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Walk of life* Sir Michael Brady FRS FREng FMedSci Professor of Oncological Imaging Department of Oncology University of Oxford *You do the walk, the walk of life Mark Knopfler Outline 1. Who I am 2. Walk of Life 9 policies I have adopted 3. The opportunity afforded by Athena Swan “Retired” Deputy Chairman, 1994-present Co-Director Oxford Cancer Imaging Centre 50% Prof Oncological Imaging, Oncology Founder & Chairman: 1992-now Chairman Founder, Director 1999-2003; 2008-now Chairman 2013-now Founder, Director: 2008-now Chairman Former companies for which I was a Director Chairman 1. Identify a major goal Formulate a 5-10 year plan to attack a major goal Don’t be a perennial puzzle solver, generating a string of incremental advances, published at minor conferences, and which are instantly forgotten Ask yourself: “10 years from now, what will be the foo* effect, the foo process, ….?” Be bold, think long term, and then start putting the pieces together Theory-only advances are admired for a while; many practical advances lack theoretical foundations** Aim to solve an important practical problem based on a sound theoretical base *you are foo, if you see what I mean… **i.e. they are hacks 2. Be patient – a case study • 1989-93: a bold idea that challenged the orthodoxy (a physics model of mammogram formation) Avoid puzzle-solving incremental-step research. Identify an important problem and use it to make your name The need for quantitative analysis in mammography 0.4cm Intensity 3401 SMF 4.3cm 0.4cm Intensity 1728 SMF 4.3cm Two of the UK’s most experienced breast radiologists each examined the two mammograms shown, to estimate the percentage of dense tissue – a key risk factor for breast cancer. A (left) estimated L – 50%, R – 25% B (right) estimated L – 35%, R – 40% In fact, the two mammograms are of the same breast; but the pair shown left was exposed for twice as long as the right. The two numbers 25, 40 should be the same! Image intensity relates to anatomy in a very complex way, making quantitative image analysis a hard problem. During the 1990s, with Ralph Highnam, I invented a solution to this problem: SMF – developed an algorithm based on modelling the physics of image acquisition to give a quantitative representation of the image – assigning to each pixel x the amount of non-fat tissue SMF(x) at that pixel location. * SMF = Standard Mammogram Form We needed a bit of physics.... Radiation incident on upper plate Radiation incident upon upper surface of breast Output of a typical mammography x-ray tube Radiation incident on upper plate is Radiation exiting the breast plate E (r ) (Vt , r ) Ap t s max rel N 0 (Vt , )d 0 Image to quantitative measurement Imaging Physics 2cm, fibroglandular 4cm, fat Volumetric Breast Density cm Volume of "interesting" tissue Volume of the breast 2. Be patient – a case study • 1989-93: a bold idea that challenged the orthodoxy (a physics model of mammogram formation) Avoid puzzle-solving incremental-step research. Identify an important problem and use it to make your name • 1993-6: it was too much for peer review New kid trampling on their territory. I took a chance on another grant… My experience is that peer review generally favours incremental advances, despite the encouragement of the research councils. Make your proposal a judicious mix of solid technical stuff and the bold stuff that you really want to do • (1985-now) Research Council support & encouragement They are friendly, supportive, and incredibly helpful; don’t be afraid to ask Being awarded a Senior Research Fellowship was career changing for me – and scarey • It took 8 years for our stuff to be accepted by the academic community (2000), and 12-15 (2005) by industry (book in 1999) This is normal on both counts. Unfortunately, academics are intrinsically conservative; happily, so is industry – it has to deliver systems that work every time, all the time…. 3. Build partnerships that last A flow of people, ideas, and intellectual property Clinical collaborators Research Industry Engineers have a key role to play in this process: we understand applications and science-based applied work, and project work makes us ready collaborators Custodians of the problem: evaluation that is positive & negative Companies, not universities, sell systems Quality systems & regulatory Need ideas, people, and customers Face challenges that limit effectiveness of products 4. Building a group • Often you don’t need a lot to get started: believe in yourself and just do it! • It’s much easier if you start “within” an already established group – Infrastructure is in place, and it is generally infrastructure/set-up that often costs the big money – The group doesn’t have to be in this Department, or Oxford University: the internet is a powerful engine – However, reporting to a supervisor who does not encourage initiative is a bad place to be – Students cost a tiny fraction of a postdoc; but they do different things…. • The research councils are (still) supportive of early career researchers There’s a bewildering set of funding sources: be mentored On the other hand, most universities are broke (or claim to be) It’s easier to get industrial funding once you have track record The best way to get to industry is by the recommendation of a colleague who is already working with that company • Maximise your efficiency Spread your funding, and if you are spending too much time writing proposals, hire someone to do it for you Remember the history of Lancashire …. 