There are no easy answers to instill management competencies into managers of our research units. Individuals need to admit incompetency, a very difficult admission, before they can allow themselves to grow into competent managers. This four-step approach is at least as old as St. Ignatius’ Spiritual Exercises. It shows up in many self-help groups (e.g., Alcoholics Anonymous) and management coaching seminars. This image for this article comes from this coaching website and is courtesy of Will Taylor, Chair, Department of Homeopathic Medicine, National College of Natural Medicine, Portland, Oregon, USA, March 2007.