the Leaders Role in Strategy - a Peer-reviewed Academic Articles
Saudi Med J. 2016 Oct; 37(10): 1061–1067.
Leaders produce leaders and managers produce followers
A systematic review of the desired competencies and standard settings for physicians' leadership
Khalid I. Khoshhal
From the Department of Surgery, College of Medicine, Taibah Academy, Almadinah Almunawwarah, Saudi arabia
Salman Y. Guraya
From the Department of Surgery, Higher of Medicine, Taibah University, Almadinah Almunawwarah, Saudi arabia
Received 2016 Jun 7; Accepted 2016 Aug 17.
Abstract
Objectives:
To elaborate the desired qualities, traits, and styles of physician's leadership with a deep insight into the recommended measures to inculcate leadership skills in physicians.
Methods:
The databases of MEDLINE, EMBASE, CINAHL, and the Cochrane Library were searched for the full-text English-language articles published during the period 2000-2015. Farther search, including manual search of grey literature, was conducted from the bibliographic list of all included manufactures. Medical Discipline Headings (MeSH) keywords "Leadership" AND "Leadership traits" AND "Leadership styles" AND "Physicians' leadership" AND "Tomorrow'southward doctors" were used for the literature search. This search followed a footstep-wise approach defined past the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The retrieved bibliographic listing was analyzed and non-relevant material such equally abstracts, conference proceedings, messages to editor, and short communications were excluded. Finally, 21 articles were selected for this review.
Results:
The literature search showed a number of leadership courses and formal preparation programs that can transform doctors to physician leaders. Leaders can inculcate confidence by integrating diverse views and listening; supporting skillful conversations through dialogue and helping others assess their influence and expertise. In addition to their clinical competence, doc leaders need to larn the industry noesis (clinical processes, health-care trends, budget), problem-solving skills, and emotional intelligence.
Conclusion:
This review emphasizes the need for embedding formal leadership courses in the medical curricula for fostering tomorrow doctors' leadership and organizational skills. The in-house and off-campus training programs and workshops should be bundled for preparation the potential candidates for constructive leadership.
Leadership, a seemingly desirable competency, has not been clearly elucidated in the literature. Leadership; in its essence, is the capability to explicitly articulate a roadmap and to motivate others to focus their efforts on achieving the desired goals.1 It is also the power to get boggling accomplishment from ordinary people;2 hence, leadership having a galvanic role in everyday life, being a central component of our roles as professionals, academics, and clinicians. Leadership is the vision and mission to be something more than average. Denehy3 has rightly quoted that a "leader is 1 who knows the way, goes the fashion, and shows the way". Leadership is more experienced, learned and developed than, as wrongly perceived, just an innate and inherent ability. Possessing an inherent ability for leadership gives a great advantage and tin can be considered every bit a faster runway to leadership. The key roles of leadership involve creating a vision and a sense of community to inspire others to greatness.4 Moreover, leading with high energy and boundless enthusiasm motivates others and creates a sense of purpose. It is noteworthy that leadership is non the same as management. The key factor that distinguishes a managing director from a leader is the leader's adequacy to create a milestone for future action plans and to inspire physicians to perform through collaborative piece of work. Such leadership potential and its consequent work tin be executed by a clear understanding on why things ought to be inverse.5 The value of leadership among physicians is becomes more meaning as medical field indigenously requires a complex framework of clinical knowledge, industry feel, administrative portfolios, and emotional intelligence. Despite its paramount nature, medical field that is facing a crisis of truthful leadership.half dozen At that place are celebrity physicians and giants in wellness-care organizations, but few leaders. The managers are simulating like leaders of medical profession that seems to represent the medical industry.7 In effective leadership, opportunities must be offered to other people to receive recognition, praise, and increased confidence in their performances. This is facilitated by motivating doable tasks, creating a sense of history and promise, and leading to a collective vision for the hereafter. The current systematic review elaborates physician's leadership qualities, traits, preferences, and diverse leadership styles. An account of the leadership evolution models is too provided, with particular attention to the significance of leadership for the physicians and physicians in training.
