Collins Ii R Thomas, Purkey Neha J, Singh Meenu, DeSantis Alan D, Sanford Rania A
Division of Pediatric Cardiology, Department of Pediatrics, University of Kentucky College of Medicine, Lexington, KY.
Graduate School of Education, Stanford University School of Medicine, Palo Alto, CA.
Qual Res Med Healthc. 2024 Sep 17;8(2):11519. doi: 10.4081/qrmh.2024.11519. eCollection 2024 Jul 4.
Leadership is increasingly recognized as important in medicine. Physician leadership impacts healthcare delivery and quality. Little work has been done to determine how physician leadership in practice aligns with established models in leadership theory. We conducted 40 semi-structured, 50-minute interviews of physicians who had achieved the rank of professor in our school of medicine and were serving, or had served, in leadership positions. We used an inductive content analysis approach to identify content categories, with leadership emerging as one such category. Subsequently, for the present study, we performed a secondary analysis of the data. To do this, we reviewed all transcripts, seeking to identify if and how participants discussed leadership in relation to success in academic medicine. Following identification of sub-categories related to leadership, we performed qualitative content analysis. We then used a deductive content analysis approach to determine how participants' discussions of leadership aligned with major leadership theories. Then, the principal investigator conducted a secondary inductive content analysis revealing leadership themes that were synthesized into a new model of physician leadership. Twenty-nine participants spontaneously discussed leadership and leadership-related topics as important to their own academic success and comprised the present study cohort. Participants identified contributors to leadership success that aligned with multiple major leadership theories, including leadership traits, skills, behaviors styles, and situational leadership. None of the leadership theories aligned completely with our physician leaders' discussions, suggesting an alternate leadership framework was operating. Further analysis revealed a new model of leadership comprised of the "Four Cs of Physician Leadership": , , , and Our participant group of academic physicians identified leadership capabilities as being important in their academic success. While they discussed leadership in ways that fit to varying degrees with the major leadership theories, their discussions revealed a novel, more holistic leadership framework. Further work will be beneficial to determine if this model of leadership is specific to physicians or is more generalizable.
领导力在医学领域的重要性日益得到认可。医师领导力会影响医疗服务的提供和质量。在确定实践中的医师领导力如何与领导力理论中的既定模式保持一致方面，所做的工作很少。我们对我校医学院已获得教授职称且正在担任或曾担任领导职务的医师进行了40次时长50分钟的半结构化访谈。我们采用归纳式内容分析法来确定内容类别，领导力就是其中一个类别。随后，在本研究中，我们对数据进行了二次分析。为此，我们查阅了所有访谈记录，以确定参与者是否以及如何讨论与学术医学成功相关的领导力。在确定与领导力相关的子类别后，我们进行了定性内容分析。然后，我们采用演绎式内容分析法来确定参与者对领导力的讨论如何与主要领导力理论保持一致。接着，首席研究员进行了二次归纳式内容分析，揭示了领导力主题，并将其综合成一种新的医师领导力模型。29名参与者自发地讨论了领导力以及与领导力相关的话题，认为这些对他们自己的学术成功很重要，他们构成了本研究的队列。参与者确定了与多种主要领导力理论相符的领导力成功因素，包括领导特质、技能、行为风格和情境领导力。没有一种领导力理论与我们的医师领导者的讨论完全一致，这表明存在一种替代的领导力框架在起作用。进一步分析揭示了一种新的领导力模型，即“医师领导力的四个C”： ， ， ，和 。我们的学术医师参与者群体认为领导能力对他们的学术成功很重要。虽然他们讨论领导力的方式在不同程度上与主要领导力理论相符，但他们的讨论揭示了一种新颖、更全面的领导力框架。进一步的研究将有助于确定这种领导力模型是医师特有的，还是更具普遍性。
