Exploring Leadership Competencies in Established and Aspiring Physician Leaders: An Interview-based Study
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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.
KEY WORDSleadership 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
- 1.Kotter J. Leading Change. Boston, MA: Harvard Business School Press; 1996.Google Scholar
- 2.Kouzes JM, Posner BZ. The Leadership Challenge. San Francisco, CA: Jossey-Bass; 2002.Google Scholar
- 5.Stoller JK. Can physicians collaborate? A review of organizational development in healthcare. OD Pract. 2004;36(3)19–24.Google Scholar
- 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
- 14.Strauss A, Corbin J. Basics of Qualitative Research. Newbury Park, CA: Sage Publications; 1990.Google Scholar
- 15.Denzen NK, Lincoln YS, eds. Handbook of Qualitative Research. Thousand Oaks, CA: Sage Publications; 1994.Google Scholar
- 16.Goleman D. What makes a leader? Harvard Bus Rev. 1998;76:93–102.Google Scholar
- 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.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.Bossidy L, Charan R. Execution: The Discipline of Getting Things Done. Crown: UK; 2002.Google Scholar
- 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.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.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.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