Career path from a dentist to a leader

2018 ◽  
Vol 31 (4) ◽  
pp. 384-397
Author(s):  
Tiina A. Tuononen ◽  
Anna Liisa Suominen ◽  
Johanna Lammintakanen
Keyword(s):  
Health Care ◽  
Goal Orientation ◽  
Career Paths ◽  
Career Path ◽  
Structured Interview ◽  
Personal Factors ◽  
Leadership Positions ◽  
Content Type ◽  
Career Anchor ◽  
Interesting Possibility

Purpose The purpose of this paper was to study the career paths of leaders with a career background as a dentist from basic degree to chief or executive leadership positions and individual factors that influenced their decisions. Design/methodology/approach Semi-structured interview and a questionnaire were used to study 13 leaders using the structure of Edgar Schein’s career anchor interview and career orientation inventory questionnaire. Theory-driven content analysis was used to analyze the data according to themes which included career paths, factors associated with job and career changes and thoughts about future careers. Findings Three different career path types were identified: Progressives (Type A), By chance (Type B), and Enthusiasts (Type C). The main motives were: the Progressives’ goal orientation to proceed to higher leadership positions, the By chance group’s job and even career changing by taking a chance on an interesting possibility that comes their way and the Enthusiasts’ willingness to make a difference and search for possibilities to change things. The most important career anchor was “pure challenge” among the Progressives and By chance groups and “general managerial competence” among the Enthusiasts. Originality/value Studies on personal factors associating with career paths in health care are scarce and similarly leaders with a dentist background are less studied, even though leadership could be an excellent career choice for a dentist. Different individuals can have varied motives and career paths toward executive positions. Because of the multi-professional functions in health care, organizations could benefit from having leaders with different expertise backgrounds.

In their own words: describing Canadian physician leadership

2016 ◽  
Vol 29 (3) ◽  
pp. 264-281 ◽  
Author(s):  
Anita J. Snell ◽  
Graham Dickson ◽  
Debrah Wirtzfeld ◽  
John Van Aerde
Keyword(s):  
Health Care ◽  
Health Care Organizations ◽  
Structured Interview ◽  
Baseline Data ◽  
Leadership Roles ◽  
Personal Factors ◽  
Physician Leadership ◽  
Content Type ◽  
Canadian Physician ◽  
Physician Leaders

Purpose This is the first study to compile statistical data to describe the functions and responsibilities of physicians in formal and informal leadership roles in the Canadian health system. This mixed-methods research study offers baseline data relative to this purpose, and also describes physician leaders’ views on fundamental aspects of their leadership responsibility. Design/methodology/approach A survey with both quantitative and qualitative fields yielded 689 valid responses from physician leaders. Data from the survey were utilized in the development of a semi-structured interview guide; 15 physician leaders were interviewed. Findings A profile of Canadian physician leadership has been compiled, including demographics; an outline of roles, responsibilities, time commitments and related compensation; and personal factors that support, engage and deter physicians when considering taking on leadership roles. The role of health-care organizations in encouraging and supporting physician leadership is explicated. Practical implications The baseline data on Canadian physician leaders create the opportunity to determine potential steps for improving the state of physician leadership in Canada; and health-care organizations are provided with a wealth of information on how to encourage and support physician leaders. Using the data as a benchmark, comparisons can also be made with physician leadership as practiced in other nations. Originality/value There are no other research studies available that provide the depth and breadth of detail on Canadian physician leadership, and the embedded recommendations to health-care organizations are informed by this in-depth knowledge.

Public accounting profession and fraud detection responsibility

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ni Wayan Rustiarini ◽  
Anik Yuesti ◽  
Agus Wahyudi Salasa Gama
Keyword(s):  
Goal Orientation ◽  
Self Efficacy ◽  
Fraud Detection ◽  
Individual Performance ◽  
Professional Commitment ◽  
Personal Factors ◽  
Accounting Firms ◽  
Content Type ◽  
Expectation Gap

