Abstract
Psychologists are increasingly called upon to become more involved in academic health centers (AHCs) as leaders across a range of leadership roles in areas such as the clinical, teaching, and research missions, and in the administration thereof. Similarly, expansion of psychologists’ service in national associations, boards, and other forums is increasing. This paper attempts to delineate the nature and extent of psychologists’ involvement in leadership roles and their needs for professional leadership development to assist them in securing and succeeding in these positions. Members of the Association of Psychologists in Academic Health Centers (APAHC) were invited to complete a survey to identify current leadership roles and training needed to enhance leadership capabilities. Most (75%) of the respondents (total n = 105; 42% of APAHC full members; 70% female) were currently serving in leadership roles (range 1 to ≥ 10 positions). Years since degree conferred was positively associated with the number of leadership positions. Diversity of roles was delineated across AHC missions including psychology training (49.5%), clinical service (33.3%), and research (26.7%). An important subgroup (11.5%) served in upper-level administrative leadership positions. Leadership roles external to AHCs were common, particularly service ion committees (30.5%) and boards (27.6%) in state and national professional organizations. Half (51.4%) of survey respondents endorsed at least one leadership development need, with approximately 10% endorsing leadership development needs in all areas. The most common leadership development need was financial management skills, endorsed by nearly two-thirds of the sample. Early career respondents recognized more needs than advanced career respondents. AHC psychologists are expanding their leadership roles and distinguishing themselves as important contributors in AHCs. Despite this, many identified needs for further leadership training.
Similar content being viewed by others
References
American Psychological Association (APA). (2015). Standards of Accreditation for Health Service Psychology. Retrieved February 6, 2020, from https://www.apa.org/ed/accreditation/.
Association of American Medical Colleges. (2018). U.S. Medical School Faculty, 2018. Retrieved 6 May, 2019, from https://www.aamc.org/data/facultyroster/reports/494946/usmsf18.htm.
Bass, B. M., & Riggio, R. E. (2006). Transformational leadership (2nd ed.). Mahwah, NJ: Lawrence Erlbaum.
Bennis, W. (1989). Managing the dream: Leadership in the 21st century. Journal of Organizational Change Management, 2(1), 6–10. https://doi.org/10.1108/09534818910134040.
Cohen, L. D., Lubin, B., & Nathan, R. G. (1979). Graduate degree training in psychology in medical centers. Professional Psychology, 10(1), 110–114. https://doi.org/10.1037/0735-7028.10.1.110.
Daly, J., Jackson, D., Mannix, J., Davidson, P. M., & Hutchinson, M. (2014). The importance of clinical leadership in the hospital setting. Journal of Healthcare Leadership, 6, 75–83. https://doi.org/10.2147/JHL.S46161.
Fouad, N. A., Grus, C. L., Hatcher, R. L., Kaslow, N. L., Hutchings, P. S., Madson, M., ... Crossman, R. E. (2009). Competency benchmarks: A model for understanding and measuring competence in professional psychology across training levels. Training and Education in Professional Psychology, 3(Suppl.), S5–S26. https://doi.org/10.1037/a0015832.
Franz, S. I. (1913). On psychology and medical education. Science, 38(981), 555–566. https://doi.org/10.1126/science.38.981.555.
Garrubba, M., Harris, C., & Melder A. (2011). Clinical leadership: A literature review to investigate concepts, roles and relationships related to clinical leadership. Melbourne, VIC: Centre for Clinical Effectiveness, Southern Health. Retrieved 8 March, 2014, from https://www.monashhealth.org/icms_docs/6079_Clinical_Leadership_A_literature_review_to_investigate_concepts_roles_and_relationships_related_to_clinical_leadership.pdf.
Greenberg, M. (2013, September 25). Why today's leaders need to know psychology. Psychology Today. Retrieved from www.psychologytoday.com/us/blog/the-mindful-self-express/201309/why-todays-leaders-need-know-psychology.
Hong, B. A., & Robiner, W. N. (2016). Psychologists in academic health centers and medical centers: Being visible, relevant and integral. Journal of Clinical Psychology in Medical Settings, 23(1), 11–20. https://doi.org/10.1007/s10880-016-9450-2.
Houpt, J. L., Gilkey, R. W., & Ehringhaus, S. H. (2015). Learning to lead in the Academic Medical Center. New York, NY: Springer.
Jowsey, T., Yeh, L., Wells, R., & Leeder, S. (2009). National Health and Hospital Reform Commission and patient-centered suggestions for reform. Australian Journal of Primary Health, 17(2), 162–166.
Kezar, A. J., Carducci, R., & Contrears-McGavin, M. (2006). Rethinking the “L” word in higher education. ASHE Higher Education Report, 31(6), 1–218. https://doi.org/10.1002/aehe.3106.
Kirch, D. G., & Ast, C. E. (2017). Health care transformation: The role of academic health centers and their psychologists. Journal of Clinical Psychology in Medical Settings, 24(2), 86–91. https://doi.org/10.1007/s10880-016-9477-4.