5. Re-invent yourself every 7-8 years My contribution The next phase of life!! Becoming interested; framing the problem; learning what has been done, and what has not. What can I contribute? Beginning to contribute; conference papers; lots of rejections; the first journal article (in a reasonable journal) La dolce vita!! Period of maximum contribution to the subject. Work submitted to REF/Noble Prize committee; grants, journal articles, promotions, prizes, television interviews, keynote lectures, … and a head of Department who smiles Either restless mind takes you elsewhere or genuinely original thoughts are fewer. Slowing down. Time to hand the problems to graduate students, and… time My latest re-inventions • Reinvention 5 (1995-2003) Medical Image Analysis (cancer) • Reinvention 6 (2003-2010) Molecular imaging of cancer • Reinvention 7 (2010) “retired” • Reinvention 8 (2012 – now) Prof of Oncological Imaging 6. Graduate Students • 115 graduated to date • Why else would I work in Oxford? • Sir Humphrey Davy was asked “what was your greatest scientific discovery?” Graduate students need to be developed to be better than you are. They are not cheap labour to help build your career. Answer: Michael Faraday 7. Get a mentor • • • • Everybody needs advice, support, encouragement To seek it is a sign of strength, not weakness You need your mentor at the bad times, not the good Your mentor should not be your “line manager” – He/she may be the problem, not the solution • Don’t just accept an assigned mentor – figure out who you are comfortable talking to & who might, occasionally, talk sense • It doesn’t have to be same sex… 8. ∫ or ? • Royal Academy of Engineering contrib(t )dt career .. Go to a zillion conferences .. Doesn’t really matter which • Royal Society n2 • • • • • .. Stay in the Lab and think .. Avoid almost all conferences! What is needed to be appointed to an academic post? What is needed to be promoted? What is needed for REF? Does the optimal strategy change throughout your career? … Play the game to maximise your impact, subject to constraints, primarily time 9. Identify your own personal driver Publishing papers and books is satisfying; but... our aim has been that the results of our research are used daily by thousands of people Science that addresses fundamental problems of a well defined practical problem: • our systems are used by nonexperts • have to work 24/7, 365, 99.9% Universities don’t (and should not) build systems within quality processes, sell, or maintain systems License technology Everyone at a conference hopes their work will contribute “eventually” to eng practice/science Reality Industry doesn’t download freeware software systems and use them for routine use Companies very rarely pick up a published paper, implement it, & sell it Start new companies Why start companies? 1. Frustration of dealing with large companies, particularly in medical image analysis, and particularly in the UK – 99% of Mirada’s sales are in the USA, as are Matakina’s 2. I can’t help it (Guidance, Mirada Solutions, Mirada Medical, Matakina, ...) 3. Secure the kids’ futures yet live with academic poverty 4. The dream of a swimming pool in Provence … … but remember that life is a zero-sum game – any time you spend on companies is life that is not spent on your research OR – much worse – not spent with your friends & family Personalized Screening With Volpara Breast ultrasound + Woman has a mammo Volpara breast density score immediately available Woman can decide on supplementary screening before she leaves clinic. • Screening with ultrasound in dense breasts doubles cancer detection. • Volpara allows a 8x increase in up-take of women receiving this potentially life-saving by being objective and providing the score to the woman in a convenient fashion. • Volpara allows the clinic to claim the image is justified, a key new feature of the US radiology market. Breast MRI Quantifying disease/therapy progression 7 time-point PET/CT of the same patient RSNA: Radiological Society of North America 70,000 delegates Prof as salesperson: 2001, 2002, ... 2009, 2010, 2011, 2012 No way, Haephaestus.. The following draws heavily on work that we have been doing at Oxford Instruments plc Key barriers for women's progression to senior roles • • • Lack of visible senior female role models Lack of senior leadership knowledge, skills, focus on the career development of talented women Lack of experience in navigating organisational power and politics traditionally built on ‘male’ gender norms Sources: Catalyst (USA) Cranfield (UK) & Brook Graham Ltd (UK) Women in FTSE 100 4* Female CEOs in FTSE 100 and 1 Female Chair 2 (Angela Ahrendts – Burberry) (Alison Cooper – Imperial Tobacco) 6.4% of FTSE 100 Exec Directors 21.6% of FTSE 100 NEDs c.20 – 25% of senior managers c. 35 – 45 % of middle managers Typically (depends on sector) 30% – 60% graduate entry EU/Finnish women on Boards Women on Boards: Commission proposes 40% objective Date: 14/11/2012 Today the European Commission has taken action to break the glass ceiling that continues to bar female talent from top positions in Europe’s biggest companies. The Commission has proposed legislation with the aim of attaining a 40% objective of the under-represented sex in non-executive board-member positions in publicly listed companies, with the exception of small and medium enterprises. Currently, boards are dominated by one gender: 85% of non-executive board members and 91.1% of executive board members are men, while women make up 15% and 8.9% respectively. Women now account for 22 per cent of listed companies’ board