Methods
We conducted this systematic review in December 2015 using the databases of MEDLINE, EMBASE, CINAHL, and the Cochrane Library using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)eight format 8. English linguistic communication articles, published during 2000-2015 were searched by connecting Medical Subject Headings (MeSH) keywords: "Leadership" AND "Leadership traits" AND "Leadership styles" AND "Physicians' leadership" AND "Tomorrow'south doctors". Additional studies were likewise searched from the reference lists of all included articles. Manual search of the literature was also conducted that retrieved additional articles. This search brought a total of 201 studies. Of this, 155 studies were excluded as these studies were published before 2000. A detailed flowchart elaborating machinery for the concluding selection of 21 articles is shown in Figure one .
Flowchart showing the choice of studies on dr.'s leadership
Results
The following sections elaborate the defined leadership qualities, traits, styles, and skills as searched from the published literature.
I. Qualities of a leader
Leaders have the ability to identify needs and devise activity plans to accomplish their intended targets in improving a state of affairs or setting.9 Leaders tin articulate bug clearly, and bring peers on board in addressing the identified concerns and problems. Leaders have a vision of what they want the future to look like and the measures that they need have in order to realize that vision. Leaders are able to inculcate an environment of teamwork and to consul the job to the qualified team members. Leaders do non create followers, rather they create more leaders. An effective leader acknowledges the team members for a job well washed, regardless of whether the team was able to completely reach the set up goals, or not. A leader is capable of developing the best out of his team members; leadership is regarding "nosotros" and not "me".
The described qualities in a physician leader can exist observed while he performs his services as a squad leader, takes conclusion and shares vision on patients management, respects patient-physician relationships, follows interprofessional exercise across disciplines, knows financial and administrative implications of innovative strategies in health-care, and openly acknowledges the team's achievements.
In addition, a 18-carat leader is expected to accept the desirable qualities like: (i) honesty, (ii) competency, (iii) forward-looking, (iv) inspiration, (v) intelligence, (half dozen) fair-mindedness, (vii) broad-mindedness, (viii) courage, (nine) straightforwardness, and (10) imagination.ten Leadership skills involve stiff judgment, sound communication, ability to convince others and be convinced, negotiation, leading past role modeling, and possess confidence and skills in developing the job done in defined timelines and standards.
2. Leadership traits
Traits are innate, or heritable qualities of an private. Published literature has described a number of traits such as behaviors, physical abilities, ability relationships, or elements of a given situation, which contribute to an individual'due south power to influence followers in accomplishing the desired tasks.11 Historically, traits accept been referred to personality characteristics. Yet, there are a myriad of contrasting skills that distinguish leaders from non-leaders. Such skills non only include the personality attributes just likewise cerebral, social and trouble-solving skills that enable them to tackle and resolve the problems even before they happen.12 A wealth of leadership traits has been elaborated in literature.
Leadership practices inventory (LPI)
Kouzes and Posner13 grounded a behavior-based model of leadership for organizations. The following 5 behavior-based exceptional leadership practices are described; a) Challenging the process: Leaders have the claiming, are prepare to accept risks, and have the ability to experiment innovations while accomplishing the desired objectives. b) Inspiring a shared vision: Leaders are capable of creating a articulate sketch of the time to come with initiatives and, through dialogue, motivate others to strive for that futurity.fourteen Besides, timely initiatives differentiate 18-carat leaders from routine workers. c) Enabling others to act: Leaders empower other members of the squad, share information, and delegate authority, instead of hoarding them.15 d) Modeling the way: Leaders demonstrate consistency between what one says and what one does. They lead by example whether they intend to or not. They also celebrate modest wins, which boosts conviction and backbone for the future challenges. eastward) Encouraging the hearts: Leaders openly attribute others' contributions in achieving the goals and thus building a supportive social network outside the traditional organizational framework. Glasow16 has argued that a competent leader has the backbone to take a little more than his share of blame and enjoys a touch less than his share of reward.16
Concrete traits
These include vitality and enthusiasm, substantial physical stamina, profound energy level, tolerance to stress, and exceptional workload.17 They need to be physically fit and remain fit for the job.
