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Every Pawn is a Potential Queen: How Female Early-Career Faculty Play the Game of Tenure
The research on early-career faculty on the tenure track suggests they are surviving amidst low job satisfaction. Scholars found that early-career faculty lack the skills and preparation needed for the job, perceive the tenure process to be vague or unclear, feel isolated or disenchanted with their work, and struggle with time management (Austin, 2002; Austin, Sorcinelli, & McDaniels, 2007; Batille & Brown, 2006; Ponjuan, Conley, & Trower, 2011; Tierney & Bensimon, 1996). Female early-career faculty are susceptible to additional gendered and biased challenges (Gappa, Austin, & Trice, 2007). Missing from the literature are the positive experiences of early-career faculty. The purpose of this study is to describe the professional approaches of six female early-career faculty who work at selective liberal arts colleges and how those approaches are similar or different from four of their peers at a large research university, using theories of intrinsic motivation (Pink, 2009), agency (Bandura, 2001), and positive deviance (Spreitzer & Sonenshein, 2003) to frame the inquiry. A secondary purpose of this study is to describe the strategies to faculty work that deviate positively from the typical early-career faculty behaviors articulated in the existing research.
Using a qualitative embedded multi-case study design, data was collected from ten female early-career faculty from three different institutions. Using constant comparative analysis and pattern matching, the theme of tenure as a game emerged, as well as the greater metaphor that participants approach their work like they are playing a challenging, but gratifying, game of chess. There were four major insights that surfaced from the findings. First, female early-career faculty assess their skills to play the game and take subsequent actions to improve their positions within the first few years of their appointments. Second, female early-career faculty seize opportunities to advance quickly by the middle of the probationary period. Third, female early-career faculty incorporate moves that reinforce their passions throughout their appointments. And finally, positive-deviant approaches combined participants’ skills, awareness of opportunity, and passion into a single move at the onset, which ultimately positioned participants for success
Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study
Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research