BMJ Leader最新文献

{"title":"'Can you have it all?' Exploring perceived gender roles in leadership through the lens of the Chief Pharmaceutical Officer's clinical fellows 2023/24.","authors":"Ashifa Trivedi, Kaniksha Aggarwal, Amira Chaudry, Summer Ibrahim, Amna Khan-Patel, Natasha Lal, Maria Nasim, HoJan Senya, Shy Teli, Nisha Thakrar, Clare Thomson","doi":"10.1136/leader-2024-001066","DOIUrl":"10.1136/leader-2024-001066","url":null,"abstract":"<p><strong>Background: </strong>Women often face the challenge of balancing professional growth with societal expectations around family and household responsibilities. Conversely, men encounter limitations due to restrictive paternity leave policies, often receiving undue praise for basic parenting duties. Through the lens of the Chief Pharmaceutical Officer's clinical fellows 2023/24, we explore the question: 'Can you have it all?'</p><p><strong>Methods: </strong>We explore stereotypical gender norms alongside the challenges and expectations faced by individuals of all genders on their leadership journeys. Through personal reflections, literature review and informal conversations with senior leaders, we explore how societal expectations and gendered norms shape the professional and personal lives of women in leadership roles.</p><p><strong>Results: </strong>Commitment to reflection provides opportunities to pause and assess our journeys. Peer support networks are invaluable for professional development, helping to break down barriers and hierarchies. Coaching and mentoring offer significant support and guidance to aspiring leaders from underrepresented backgrounds providing new perspectives.</p><p><strong>Conclusion: </strong>Balancing leadership and family responsibilities is challenging but achievable with the right support systems and a shift in workplace culture. However, we recognise, through all of this, self-care and prioritisation of mental well-being must be at the forefront to sustain a healthy balance. As clinical fellows, we have had the unique opportunity to share the complexities faced in the workplace. Through collective effort, we aim to foster environments that empower individuals on their leadership journeys, illustrating that, with the right support and conditions, it is possible to truly 'have it all'.</p>","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":"100-104"},"PeriodicalIF":1.7,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142509739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Resident doctors: return of the lost tribe.","authors":"Waqas Akhtar, Vivek Trivedi","doi":"10.1136/leader-2025-001229","DOIUrl":"10.1136/leader-2025-001229","url":null,"abstract":"","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":"167-169"},"PeriodicalIF":1.7,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143986568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perspectives on leadership for medical educators: a qualitative study of leadership qualities identified by US medical school deans.","authors":"Michael J Orrick, Steven Durning, Joshua Hartzell, Anita Samuel","doi":"10.1136/leader-2024-001145","DOIUrl":"10.1136/leader-2024-001145","url":null,"abstract":"<p><strong>Introduction: </strong>Leaders in medical education face unique challenges and carry the immense responsibility of training the next generation of healthcare professionals. Highly effective leaders are critical in medical education, and degree programmes in health professions education aim to produce these needed academic leaders. This study aims to identify the leadership qualities deemed important by established leaders in medical education to guide the development of health professions education leadership curricula.</p><p><strong>Methods: </strong>From September 2023 to March 2024, the authors conducted semistructured interviews with 23 US medical school deans or recommended members of their staff (eg, Associate Dean for Medical Education) regarding the leadership qualities they deemed important for leading in medical education. The authors then applied reflexive thematic analysis to the interview transcripts to identify themes representing leadership qualities.</p><p><strong>Results: </strong>Transcript analysis demonstrated 12 themes that represent leadership qualities thought to be essential in medical education. These themes included a leader who is driven by values, humble, resilient, emotionally intelligent, puts people first, fosters psychological safety, is collaborative, communicates effectively, makes decisions, acts strategically, drives innovation and is adaptable.</p><p><strong>Conclusion: </strong>This study identified twelve key leadership qualities that US medical school deans perceive as essential for leadership in medical education. These qualities can be organised into personal, interpersonal and system-level qualities, but they are interconnected in practice with qualities being relevant on multiple levels. These findings align with several healthcare leadership models but emphasise resilience and adaptability more distinctly, highlighting unique challenges in medical education. These insights could help refine existing leadership theories and frameworks within the context of medical education and enhance leadership development programmes in medical education and potentially related fields.</p>","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":"153-159"},"PeriodicalIF":1.7,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improvisation versus protocol: navigating the benefits and pitfalls of leadership jazz in healthcare settings.","authors":"Maximilian Kalyuzhnov, Olena Khlystova, Benjamin Laker","doi":"10.1136/leader-2024-001016","DOIUrl":"10.1136/leader-2024-001016","url":null,"abstract":"","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":"170-174"},"PeriodicalIF":1.7,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cultivating the next generation of healthcare leaders: reflections from an established healthcare leader.","authors":"Rakhshan Kamran, Andrea S Doria","doi":"10.1136/leader-2024-001037","DOIUrl":"10.1136/leader-2024-001037","url":null,"abstract":"<p><strong>Background: </strong>Dr Andrea Doria is Professor and Vice-Chair of Radiology (Clinical Practice Improvement) at the University of Toronto, Research Director, Senior Scientist and Imaging Lead of Personalised Child Health, The Hospital for Sick Children (SickKids), Toronto, Canada. Over the past few decades, Dr Doria has established a track record of healthcare leadership. Based on Dr Doria's extensive leadership experience, she believes it is essential for established healthcare leaders to be involved in cultivating emerging healthcare leaders.