Send to

Choose Destination
Ann Am Thorac Soc. 2018 Jun;15(6):655-661. doi: 10.1513/AnnalsATS.201801-033FR.

Leadership Primer for Current and Aspiring Pulmonary, Critical Care, and Sleep Medicine Academic Division Chiefs.

Author information

1 Division of Pulmonary, Critical Care, Hyperbaric, and Sleep Medicine, Department of Medicine, Loma Linda University, Loma Linda, California.
2 Harvard Medical School, Boston, Massachusetts.
3 Division of Pulmonary and Critical Care, Department of Medicine, Mount Auburn Hospital, Cambridge, Massachusetts.
4 Section of Pulmonary, Critical Care and Sleep Medicine, Yale University School of Medicine, New Haven, Connecticut.
5 Division of Pulmonary, Critical Care, Allergy and Sleep Medicine, Medical University of South Carolina, Charleston, South Carolina.
6 Division of Pulmonary, Allergy and Critical Care Medicine, University of Massachusetts Medical School, Worcester, Massachusetts.
7 Division of Pulmonary, Critical Care, and Sleep Medicine, University of Washington, Seattle, Washington; and.
8 Division of Pulmonary and Critical Care Medicine, University of Vermont, Burlington, Vermont.


An academic medical career traditionally revolves around patient care, teaching, and scholarly projects. Thus, when an opportunity for a leadership role arises, such as division chief, the new leader is often unprepared with little or no formal leadership training. In this focused review, academic leaders of the Association of Pulmonary, Critical Care, and Sleep Division Directors describe several leadership concepts adapted from the business sector and apply their years of experience to aid new division chiefs with their first day on the job. The first 90 days are highlighted to include achieving early wins; performing a division-wide Strengths, Weaknesses, Opportunities, Threats analysis; establishing division rapport; redefining the division infrastructure; avoiding conflicts; and managing the relationship with the department chair. The five levels of leadership applicable to academic medicine are discussed: position, permission, production, people, and pinnacle. Finally, emotional intelligence and behavior styles crucial to leadership success are reviewed.


academic medicine; division chief; leadership

Supplemental Content

Full text links

Icon for Atypon
Loading ...
Support Center