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Exploring the nature of physician leadership for family medicine resident physicians: a phenomenological study

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dc.contributor.authorDewsnap, Michael A., author
dc.contributor.authorLynham, Susan A., advisor
dc.contributor.authorArroliga, Alejandro C., committee member
dc.contributor.authorCoates, Tabitha L., committee member
dc.contributor.authorHooper, Barbara R., committee member
dc.date.accessioned2020-06-22T11:53:34Z
dc.date.available2020-06-22T11:53:34Z
dc.date.issued2020
dc.description.abstractFrom solo practitioner in the late 19th century to team leader and policy maker in the 21st century, the physician's role is becoming increasingly complex and often extending beyond the perceived traditional realm of patient care. Such complexity has garnered recent attention for defining and developing physician leadership in order to equip physicians to lead in the shifting landscape of health care. Nonleader resident physicians are an underrepresented population in the literature on physician leadership. Although a few resident physicians assume formal leadership roles in medical residency, the majority serve as leaders by virtue of their stage in training or as informal leaders to peers and others. Little is known about resident physicians not in formal roles (nonleaders) and how they describe physician leadership through their lived experiences in graduate medical education. This study explored the nature of physician leadership for nonleader family medicine resident physicians from their descriptions of physician leadership. Guided by the constructivist paradigm, the research question for this qualitative study was, How do family medicine resident physicians describe and experience the nature of physician leadership? The conceptual framework consisted of (a) two foundational leadership elements, (b) leadership era paradigms, and (c) three contexts of medical education. Descriptive phenomenology was selected as the methodology and data were collected from six family medicine residents in two family medicine residency programs in a southwestern state in the United States. The participants met criteria and completed two rounds of interviews and member checking. The data were analyzed through integrative data analysis and yielded themes about what was experienced regarding physician leadership, such as (a) the environment created by physician leaders, (b) the attributes and behaviors of physician leaders, and (c) the focus on the followers. These themes were bound by how the resident physicians experienced these aspects, such as through the context of the specialty of family medicine, the graduate medical education context, and the apprenticeship structure of medical residency that facilitated day-to-day proximity to physician leaders. Conclusions and recommendations for practice, future research, and theorizing are also presented.
dc.format.mediumborn digital
dc.format.mediumdoctoral dissertations
dc.identifierDewsnap_colostate_0053A_15873.pdf
dc.identifier.urihttps://hdl.handle.net/10217/208521
dc.languageEnglish
dc.language.isoeng
dc.publisherColorado State University. Libraries
dc.relation.ispartof2020-
dc.rightsCopyright and other restrictions may apply. User is responsible for compliance with all applicable laws. For information about copyright law, please see https://libguides.colostate.edu/copyright.
dc.subjectlived experience
dc.subjectphysician
dc.subjectresident physicians
dc.subjectphenomenology
dc.subjectleadership
dc.subjectqualitative research
dc.titleExploring the nature of physician leadership for family medicine resident physicians: a phenomenological study
dc.typeText
dcterms.rights.dplaThis Item is protected by copyright and/or related rights (https://rightsstatements.org/vocab/InC/1.0/). You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s).
thesis.degree.disciplineEducation
thesis.degree.grantorColorado State University
thesis.degree.levelDoctoral
thesis.degree.nameDoctor of Philosophy (Ph.D.)

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