Journal of General Internal Medicine

, Volume 23, Issue 6, pp 748–754 | Cite as

Exploring Leadership Competencies in Established and Aspiring Physician Leaders: An Interview-based Study

  • Christine A. TaylorEmail author
  • Jay C. Taylor
  • James K. Stoller
Original Article


Background and Objectives

Academic health care institutions have become interested in understanding and supporting current leaders and preparing leaders for the future. We designed this exploratory study to better understand specific perceived leadership needs of physicians from the perspective of “aspiring” and “established” leaders within our institution.


A qualitative, inductive, structured interview-based design was used to examine the study questions.


A purposeful sample of current and aspiring leaders was obtained, sampling across specialties and levels of leadership.


All participants were interviewed by the same investigator (CT). Five open-ended questions were developed as prompts. Two of the investigators independently analyzed the transcripts, using an open coding method to identify themes within the narratives. Inter-observer comparisons were made and discrepancies were resolved through discussion.


Four themes emerged from analyzing the responses to our questions. Aspiring and established leaders agreed that “knowledge”, “people skills” or emotional intelligence, and “vision” were all characteristics of effective leaders and critical to the success of aspiring leaders. Established leaders in our sample added a characteristic of “organizational orientation” that extended the description of “leaders” to include an understanding of the institution as well as dedication to its success (a trait we have called “organizational altruism”).


Our findings validate others’ regarding leadership competencies while extending these findings to the specific context of health care and physicians. Important implications for curricular design include: inclusion of emotional intelligence competencies and reducing formal didactics in favor of programs that are both interactive and problem-based.


leadership competency great leaders organizational success leadership development 



We would like to acknowledge all the CCF faculty who generously participated and provided thoughtful responses to our questions. In addition, we would like to thank Maggie Muszka who transcribed all the wonderful ideas into text for analysis and Sherri White who assisted in the manuscript preparation.

Conflict of Interest

None disclosed.


  1. 1.
    Kotter J. Leading Change. Boston, MA: Harvard Business School Press; 1996.Google Scholar
  2. 2.
    Kouzes JM, Posner BZ. The Leadership Challenge. San Francisco, CA: Jossey-Bass; 2002.Google Scholar
  3. 3.
    Minvielle E. Beyond quality management methods: meeting the challenges of health care reform. Int J Qual Health Care. 1997;9:189–92.PubMedGoogle Scholar
  4. 4.
    Weisbord MR. Why organization development hasn’t worked (so far) in medical centers. In: Organization Diagnosis: A Workbook of Theory and Practice. Health Care Manage Rev. 1976;1:17–28.PubMedGoogle Scholar
  5. 5.
    Stoller JK. Can physicians collaborate? A review of organizational development in healthcare. OD Pract. 2004;36(3)19–24.Google Scholar
  6. 6.
    Schwartz R, Pogge C. Physician leadership is essential to the survival of teaching hospitals. Am J Surg. 2000;179:462–8.PubMedCrossRefGoogle Scholar
  7. 7.
    Lobas JG. Leadership in academic medicine: capabilities and conditions for organizational success. Am J Med. 2006;119:617–21.PubMedCrossRefGoogle Scholar
  8. 8.
    Schwartz RW, Pogge C, Gillis SA, Holsinger JW. Programs for the development of physician leaders: a curricular process in its infancy. Acad Med. 2000;75(2)133–40.PubMedCrossRefGoogle Scholar
  9. 9.
    Stoller JK, Berkowitz E, Bailin P. Physician management and leadership education at the Cleveland Clinic Foundation: program impact and experience over 14 years. J Med Pract Manage. 2007;22:237–42.PubMedGoogle Scholar
  10. 10.
    Scott HM, Tangalos EG, Blomberg RA, Bender CE. Survey of physician leadership and management education. Mayo Clin Proc. 1997;72:659–62.PubMedCrossRefGoogle Scholar
  11. 11.
    Epstein AL. The state of physician leadership in medical groups: a study of leaders and leadership development among AMGA member organizations. Group Pract J. 2005;54:24–31.Google Scholar
  12. 12.
    Leslie LK, Miotto MB, Liu GC, et al. Training young pediatricians as leaders for the 21st century. Pediatrics. 2005;115:765–773.PubMedCrossRefGoogle Scholar
  13. 13.
    Inui TS, Frankel RM. Evaluating the quality of qualitative research. J Gen Intern Med. 1991;6:485–6.PubMedCrossRefGoogle Scholar
  14. 14.
    Strauss A, Corbin J. Basics of Qualitative Research. Newbury Park, CA: Sage Publications; 1990.Google Scholar
  15. 15.
    Denzen NK, Lincoln YS, eds. Handbook of Qualitative Research. Thousand Oaks, CA: Sage Publications; 1994.Google Scholar
  16. 16.
    Goleman D. What makes a leader? Harvard Bus Rev. 1998;76:93–102.Google Scholar
  17. 17.
    Goleman D, Boyatzis RE, McKee A. Primal Leadership: Realizing the Power of Emotional intelligence. Harvard Business School Press: Boston, MA; 2002.Google Scholar
  18. 18.
    Mayer JD, Salovey P. What is emotional intelligence? In: Salovey P, Slouyter D, eds. Emotional Development and Emotional Intelligence: Educational Applications. New York: Basic Books; 1997:3–31.Google Scholar
  19. 19.
    Bossidy L, Charan R. Execution: The Discipline of Getting Things Done. Crown: UK; 2002.Google Scholar
  20. 20.
    Bailin PB, Bonecutter TA. Executive program in practice management: A new concept in management education. The NAHAM Management Journal. 1991 (winter):8–11Google Scholar
  21. 21.
    Zemke R, Raines C, Filipczak B. Generations at Work: Managing the Clash of Veterans, Boomers, Xers, and Nexters in Your Workplace. AMACOM: New York; 2000.Google Scholar
  22. 22.
    Conbere JP, Gibson SK. Transforming perspectives on health care: outcomes of a management education program for physicians. J Acad Bus Adm. 2007;10:263–8.Google Scholar
  23. 23.
    Copeland LH, Stoller JK, Hewson M, Longworth DL. Making the continuing medical education lecture effective. Journal of Continuing Medical Education. 1998;18:227–34.Google Scholar
  24. 24.
    Craik FIM, Lockhart RS. Levels of processing: a framework for memory research. J Verbal Learn Verbal Behav. 1972;11:671–84.CrossRefGoogle Scholar

Copyright information

© Society of General Internal Medicine 2008

Authors and Affiliations

  • Christine A. Taylor
    • 1
    • 2
    Email author
  • Jay C. Taylor
    • 3
  • James K. Stoller
    • 4
    • 5
  1. 1.Faculty DevelopmentCleveland Clinic Lerner College of MedicineClevelandUSA
  2. 2.Division of EducationCleveland Clinic Lerner College of MedicineClevelandUSA
  3. 3.Engineering TechnologiesOwens Community CollegeToledoUSA
  4. 4.Division of Medicine, Cleveland Clinic Lerner College of MedicineClevelandUSA
  5. 5.Section of Respiratory Therapy, Department of Pulmonary, Allergy, and Critical Care MedicineCleveland ClinicClevelandUSA

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