Purpose The study aims to examine the influence of auditor personal factors, such as goal orientation, self-efficacy and professional commitment to auditor’s responsibility to detect the fraudulent, particularly in small accounting firms. Design/methodology/approach The authors surveyed 86 auditors working in small accounting firms in Bali Province, Indonesia. Findings The results prove the role of self-efficacy as a mediating variable in the relationship of goal orientation and auditor responsibility. This result at once confirms that self-efficacy can improve individual performance even in complex tasks. This study also proves the role of professional commitment as a mediator variable. Research limitations/implications Given that the respondents came from small accounting firms, these findings are not intended to be generalized with auditors in large accounting firms. Practical implications These findings highlight essential efforts to reduce audit expectation gaps between auditors and the public. The small accounting firms’ leaders must to alignment workplace organizational goals and organization professional goals. A dualism of purpose causes the auditor to fail to fulfill the responsibility of fraud detection. Social implications There is a severe audit expectation gap related to the auditor’s role in detecting fraud. This finding expected to answer public questions related to auditors’ ability and responsibility in small accounting firms in detecting fraud. Originality/value There is limited research on auditor responsibility, particularly in small audit firms in developing countries. Also, there is still debate scientific about the influence of goal orientation, self-efficacy and professional commitment to auditor performance.

Accountants’ behavioural reactions to external threats: the mediating role of proactive personality in the goal orientation process

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Andrea Tomo ◽  
Davide de Gennaro
Keyword(s):  
Goal Orientation ◽  
Linear Regression Analysis ◽  
Proactive Personality ◽  
Occupational Prestige ◽  
Personal Factors ◽  
Content Type ◽  
Mediating Role ◽  
External Events ◽  
Practical Implications

Purpose In a period of profound crisis for professions, this paper aims to develop knowledge about the role of proactive personality in the relationship between accountants’ occupational prestige and goal orientation. Design/methodology/approach The study draws upon the literature on professions and employs a multiple linear regression analysis to test the mediating role of proactive personality when accountants challenge external events threatening their profession. The study focuses on Italy, an area characterized by a high degree of precariousness where, over the past 30 years, accountants have been facing many threats undermining their occupational prestige. Findings The findings show that proactive accountants are more goal-oriented, unless they perceive that others consider their career to be prestigious. Therefore, the study demonstrates that occupational prestige – more volatile and subject to external forces– can shape proactive personality – usually internally determined and more stable – insofar a perceived low occupational prestige can be mediated by a proactive personality towards goal orientation. Practical implications The study has both academic and practical implications, showing that context-related factors are buffered by personal characteristics when professionals react to external events affecting their prestige. Originality/value The paper sheds lights on the critical issues of setting and achieving goals in uncertain situations, and enhances our understanding of the accounting profession, by identifying new reactions and behaviours based on personal factors as well as exogenous and contextual factors.

Filling the void in lesbian, gay, bisexual, transgender and queer (LGBTQ+) leadership training

2020 ◽  
Vol 33 (2) ◽  
pp. 113-124
Author(s):  
Michael T. Solotke ◽  
Andrea Barbieri ◽  
Darin Latimore ◽  
John Encandela
Keyword(s):  
Health Care ◽  
Leadership Development ◽  
Leadership Training ◽  
Design Methodology ◽  
Leadership Programs ◽  
Leadership Positions ◽  
Content Type ◽  
Essential Step ◽  
Lgbtq Health

Purpose Leadership training refers to the process of helping individuals develop skills to successfully perform in leadership positions. Existing leadership programs have several drawbacks, including the paucity of leadership programs designed for lesbian, gay, bisexual, transgender and queer (LGBTQ+) individuals in health care. The authors addressed this gap by creating and hosting Q-Forward (formerly Q-Med), the first conference focused specifically on leadership development for LGBTQ+ health trainees. Design/methodology/approach In this paper, the authors explain how a conference focused on leadership development for LGBTQ+ health trainees can have benefits for trainees, patients and the health-care system. The authors also report the conference proceedings, including planning, participants, guiding principles and programming. Originality/value This conference was the first conference for LGBTQ+ health trainees focused specifically on leadership training. The authors believe that the conference was unique, and that such training represents an essential step toward long-term improvements in the health of LGBTQ+ people and other populations.

A holistic framework for patient experience: 5P model

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ayse Bengi Ozcelik ◽  
Kaan Varnali ◽  
Sebnem Burnaz
Keyword(s):  
Health Care ◽  
Patient Experience ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Holistic Approach ◽  
Structured Interview ◽  
Research Approach ◽  
Care Providers ◽  
Content Type ◽  
Critical Dimensions

Purpose Hospitals have become competitive organizations striving to serve the needs of empowered consumers seeking positive experiences. As a result, the patient experience turns into a critical driver of performance for hospitals. Accordingly, the question “what are the critical dimensions for creating a well-designed patient experience?” has been drawing increasing attention from the industry and academia alike. This paper aims to contribute to the understanding of patient experience by using multiple source data obtained from experts and patients. Design/methodology/approach This study uses a qualitative research approach to examine the perspectives of both health-care experts and patients about the experience. A semi-structured interview series is conducted with health-care professionals, academicians, researchers, physicians and patients. Findings The results suggest a novel framework for the patient experience including five critical dimensions as follows: provider, physician, patient, personnel and periphery. This framework, 5Ps of patient experience, provides a holistic picture, which integrates the perspectives of patients, health-care providers and experts including scholars and researchers. Practical implications The 5P framework can be used by health-care professionals to better understand the driving factors of patient experience and to create a strategy to improve patient satisfaction. Originality/value To the best of the authors’ knowledge, the present study is the first qualitative study, which provides a holistic approach to patient experience independent from the branch and considers the perspectives of both health-care experts and patients.

