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Physicians' Perceptions and Experiences Regarding Leadership: A Link Between Beliefs and Identity Formation.
Robin Lüchinger1, Marie-Claude Audétat1,2, Nadia M Bajwa1,3
1Unit of Research and Development in Medical Education, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
Journal of Healthcare Leadership
|July 8, 2024
Summary
Physicians often lack preparedness for leadership roles, relying on intuitive skill development. Enhanced leadership training and clearer institutional support are recommended to improve physician self-efficacy and leadership identity.
Area of Science:
- Medical Education
- Healthcare Leadership
- Professional Development
Background:
- National recommendations and training programs exist for medical leadership.
- Junior and senior medical leaders frequently report feeling unprepared for their roles.
Purpose of the Study:
- To explore physicians' perceptions, feelings, and beliefs about leadership.
- To provide recommendations for leadership training and institutional support.
Main Methods:
- Qualitative study conducted at Geneva University Hospitals.
- Focus groups and semi-structured interviews with residents, fellows, attending physicians, and chairpersons.
- Analysis using Fishbein's model of behavior prediction and Irby's professional identity formation framework.
Main Results:
- Physicians across all levels reported poor self-efficacy, insecurity, confusion, and frustration.
- Leadership beliefs were often idealized and focused on personal characteristics over skills or institutional norms.
- Leadership skills were primarily acquired intuitively through trial and error, role modeling, and personal resources, not formal training.
Conclusions:
- Physicians' leadership skills are largely intuitive, with institutional norms not clarifying roles.
- Formal leadership training and explicit institutional processes can enhance physician self-efficacy and leadership identity.
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