Genetic traits
Recently, a number of reports have claimed that both genetic and developmental domains (namely, work and family unit experiences) exert substantial affect in deciding whether sure individuals would have leadership roles, or would remain stagnant.18
Gender traits
Several studies have reiterated the importance of the relationship between leadership and gender and have shown that individuals from diverse and multi-dimensional backgrounds possessing stereotypically masculine traits performed every bit effective leaders, in dissimilarity to the feminine traits.xix,twenty These stereotypes maintain that women are ofttimes considered weak for the leadership posts. However, a number of competent women accept proven themselves to be well-known constructive leaders worldwide. Derue et al21 performed a meta-analysis to study an integrative trait-behavioral strategy for effective leadership by evaluating the relative validity of leader traits (gender, intelligence, personality), and behaviors beyond four effective leadership parameters; leader effectiveness, grouping work, follower job satisfaction, and satisfaction with leader. In the written report, the reported behaviors of leaders that could count towards effective leadership showed significant variations than other leader traits.
III. Leadership styles
A number of leadership styles fitting in the managerial grid have been shared in the literature:22 i) Authoritarian leadership: This kind of leaders are known by their intolerance to different opinion and unexpected challenges. They are used to have contained decisions without engaging other members of the team.23 two) Directive leadership: Leaders represent a prototypical traditional dominate who performs through a highly executive style.24 Relying only on their personal judgments, directive leaders laissez passer orders to subordinates and, unfortunately, wait forward to their unconditional compliance. They delegate followers' roles and provide guidelines for performing the tasks. iii) Shared leadership: In this state of affairs, the team members are completely engaged by the team leadership and they accept the liberty to influence and supervise their peers with a view to maximize the grouping output.25 iv) Autonomous leadership: Leaders encourage grouping participation, discussion and shared decisions. They build organizational flexibility and responsibleness and help generate innovative ideas.26 Reciprocally, by listening to the squad members, democratic leaders earn the run a risk to empathize the philosophy of making the all-time conclusion.
Although the literature has described the outlined taxonomy of authoritative and directive leadership styles, per se, this stand against the real definition of leadership. By and big, shared and democratic leadership style is considered to exist superior to other styles. However the performance of autonomous leaders succumb during crisis. All other styles reflect dictators' approaches of running the organizations. The offset ii types are more of managerial than leadership styles. This is because leaders create leaders, while managers create followers, and these ii particular styles (authoritative and directive) would probably create more than followers rather than leaders. In infirmary settings, more doc leaders are desired than managers as leaders would inculcate professional and skilled expertise rather than mere administrative back up. On the other manus, some orthodox leaders change their styles and switch from one style to another based on the situation, which may confuse their subordinates.
IV. Developing leadership skills
Leadership development involves a process of capacity building in guild to nurture the leaders in anticipating unforeseen challenges and in tackling complex situations.27 Lord et al,28 have purposed that the development of leadership functioning should be pitched in a structured and progressive hierarchy that moves from novice to intermediate and, finally, to skilful and expert level. A genuine leader is the i with exceptional talent and potential to master leadership competencies during the course of their professional person career. A good leader is capable of using several strategies with different people, copes well with uncertainty, is a good listener and surrounds himself with great people ( Table 1 ). Interestingly, a study has argued that if squad leaders have not discarded a major proposal, or have not acquired a new proposal in the terminal few years, we need to check their pulse as they may be dead!29 This brings upward an important concern on the emerging challenges from ageing population with multi-dimensional expectations and needs. The physician leaders are expected to continue pace with the evolving needs and challenges in the medical field.
