Physician Leadership Development, Cleveland Clinic, Cleveland, OH 44195, USA,
J Gen Intern Med. 2009 Jul;24(7):876-8. doi: 10.1007/s11606-009-1007-8. Epub 2009 May 20.
The many challenges in health care today create a special need for great leadership. However, traditional criteria for physicians' advancement to leadership positions often regard academic and/or clinical accomplishments rather than the distinctive competencies needed to lead. Furthermore, physicians' training can handicap their developing leadership skills. In this context, an emerging trend is for health-care institutions to offer physician-leadership programs.
This paper reviews the rationale for developing physician-leaders. Factors that underscore this need include: (1) physicians may lack inclinations to collaborate and to follow, (2) health-care organizations pose challenging environments in which to lead (e.g., because of silo-based structures, etc.), (3) traditional criteria for advancement in medicine regard clinical and/or academic skills rather than leadership competencies, and (4) little attention is currently given to training physicians regarding leadership competencies.
Definition of these competencies of ideal physician-leaders will inform the curricula and format of emerging physician leadership development programs.
当今医疗保健领域面临诸多挑战,特别需要优秀的领导力。然而,传统的医生晋升领导职位的标准往往更看重学术和/或临床成就,而不是领导所需的独特能力。此外,医生的培训可能会阻碍他们领导技能的发展。在这种情况下,一种新兴的趋势是医疗机构提供医师领导力课程。
本文回顾了培养医师领导者的基本原理。强调这种需求的因素包括:(1)医生可能缺乏合作和追随的倾向;(2)医疗保健组织面临着领导的挑战性环境(例如,由于基于孤岛的结构等);(3)医学领域的传统晋升标准更看重临床和/或学术技能,而不是领导能力;(4)目前很少关注培训医生的领导能力。
这些理想医师领导者的能力的定义将为新兴的医师领导力发展项目的课程和模式提供信息。