. The “triple threat” leader— skilled clinician, researcher, and educator — wasthe paradigm of exceptional faculty achievement (orfantasy) for more than a generation. Balancing aproductive research career with teaching and clinicalcare was easier when academic health centers wereless accountable for the quality and cost of clinicalcare than they are now.

The Triple Feedback Loop offers a compass by aligning the information flows in a framework for operating a network of disparate players with different goals who work together on an overarching goal.

In this scheme, if a sub-ject is related to multiple objects by the same prop-erty, then each distinct value is listed in a successiverow in the table for that property