Administrator career paths and decision processes

2012 ◽  
Vol 50 (6) ◽  
pp. 788-816 ◽  
Author(s):  
Elizabeth N. Farley‐Ripple ◽  
Jeffrey A. Raffel ◽  
Jennie Christine Welch
Keyword(s):  
Assistant Principals ◽  
Career Paths ◽  
Large Scale ◽  
School Administrators ◽  
Career Decisions ◽  
Structured Interview ◽  
School Administrator ◽  
Future Research ◽  
Content Type ◽  
Study Approach

PurposeThe purpose of this paper is to present qualitative evidence on the processes and forces that shape school administrator career paths.Design/methodology/approachAn embedded case study approach is used to understand more than 100 administrator career transitions within the Delaware education system. Semi‐structured interview data were collected from 48 principals and assistant principals. Coding and analysis occurred through an iterative process, revealing patterns in processes and forces influencing the careers of school administrators.FindingsWhile some career decisions are self‐initiated, most are influenced in part or entirely by other actors in the system, described as recruiting/tapping, requesting, reassigning, passing over, and removing. In self‐initiated decisions to move or stay, a number of “pushes” and “pulls” are identified. Findings also suggest the decision to stay‐equilibrium is driven by relationships with students and by district support.Research limitations/implicationsData are limited to Delaware and represent the voices of principals and assistant principals only. Patterns evident in the data suggest a need to further investigate administrator career behavior qualitatively, as well as directions for future research.Practical implicationsThere is a need to better understand and improve local human resource processes in terms of recruitment and assignment of administrators. Additional research is needed to better identify processes and forces related to career decisions in order to improve leadership recruitment and retention.Originality/valueThis research represents the first large‐scale qualitative study of administrator career behavior and is an important companion to recent quantitative analyses in this area.

Exploring the MICE industry career path

2018 ◽  
Vol 30 (5) ◽  
pp. 2308-2326
Author(s):  
Mingsheng Wang ◽  
Qiuju Luo
Keyword(s):  
Career Paths ◽  
Career Path ◽  
Social World ◽  
Future Research ◽  
Structured Interviews ◽  
High Turnover ◽  
Content Type ◽  
Social Community ◽  
Mice Industry ◽  
Practical Implications

PurposeThis paper aims to explain and resolve the paradoxical situation in China regarding how it is difficult to get an offer of employment in China while people are unwilling to pursue or embark on a career in the Meetings, Incentives, Conventions and Exhibitions (MICE) industry. Therefore, the MICE industry career path should be carefully explored.Design/methodology/approachThe paper used semi-structured interviews with more than 30 representative managers from key MICE companies, a social community perspective and conceptions of the social world combined with the traditional career-ladder model.FindingsThe study’s key findings are: a general career path exists in the MICE industry in China; there are three main types of career paths and two different kinds of promotion mechanisms, which vary according to the type of ownership, scale or other characteristics of companies; and a feedback mechanism, linking social-world events and social community characteristics, affects individual employees and their career paths in the MICE industry, leading to promotion in or retreat from the industry. Typically, the mechanism fits high-level employees better than the freshmen, which leads to high turnover in the MICE labor market.Practical implicationsThis paper provides a better understanding of MICE industry and facilitates people’s employment choices.Originality/valueThis paper provide a new social community perspective for exploring the MICE career path; there are also significant practical implications for MICE elites, which present a new framework for future research and industry applications.

