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Australian Health Review Australian Health Review Society
Journal of the Australian Healthcare & Hospitals Association
RESEARCH ARTICLE

Medical leadership is the New Black: or is it?

Christine Jorm A C and Malcolm Parker B
+ Author Affiliations
- Author Affiliations

A The University of Sydney, L3.10, Quadrangle L14, Sydney, NSW 2006, Australia.

B School of Medicine, The University of Queensland, Room 201, Mayne Medical School, 288 Herston Road, Herston, Brisbane, Qld 4006, Australia. Email: m.parker@uq.edu.au

C Corresponding author. Email: christine.jorm@sydney.edu.au

Australian Health Review 39(2) 217-219 https://doi.org/10.1071/AH14013
Submitted: 26 January 2014  Accepted: 6 October 2014   Published: 27 December 2014

Abstract

Considerable resources are being invested in healthcare leadership development programs and there is a new requirement for leadership teaching for Australian medical students. The new attention to medical leadership may be a reaction to loss of medical status and power. There is little evidence for return on investment from such programs. It is simply not clear what kind of leadership training is needed for collaborative work to improve healthcare nor what kind of organisational structures enable productive exercise of medical leadership skills. Caution is recommended.

What is known about the topic? Considerable resources are being invested in healthcare leadership development programs and there is a new requirement to add leadership to the curricula for Australian medical students.

What does this paper add? The lack of logic in calls for mass leadership training is explored. This may not only be a poor return on investment but also potentially reinforce medical attitudes that are unhelpful for modern healthcare.

What are the implications for practitioners? A cautious approach to training large numbers of doctors and students is recommended.


References

[1]  NHS Leadership Academy. The Healthcare Leadership Model. 2013. Available at: http://www.leadershipacademy.nhs.uk/discover/leadershipmodel/ [verified 2 November 2014].

[2]  Edmonstone J. Clinical leadership: the elephant in the room. Int J Health Plann Manag 2009; 24 290–305.
Clinical leadership: the elephant in the room.Crossref | GoogleScholarGoogle Scholar |

[3]  Hewison A, Griffiths M. Leadership development in health care: a word of caution. J Health Organ Manag 2004; 18 464–73.
Leadership development in health care: a word of caution.Crossref | GoogleScholarGoogle Scholar | 15588015PubMed |

[4]  Shannon EA, Burchill TA. Shaping our workforce: a Tasmanian development program. Aust Health Rev 2013; 37 131–3.
Shaping our workforce: a Tasmanian development program.Crossref | GoogleScholarGoogle Scholar | 23369870PubMed |

[5]  Crethar M, Phillips J, Brown P. Queensland Health: a leadership development journey. A case study. Leadersh Health Serv 2011; 24 308–24.
Queensland Health: a leadership development journey. A case study.Crossref | GoogleScholarGoogle Scholar |

[6]  Fulop L, Day GE. From leader to leadership: clinician managers and where to next? Aust Health Rev 2010; 34 344–51.
From leader to leadership: clinician managers and where to next?Crossref | GoogleScholarGoogle Scholar | 20797368PubMed |

[7]  Dickinson H, Ham C. Engaging doctors in leadership: review of the literature. Birmingham: Academy of Medical Royal Colleges, University of Birmingham and NHS Institute for Innovation and Improvement; 2008.

[8]  Avolio BJ, Walumbwa FO, Weber TJ. Leadership: current theories, research, and future directions. Annu Rev Psychol 2009; 60 421–49.
Leadership: current theories, research, and future directions.Crossref | GoogleScholarGoogle Scholar | 18651820PubMed |

[9]  Gabel S. Perspective: physician leaders and their bases of power: common and disparate elements. Acad Med 2012; 87 221–5.
Perspective: physician leaders and their bases of power: common and disparate elements.Crossref | GoogleScholarGoogle Scholar | 22189888PubMed |