Table i
The qualities and competencies of leadership.32
Learning leadership skills is akin to learning swimming that cannot be learned by reading only as ane needs to get wet. Leadership skills are hard to develop using conventional teaching strategies such as course books, seminars and lectures as at that place is no sufficient knowledge regarding leadership theories in these didactic educational strands. Hence, mere knowledge on principles of leadership, didactic classroom educational strategies, and many prototypical models practice not provide successful leadership practices in challenging situations.30 In addition to edifice individual leaders by preparation on a set of skills, a complementary leadership framework involves an integrated social procedure where everyone in the community is engaged by performing differing roles.
Discussion
The implications of leadership for physicians
The model for executive leadership in academic medicine, specifically targeting for a successful health-intendance for the 21st century, introduced by Richman et al31 calls for versatility of the capabilities and management styles of physician leaders that tin heighten their potential to successfully respond to the needs of all diverse disciplines working in an inter-professional environment. Constructive physician leadership is disquisitional to mobilize health-care facilities towards accomplishment of intended outcomes. Most physicians play varying leadership roles during their routine clinical do of ward rounds, operating rooms, authoritative fixtures, and hard situations.
The commitment required to develop investigative and health-care professional talents and to achieve academic conventions might attract the physicians' attending towards attaining the leadership skills; thus potentially jeopardizing their leadership capabilities. Taylor et al,32 conducted a structured, interview-based, qualitative research to explore the perception of electric current and aspiring physician leaders in terms of their specific leadership needs in the wellness-care facilities. The respondents proposed that knowledge, professional person skills, emotional intelligence, and vision were the bones ingredients for effective leadership that play crucial roles in achieving success for the aspiring medico leaders. The findings of the study demand the inclusion of emotional intelligence competencies in the medical curricula and to reduce formal pedagogical strategies in favor of interactive and trouble-based programs. Furthermore, the role of social constructivism, a sociological theory of cognition, which implies that the development of human skills is socially situated and knowledge is gained through interaction with others, in didactics leadership skills has been stressed.33
Other bear witness-based studies accept emphasized the inclusion of training models on emotional intelligence, strategic planning, and administrative skills in the electric current undergraduate and postgraduate medical curricula.34 Case discussions, applying new principles to real problems or dilemmas, fence, function-play, and simulations are recommended strategies for developing leadership strategies.35 Bachelor reports in the literature for physician leadership development courses suggest a preference for a highly interactive and integrative format.36 Nine unique characteristics, with varying combinations, take been attributed to physicians' leadership in health-intendance organizations: i) charisma, two) individual considerations, 3) intellectual performance, iv) courage, v) dependability, half dozen) flexibility, vii) integrity, viii) judgment, and ix) respect for others.37 The servant leader model for splendid health-care is best practical to the leadership in physicians; "retainer leader have passion for the mission because the vision is so paramount in their lives that they have literally become servant to it".38 In their attempt to become an established servant leader, physicians should ambitiously embrace the challenge of passion in serving the ailing community. Since leaders represent, serve, and deliver in their societies, they are accountable to the societies for their deportment and performances. Social accountability is considered equally an implicit expectation that 1 may be called on to justify 1's actions to others.39 This role tends to motivate reflection on i'due south own decisions and behaviors. Identification of social accountability of leadership is a remarkable approach in predicting leaders' team orientation and careful commitment of services.twoscore Therefore, the emerging chapters building and effective leadership development implies social systems to help build commitments amongst members of a community.41 Leadership development focuses on the interplay betwixt the individual, the state of affairs and the social and organizational environment.42 Ironically, health-intendance institutions are expanding dynamic facilities that pose special leadership challenges to physicians. a) Health-care institutions are complex organizations, performing with many different professional work forces.43 b) The traditional characteristics of physicians education and training do not allow them to develop the qualities of leadership such as collaboration.44 c) The external surroundings (namely, insurance, reimbursement, financial regulations) is extremely hostile and difficult to manage. d) The aims of service delivery in such institutions are potentially competing due to several factors such as the stress of expenses, wellness-care delivery, and service quality.