LaPaglia, D., Thompson, B., Haller, J., & Chauvin, S. (2017). Training for leadership roles in academic medicine: Opportunities for psychologists in the AAMC LEAD Program. Journal of Clinical Psychology in Medical Settings, 24(2), 118–123. https://doi.org/10.1007/s10880-017-9498-7.
Matarazzo, J. D., Lubin, B., & Nathan, R. G. (1978). Psychologists’ membership on the medical staffs of university teaching hospitals. American Psychologist, 33(1), 23–29. https://doi.org/10.1037/0003-066X.33.1.23.
Miles, C. G., Sutcliffe, K. M., & Ferrari, B. T. (2019). Treating the “not-invented-here syndrome” in medical leadership. Academic Medicine, 94(10), 1416–1418. https://doi.org/10.1097/ACM.0000000000002860.
O’Mahen, H. A., & Sloan, P. (2006). Looking ahead: Preparing psychologists for administrative roles in medical settings. Professional Psychology: Research and Practice, 37(3), 278–282. https://doi.org/10.1037/0735-7028.37.3.278.
Riggio, R. E. (2015). Teaching leadership: Most any psychologist can do it. Teaching of Psychology, 42(4), 361–367. https://doi.org/10.1177/0098628315603265.
Robiner, W. N., Dixon, K. E., Miner, J. L., & Hong, B. A. (2014). Psychologists in medical schools and academic medical centers: Over 100 years of growth, influence, and partnership. American Psychologist, 69(3), 230–248. https://doi.org/10.1037/a0035472.
Robiner, W. N., Hong, A. B., & Ward, W. L. (2019). Psychologists’ contributions to medical and interprofessional education and other academic activities. American Psychologist, 69(3), 230.
Rozensky, R. H. (2012). Psychology in academic health centers: A true healthcare home. Journal of Clinical Psychology in Medical Settings, 19(4), 353–363. https://doi.org/10.1007/s10880-012-9312-5.
Schmaling, K. B., & Linton, J. C. (2017). Psychologists in academic administration: A call to action and service. Journal of Clinical Psychologists in Medical Settings, 24(2), 110–117. https://doi.org/10.1007/s10880-017-9495-x.
Shanafelt, T. D., Boone, S., Tan, L., Lotte, N. D., Sotile, W., Satele, D., … Oreskovich, M. R. (2012). Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Archives of Internal Medicine, 172(18), 1377–1385. https://doi.org/10.1001/archinternmed.2012.3199.
Sheridan, E. P. (2008). Psychologists in academic health centers: Reflections on traditions and innovations in education, science, and practice. Journal of Clinical Psychology in Medical Settings, 15(1), 79–83. https://doi.org/10.1007/s10880-008-9098-7.
Smith, P. O. (2015). Leadership in academic health centers: Transactional and transformational leadership. Journal of Clinical Psychology in Medical Settings, 22(4), 228–231. https://doi.org/10.1007/s10880-015-9441-8.
Stringer, H. (2015). Taking the lead. Monitor on Psychology, 46(10), 56.
Thorn, M., Mosher, J. P., Ponton, R. F., & Ramsel, D. (2015). Transitioning from psychologist to psychologist-manager: Leadership and management skills for success. The Psychologist-Manager Journal, 18(2), 55–65. https://doi.org/10.1037/mgr0000030.
Wang, A. Y., & Frederick, C. M. (2018). Leadership in higher education: Opportunities and challenges for psychologist managers. The Psychologist-Manager Journal, 21(3), 197–207. https://doi.org/10.1037/mgr0000072.
Williams, A. M., Reed-Knight, B., Self, M. M., Robiner, W. N., & Ward, W. L. (2019). Psychologists’ practices, stressors, burnout, and wellness in academic health centers. Journal of Clinical Psychology in Medical Settings., 1, 11. https://doi.org/10.1007/s10880-019-09678-4.
Winston, B. E., & Patterson, K. (2006). An integrative definition of leadership. International Journal of Leadership Studies, 1(2), 6–66.
Acknowledgements
The authors would like to thank the APAHC Membership Committee and the Research Committee for their contributions to the design of the survey, and in particular Laura Daniels, Ph.D. for her work on the survey distribution and preliminary analyses.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
Laura A. Shaffer, William Robiner, Liz Cash, Barry Hong, Jason J. Washburn, and Wendy Ward have no conflicts of interest to disclose.
Human and Animal Rights and Informed Consent
The survey included informed consent, and procedures were consistent with the ethical standards of the American Psychological Association. IRB approval was obtained from the University of Arkansas for Medical Sciences.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Shaffer, L.A., Robiner, W., Cash, L. et al. Psychologists’ Leadership Roles and Leadership Training Needs in Academic Health Centers. J Clin Psychol Med Settings 28, 252–261 (2021). https://doi.org/10.1007/s10880-020-09707-7
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10880-020-09707-7