</p><p><strong>Methods: </strong>An interview was conducted with Dr Doria to learn about key lessons she believes are essential for healthcare leaders to help develop the next generation. Dr Doria reflected on her leadership style and experiences, sharing what has worked to improve the effectiveness of her teams.</p><p><strong>Results: </strong>Key messages were reflected upon, including practical ways for senior leaders to support the next generation; leadership insights gained from the pandemic; the importance of building diversity in teams and nurturing leaders from underrepresented minorities; challenges to be aware of for the future of healthcare leadership; finding inspiration from team members and essential traits for healthcare leaders.</p><p><strong>Conclusion: </strong>Through cultivating the next generation of healthcare leaders, established leaders can be involved in establishing a brighter future for healthcare. This article describes reflections and practical takeaways that can help established leaders support emerging leaders and build their leadership skills.</p>","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":"97-99"},"PeriodicalIF":1.7,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141591635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Professional development scheme: a tool to measure health research competencies in healthcare professionals.","authors":"Davide Bilardi, Elizabeth Rapa, Kehkashan Shah, Salvia Zeeshan, Bonny Louise Baker, Trudie Lang","doi":"10.1136/leader-2024-001036","DOIUrl":"10.1136/leader-2024-001036","url":null,"abstract":"<p><p>Significant investments have been made in health research capacity development (HRCD) initiatives focusing on individual professionals and institutional frameworks. However, prevailing approaches often prioritise specific research projects over explicit strategies for strengthening the capacities of health research professionals (HRPs) particularly in low and middle-income countries. Despite recognition of its limitations, this implicit approach persists resulting in a lack of effective HRCD strategies. Additionally, the absence of globally standardised mechanisms for evaluating HRCD initiatives makes it more complex to define clear success benchmarks for these initiatives. Evaluations of HRCD strategies predominantly focus on pre-intervention and post-intervention assessments of specific interventions often neglecting the broader context of capacity development. Consequently, there is an imperative for a more systematic approach to measuring HRCD, particularly at the individual level.This paper describes the design and the scope of the Professional Development Scheme (PDS), a tool designed to quantify HRCD among HRPs. Structured across four core sections including professional experiences, qualifications and the self-evaluation of 325 key competencies, the PDS allows users to generate evidence of existing strengths and possible areas of improvement in their research skills. Profile submissions undergo rigorous moderation to ensure fidelity and uniformity in competency evaluation.The PDS can offer a structured approach to assessing and improving research capacities among HRPs. By focusing on specific skills and employing clear evaluation methods, the PDS aims to overcome the shortcomings of previous approaches and promote development in global health research capacity.</p>","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":"110-116"},"PeriodicalIF":1.7,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What can healthcare organisations do to improve medical engagement? A systematic review.","authors":"Jen Perry","doi":"10.1136/leader-2023-000963","DOIUrl":"10.1136/leader-2023-000963","url":null,"abstract":"<p><strong>Background: </strong>Medical engagement is linked to improved outcomes for staff and patients including a reduction in staff turnover. There are significant problems with recruitment and retention of doctors globally, it is, therefore, important to try to increase medical engagement within healthcare organisations. This systematic review aimed to review evidence from 2018 to 2023 from peer-reviewed journals on interventions to improve medical engagement and from this generate practical recommendations for healthcare organisations.</p><p><strong>Method: </strong>A search strategy was developed and used across six databases alongside citation searching. Articles were screened to check whether they met the study criteria and were then critically appraised. The interventions were extracted and a thematic analysis, using an inductive approach, was undertaken.</p><p><strong>Results: </strong>15 articles were found to have met the criteria, however, the studies were generally found to be of low-quality research evidence. The interventions from the articles were grouped into nine themes covering topics such as 'Improvements to working conditions', 'Increasing support to doctors' and 'Rewards/incentives/recognition'.</p><p><strong>Conclusion: </strong>The review generated a wide range of interventions which could be used to improve medical engagement, however, critical appraisal revealed that they were of low-quality evidence, so their effectiveness should be interpreted with some caution. The majority of the interventions were transferable to healthcare settings, with some limitations depending on the country. Several HR models were described as options for implementing these interventions within healthcare organisations. Further high-quality research is needed in this area.