World Journal of Surgery

, Volume 28, Issue 5, pp 445–450 | Cite as

Building Our Future: A Plea for Leadership

Invited Editorial


In recent years the spastic nature of the health care marketplace has continued to increase, which has greatly escalated the demands of leadership in academic medical centers. The expectations of leaders, including surgery chairs, have increased considerably, whereas their capacity for independent action has undeniably diminished. In such a predicament, it is useful to revisit fundamentals, using them as a guide to build a sound future. Five leadership principles are critical to building a better future: (1) recognizing that the work of leadership involves an inward journey of self-discovery and self-development; (2) establishing clarity around a set of core values that guide the organization as it pursues its goals; (3) communicating a clear sense of purpose and vision that inspires widespread commitment to a shared sense of destiny; (4) building a culture of excellence and accountability throughout the entire organization; and (5) creating a culture that emphasizes the development of leaders and leadership as an organizational capacity. Leadership and learning are inextricably linked. We must change the perception that learning in academic surgery is about correcting a deficit rather than a natural part of human growth and development. Our ability to learn, grow, and contribute to an organization is what provides each of us with meaning and identity. This feeling of being part of something special that is larger than ourselves is a powerful force and an important dividend of great leadership.


  1. 1.
    Lawrence D. From chaos to care. Presented at the University Health System Consortium Conference on Leadership, Baltimore, October 2002Google Scholar
  2. 2.
    Souba, W 2003The new leader: new demands in a changing, turbulent environmentJ. Am. Coll. Surg.1977987CrossRefPubMedGoogle Scholar
  3. 3.
    Souba, WW 2002Leadership in actionJ. Surg. Res.106225232CrossRefPubMedGoogle Scholar
  4. 4.
    Collins, J, Porras, J 1994Built to LastHarper BusinessNew YorkGoogle Scholar
  5. 5.
    Souba W (2003) Academic medicine’s core values: what do they mean? J. Surg. Res. 115: 171–173Google Scholar
  6. 6.
    Kotter, J 1996Leading ChangeHarvard Business School PressBostonGoogle Scholar
  7. 7.
    Hefner, D, Souba, W 2003Leveraging chairs and division chiefs to build a culture that gets resultsAcad. Physician ScientistOctober23PubMedGoogle Scholar
  8. 8.
    Bossidy, L, Charan, R 2002Execution: The Discipline of Getting Things DoneCrown BusinessNew YorkGoogle Scholar
  9. 9.
    Daloz, L 1999MentorJossey-BassSan FranciscoGoogle Scholar
  10. 10.
    Heifetz, R, Linsky, M 2002Leadership on the LineHarvard Business School PressBostonGoogle Scholar
  11. 11.
    Pascale R, Millenium M, Gioja L. Changing the way we change. Harvard Business Rev. 1997:Nov/Dec:126-139Google Scholar
  12. 12.
    Wenger, E, McDermott, R, Snyder, W 2002Cultivating Communities of PracticeHarvard Business School PressBostonGoogle Scholar
  13. 13.
    Souba, WW 2002Academic medicine and our search for meaning and purposeAcad. Med.77139144PubMedGoogle Scholar

Copyright information

© Société Internationale de Chirurgie 2004

Authors and Affiliations

  1. 1.Department of Surgery, Penn State College of Medicine, The Milton S. Hershey Medical CenterPenn State Hershey Center for Leadership DevelopmentHersheyUSA

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