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VOLUME 6 , ISSUE 1 ( January-June, 2018 ) > List of Articles

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Importance of Medical Leadership Development: A Global Perspective with Special Reference to the Indian Healthcare System

Chitra Sarkar, Shakti K Gupta, Kamal Gulati, Vikas Madhukar

Keywords : Canmeds, Competencies, Leadership, Leadership models/frameworks, Management, National Health Service, The Health Care Leadership Alliance, Training and development, UK-Faculty of Medical Leadership and Management

Citation Information : Sarkar C, Gupta SK, Gulati K, Madhukar V. Importance of Medical Leadership Development: A Global Perspective with Special Reference to the Indian Healthcare System. Int J Res Foundation Hosp Healthc Adm 2018; 6 (1):37-42.

DOI: 10.5005/jp-journals-10035-1089

License: CC BY-SA 4.0

Published Online: 01-02-2018

Copyright Statement:  Copyright © 2018; The Author(s).


Abstract

Medical leadership has in the last decade assumed great importance globally. The reason for this is the proven link between effectiveness of leadership and improved clinical outcomes. With increasing demands for delivering high quality patient care at lower cost, physicians are expected to embrace leadership roles. Traditionally, medical schools do not teach leadership either at undergraduate or postgraduate levels. Also efforts to develop leadership skills among ‘in service’ professionals are minuscule and not very effective due to lack of structured leadership development programmes. This causes a significant “leadership gap” in medicine across a wide range of organizations. In order to bridge this gap, many countries viz. UK, USA, Canada etc. have designed specific leadership models and are conducting leadership development programs at various career stages of doctors to address the needs of the changing healthcare systems. However, not much work has been done in India in this direction. It is high time that medical schools and organizations in India begin to formalize leadership training at all stages of medical education and career. It will be prudent to design a leadership development programme targeting the needs of Indian doctors with special reference to the rapidly expanding Indian healthcare sector. This will help to create more doctors who are not only skilled as “competent physicians” but also as “competent physicianleaders”. This article analyzes the leadership competencies critical for medical doctors and methods to develop them as well as reviews the important medical leadership models and programmes available globally.


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  1. Till A, Jones P, McKimm J. Medical leadership and management: an international revolution. J Health Spec 2015 Jul;3(3):139-143.
  2. Blumenthal DM, Bernard K, Bohnen J, Bohmer R. Addressing the leadership gap in medicine: residents’ need for systematic leadership development training. Acad Med 2012 Apr;87(4):513-522.
  3. Swanwick T, McKimm J. What is clinical leadership…and why is it important? Clin Teach 2011 Mar;8(1):22-26.
  4. Kotter, JP. What leaders really do. Boston (MA): Harvard Business School Press; 1999.
  5. Stanton, E.; Lemer, C.; Mountford, J.; editors. Clinical leadership: bridging the divide. London: Quay Books; 2010.
  6. Berghout MA, Fabbricotti IN, Buljac-Samardžiæ M, Hilders CG. Medical leaders or masters? A systematic review of medical leadership in hospital settings. PLoS One 2017 Sep;12(9):e0184522.
  7. Collins-Nakai R. Leadership in medicine. Mcgill J Med 2006 Jan;9(1):68-73.
  8. Noren, J.; Kinding, DA. Physician executive development and education. In: LeTourneau B, Curry W, editors. In search of physician leadership. Chicago (IL): Health Admin Press; 1998.
  9. Stoller JK. Developing physician-leaders: key competencies and available programs. J Health Adm Educ 2008 Fall;25(4):307-328.
  10. Gunderman R, Kanter SL, Perspective: educating physicians to lead hospitals. Acad Med 2009 Oct;84(10):1348-1351.
  11. MacEachern, MT. Hospital organization and management. Chicago (IL): Physicians Record Co; 1935.
  12. Goldsmith M, Morgan H. Leadership is a contact sport: the follow-up factor in management development. Strategy Business 2004 Fall;36:71-79.
  13. Warren OJ, Carnal R. Medical leadership: why it's important, what is required, and how we develop it? Postgrad Med J 2011 Jan;87(1023):27-32.
  14. Medical Leadership Competency Framework (MLCF). Enhancing engagement in medical leadership. Coventry: NHS Institute for Innovation and Improvement and Academy of Medical Royal Colleges; 2010. [cited 2017 Dec 10]. Available from: www.rpharms.com.
  15. National Center for Healthcare Leadership. Health leadership competency model—summary. Chicago (IL): NCHL; 2010 [cited 2017 Dec 10]. Available from: http://www.nchl. org/Documents/NavLink/Competency_Model-summary_ uid31020101024281.pdf and http://www.racma.edu.au/ index.php?option=com_content&view=article&id=356&It emid=65.
  16. NHS Leadership Academy. Healthcare Leadership Model. The nine dimensions of leadership behaviour. 3rd ed. Coventry: NHS; 2012 [cited 2017 Dec 10]. Available from: https://www.leadershipacademy.nhs.uk/wp-content/ uploads/2012/11/NHSLeadership-Leadership-Framework- Medical-Leadership-Competency-Framework-3rd-ed.pdf.
  17. Frank, JR.; Snell, L.; Sherbino, J.; editors. CanMEDS 2015 physician competency framework. Ottawa: Royal College of Physicians and Surgeons of Canada; 2015 [cited 2017 Dec 10]. Available from: http://www.royalcollege.ca/rcsite/ canmeds/canmeds-framework-e.
  18. Healthcare Leadership Alliance Model. HLA competency directory. HLA; 2005 [cited 2017 Dec 20]. Available from: http://www.healthcareleadershipalliance.org/directory.htm.
  19. Swensen, S.; Pugh, M.; McMullan, C.; Kabcenell, A. High impact leadership: improve care, improve the health of populations and reduce costs. IHI White Paper. Cambridge (MA): Institute of Healthcare Improvement; 2013.
  20. Faculty of Medical Leadership and Management. Leadership and management standards for medical professionals. London: Faculty of Medical Leadership and Management; 2015.
  21. Jindal SK. Leadership in medicine. Indian J Chest Dis Allied Sci 2014;56:69-70.
  22. Kumar S, Adhish VS, Deoki N. Introduction to strategic management and leadership for health professionals. Indian J Community Med 2014 Jan;39(1):13-16.
  23. Patnaik SK, Gupta SK, Kant S, Pillay R. Analyzing competencies of Indian health care leaders: way forward for next generation. Int J Res Foundation Hosp Healthc Adm 2017 Jan-Jun;5(1):47-53.
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