

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.