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Area of Science:

  • Healthcare Management
  • Leadership Studies
  • Medical Education

Background:

  • Academic medicine is shifting from traditional structures to complex health systems.
  • Leadership roles are becoming more matrixed, with individuals holding dual medical school and health system positions.
  • Women remain underrepresented in both traditional academic and emerging health system leadership roles.

Purpose of the Study:

  • To examine the evolving landscape of leadership in academic medicine.
  • To address the underrepresentation of women in senior health system leadership positions.
  • To identify strategies for preparing women for competitive roles in complex healthcare environments.

Main Methods:

  • This is a commentary, not an empirical study.
  • Analysis of current trends in academic medical center and health system structures.
  • Discussion of historical and current gender imbalances in leadership.

Main Results:

  • Leadership power may be shifting from traditional academic roles to those aligned with clinical enterprises and health systems.
  • Existing professional development programs may not adequately prepare women for new, complex health system leadership roles.
  • Women are underrepresented in both traditional academic and new health system leadership positions.

Conclusions:

  • Explicit identification of emerging health care leadership roles is critical.
  • Systemic barriers to women's advancement in leadership must be addressed.
  • Intentional training and development systems are needed to close the gender gap in academic medicine leadership.