The importance of community in academic health centers.

Background: A strong sense of community in any organization, whether it is a small business or a large academic medical center, positively impacts on productivity, efficiency, and morale and makes for an enjoyable workplace. Striking a balance between institutional interests and those of the individual is an ongoing challenge that demands vigilance on the part of faculty and administrators. A faculty comprising self-absorbed individuals, no matter how accomplished they are, will eventually devolve into dysfunction. As the emphasis on extramural grants and clinical productivity has intensified in recent years, this balance has tilted in favor of individualism at the expense of student success and community spirit.

Summary: This article examines factors that tend to undermine community and human behaviors that can counter these negative forces.

Conclusions: If the various stakeholders in the academic health center--deans, chairpersons, faculty, students and staff--all take stock of their responsibilities and commit themselves to restoring a healthier balance between self-interest and institutional missions, beneficial returns are likely in terms of higher quality education and clinical care, increased research productivity and a more vibrant and enjoyable workplace.