Subscribe to RSS
DOI: 10.1055/s-0041-1723001
Leadership Development in Ophthalmology: Current Impact and Future Needs
Financial Support Supported in part by an unrestricted departmental award from Research to Prevent Blindness, Inc.Abstract
Importance There is a lack of peer-reviewed literature on leadership development programs (LDP) in ophthalmology. Research into LDP demographics, outcomes, and methodology is needed.
Objective The aim of the study is to evaluate the extent to which LDPs targeting ophthalmologists meet the needs of emerging leaders.
Design The design type of the study is cross-sectional analysis.
Setting This study involves international setting.
Participants The participants involved were ophthalmologists at any career level.
Methods Routine internet search was used to identify LDPs targeting ophthalmologists. LDPs identified were categorized by the outcome data available into four levels based on prior literature. Participants were assessed using previously validated software for gender (Gender-API, 2020) and race or ethnicity (NamSor, 2020)
Results Nine programs were identified which were classified into LDP generations. The first LDP in ophthalmology was the American Academy of Ophthalmology (AAO) LDP, which served as the nidus for the formation of four multinational LDPs, together forming the Global LDP. These LDPs were similar in size and scope; program size ranging from nine to 30 participants; a length of 1 to 2 years; with similar curricular offerings; with funding primarily derived from cost-sharing with a nominating society. The second generation of ophthalmology LDPs in the United States has targeted female scientists or faculty (Women's LDP by ARVO) and academic ophthalmology leaders (Academic LDP by Association of University Professors of Ophthalmology).
The AAO's LDP appears increasingly diverse with approximately 13% women at inception, gradually increasing from 40 to 65% women in the last 5 years (n = 389). There has also been a notable increase in ethnic diversity.
Conclusion and Relevance AAO LDP is the preeminent leadership training program for ophthalmologists, and it has influenced the creation of a new generation of LDP offerings. There remains a paucity of LDP evaluation metrics and reported outcomes. Newer iterations are successfully targeting academic leadership and attempting to address known disparities in gender and race or ethnicity. Further expansion of LDPs and related research can ensure equity and diversity in the pipeline.
Financial Disclosures
S.T.B. and J.C.L. had no financial disclosure to make. P.S. received financial support from Bridgebio (C) and S.P. from Alcon. P.S., Jr serves as co-director of the AUPO Academic Leadership Development Program.
Publication History
Received: 11 October 2020
Accepted: 15 December 2020
Article published online:
26 February 2021
© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
-
References
- 1 Collins DB, Holton III EF. The effectiveness of managerial leadership development programs: a meta-analysis of studies from 1982 to 2001. Hum Resour Dev Q 2004; 15 (02) 217-248
- 2 Moore Simas TA, Cain JM, Milner RJ. et al. A systematic review of development programs designed to address leadership in academic health center faculty. J Contin Educ Health Prof 2019; 39 (01) 42-48
- 3 McAlearney AS. Leadership development in healthcare: a qualitative study. Journal of Organizational Behavior: the International Journal of Industrial. Occupational and Organizational Psychology and Behavior. 2006; 27 (07) 967-982
- 4 Hannum KM, Martineau JW, Reinelt C. The Handbook of Leadership Development Evaluation. San Francisco, CA, USA: ERIC; 2007
- 5 Kirkpatrick D, Kirkpatrick J. Evaluating Training Programs: The Four Levels. San Francisco, CA, USA: Berrett-Koehler Publishers; 2006
- 6 Frich JC, Brewster AL, Cherlin EJ, Bradley EH. Leadership development programs for physicians: a systematic review. J Gen Intern Med 2015; 30 (05) 656-674
