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AOA Critical Issues Symposium: How Are Orthopaedic Leaders Chosen? Competency Versus Kingmaker
Kristy Weber1, Mary Lauria2, Lilly Marks3
1University of Pennsylvania, Philadelphia, Pennsylvania.
The Journal of Bone and Joint Surgery. American Volume
|June 26, 2025
Summary
Most orthopaedic leaders believe current selection processes are inadequate. This study proposes a strategy for competency-based leadership selection in orthopaedic organizations to improve talent identification.
Area of Science:
- Orthopaedic Surgery
- Leadership Development
- Organizational Management
Background:
- Leadership selection in orthopaedic surgery lacks consistent, competency-based methods.
- Current processes may prioritize personality over objective criteria, impacting organizational effectiveness.
- A significant majority of orthopaedic leaders surveyed desire improvements in selection processes for national organizations and academic departments.
Purpose of the Study:
- To propose a strategy for consistent, competency-based leadership selection within orthopaedic organizations.
- To identify key criteria for selecting successful orthopaedic leaders.
- To outline actionable steps for nominating and search committees.
Main Methods:
- Summary of discussions and findings from the 2024 American Orthopaedic Association (AOA) Annual Meeting Symposium.
- Polling of orthopaedic leaders regarding their perceptions of current leadership selection processes.
- Review of leadership selection strategies in academic medicine and corporate settings for potential translation.
Main Results:
- 80% of surveyed orthopaedic leaders believe national organization board leadership selection needs improvement.
- 75% of surveyed orthopaedic leaders believe academic department chair selection needs improvement.
- The symposium provided a framework for developing a more robust and objective leadership selection process.
Conclusions:
- There is a clear need for enhanced, competency-based leadership selection strategies in orthopaedics.
- Implementing standardized criteria and processes can improve the identification of qualified leaders.
- Lessons from academic and corporate leadership selection can inform and strengthen orthopaedic leadership development.
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