Journal of Healthcare Leadership (09/21/22) Vol. 2022, No. 14, P. 155 Lyons, Maureen D.; Oyler, Julie; Iossi, Katherine; et al.
Researchers assessed internal medicine residents' views of leadership and leadership training preferences in order to inform curricular development. The authors interviewed 14 second-year internal medicine residents with little previous leadership training across four institutions. Residents embraced a hierarchical view of leadership dictated by assigned roles and identified inpatient clinical service as a focal area for demonstrating leadership. They also perceived clinical competence, emotional intelligence, and effective communication as skills for showing effective leadership. Residents had difficulty knowing where leadership skills are taught in their institutions. They wanted additional leadership training, particularly in communications, conflict management, negotiation, and coaching/training others. Respondents further cited apprenticeships as their preferred leadership training model. "Most importantly, postgraduate trainees view leadership through a traditional and individualistic lens which contrasts with modern views of clinical leadership that recognizes the critical importance of teams and relationships," the authors noted. The variable content and quality of current leadership training and its dependence on workplace faculty may leave graduating residents with inconsistent leadership expertise for ensuring competence in a predetermined skillset. The authors proposed a work-based training strategy that should meet trainees' content delivery needs and surmount curricular time and space constraints.
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