- 7 Steinert Y, Naismith L, Mann K. Faculty development initiatives designed to promote leadership in medical education. A BEME systematic review: BEME Guide No. 19. Med Teach 2012; 34 (06) 483-503
- 8 Straus SE, Soobiah C, Levinson W. The impact of leadership training programs on physicians in academic medical centers: a systematic review. Acad Med 2013; 88 (05) 710-723
- 9 Lucas R, Goldman EF, Scott AR, Dandar V. Leadership development programs at academic health centers: results of a national survey. Acad Med 2018; 93 (02) 229-236
- 10 Tasi MC, Keswani A, Bozic KJ. Does physician leadership affect hospital quality, operational efficiency, and financial performance?. Health Care Manage Rev 2019; 44 (03) 256-262
- 11 Stoller JK. Developing physician-leaders: key competencies and available programs. J Health Adm Educ 2008; 25 (04) 307-328
- 12 Stoller JK. Developing physician-leaders: a call to action. J Gen Intern Med 2009; 24 (07) 876-878
- 13 Lopez SA, Svider PF, Misra P, Bhagat N, Langer PD, Eloy JA. Gender differences in promotion and scholarly impact: an analysis of 1460 academic ophthalmologists. J Surg Educ 2014; 71 (06) 851-859
- 14 Xierali IM, Nivet MA, Wilson MR. Current and future status of diversity in ophthalmologist workforce. JAMA Ophthalmol 2016; 134 (09) 1016-1023
- 15 Olivier MMG, Forster S, Carter KD, Cruz OA, Lee PP. Lighting a pathway: the minority ophthalmology mentoring program. Ophthalmology 2020; 127 (07) 848-851
- 16 Annual Rabb-Venable Excellence in Ophthalmology Research Program. National Medical Association—Ophthalmology Section. Accessed May 21, 2020, at: http://www.rabbvenable.org/
- 17 Moher D, Liberati A, Tetzlaff J, Altman DG, Group P. PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 2009; 6 (07) e1000097
- 18 Leadership Development Program. American Academy of Ophthalmology. Accessed 2020 at: https://www.aao.org/about/leadership-development/overview
- 19 Leadership Development Program. Asia-Pacific Academy of Ophthalmology. Accessed 2020 at: https://www.apaophth.org/apao-ldp/
- 20 Women's Leadership Development Program. The Association for Research in Vision and Ophthalmology. Accessed 2020 at: https://www.arvo.org/education/Womens-Leadership-development-program/
- 21 Leadership. The African Ophthalmology Council. Accessed 2020 at: http://www.aofsite.org/en/ldp.html
- 22 History LDP. The African Ophthalmology Council. Accessed at: http://aoc-online.org/ldp/
- 23 Leadership Development Program. The Royal Australian and New Zealand College of Ophthalmologists. Accessed 2020 at: https://ranzco.edu/home/ophthalmologists/leadership-development-program-2/
- 24 EuLDP. European Society of Ophthalmology (SOE). Accessed 2020 at: https://soevision.org/leadership-program/
- 25 Leadership Development Programme. All India Ophthalmological Society. Accessed 2020 at: https://www.aios.org/article-126-ldp-graduates.php
- 26 AUPO Academic Leadership Development Program Nominations Due November 15. Association of University Professors of Ophthalmology. Accessed 2020 at: https://aupo.org/news/2019-11/aupo-academic-leadership-development-program-nominations-due-november-15
- 27 A new chapter in the development of the APAO. Healio Ocular Surgery News. Accessed May 21, 2020 at: https://www.healio.com/ophthalmology/cataract-surgery/news/print/ocular-surgery-news-apao-edition/%7Bc49ae049-de81-411d-93cb-0327358b54f9%7D/a-new-chapter-in-the-development-of-the-apao
- 28 LDP Project Abstracts. American Academy of Ophthalmology. Accessed 2020 at: https://www.aao.org/about/leadership-development/project-abstracts
- 29 Academy Notebook AAO. Academy Notebook—AAO. Accessed May 21, 2020 at: https://www.aao.org/Assets/7088b497-d6a6-46e2-ada7-974667359d15/635566653571830000/august-2013-academy-notebook-pdf
- 30 EYE2EYE. RANZCO. Accessed May 21, 2020 at: https://ranzco.edu/wp-content/uploads/2018/10/Spring-2017-Eye2Eye.pdf
- 31 Shah P, Cross V, Sii F. Sailing a safe ship: improving patient safety by enhancing the leadership skills of new consultant specialist surgeons. J Contin Educ Health Prof 2013; 33 (03) 190-200