[10]  Dixon-Woods M, McNicol S, Martin G. Ten challenges in improving quality in healthcare: lessons from the Health Foundation’s programme evaluations and relevant literature. BMJ Qual Saf 2012; 21 876
| 22543475PubMed |

[11]  Parker M. Misconceiving medical leadership. Perspect Biol Med 2013; 56 387–406.
Misconceiving medical leadership.Crossref | GoogleScholarGoogle Scholar | 24375120PubMed |

[12]  O’Reilly D, Reed M. The grit in the oyster: professionalism, managerialism and leaderism as discourses of UK public services modernization. Organ Stud 2011; 32 1079–101.
The grit in the oyster: professionalism, managerialism and leaderism as discourses of UK public services modernization.Crossref | GoogleScholarGoogle Scholar |

[13]  Brown W, May D. Organizational change and development: the efficacy of transformational leadership training. J Manage Dev 2012; 31 520–36.
Organizational change and development: the efficacy of transformational leadership training.Crossref | GoogleScholarGoogle Scholar |

[14]  Gilpin-Jackson Y, Bushe G. Leadership development training transfer: a case study of post-training determinants. J Manage Dev 2007; 26 980–1004.
Leadership development training transfer: a case study of post-training determinants.Crossref | GoogleScholarGoogle Scholar |

[15]  Grossman R, Salas E. The transfer of training: what really matters. Int J Train Dev 2011; 15 103–20.
The transfer of training: what really matters.Crossref | GoogleScholarGoogle Scholar |

[16]  Ruchlin HS, Dubbs NL, Callahan MA. The role of leadership in instilling a culture of safety: lessons from the literature. J Healthc Manag 2004; 49 47–58.
| 14768428PubMed |

[17]  Carr SM, Lhussier M, Reynolds J, Hunter DJ, Hannaway C. Leadership for health improvement: implementation and evaluation. J Health Organ Manag 2009; 23 200–15.
Leadership for health improvement: implementation and evaluation.Crossref | GoogleScholarGoogle Scholar | 19711778PubMed |

[18]  Ovretveit J. Improvement leaders: what do they and should they do? A summary of a review of research. Qual Saf Health Care 2010; 19 490–2.
| 21127110PubMed |

[19]  Dixon-Woods M, Bosk C, Aveling E, Goeschel C, Pronovost P. Explaining Michigan: developing an ex post theory of a quality improvement program. Milbank Q 2011; 89 167–205.
Explaining Michigan: developing an ex post theory of a quality improvement program.Crossref | GoogleScholarGoogle Scholar | 21676020PubMed |

[20]  Baker GR, Denis J-L. Medical leadership in health care systems: from professional authority to organizational leadership. Public Money Manag 2011; 31 355–62.
Medical leadership in health care systems: from professional authority to organizational leadership.Crossref | GoogleScholarGoogle Scholar |

[21]  Pellegrin K, Currey H. Demystifying and improving organizational culture in health care. In Wolf J, Hanson H, Moir M, Friedman L, Savage G, editors. Organization development in healthcare: conversations on research and strategies. Bingley: Emerald Group Publishing; 2011. pp. 3–23.

[22]  Baker G, MacIntosh-Murray A, Porcellato C, Dionne L, Stelmacovich K, Born K. High performing healthcare systems: delivering quality by design. Toronto: Longwoods; 2008.

[23]  Jorm C. Reconstructing medical practice: engagement, professionalism and critical relationships in health care. Hampshire: Ashgate; 2012.

[24]  Abbas MR, Quince TA, Wood DF, Benson JA. Attitudes of medical students to medical leadership and management: a systematic review to inform curriculum development. BMC Med Educ 2011; 11 93
Attitudes of medical students to medical leadership and management: a systematic review to inform curriculum development.Crossref | GoogleScholarGoogle Scholar | 22082174PubMed |

[25]  Knowles L, O’Dowd C, Hewett DG, Schafer J, Wilkinson D. The University of Queensland medical leadership program: a case study. Ochsner J 2012; 12 344–7.
| 23267261PubMed |