FIRST AND FOREMOST, PHYSICIANS: THE CLINICAL VERSUS MANAGERIAL IDENTITIES OF PHYSICIANS AS LEADERS

摘要

Physicians - commonly promoted into administrative and managerial on the basis of clinical expertise - often lack the skills, training or inclination to "lead." Several studies have sought to identify factors associated with effective physician leadership, yet we know little about how physician managers themselves construe their roles. Phenomenological interviews with physicians reveal vivid differences in how they claim and grant leadership status, and identify as physician managers on individual, relational and organizational basis. Understanding physicians' attitudes and biases about being managers and appreciation for the strength of their primary identity as physicians shed light on selecting, training and rewarding physician managers.