- 32 Camacci ML, Lu A, Lehman EB, Scott IU, Bowie E, Pantanelli SM. Association between sex composition and publication productivity of Journal Editorial and Professional Society Board Members in Ophthalmology. JAMA Ophthalmol 2020; 138 (05) 451-458
- 33 Bressler NM. JAMA Ophthalmology—The Year in Review, 2019: striving for sex parity in leadership and excellence in publications. JAMA Ophthalmol 2020; 138 (05) 437-438
- 34 Yashadhana A, Zhang JH, Yasmin S. et al. Action needed to improve equity and diversity in global eye health leadership. Eye (Lond) 2020; 34 (06) 1051-1054
- 35 Jagsi R, Means O, Lautenberger D. et al. Women's representation among members and leaders of National Medical Specialty Societies. Acad Med 2019; 95 (07) 1043-1049
- 36 Gheorghe CM, Purcărea VL, Gheorghe IR, Popa-Velea O. Investigating the dimensions of learning organizations questionnaire (DLOQ) in a Romanian private ophthalmology organization. Rom J Ophthalmol 2018; 62 (04) 288-295
- 37 Dotan G, Qureshi HM, Gaton DD. Chairs of United States Academic Ophthalmology Departments: a descriptive analysis and trends. Am J Ophthalmol 2018; 196: 26-33
- 38 Albert DM, Bartley GB. Open search or rotating leadership: thoughts concerning selecting chairs for an Academic Ophthalmology Department. Ophthalmology 2018; 125 (02) 150-152
- 39 Pathipati AS, Tsai JC. Leadership in ophthalmology: the role of physician-MBAs. Am J Ophthalmol 2018; 188: 70-73
- 40 Dotan G, Qureshi HM, Saraf SS, Darnley-Fisch DA. Leadership of United States Academic Departments of Ophthalmology: chairperson characteristics, accomplishments, and personal insights. Am J Ophthalmol 2018; 186: 69-76
- 41 Svider PF, D'Aguillo CM, White PE. et al. Gender differences in successful National Institutes of Health funding in ophthalmology. J Surg Educ 2014; 71 (05) 680-688
- 42 Mansour AM, Shields CL, Maalouf FC. et al. Five-decade profile of women in leadership positions at ophthalmic publications. Arch Ophthalmol 2012; 130 (11) 1441-1446
- 43 Mahmoud AO, Nkanga D, Onakoya A. Views of West African surgeons on how well their educational and professional backgrounds may have prepared them for health leadership roles. N Am J Med Sci 2010; 2 (12) 580-585
- 44 Shah DN, Volpe NJ, Abbuhl SB, Pietrobon R, Shah A. Gender characteristics among academic ophthalmology leadership, faculty, and residents: results from a cross-sectional survey. Ophthalmic Epidemiol 2010; 17 (01) 1-6
- 45 Kassam F, Damji KF, Kiage D, Carruthers C, Kollmann KH. The Sandwich fellowship: a subspecialty training model for the developing world. Acad Med 2009; 84 (08) 1152-1160
- 46 Cruz OA, Johnson NB, Thomas SM. Twenty-five years of leadership: a look at trends in tenure and appointments of chairs of ophthalmology. Ophthalmology 2009; 116 (04) 807-811
- 47 Kloosterboer A, Yannuzzi NA, Gedde SJ, Sridhar J. Residency Program Directors of United States Ophthalmology Programs: a descriptive analysis. Am J Ophthalmol 2020; 209: 71-76
- 48 Reddy AK, Bounds GW, Bakri SJ. et al. Representation of women with industry ties in ophthalmology. JAMA Ophthalmol 2016; 134 (06) 636-643
- 49 Amrein K, Langmann A, Fahrleitner-Pammer A, Pieber TR, Zollner-Schwetz I. Women underrepresented on editorial boards of 60 major medical journals. Gend Med 2011; 8 (06) 378-387
- 50 Azuara-Blanco A, Reddy A, Wilkinson G, Flin R. Safe eye surgery: non-technical aspects. Eye (Lond) 2011; 25 (09) 1109-1111
- 51 Lee CS, Morris A, Van Gelder RN, Lee AY. Evaluating access to eye care in the contiguous United States by calculated driving time in the United States Medicare Population. Ophthalmology 2016; 123 (12) 2456-2461
- 52 Colby K. Sex diversity in ophthalmology leadership in 2020—a call for action. JAMA Ophthalmol 2020; 138 (05) 458-459
- 53 Mid-Career Women Faculty Leadership Development Seminar. Association of American Medical Colleges. Accessed at: https://www.aamc.org/professional-development/leadership-development/midwims
- 54 Early Career Women Faculty Leadership Development Seminar. Association of American Medical Colleges. Accessed 2020 at: https://www.aamc.org/professional-development/leadership-development/ewims