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The future-oriented department chair
R Kevin Grigsby1, David S Hefner, Wiley W Souba
1Pennsylvania State University College of Medicine and Milton S. Hershey Medical Center, Hershey, 17033, USA. kgrigsby@psu.edu
Insights
Academic health centers (AHCs) face leadership challenges. Recruiting department chairs now requires aligning values and developing shared visions for successful patient care, research, and education leadership.
Area of Science:
- Healthcare Management
- Academic Medicine
- Leadership Studies
Background:
- Academic health centers (AHCs) historically focused on patient care, research, and education.
- Current AHC leadership demands a shift towards business-oriented tasks like contract negotiation, revenue enhancement, cost reduction, workforce management, and marketing.
- This evolution necessitates new leadership dimensions and strategies.
Purpose of the Study:
- To address the recruitment and retention dilemma for department chairs in academic health centers.
- To provide recommendations for effectively recruiting, retaining, and sustaining AHC department chairs.
- To propose a values-based approach to leadership recruitment and development.
Main Methods:
- The study analyzes the changing landscape of leadership responsibilities within AHCs.
- It offers a framework for engaging chair candidates, prioritizing shared values and vision development.
- Recommendations include iterative engagement, formalizing expectations through letters of agreement, and ongoing professional development.
Main Results:
- Traditional leadership models are insufficient for contemporary AHC challenges.
- A values-first approach to candidate engagement is crucial for successful recruitment.
- Structured vision development and clear agreements enhance leadership effectiveness and retention.
Conclusions:
- Recruiting and retaining effective department chairs requires a strategic, values-driven process.
- Aligning candidate values with organizational values is paramount for successful leadership.
- Continuous investment in leadership development is essential for sustained success in AHCs.
Abstract:
The authors describe the current dilemma facing academic health centers (AHCs) as they recruit department chairs. In the past, leaders at AHCs predominantly were concerned with fulfilling the esteemed tripartite missions of patient care, research, and education. Today, their time and energy are occupied by a different set of tasks that have a distinct business orientation, including winning contracts, enhancing revenue, reducing costs, recruiting and managing a diverse workforce, and dealing with consumer satisfaction and marketing. New visions and strategies must be developed--requiring different dimensions of leadership. The authors offer concrete recommendations for recruiting, retaining, and sustaining department chairs, and argue that a deliberative, thoughtful process of engaging chair candidates should begin by focusing on the candidates' values as a first priority. Candidates who most clearly share organizational values should then be engaged in an iterative process of developing a shared vision, resulting in a letter of agreement that explicitly states the mutual expectations and commitments of both the organization and the candidate. Once department chairs are in place, ongoing development through leadership training, mentoring, and other investments help to retain and sustain them.
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