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Transitioning from a leadership position: why, when, and how.

Fred Sanfilippo¹, Claire Pomeroy², David N Bailey³

¹Department of Pathology and Laboratory Medicine, Emory University, Atlanta, GA, United States.

Academic Medicine : Journal of the Association of American Medical Colleges

|March 15, 2026

Summary

Successful leadership transitions in academic health centers require careful planning regarding timing and reasons for departure. Strategic moves benefit leaders, teams, and institutions, enhancing careers and legacies.

Keywords:

advice communication considerations evaluation reflection

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Area of Science:

Healthcare Leadership
Academic Medicine
Organizational Management

Background:

Leadership roles in academic health centers (e.g., chair, chief, director) are demanding.
Transitioning out of these positions presents unique challenges and opportunities.

Purpose of the Study:

To outline a strategic framework for effective leadership transitions in academic health centers.
To identify key considerations for leaders and institutions during leadership changes.

Main Methods:

The study synthesizes best practices and considerations for leadership transitions.
It emphasizes proactive planning, self-awareness, and stakeholder communication.

Main Results:

Successful transitions depend on leaders assessing personal/professional factors and institutional impact.
Reasons for leaving include new opportunities, role issues, term completion, or dismissal.
Anticipating and planning transitions from the outset is prudent.

Conclusions:

Well-planned leadership transitions ensure continuity, benefit the organization, and support leader career development.
Effective transitions enhance a leader's legacy and overall satisfaction.
Proactive communication and organization are crucial for smooth leadership changes.