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Addressing Conceptual Gaps in Physician Leadership Development: A Critical Perspective.

Anurag Saxena¹

¹Department of Pathology and Laboratory Medicine, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.

Journal of Healthcare Leadership

|March 25, 2026

Summary

Leadership development in healthcare and medical education (HC&ME) faces an intent-action gap. Addressing conceptual issues in leadership programs is crucial for improving impact and effectiveness in HC&ME settings.

Keywords:

leader development leadership development leadership development conceptual issues

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Area of Science:

Healthcare Management
Medical Education
Organizational Leadership

Background:

Physicians increasingly assume leadership roles in healthcare and medical education (HC&ME).
Significant investment in leadership development contrasts with limited evidence of its impact, particularly at organizational and systems levels.
An intent-action and impact gap exists in leadership development initiatives.

Purpose of the Study:

To identify conceptual issues hindering leadership development effectiveness in HC&ME.
To explore factors contributing to the gap between leadership development intentions and outcomes.
To inform strategic approaches for enhancing leadership programs in HC&ME.

Main Methods:

Utilized Jabareen's methodology for conceptual framework development.
Employed an iterative process of keyword identification and concept analysis.
Critically analyzed interdisciplinary literature, adult education principles, adult development theories, expert insights, and practical experiences.

Main Results:

Identified eleven conceptual considerations across philosophical, theoretical/foundational, and pragmatic/pedagogical categories.
Highlighted issues such as lack of theoretical clarity, limited diverse leadership discourse, and pedagogicalスキュー.
Emphasized the need for nuanced context consideration, integrated development, and attention to readiness and timing.

Conclusions:

Addressing identified conceptual issues is essential for strategic design and delivery of leadership programs.
A nuanced approach to leadership development can enhance sustained learning and effectiveness in HC&ME.
Collaborative, interdisciplinary research is vital for synthesizing evidence to improve leadership development practices.