What are the Leadership and Management Positions in Medical Education? A Scoping Review


DOI: https://doi.org/10.6018/edumed.606541
Palabras clave: leadership, management, positions, medical education, academic medicine


Leadership can be defined as a combination of position, responsibilities, attitude, skills, and behaviours contributing to sustainable success. Despite extensive research on the representation of various groups, including genders and personal qualities, in leadership and management positions in medical education, there remains a lack of clarity regarding what these positions exactly are. In this scoping review, we aimed to determine these positions by following Levac et al.'s framework. We searched four databases; PubMed, ERIC, Scopus, and Web of Science until March 23, 2023, resulting in 558 records for screening after removing duplicates and applying some exclusions. The review included 266 studies for data extraction and synthesis. In addition to the leadership positions, we revealed the studies’ countries, main context, discipline, and year. We identified 396 leadership and management positions in medical education under four categories: academic, administrative, journal- related, and society-related positions. Additionally, the majority of the studies (59.77%) were on gender-related topics, followed by those focusing on underrepresented minorities. The articles covered 40 different disciplines, with the surgical fields exhibiting the highest frequencies, such as orthopaedic surgery, neurosurgery, and plastic and reconstructive surgery. The systematically developed list of positions in our study may be considered as a valuable resource for future research, especially in studies that aim to determine the representation of women and underrepresented minorities in leadership and management positions in medical education.


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Vender, R. J. (2015). Leadership: An Overview. American Journal of Gastroenterology, 110(3), 362–367. https://doi.org/10.1038/ajg.2014.199

Swanwick, T., & McKimm, J. (2011). What is clinical leadership...and why is it important? The Clinical Teacher, 8(1), 22–26. https://doi.org/10.1111/j.1743-498X.2010.00423.x

Hartley, K. (2016). Untangling approaches to management and leadership across systems of medical education. BMC Health Services Research, 16(S2), 180. https://doi.org/10.1186/s12913-016-1391-9

Van Diggele, C., Burgess, A., Roberts, C., & Mellis, C. (2020). Leadership in healthcare education. BMC Medical Education, 20(S2), 456. https://doi.org/10.1186/s12909-020-02288-x

James, E., Evans, M., & Mi, M. (2021). Leadership Training and Undergraduate Medical Education: A Scoping Review. Medical Science Educator, 31(4), 1501–1509. https://doi.org/10.1007/s40670-021- 01308-9

Webb, A. M. B., Tsipis, N. E., McClellan, T. R., McNeil, M. J., Xu, M., Doty, J. P., & Taylor, D. C. (2014). A First Step Toward Understanding Best Practices in Leadership Training in Undergraduate Medical

Education: A Systematic Review. Academic Medicine, 89(11), 1563–1570. https://doi.org/10.1097/ACM.0000000000000502

Myers, C. G., & Pronovost, P. J. (2017). Making Management Skills a Core Component of Medical Education: Academic Medicine, 92(5), 582–584. https://doi.org/10.1097/ACM.0000000000001627

Alwazzan, L., & Al-Angari, S. S. (2020). Women’s leadership in academic medicine: A systematic review of extent, condition and interventions. BMJ Open, 10(1). https://doi.org/10.1136/bmjopen-2019- 032232

RevEspEduMed 2021 , 1 , x for review 15of 18

Nivet, M. A. (2010). Minorities in academic medicine: Review of the literature. Journal of Vascular

Surgery, 51(4), S53–S58. https://doi.org/10.1016/j.jvs.2009.09.064

Pololi, L. H., Evans, A. T., Gibbs, B. K., Krupat, E., Brennan, R. T., & Civian, J. T. (2013). The Experience of Minority Faculty Who Are Underrepresented in Medicine, at 26 Representative U.S. Medical Schools: Academic Medicine, 88(9), 1308–1314. https://doi.org/10.1097/ACM.0b013e31829eefff

Coe, C., Piggott, C., Davis, A., Hall, M. N., Goodell, K., Joo, P., & South-Paul, J. E. (2020). Leadership Pathways in Academic Family Medicine: Focus on Underrepresented Minorities and Women. Family Medicine, 52(2), 104–111. https://doi.org/10.22454/FamMed.2020.545847

Gabel, S. (2014). Expanding the Scope of Leadership Training in Medicine: Academic Medicine, 89(6), 848–852. https://doi.org/10.1097/ACM.0000000000000236

Levac, D., Colquhoun, H., & O’Brien, K. K. (2010). Scoping studies: Advancing the methodology. Implementation Science, 5(1), 69. https://doi.org/10.1186/1748-5908-5-69

Arksey, H., & O’Malley, L. (2005). Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19–32. https://doi.org/10.1080/1364557032000119616

