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Keys to Leadership: The Physician Executive's Top Ten List - Dr. Lloyd I. Sederer

Keys to Leadership: The Physician Executive's Top Ten List

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Since I am a physician in a medical world generally led by administrators and driven by insurance plans, I believe in what is called “expert authority.”
A doctor is singularly equipped with knowledge of diseases and their treatments and, ideally, a compassionate comprehension of human nature. Yet his or her leadership is not apt to be by executive order but by “expert” authority.
So I offer the following list (with all due deference to Mr. Letterman) for physicians, especially those working in health care organizations – from today’s clinics to tomorrow’s accountable care organizations.

My top 10 "David Letterman" physician leadership list

10. Know where you want the work to go, how and why. Be unsparingly lucid and repetitive about what you are trying to achieve since not everyone will be able to read your mind.

9. Read a lot. Not just in your specialty or only in medicine.

8. Learn to write. Start with email, which should exemplify clarity and economy of words. Graduate to memos. Learn the art of the two-page concept paper; then the one pager. Then graduate to papers, or blogs or whatever avenues you have to reach your desired audience. Write about what you are doing, since there is no time to write about anything else. Write with others when you can, since that will improve your thinking and writing.

7. Learn public speaking. Learn how to fashion a concise message and how to deliver it. Articulate every word and project your voice as a way of respecting your audience. No one should have to strain to listen to you. They have to hear you in order to comprehend.

6. Find mentors you admire and want to emulate. They will provide the ideals you need and embody your psychological and professional development.

5. Be a team player and stay with good bosses and rewarding work environments as long as possible, since they won’t happen very often. Learn to “manage your boss."

4. Remember that job satisfaction for professionals, in general, is less about money and more about mission, (expert) authority, desirable colleagues, a learning work environment, quality of life (including family and friends) and pride in achieving results.

3. Be a change agent, an innovator. Don’t wait for others. Restlessly look for what can be improved and how you can make that happen.

2. Change jobs. It has been said that "change is a tonic." Change usually will happen to you, but if it doesn’t, find ways to take on new tasks or jobs, in different settings, with different people and demands.

1.Try not to have work totally dominate your life – like I do.

Being effective as a physician and as a health care professional has changed since the days I trained. Yet a trustworthy physician’s capabilities of knowledge, experience, respect and humanity are ageless. While you may not be able to predict where the work will take you, you can enjoy the ride. You may be pleasantly amazed by the people, places and work you will discover on the path our profession provides.


Originally Published by the American College of Physician Executives on Feb. 10, 2012.
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