Department of Pediatrics and Child Health, University of Manitoba, Winnipeg, Canada.
School of Leadership Studies, Royal Roads University, Victoria, Canada and Canadian Society of Physician Leaders, Ottawa, Canada.
Leadersh Health Serv (Bradf Engl). 2021 Nov 9;ahead-of-print(ahead-of-print). doi: 10.1108/LHS-04-2021-0032.
The purpose of this paper was to determine the complementarity between the Canadian Medical Education Directions for Specialists (CanMEDS) physician competency and LEADS leadership capability frameworks from three perspectives: epistemological, philosophical and pragmatic. Based on those findings, the authors propose how the frameworks collectively layout pathways of lifelong learning for physician leadership.
DESIGN/METHODOLOGY/APPROACH: Using a qualitative approach combining critical discourse analysis with a modified Delphi, the authors examined "How complementary the CanMEDS and LEADS frameworks are in guiding physician leadership development and practice" with the following sub-questions: What are the similarities and differences between CanMEDS and LEADS from: An epistemological and philosophical perspective? The perspective of guiding physician leadership training and practice? How can CanMEDS and LEADS guide physician leadership development from medical school to retirement?
Similarities and differences exist between the two frameworks from philosophical and epistemological perspectives with significant complementarity. Both frameworks are founded on a caring ethos and value physician leadership - CanMEDS (for physicians) and LEADS (physicians as one of many professions) define leadership similarly. The frameworks share beliefs in the function of leadership, embrace a belief in distributed leadership, and although having some philosophical differences, have a shared purpose (preparing for changing health systems). Practically, the frameworks are mutually supportive, addressing leadership action in different contexts and where there is overlap, complement one another in intent and purpose.
ORIGINALITY/VALUE: To the best of the authors' knowledge, this is the first paper to map the CanMEDS (physician competency) and LEADS (leadership capabilities) frameworks. By determining the complementarity between the two, synergies can be used to influence physician leadership capacity needed for today and the future.
本文旨在从认识论、哲学和实践三个角度确定加拿大医学教育专家方向（CanMEDS）医生能力和 LEADS 领导力能力框架之间的互补性。基于这些发现，作者提出了这两个框架如何共同为医生领导力的终身学习规划路径。
设计/方法/方法：本研究采用定性方法，将批判性话语分析与改良德尔菲法相结合，从以下几个方面研究“CanMEDS 和 LEADS 框架在指导医生领导力发展和实践方面的互补性如何”：从认识论和哲学的角度来看，CanMEDS 和 LEADS 有何异同？指导医生领导力培训和实践的角度？CanMEDS 和 LEADS 如何从医学院到退休指导医生领导力发展？
从哲学和认识论的角度来看，这两个框架存在异同，具有显著的互补性。这两个框架都基于关爱伦理和重视医生领导力的价值观——CanMEDS（针对医生）和 LEADS（医生作为众多职业之一）对领导力的定义相似。这两个框架都相信领导力的作用，都支持分布式领导力，尽管存在一些哲学差异，但都有共同的目的（为不断变化的医疗系统做准备）。实际上，这两个框架相互支持，在不同的背景下解决领导力行动问题，并且在存在重叠的地方，在意图和目的上相互补充。
原创性/价值：据作者所知，这是第一篇将 CanMEDS（医生能力）和 LEADS（领导力能力）框架进行映射的论文。通过确定两者之间的互补性，可以利用协同作用来影响当今和未来所需的医生领导力能力。
