Breaking the glass ceiling

The glass ceiling is a form of organizational bias and discrimination that prevents qualified professionals from achieving positions of top governance and leadership. This article examines glass ceiling barriers that keep physicians from the upper reaches of management. While these factors apply mainly to women and minority physicians in academia, and are attributable to sexual harassment and discrimination, physicians as a class are frequently denied executive management positions. Such denial results from inadequate preparation for a career in health care administration. Important issues in the professional development of physician executives include mentoring, training and education, administrative experience, and cultural and personality factors. All of those must be considered when making the transition from medicine to management.     

Multilevel maximum likelihood estimation with application to covariance matrices

The asymptotic variance of the maximum likelihood estimate is proved to decrease when the maximization is restricted to a subspace that contains the true parameter value. Maximum likelihood estimation allows a systematic fitting of covariance models to the sample, which is important in data assimilation. The hierarchical maximum likelihood approach is applied to the spectral diagonal covariance model with different parameterizations of eigenvalue decay, and to the sparse inverse covariance model with specified parameter values on different sets of nonzero entries. It is shown computationally that using smaller sets of parameters can decrease the sampling noise in high dimension substantially.     

Flexible work planning of service agents with load balancing

This work emerged from the need to better plan the daily work of 29 travelling service agents, who provide 1090 services to 412 customers in 283 sites, on daily average. A handy and flexible tool was developed and is presented herein. A major contribution of this study is an explicit consideration of the multi-dimensional nature of the problem by the inclusion of workload balancing, which may stand in conflict to cost minimisation. Further, the geographical distribution of the demand is highly irregular. Therefore, two load measures are required and balanced. This required to fitting a proper planning scheme. The planning tool has been applied successfully by the commercial service provider. Improvements in the order of 20% and more were obtained in key performance measures. Moreover, cost reductions, service improvement and load balance were obtained simultaneously: the standard deviations of the service times and working day’s duration were reduced by 18 and 58%, respectively. This enables to reduce the number of agents with no significant harm in performance. Additional practical advantages of the proposed tool are also discussed and demonstrated, for example, the ability to cope with geographical distributions and the flexibility to respond to daily variations in demand.     

The Social Basis of Agro‐Environmental Concern: Physical versus Social Proximity

Abstract In this study, we explore the social basis of environmental concern, specifically focusing on attitudes about the agricultural environment in relation to an individual's geographic and social distance from agriculture. We also consider the significance of rural recreational behaviors in relation to agro‐environmental concern. The analysis, based on data from a statewide survey of Ohioans, reveals a strong relationship between one's geographic location along the rural‐urban continuum and attitudes about agriculture and the environment. This relationship, though, does not exist once the effects of social proximity to agriculture are accounted for, suggesting that the relationship between residential location along the rural‐urban continuum and agro‐environmental attitudes may be spurious. The analysis also reveals a strong relationship between participation in rural recreation and attitudes about agriculture and the environment. We describe several conceptual and practical implications of this research for natural‐resource management.     

Cultivate your core competencies

Your core competencies make you much more valuable to your organization. Find out ways to nurture and promote those competencies.     

Medical director musical chairs. A reaffirmation of my career in medical management

Losing your job can be a traumatic event. But you can minimize the shock by taking some action steps to find another job quickly--in many cases, even a better job. Consider some advice from a seasoned physician executive who has successfully negotiated the corporate maze found in many health care organizations today.