Who will lead the physicians unwilling to lead? Institutional logics and double-bind situations in health care leadership

2016 ◽  
Vol 37 (3) ◽  
pp. 325-340 ◽  
Author(s):  
Alexander Styhre ◽  
Adam Roth ◽  
Jonas Roth
Keyword(s):  
Health Care ◽  
Health Care Organizations ◽  
Clinical Work ◽  
Institutional Logics ◽  
Leadership Roles ◽  
Organizational Setting ◽  
Leadership Positions ◽  
Case Study Methodology ◽  
Content Type ◽  
Swedish Health Care

Purpose – Health care organizations are increasingly demanded to balance the institutional logic of “medical professionalism” and “business-like health care,” that is, to both recognize physicians’ professional expertise while locating it in a wider social, economic, and political organizational setting. The purpose of this paper is to examine the implications from this shift in terms of leadership work in health care organizations. Design/methodology/approach – Case study methodology including interviews with 15 residents in Swedish health care organizations. Findings – A study of the willingness of residents to take on leadership positions show that leadership roles are treated as what is potentially hindering the acquisition of the know-how, skills, and expertise demanded to excel in the clinical work. Consequently, taking on leadership positions in the future was relatively unattractive for the residents. In order to overcome such perceived conflict between professional skill development and leadership roles, top management of health care organizations must help residents overcome such beliefs, or other professional groups may increasingly populate leadership positions, a scenario not fully endorsed by the community of physicians. Originality/value – The paper demonstrates how complementary or completing institutional logics are influencing debates and identities on the “shop floors” of organizations.

Preparing health professions students to lead change

2019 ◽  
Vol 32 (2) ◽  
pp. 182-194 ◽  
Author(s):  
Lisa Rotenstein ◽  
Katherine Perez ◽  
Diana Wohler ◽  
Samantha Sanders ◽  
Dana Im ◽  
...  
Keyword(s):  
Health Care ◽  
Leadership Training ◽  
Business Students ◽  
Leadership Skills ◽  
Health Professions ◽  
Interdisciplinary Teams ◽  
Leadership Positions ◽  
Future Health ◽  
Content Type ◽  
Leadership Curriculum

Purpose Health care systems increasingly demand health professionals who can lead interdisciplinary teams. While physicians recognize the importance of leadership skills, few receive formal instruction in this area. This paper aims to describe how the Student Leadership Committee (SLC) at the Harvard Medical School Center for Primary Care responded to this need by creating a leadership curriculum for health professions students. Design/methodology/approach The SLC designed an applied longitudinal leadership curriculum and taught it to medical, dentistry, nursing, public health and business students during monthly meetings over two academic years. The perceptions of the curriculum were assessed via a retrospective survey and an assessment of team functioning. Findings Most teams met their project goals and students felt that their teams were effective. The participants reported increased confidence that they could create change in healthcare and an enhanced desire to hold leadership positions. The sessions that focused on operational skills were especially valued by the students. Practical implications This case study presents an effective approach to delivering leadership training to health professions students, which can be replicated by other institutions. Social implications Applied leadership training empowers health professions students to improve the health-care system and prepares them to be more effective leaders of the future health-care teams. The potential benefits of improved health-care leadership are numerous, including better patient care and improved job satisfaction among health-care workers. Originality/value Leadership skills are often taught as abstract didactics. In contrast, the approach described here is applied to ongoing projects in an interdisciplinary setting, thereby preparing students for real-world leadership positions.

Prisoners’ experience and perceptions of health care in Australian prisons: a qualitative study

2020 ◽  
Vol 16 (3) ◽  
pp. 249-262
Author(s):  
Adam Capon ◽  
Lien McGowan ◽  
Julia Bowman
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Access To Health Care ◽  
Prison Population ◽  
Health Care Service ◽  
Personal Factors ◽  
Content Type ◽  
Core Category ◽  
Access To Health ◽  
Care System

Purpose Patient-centred care is a key approach used in Australia for the delivery of quality health care, and understanding experiences and perceptions is a key part to this. This paper aims to explore prisoners’ experiences and perceptions of health-care service provision in New South Wales, Australia. Design/methodology/approach In February and March 2017, 24 focus groups, consisting of 128 participants, were undertaken using semi-structured interviews that explored experiences of health care in prison. Findings A conceptualisation of the prisoners’ health-care experience around the core category of access to health care emerged from the data. Enablers or barriers to this access were driven by three categories: a prison construct – how the prisoners “see” the prison system influencing access to health care; a health-care system construct – how the prisoners “see” the prison health-care system and the pathways to navigate it; and personal factors. Communication was the category with the greatest number of relational connections. Research limitations/implications This study takes a pragmatic approach to the analysis of data, the findings forming the basis for a future quantitative study. The findings identify communication as a key issue for access to health care. Originality/value This study provides first-hand accounts of enablers and barriers to accessing health-care services in the prison environment. To the best of the authors’ knowledge, this study is the first of its kind to identify access to health care as a core category and is of value to health workers and researchers that work with the prison population.

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