The problems are further compounded by the lack of formal teaching and training of physicians in nurturing their leadership skills. Dr. leaders frequently receive little, if any, formal grooming in leadership or direction on the journey from medical school to leadership. At the aforementioned time, the traditional medical school curriculum and residency grooming programs with their focus on clinical skills and scientific teaching have not left room for leadership training. Consequently, majority of physicians lack certain leadership skills such as strategic and tactical development, persuasive advice, negotiation, fiscal entrepreneurs, team building, disharmonize resolution, and interviewing skills.45 In guild to suit the recent demand of providing more than value-added services, it is imperative for healthcare executives to identify and then groom those physicians best suited to serve as leaders of health-care institutions.
It is therefore necessary that all physicians receive formal leadership training every bit all of them perform equally leaders in their ain capacities. Some institutions respond to the need for doc leadership by providing opportunities for their staff to attend off campus administrative and leadership training programs. Many institutions, all the same, address this need past offering their own in-house leadership programs in the form of workshops and symposia.46 The programs might exist designed to assist physicians in the shine transition from the mind set of clinicians to managers, then to develop leadership skills in young physicians, and to prepare physicians to professionally cope with the changes resulting from the evolving wellness-care environment. Coaching or mentoring from an experienced leader and on-chore feel have been quoted as the most constructive strategies for developing medico leadership competencies.47
Recommendations
This systematic review reiterates the need to embed sure problem-based learning educational domains and instructional strategies in the existing undergraduate and postgraduate medical curricula focusing on developing emotional intelligence competencies and the skills for strategic planning, and organizational awareness among physicians. The training in argue, role-play, and simulations are the recommended strategies for developing physicians' leaders. The health-care policy makers and medical educators should identify those physicians with leadership potential and should aim to nurture their professional preparation for attaining leadership competencies. The learning conventions for in-house leadership programs in the form of workshops and symposia and opportunities to physicians to attend off-campus leadership and administrative training programs will help foster the acquisition of the desired physicians' leadership skills.
Study limitations
This research work signals a roadmap for developing skills and competencies for physicians' leadership. Nevertheless, this newspaper does not validate the event measures that can reflect the significance of effective leadership in wellness-intendance arrangement. A review of future evidence-based studies regarding the effectiveness of physicians' leadership can endorse such findings.
In decision, this research work shows that the competent and effective leaders are more than likely to be respected by their followers as they practice open up 2-way communication, share critical information, and freely disclose their perceptions and feelings with the people they work with. The complexity and diverse characteristics of health-care institutions, versatile training experiences of physicians, and sensitive nature of the physicians' tasks need special leadership skills such as the knowledge of the wellness-care industry, emotional intelligence, strategic planning, flexibility, and vision. Leadership workshops and courses to groom potentially effective leaders can win these desirable
Footnotes
References
1. Mathews J. Toward a conceptual model of global leadership. IUP Periodical of Organizational Behavior. 2016;15:38. [Google Scholar]
