Huikko-Tarvainen, S., & Auvinen, T. (2025). Archetypes of bad physician leaders – a qualitative study from a large Finnish central hospital. Leadership in Health Services, 38(5), 48–64. doi.org/10.1108/LHS-...
Huikko-Tarvainen, S., & Auvinen, T. (2025). Archetypes of bad physician leaders – a qualitative study from a large Finnish central hospital. Leadership in Health Services, 38(5), 48–64. doi.org/10.1108/LHS-...
This study puts structure around what many physicians (people?) already know viscerally: the boss matters.
And bad ones?
They hurt people, they hurt processes and they prevent growth.
This study puts structure around what many physicians (people?) already know viscerally: the boss matters.
And bad ones?
They hurt people, they hurt processes and they prevent growth.
If you’re designing leadership training, health org policy, or just trying to understand why your clinic morale is in the sewer: this paper has receipts.
Leadership isn’t optional.
And bad leadership isn’t invisible, it’s deeply felt.
If you’re designing leadership training, health org policy, or just trying to understand why your clinic morale is in the sewer: this paper has receipts.
Leadership isn’t optional.
And bad leadership isn’t invisible, it’s deeply felt.
Also, “good” leaders aren’t always good, sometimes the same person does both well and terribly, which may be even more destabilizing for teams.
Also, “good” leaders aren’t always good, sometimes the same person does both well and terribly, which may be even more destabilizing for teams.
❤️🩹 These archetypes aren’t rare quirks, they contribute directly to physician burnout, turnover, and ultimately patient harm.
❤️🩹 These archetypes aren’t rare quirks, they contribute directly to physician burnout, turnover, and ultimately patient harm.
* Unfair: Gender bias, unequal workloads, and the classic “Are you planning to have children?” interview question
* Unfair: Gender bias, unequal workloads, and the classic “Are you planning to have children?” interview question
* Incompetent: Doesn’t understand clinic workflow, but knows how to slam fists on tables
* Incompetent: Doesn’t understand clinic workflow, but knows how to slam fists on tables
* Autocratic: “We made this major decision. Surprise!”
* Bully: Public humiliation as a leadership strategy
* Manipulative: Nepotism and shady backdoor hires
* Autocratic: “We made this major decision. Surprise!”
* Bully: Public humiliation as a leadership strategy
* Manipulative: Nepotism and shady backdoor hires
🧊 Lack of support & accessibility
* Absent: Physically/emotionally unavailable
* Dismissive: Shrugs off distress with “same” or silence.
🧊 Lack of support & accessibility
* Absent: Physically/emotionally unavailable
* Dismissive: Shrugs off distress with “same” or silence.
📍Setting: A large central hospital in Finland 👩⚕️Participants: 50 physicians (residents to chiefs)
📝 Data: Semi-structured, in-person interviews
📊 Analysis: Inductive content analysis + thematic coding
Translation: They talked to docs and let the horror stories speak for themselves.
📍Setting: A large central hospital in Finland 👩⚕️Participants: 50 physicians (residents to chiefs)
📝 Data: Semi-structured, in-person interviews
📊 Analysis: Inductive content analysis + thematic coding
Translation: They talked to docs and let the horror stories speak for themselves.
🩺Physician leadership matters—for care quality, team morale, and retention.
But most research focuses on “good” leaders.
☠️ What about the ones who make you want to fake a seizure to just to leave the meeting?
This study fills that gap.
🩺Physician leadership matters—for care quality, team morale, and retention.
But most research focuses on “good” leaders.
☠️ What about the ones who make you want to fake a seizure to just to leave the meeting?
This study fills that gap.