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“Pearls for Leaders in Academic Medicine” is a collection of concise bits of advice for medical school administrators on how to manage the challenges of playing a leadership role. The book covers topics ranging from how to negotiate the terms of a contract once you have accepted an administrative position, to broaching difficult subjects like termination, to managing budget crises. The authors have several years of experience as leaders in academic medicine and each “pearl” is the product of their practical expertise. The book is formatted in a way that anyone who has gone to medical school will appreciate. Providing short, to-the-point answers to specific questions without the hassle of having to sort through unnecessary information. The “pearls” format is ideal for the busy faculty member who does not have time to waste. Humorous and easily accessible, “Pearls for Leaders in Academic Medicine” is an invaluable resource for deans, department chairs, section chiefs and other senior level medical school administrators. However, it also provides insight for those considering a career as a leader in academic medicine, allowing them the benefit of advice from experienced leaders.