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This book is a bold and useful tool that provides the concepts, principles, and facts needed to build and to strengthen a career in academic medi- cine. Developing a high level of competency in academia requires the development of skills in addition to those in one's own specialty or dis- cipline. One needs skills for conducting research, meeting administrative responsibilities, and educating students and colleagues. These skills are not bells and whistles. They are the elements of academic life that make the position truly academic. This book provides the critical information needed to succeed in that world. Until now many academicians have learned about elements of their job outside their individual discipline by experience and through the obser- vation of role models and mentors. In the complex, highly competitive, rapidly changing world of academic medicine there is no longer time for a prolonged apprenticeship. The institution is endangered when individ- uals are selected for critical posts based upon skills in areas that may not be central to the principal responsibilities of the new position. How often one hears: "He is a great scientist but he runs his department with a shoe box mentality." "She is a fantastic clinician, but she runs a committee as if she knows everything. I hate working with her." "How can a full professor be such a lousy teacher?" All of the above are symptoms of the need for special skills.