Development of the academic environments of generalist faculty members
is essential if they are to develop the skills to become leaders in m
edical education and primary care research and effective role models f
or their students. We conducted a needs assessment that included two-t
hirds of the generalist faculty members in family medicine, internal m
edicine, and pediatrics at the University of Texas Medical Branch, Gal
veston, Texas. The assessment was based on open-ended discussions in s
mall focus groups and on responses to an informal checklist of 24 pote
ntial faculty development goals. The participants identified three glo
bal needs requiring significant change: (1) better understanding of an
d rewards for their academic activities, (2) better networking with ea
ch other and with nongeneralists, and (3) more control over their time
and responsibilities. Individual needs for academic development were
diverse but emphasized teaching and career-building skills. Meeting th
e individual needs of generalist academicians depends on addressing en
vironmental obstacles to their academic development. We recommend buil
ding project-oriented teams that collectively develop skills in strate
gic planning and project management, political negotiation and public
relations, and creative use of institutional support systems. Individu
al faculty development can then be linked to the development of high-p
riority group projects that stimulate learning and allow opportunities
to practice new skills.