members in Finland, compared with last year’s figure of 18 per cent. In 2008 it was 12 per cent and in 2003 only 7 per cent. However, the number of different women on Boards is very much smaller than these figures suggest … many of the women are on 5+ Boards … and have given up their executive function to serve on these Boards In Oxford, each electoral board is supposed to have a woman member. As a result, in MPLS, women faculty are asked to serve on vastly more boards than male colleagues. An idea for inclusion that all too easily becomes tokenism and a source of resentment.. Key barriers for women's progression to senior roles • • • • • • Lack of visible senior female role models Lack of senior leadership knowledge, skills, focus on the career development of talented women Lack of experience in navigating organisational power and politics traditionally built on ‘male’ gender norms An organisational culture (unconsciously built on ‘male cultural’ norms), which can be inadvertently hostile to women e.g. ‘Double Bind’ expectations of women at the top: ‘Be Tough, Be Nice’ Lack of networking , through exclusion and ‘head down, focus on the day job’, leading to... Less visibility/exposure to senior decision-makers and therefore lack of (all-important) mentorship and sponsorship Sources: Catalyst (USA) Cranfield (UK) & Brook Graham Ltd (UK) Descriptive words: stereotyping … from the packaging of toys aimed at boys Descriptive words: stereotyping … from the packaging of toys aimed at girls Gender Culture Some Key ‘Typical’ Differences Childhood Lessons and Experience •Relating to others •Relate through ‘flat structures’ •Power even/shared , collaboration/involvement, narrow band of ‘appropriate’ assertive/aggressive behaviour •Games and Play •More 1 to 1 and small group play •Process focus, maintain relationship •‘Attacking’ not part of the ‘game’ (and behaviour admonished) •Less exposure to win/lose •Caution, risk and showing emotion •Encouraged to ‘be careful’/ ‘take care’ •Showing emotion ok •Relating to others •Relate through hierarchies •Power unequal, ‘command and control’, broad range of ‘appropriate’ assertive/aggressive behaviour •Games and Play •More ‘team’ and large group play •Goal focus, build place in hierarchy •‘Attacking’ part of the game; Rules understood (and behaviour admired?) •More practice at win/lose •Caution, risk and showing emotion •Wider range of ‘risk taking’ encouraged •‘Stand up for yourself’ ‘Big boys don’t cry’ Gender Culture Some Key ‘Typical’ Differences Potential Translation to Behaviours as Adults in Work/Careers •Leadership •Less experience of/comfort with ‘unwritten rules’ of operating in hierarchies. •‘Losing’ and ‘attacks’ taken more personally •Self-advocacy/self-promotion •Seek promotion only when ‘fully ready/meeting spec’. (And ‘go into confessional’) •Success: point outwards to team/circumstances/luck •Failure: point inwards •Language •Longer sentences, use of disclaimers and tag questions •‘Take turns’, share air-time in meetings •Talk through process first, then bottom-line •Facial/Body Language •Show more emotion •Attuned to others’ facial language •‘Face work’ •More face to face when speaking •Nod to indicate listening, as well as agreement •Multiple •Multi-tasking •Leadership •Smooth transition to operating in work hierarchies. •More ‘command/control’ in leadership style •Broader tolerance of assertive/aggressive behaviours (by both women and men) •‘Attacking’ ‘normal’ /not taken personally •Self-advocacy/self-promotion •‘Take a risk’ on promotional opportunities (and focus on the positives) •Success: point inwards •Failure: point outwards to others/circumstances/nature of task •Language •More declamatory, shorter sentences •Speak at length in meetings and talk-over/interrupt •Bottom-line first, then ‘back fill’ process •Facial/Body Language •Mask emotion •Less able to ‘read’ facial language •Shoulder to shoulder when speaking •Nod to indicate agreement •Linear Key barriers for women's progression to senior roles • • • • • • • Lack of visible senior female role models Lack of senior leadership knowledge, skills, focus on the career development of talented women Lack of experience in navigating organisational power and politics traditionally built on ‘male’ gender norms An organisational culture (unconsciously built on ‘male cultural’ norms), which can be inadvertently hostile to women e.g. ‘Double Bind’ expectations of women at the top: ‘Be Tough, Be Nice’ Lack of networking , through exclusion and ‘head down, focus on the day job’, leading to... Less visibility/exposure to senior decision-makers and therefore lack of (all-important) mentorship and sponsorship Having greater share of caring/family responsibilities in most countries Sources: Catalyst (USA) Cranfield (UK) & Brook Graham Ltd (UK) What should we do What we are doing at Oxford Instruments plc Building blocks Awareness and Engagement Hardwiring Accountability • Vision and business case • Analysis: quantitative & qualitative • Top team commitment - head, heart & hands • Training: bias, gender as culture • Communication • • • • Career Management & Navigation – awareness, strategies & skills • Career development / ‘navigation’ programmes (drivers , power, politics, visibility, impact, ‘team you’ etc) • Mentoring and sponsorship • Networking D&I policies Targets & KPIs Business action plans Scorecards: measurement & reward Talent Management Processes • • • • • Attraction & recruitment Leadership development Identification of high potentials Performance management Talent pool review & succession plans