</p>","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":"122-130"},"PeriodicalIF":1.7,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cultivating kindness in healthcare facilities: a quadruple approach to the quadruple aim.","authors":"Kripa Achan, Stewart Condon, Sandhya Limaye","doi":"10.1136/leader-2024-001186","DOIUrl":"https://doi.org/10.1136/leader-2024-001186","url":null,"abstract":"<p><p>The importance of physician well-being has been increasingly recognised in the last decade with an improved understanding of the prevalence and drivers of occupational and moral distress in healthcare workers. High rates of burnout have significant costs at both the individual and organisational level, with follow-on effects impacting staff turnover and patient care. Healthcare facilities have a responsibility to prioritise physician well-being and should adopt a structured and comprehensive approach to this aspect of healthcare delivery. Kindness is a significant factor impacting professional fulfilment and can reduce stress and burnout in healthcare workers. Acts of kindness and prosocial behaviours have widespread benefits, impacting the giver, receiver and even observer of the kind act. Moreover, kindness in the delivery of healthcare not only has a profound impact on patient satisfaction, but can positively influence medical outcomes. Healthcare facilities should thus cultivate kindness in the workplace as a guiding principle for all interactions and promote prosocial behaviours that improve the working environment for all staff. This paper discusses the importance of kindness in healthcare and presents a comprehensive kindness strategy implemented in our facility which encourages a fourfold approach of kindness to self, others, the community and the environment.</p>","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144498262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Building allied health professions' leadership self-efficacy through authentic experiential learning: a participatory evaluation of allied health professions leadership fellow secondments.","authors":"Deborah Harding, Helen Lycett, Leila Avery, Tania Kumaresan, Venus Madden","doi":"10.1136/leader-2024-001079","DOIUrl":"10.1136/leader-2024-001079","url":null,"abstract":"<p><strong>Background: </strong>NHS England's Chief Allied Health Profession's Officer has called for investment in allied health professions (AHPs) leaders and the need to address limited leadership development opportunities for AHPs. We report the evaluation of a small-scale leadership initiative in a UK National Health Service (NHS) provider where part-time, fixed term, project focused AHP leadership fellow posts were established.</p><p><strong>Aim: </strong>To gain insights about the implementation and benefits of an AHP leadership fellow initiative and to identify learning to inform future AHP leadership development.</p><p><strong>Method: </strong>A participatory evaluative approach was adopted, involving the associate director for AHPs who established the initiative and the first cohort of AHP leadership fellows.</p><p><strong>Findings: </strong>There is evidence of organisational value and benefits for AHP leadership fellows which map to mid-career leadership opportunities described in NHS guidance.</p><p><strong>Conclusion: </strong>AHP leadership fellow posts provide innovative experiential opportunities for authentic and meaningful strategic leadership development consistent with NHS guidance. While small scale, with limited representation from just two of the AHPs recognised in the NHS, there are indications of positive outcomes for both aspiring AHP leaders and employers. The approach could be replicated across healthcare systems, in different settings and with wider representation from other AHPs.</p>","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":"198-201"},"PeriodicalIF":1.7,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interprofessional collaboration in primary care for patients with chronic illness: a scoping review mapping leadership and followership.","authors":"Guoyang Zhang, Renée E Stalmeijer, Fury Maulina, Frank W J M Smeenk, Carolin Sehlbach","doi":"10.1136/leader-2024-001102","DOIUrl":"10.1136/leader-2024-001102","url":null,"abstract":"<p><strong>Background: </strong>Effective interprofessional collaboration (IPC) in primary care is essential in providing high-quality care for patients with chronic illness. However, the traditional role-based leadership approach may hinder IPC. Instead, physicians should also take followership roles, allowing other healthcare team members (OHCTMs) to lead when they have expertise and/or experience. Understanding of leadership and followership within IPC remains limited in primary care for patients with chronic illness. Hence, this review aims to explore the definitions and conceptualisations of leadership and followership and to map relevant training in this context.</p><p><strong>Methods: </strong>Following the Joanna Briggs Institute methodology for scoping reviews, an electronic search was conducted across PubMed, Embase and Web of Science. Three independent reviewers assessed publications for eligibility. Descriptive and thematic analysis were employed.</p><p><strong>Results: </strong>From 2194 identified articles, 57 were included. Only two articles defined leadership approaches, and none explicitly addressed followership. Nevertheless, our analysis identified leadership shifts from physicians to OHCTMs, and vice versa for followership, driven by complexity of care, physician shortages and healthcare costs. Enablers of these shifts included physician trusting OHCTMs, collaborative practice agreements and physicians' interprofessional experience. Barriers included traditional hierarchies, OHCTMs' lack of competence and physicians' lack of IPC experience. Four articles mentioned relevant training however without detailed information.</p><p><strong>Discussion: </strong>Leadership in IPC for chronic illness in primary care is rarely defined, and followership is largely neglected. Nevertheless, leadership-followership shifts do occur in leadership and followership roles of physicians and OHCTMs. Further research needs to explore physicians' followership and relevant competencies, and relevant training is required.</p>","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":"131-139"},"PeriodicalIF":1.7,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}