Or:  “I never signed up for this.”

The classical model of patient care puts the physician in the autocratic position as the “captain of the ship”. The new health care models are drastically changing the roles and responsibilities of the physician. Optimum patient outcomes are now seen with more of a shared decision making model, where all stakeholders on the health care team, including the patient, are involved in the process.  Most physicians have not received training in leadership and physicians are now accountable in new areas of responsibility that we “did not sign up for” in medical school.  Appropriate  leadership is more than simply developing leadership techniques.  The physician leader in health care must be a champion of quality and safety, work well within the team model, and be a good ambassador to the community both internally and externally to provide the appropriate advocacy and future direction for the health care industry (in addition to being a superior clinician!) .  Dr. Berkowitz reviews these dimensions of physician leadership, both internal and external, in this new world.


  • Discuss how the role of physician leadership changes in the new paradigm of working as part of a health care team
  • Discuss how the individual physician can be more introspective to enhance his/her own leadership skills
  • Review methods of how the physician can work more collaboratively and effectively as part of a medical delivery team.
  • Discuss the importance of the physician developing a conviction to champion a culture of quality and safety
  • Discuss the importance of the physician better engaging oneself and fellow physicians. Areas here include continuing education, involvement with medical students and advocacy
  • Review shared decision making models and how health care systems can best adapt
  • Discuss how the new dynamics of data transparency, the internet and patient empowerment are changing doctor-patient relationship