Physician leadershipPhysician leadership: essential skills in a changing environment
Section snippets
Leadership and management: similarities and differences
In order to understand the role of a physician leader, it is important to define leadership. Upon initial review, one might believe that there is little, if any, difference between leadership and management. Further examination demonstrates that managers produce predictability and order through planning, organization, control, and problem solving; in contrast, leaders stimulate change through the motivation and alignment of people with an established direction (Figure 1).5 Warren Bennis, a
The physician leader’s role
The current healthcare environment will increasingly demand that physicians be involved in administrative decisions and possess a technical skill set that was unnecessary even 10 years ago. Once autonomous, both clinically and financially, physicians are now often forced to integrate with healthcare plans and other providers for whom concepts such as teamwork and cost efficiency are of the utmost importance. In the fee-for-service model of the past, the degree of patient volume defined revenue
Leadership competencies
In order to become competent and confident in their vocation, surgeons matriculate through 4 years of medical school and, subsequently, train 4 years or more in residency and fellowships. This clinical training alone is no longer sufficient to ensure that quality care is available to patients. In conjunction, a modicum of knowledge/skills (competencies) regarding organizational behavior, finance, and leadership is necessary. Although transitioning to administrative roles may not be as
Conclusion
Physicians, especially surgeons, are the ideal leader candidates for the 21st century. Precisely because physicians are at the center of clinical service delivery, physician performance is the primary determinant of the service value (quality/cost) delivered to the patient; increasingly, the new power in the healthcare market, the payer, is demanding value-added service. Most physicians possess the behavioral characteristics essential for leadership and exhibit some degree of leadership in
References (23)
Raising management standards in American healthcare
Healthcare Exec
(1999)- HCIA-Sachs. A comprehensive review of hospital finances in the aftermath of the Balanced Budget Act of 1997....
- AHA New, October 24, 2000. AHA News Now, The Daily Report for Health Care Executives, www.ahanews.com. Headline #1:...
- et al.
The physician executiverole in the adaptation of American medicine
Healthcare Manage Rev
(1997) - Burnett D. Transformational change in academic health centers. University Health System Consortium. Presentation to the...
- Loeb M. Where leaders come from. Fortune. September 19,...
- Dess G. Personal interview. University of Kentucky, Lexington, Kentucky, January 21,...
- Enthoven AC, Vorhaus CB. A pivotal role for physician executives....
- Frank RA. The physician manager ’practice management education in the 21st Century.’ Med Group Manage J....
- Schneller ES, et al. The physician executive: role in the adaptation of American medicine. Health Care Manage Rev....
Joint hospital management by physician and nursing administrators
Health Care Manage Rev
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