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During August I have been working at the FMLM’s London office to gain a deeper understanding of medical leadership and management and to help FMLM engage with and expand its student membership.

It's not the most immediate of comparisons, but a recent conversation with a regional medical director led to us discussing how best to conceptualise effective leadership as a sustainable entity. The slinky spring made a metaphorical appearance at this point and I wonder if you've ever heard this one, or might have forgotten it. It's not new but it bears repetition, and you can make as much of it as you wish, the longer you mull it over.

The Holy Grail in NHS reform is integrated care. Being a Clinical Commissioning Group Board Member, it has brought home to me the importance of leadership that can work across organisational boundaries to achieve transformational change. This is not easy as all the players - acute trusts, partnership trusts, CCGs  and local authorities- have differing cultures, accountabilities, priorities and budgetary restraint.

Rebecca Rohrer, Elizabeth Emsley

What is medical leadership, how can it work for you and how can you get involved? These were some of the questions posed by the King's Fund to a group of FMLM trainees and medical students at a King's Fund event this week.

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.

During a recent phone call with Peter Lees (founding director of FMLM), he was a little surprised that I knew that he had been at the recent King’s Fund leadership summit[1],[2], espousing the virtues of leadership at the Royal College of Pathologists[3] and at the BMJ group awards[4]. Despite being on call all week, the use of social media have allowed me to not only know this information but to see pictures of the events and read quotes of what was said. Medical leadership news, to me, isn’t about reading news covered by print journals or about emails I receive.

(1)Medical: relating to the science or practice of medicine

(2)Management, Medicine and Psychiatry: the treatment or control of diseases or disorders, or the care of patients who suffer them

(3)Leadership: the action of leading a group of people or an organisation, or the ability to do this

The above are some of the online Oxford Dictionaries definitions, there are other meanings which you can check out.

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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