ii. Eagly AH, Mentum JL. Variety and leadership in a changing world. Am Psychol. 2010;65:216. [PubMed] [Google Scholar]
iii. Denehy J. Leadership characteristics. J Sch Nurs. 2008;24:107–110. [PubMed] [Google Scholar]
4. Krause R, Semadeni M. Last dance or 2nd chance? Firm operation, CEO career horizon, and the separation of lath leadership roles. Strategic Direction Journal. 2014;35:808–825. [Google Scholar]
5. Cochran J, Kaplan GS, Nesse RE. Physician leadership in changing times. Healthc (Amst) 2014;2:19–21. [PubMed] [Google Scholar]
6. Kumar R. The leadership crisis of medical profession in India: ongoing bear on on the health system. J Family Med Prim Care. 2015;4:159. [PMC complimentary article] [PubMed] [Google Scholar]
viii. Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA argument. Ann Intern Med. 2009;151:264–269. [PubMed] [Google Scholar]
9. Perks South, May J. Proceedings of International Academic Conferences. International Institute of Social and Economical Sciences. Czechia (CR): International Institute of Social and Economical Sciences Prague; 2015. Change leadership styles and qualities necessary to drive environmental sustainability in South Africa. [Google Scholar]
10. Posner BZ, Kouzes JM. Ten lessons for leaders and leadership developers. Journal of Leadership & Organizational Studies. 1997;3:three–10. [Google Scholar]
eleven. Casimir G, Waldman DA. A cross cultural comparison of the importance of leadership traits for effective low-level and high-level leaders Australia and Cathay. International Journal of Cantankerous Cultural Management. 2007;7:47–threescore. [Google Scholar]
12. Johansen R. Leaders make the future: Ten new leadership skills for an uncertain globe. Oakland (CA): Berrett-Koehler Publishers; 2012. [Google Scholar]
thirteen. Kouzes JM, Posner BZ. The Leadership Practices Inventory (LPI): Participant'due south Workbook. New Jersey (NJ): John Wiley & Sons; 2003. [Google Scholar]
fourteen. Hollander EP. Leadership, followership, self, and others. The Leadership Quarterly. 1992;3:43–54. [Google Scholar]
fifteen. Du Plessis A, Carroll A, Gillies RM. Understanding the lived experiences of novice out-of-field teachers in relation to schoolhouse leadership practices. Asia-Pacific Journal of Instructor Educational activity. 2015;43:4–21. [Google Scholar]
16. Glasow A. Success is simple. Do what's correct, the right style at the right time. "Right makes might: Reviving ethics to improve your concern. 2007:59. [Google Scholar]
17. Bass BM, Stogdill RM. Handbook of leadership. Theory, Inquiry & Managerial Applications. 3rd ed. New York (NY): The Gratis Press; 1990. [Google Scholar]
18. Li WD, Arvey RD, Song Z. The influence of general mental ability, self-esteem and family unit socioeconomic status on leadership role occupancy and leader advocacy: The moderating role of gender. The Leadership Quarterly. 2011;22:520–534. [Google Scholar]
19. Powell GN, Butterfield DA, Parent JD. Gender and managerial stereotypes: have the times inverse? Journal of Management. 2002;28:177–193. [Google Scholar]
20. Schein VE, Müller R, Lituchy T, Liu J. Call back manager—think male person: A global phenomenon? Journal of Organizational Behavior. 1996;17:33–41. [Google Scholar]
21. DeRue DS, Nahrgang JD, Wellman N, Humphrey SE. Trait and behavioral theories of leadership: An integration and meta-analytic test of their relative validity. Personnel Psychology. 2011;64:7–52. [Google Scholar]
22. Blake RR, Mouton JS. Management past Filigree®principles or situationalism: Which? Group & Organization Management. 1981;6:439–455. [Google Scholar]
23. Schuh SC, Zhang X-a, Tian P. For the skillful or the bad? Interactive effects of transformational leadership with moral and authoritarian leadership behaviors. Journal of Business organisation Ethics. 2013;116:629–640. [Google Scholar]
24. Lorinkova NM, Pearsall MJ, Sims HP. Examining the differential longitudinal operation of directive versus empowering leadership in teams. Academy of Management Journal. 2013;56:573–596. [Google Scholar]
25. Ensley Md, Hmieleski KM, Pearce CL. The importance of vertical and shared leadership within new venture top direction teams: Implications for the performance of startups. The Leadership Quarterly. 2006;17:217–231. [Google Scholar]
