1. Leadership: What and How ? Trinity of Function Service Training Research

2. “Prime concern of the Institute is to develop patterns of teaching in UG & PG medical education in all branches so as to demonstrate a high standard of medical education to all medical colleges and allied institutions in India” Products: outstanding, created a niche for themselves nationally and internationally

3. Training & Teaching Patterns Extract best out of un-initiated students / young faculty members In tune with times Numerous academic activities: creating a challenging environment Emphasis on special areas e.g clinical decision making Super-specialty training: multiplier effects Need for role models Outside the institutional framework: participation in CMEs

4. Service Component Cutting edge technology Constant up gradation Newer modalities Technology transfers: even economically non-viable technologies Basis for training and human resource development

5. Research Relevant & Focused Participation in all stages of research Biomedical research Pathogenesis related research Product development Vaccines Tools for surveillance Epidemiology related research Policy leadership

6. Technical support to government Knowledge generation (evidence based policy modifications) Program implementation Monitoring & External Evaluation

7. Establishing Networks To take up issues of wider interest Credibility – individual vs. institutional Concept of equal partnership Capacity building exercise Catalyzing change Sustainability

8. Leadership in ethical practice; ethical committees Participating in science management Partnership with industry: setting ground rules: product development & product evaluation

9. Enabling Environment High expectations Academic freedom Inter-disciplinary environment Focused – no private practice Constant energy: most promising students- constant challenge to environment in general and faculty in particular Highly competitive environment

10. Exposure to global platforms: attending conferences, training, fellowships Access to policy makers Autonomy: relative freedom from politicization Administrative support

11. Flexibility Time protection Infrastructure Access to state of art technology – research / patient care Optimal work load quality vs. quantity Non-throttling micro-environment Extreme degree of professional satisfaction Establishment of corporate life within the campus

12. Threats Catalyst : success & quality: wide audience and acceptance Need for big success Institutional appreciation Institutional competition / complacent attitude Keeping pace with technology: resource crunch over time

13. Institutional structure: oversize Eroding autonomy Political interference Correct perspective for emergence of leadership Process of selection above board / stringent quality assurance Struggle for survival Need for connectivity: stature vs. status

14. Total dependence on outside support: biomedical engineering research Creating environment for relevancy of research Sustainable teams / groups / lack of institutional memory (people come and go) UG training not a priority

15. National needs vs. current infrastructure Need for replication of similar institutions in other parts of the country Catalyst: a couple of big Successes Change will come as an epidemic Institutional Leadership & Nation as a Leader in Health