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Operation Gunpowder Leader Performance as a Predictor of Operation Bushmaster Leader Performance.

Bryce Pierce1, Erin S Barry2,3, Leslie Vojta3

  • 1School of Medicine, Uniformed Services University, Bethesda, MD 20814, United States.

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Summary
This summary is machine-generated.

Leadership Transcendent Skills (LTS) identified in early medical training predict future leadership performance. Role-Specific Competence showed limited predictive impact, highlighting LTS as a key transferable skill for physicians.

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Area of Science:

  • Medical Education
  • Leadership Development
  • Military Health Systems

Background:

  • Physicians require leadership skills for complex, high-stakes environments.
  • Longitudinal assessment of leadership competencies in medical school is understudied.
  • The Uniformed Services University (USU) employs a longitudinal leadership curriculum based on the Leader-Follower (LF2) Framework.

Purpose of the Study:

  • To evaluate if leadership performance in a third-year medical practicum (Operation Gunpowder) correlates with and predicts performance in a fourth-year practicum (Operation Bushmaster).
  • To assess leadership competencies using a standardized, validated tool aligned with the LF2 framework.

Main Methods:

  • Observational cohort study of 151 USU medical students (Class of 2025) completing two military field practicums (MFPs).
  • Leadership skills assessed using a validated 5-item tool based on the LF2 framework (Character, Competence, Context, Communication, Leadership Transcendent Skills - LTS).
  • Pearson correlation and best subset regression analyses were used to determine associations and predictive relationships between practicum scores.

Main Results:

  • Total leadership scores from Gunpowder positively correlated with Bushmaster scores.
  • Leadership Transcendent Skills (LTS) and Role-Specific Competence in Gunpowder correlated with corresponding Bushmaster scores.
  • LTS was the strongest predictor of Bushmaster performance across multiple leadership domains (Character, Communication, LTS); Role-Specific Competence predicted only itself.

Conclusions:

  • Early assessment of specific leadership traits, particularly LTS, predicts future performance in operationally realistic medical training.
  • LTS demonstrates cross-domain predictive power, suggesting its value as a transferable core skill similar to Trait Emotional Intelligence (Trait EI).
  • Role-Specific Competence appears context-bound, while LTS offers broader predictive impact, informing early leadership curriculum development.