Department of Orthopaedic Surgery, Harvard Medical School, Beth Israel Deaconess Medical Center, 330 Brookline Avenue - Stoneman 10, Boston, MA 02215, USA.
J Bone Joint Surg Am. 2010 Nov 17;92(16):2700-8. doi: 10.2106/JBJS.J.00272.
Effective physician leadership is critical to the future success of healthcare organizations. The American Academy of Orthopaedic Surgeons (AAOS) Leadership Fellows Program is a one-year program designed to train young orthopaedic surgeons to become future leaders in orthopaedics. The purpose of this study was to evaluate the impact of the AAOS Leadership Fellows Program on the leadership skills and achievements of its participants.
Graduates of the Leadership Fellows Program were compared with a control group of previous applicants who were not accepted to the program (applicants) in a retrospective cohort comparison study. A subjective survey of leadership skills was used to assess the confidence of the two cohorts in eight areas of leadership. In addition, an updated curriculum vitae from each of sixty leadership fellows from the classes of 2003 through 2009 and from each of forty-seven applicants was retrospectively reviewed for evidence of leadership. The updated curriculum vitae of the leadership fellows was evaluated for leadership activity attained prior to and following participation in the program, while the updated curriculum vitae of applicants was evaluated for leadership activity attained prior to and following the last year of application to the program. Curricula vitae were assessed for demonstration of national leadership, academic rank, hospital administrative rank, and research experience.
On the leadership survey, the graduates of the Leadership Fellows Program scored higher than the applicants in seven of eight categories. The review of the curricula vitae demonstrated that, prior to the Leadership Fellows Program, the leadership fellows were more likely than the applicants to have an academic practice and hold an academic rank. The difference between the two cohorts in administrative rank and leadership of national committees was not significant. Following the program, the leadership fellows were more likely to chair national committees (p < 0.001) and hold leadership positions in their hospitals (p = 0.008). Furthermore, the leadership fellows were more likely to advance in their academic and administrative ranks compared with those who applied to the program and were not accepted.
The AAOS Leadership Fellows Program seems to have a positive impact on the leadership competency of its participants. Graduates of the program are more likely to assume leadership positions in national organizations and within their own institutions.
有效的医师领导力对医疗保健组织的未来成功至关重要。美国矫形外科医师学会（AAOS）领导力研究员计划是一项为期一年的计划，旨在培养年轻的矫形外科医生，使其成为矫形领域的未来领导者。本研究的目的是评估 AAOS 领导力研究员计划对参与者领导能力和成就的影响。
采用回顾性队列比较研究，将领导力研究员计划的毕业生与之前未被该计划录取的对照组（申请人）进行比较。使用领导力技能主观调查评估两个队列在领导力的八个领域的信心。此外，回顾性地审查了 2003 年至 2009 年的 60 名领导力研究员和 47 名申请人中的每个人的最新简历，以了解领导力的证据。评估领导力研究员的最新简历，以了解其在参与该计划前后获得的领导活动，同时评估申请人的最新简历，以了解其在申请该计划的最后一年前后获得的领导活动。简历评估了国家领导力、学术职称、医院行政职级和研究经验的展示情况。
在领导力调查中，领导力研究员计划的毕业生在八个类别中的七个类别中得分高于申请人。简历回顾表明，在领导力研究员计划之前，领导力研究员比申请人更有可能拥有学术实践和学术职称。两个队列在行政职级和国家委员会领导方面的差异并不显著。在计划之后，领导力研究员更有可能担任国家委员会主席（p <0.001）和担任医院的领导职务（p = 0.008）。此外，与申请该计划但未被录取的人相比，领导力研究员更有可能在学术和行政职级上取得进步。
AAOS 领导力研究员计划似乎对其参与者的领导能力产生了积极影响。该计划的毕业生更有可能在国家组织和自己的机构中担任领导职务。
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