Leadership in the clinical workplace: what residents report to observe and supervisors report to display: an exploratory questionnaire study

BMC Medical Education

Janke Cohen-Schotanus²  A. Debbie C. Jaarsma²  Johanna Schönrock-Adema²  Fedde Scheele¹  Martha A. van der Wal² 

[1] St. Lucas Andreas Hospital (SLAZ), Amsterdam, The Netherlands;Center for Education Development and Research in Health Professions (CEDAR), University of Groningen and University Medical Center Groningen, Antonius Deusinglaan 1, Groningen, 9713 AV, The Netherlands

关键词: Work-based learning;    Postgraduate medical education;    Residency;    Leadership development;   

Others  :  1233367
DOI  :  10.1186/s12909-015-0480-5

 received in 2015-04-16, accepted in 2015-10-25,  发布年份 2015

【 摘 要 】

Background

Within the current health care system, leadership is considered important for physicians. leadership is mostly self-taught, through observing and practicing. Does the practice environment offer residents enough opportunities to observe the supervisor leadership behaviours they have to learn? In the current study we investigate which leadership behaviours residents observe throughout their training, which behaviours supervisors report to display and whether residents and supervisors have a need for more formal training.

Methods

We performed two questionnaire studies. Study 1: Residents (n = 117) answered questions about the extent to which they observed four basic and observable Situational Leadership behaviours in their supervisors. Study 2: Supervisors (n = 201) answered questions about the extent to which they perceived to display these Situational Leadership behaviours in medical practice. We asked both groups of participants whether they experienced a need for formal leadership training.

Results

One-third of the residents did not observe the four basic Situational Leadership behaviours. The same pattern was found among starting, intermediate and experienced residents. Moreover, not all supervisors showed these 4 leadership behaviours. Both supervisors and residents expressed a need for formal leadership training.

Conclusion

Both findings together suggest that current practice does not offer residents enough opportunities to acquire these leadership behaviours by solely observing their supervisors. Moreover, residents and supervisors both express a need for more formal leadership training. More explicit attention should be paid to leadership development, for example by providing formal leadership training for supervisors and residents.

【 授权许可】

   
2015 van der Wal et al.

【 图 表 】

Figure 13.

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