26. Strandburg-Peshkin A, Farine DR, Couzin ID, Crofoot MC. Shared decision-making drives collective movement in wild baboons. Science. 2015;348:1358–1361. [PMC free article] [PubMed] [Google Scholar]
27. Siewiorek A, Saarinen E, Lainema T, Lehtinen Eastward. Learning leadership skills in a simulated concern environment. Computers & Education. 2012;58:121–135. [Google Scholar]
28. Lord RG, Hall RJ. Identity, deep construction and the development of leadership skill. The Leadership Quarterly. 2005;16:591–615. [Google Scholar]
29. Goleman D. Leadership that gets results 2000. Leadership. 2012;10:32–37. [Google Scholar]
30. Chreim S, Langley A, Comeau-Vallée M, Huq J-L, Reay T. Leadership as boundary work in healthcare teams. Leadership. 2013;9:201–228. [Google Scholar]
31. Richman RC, Morahan PS, Cohen DW, McDade SA. Advancing women and closing the leadership gap: the Executive Leadership in Academic Medicine (ELAM) plan experience. J Womens Health Gend Based Med. 2001;ten:271–277. [PubMed] [Google Scholar]
32. Taylor CA, Taylor JC, Stoller JK. Exploring leadership competencies in established and aspiring physician leaders: an interview-based study. J Gen Intern Med. 2008;23:748–754. [PMC costless article] [PubMed] [Google Scholar]
33. Flint ES. Engaging social constructivist didactics in the various learning environment;perspectives from a first year faculty member. Higher Instruction for the Future. 2016;three:38–45. [Google Scholar]
34. Veronesi MC, Gunderman RB. Perspective: the potential of student organizations for developing leadership: 1 schoolhouse's feel. Bookish Medicine. 2012;87:226–229. [PubMed] [Google Scholar]
35. Kuo AK, Thyne SM, Chen HC, W DC, Kamei RK. An innovative residency program designed to develop leaders to better the health of children. Academic Medicine. 2010;85:1603–1608. [PubMed] [Google Scholar]
36. Stoller JK. Developing physician-leaders: Key competencies and bachelor programs. J Health Adm Educ. 2008;25:307–28. [PubMed] [Google Scholar]
37. Jackson B, Parry M. A very curt adequately interesting and reasonably inexpensive book about studying leadership. New Zealand (NZ): Sage Publications; 2011. [Google Scholar]
38. Greenleaf RK. Servant leadership in business. Leading organizations: Perspectives for a new era. Yard Oaks (CA): Sage Publications; 1998. pp. 115–129. [Google Scholar]
39. Larkins SL, Preston R, Matte MC, Lindemann IC, Samson R, Tandinco FD, et al. Measuring social accountability in wellness professional teaching: Evolution and international pilot testing of an evaluation framework. Medical Teacher. 2013;35:32–45. [PubMed] [Google Scholar]
40. Giessner SR, van Knippenberg D, van Ginkel W, Sleebos Due east. Team-oriented leadership: The interactive furnishings of leader group prototypicality, accountability, and squad identification. J Appl Psychol. 2013;98:658. [PubMed] [Google Scholar]
41. Popescu East. Providing collaborative learning back up with social media in an integrated environment. World Broad Web. 2014;17:199–212. [Google Scholar]
42. Meili R, Buchman South. Social accountability: at the center of family unit medicine. Tin Fam Physician. 2013;59:335–336. [PMC free article] [PubMed] [Google Scholar]
43. Silversin J, Kornacki MJ. Leading Physicians Through Modify: How to Achieve and Sustain Results. Physician Executive. 2012;38:4–5. [Google Scholar]
45. Busari JO. Management and leadership development in healthcare and the challenges facing md managers in clinical practice. The International Journal of Clinical Leadership. 2013;17:211–216. [Google Scholar]
46. Satiani B, Sena J, Ruberg R, Ellison EC. Talent direction and md leadership training is essential for preparing tomorrow's physician leaders. J Vasc Surg. 2014;59:542–546. [PubMed] [Google Scholar]
47. Pradarelli JC, Jaffe GA, Lemak CH, Mulholland MW, Dimick JB. A leadership development plan for surgeons: Offset-year participant evaluation. Surgery. 2016;160:255–263. [PMC complimentary article] [PubMed] [Google Scholar]
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