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Quite recently, I was giving a lecture at the International Conference on Emergency Medicine in Dublin relating to 'effective environments' in the workplace. For that particular conference, I chose to focus on the educational aspects of an effective workplace, but the same approach can be employed to the leadership environment in which we work.

Parrhesia? No, I hadn't heard of it either. But then, a few years ago whilst undertaking research for what was to become my PhD thesis, I became deeply interested in the writings of French philosopher Michel Foucault. One of Foucault's abiding passions was a scrutiny of the basis of perceived 'power' in traditional medical discourse.

Reading the works of Warren Bennis, Founding Chairman of the Leadership Institute of the University of Southern California, is always stimulating and yet frequently unsettling, for Bennis places self-reflection and self-awareness of character at the heart of anything approaching a description of the ‘good leader’. I wonder to what degree we truly – truly - reflect upon, moreover are aware of the shortcomings of, our characters and our personal values when it comes to seeing ourselves as leaders.

“The thing that gets me,” said the doctor sitting next to me “is that when I hear you talking about leadership and management and all that, well, I’m just glad I’m not one of those people.”

“You mean, those who are interested in leadership, management….and all that?” I asked.

“Yeah,” he replied. “I’m just keen to see patients and get to know my stuff…to be good at the clinical side. I’m not really interested in the management things. But I’m glad there are folk like you, though…saves me having to worry about it! Now – can I ask you about that lady I just saw in Cubicle 14?”

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