Maggio Maggio, L. A., Samuel, A., & Stellrecht, E. (2022). Systematic Reviews in Medical Education. Journal of Graduate Medical Education, 14(2), 171–175. https://doi.org/10.4300/JGME-D-22-00113.1

Thomas, A., Lubarsky, S., Varpio, L., Durning, S. J., & Young, M. E. (2020). Scoping reviews in health professions education: Challenges, considerations and lessons learned about epistemology and methodology. Advances in Health Sciences Education, 25(4), 989–1002. https://doi.org/10.1007/s10459- 019-09932-2

Young, M. E., Thomas, A., Lubarsky, S., Gordon, D., Gruppen, L. D., Rencic, J., Ballard, T., Holmboe, E., Da Silva, A., Ratcliffe, T., Schuwirth, L., Dory, V., & Durning, S. J. (2020). Mapping clinical reasoning literature across the health professions: A scoping review. BMC Medical Education, 20(1), 107. https://doi.org/10.1186/s12909-020-02012-9

Michael Ian Shamos. (2002). Handbook of Academic Titles. http://euro.ecom.cmu.edu/titles/titlebook.htm#Academic%20Professor

Hege, I., Schüttpelz-Brauns, K., & Kiessling, C. (2022). How is the situation of women in leadership positions in medical education in Germany? [Text/html]. https://doi.org/10.3205/ZMA001557

Kusurkar, R. A. (2022). The leaky pipeline of publications and knowledge generation in medical education. Perspectives on Medical Education, 11(2), 70–72. https://doi.org/10.1007/S40037-022-00700- 4

Manan, M. R., Nawaz, I., Rahman, S., & Manan, H. (2023). Diversity, equity, and inclusion in medical education journals: An evaluation of editorial board composition. Medical Teacher, 1–9. https://doi.org/10.1080/0142159X.2023.2249212

Budakoğlu, I. İ., Sayılır, M. Ü., Kıyak, Y. S., Coşkun, Ö., & Kula, S. (2021). Telemedicine curriculum in undergraduate medical education: A systematic search and review. Health and Technology, 11(4), 773–781. https://doi.org/10.1007/s12553-021-00559-1

Kulo, V., & Cestone, C. (2023). A Bibliometric Analysis of the 100 Most Cited Articles on Problem- Based Learning in Medical Education. Medical Science Educator. https://doi.org/10.1007/s40670-023- 01893-x

Naidu, T. (2021). Southern exposure: Levelling the Northern tilt in global medical and medical humanities education. Advances in Health Sciences Education, 26(2), 739–752. https://doi.org/10.1007/s10459-020-09976-9

Young, M. E., Thomas, A., Lubarsky, S., Gordon, D., Gruppen, L. D., Rencic, J., Ballard, T., Holmboe, E., Da Silva, A., Ratcliffe, T., Schuwirth, L., Dory, V., & Durning, S. J. (2020). Mapping clinical reasoning literature across the health professions: A scoping review. BMC Medical Education, 20(1), 107. https://doi.org/10.1186/s12909-020-02012-9

Acuña, A. J., Sato, E. H., Jella, T. K., Samuel, L. T., Jeong, S. H., Chen, A. F., & Kamath, A. F. (2021). How Long Will It Take to Reach Gender Parity in Orthopaedic Surgery in the United States? An Analysis of the National Provider Identifier Registry. Clinical Orthopaedics and Related Research, 479(6), 1179–1189. https://doi.org/10.1097/CORR.0000000000001724

Bi, A. S., Fisher, N. D., Bletnitsky, N., Rao, N., Egol, K. A., & Karamitopoulos, M. (2022). Representation of Women in Academic Orthopedic Leadership: Where Are We Now? Clinical Orthopedics and Related Research, 480(1), 45–56. https://doi.org/10.1097/CORR.0000000000001897

Brisbin, A. K., Chen, W., Goldschmidt, E., Smith, B. T., & Bourne, D. A. (2022). Gender Diversity in

Hand Surgery Leadership. Hand (New York, N.Y.), 15589447211038679. https://doi.org/10.1177/15589447211038679

Day, C. S., Tabrizi, S., Kramer, J., Yule, A. C., & Ahn, B. S. (2010). Effectiveness of the AAOS Leadership Fellows Program for Orthopedic Surgeons. The Journal of Bone and Joint Surgery. American Volume, 92(16), 2700–2708. https://doi.org/10.2106/JBJS.J.00272

Hiemstra, L., Wittman, T., Mulpuri, K., Vezina, C., & Kerslake, S. (2019). Dissecting disparity: Improvements toward gender parity in leadership and on the podium within the Canadian Orthopedic Association. JOURNAL OF ISAKOS JOINT DISORDERS & ORTHOPAEDIC SPORTS MEDICINE, 4(5), 227–232. https://doi.org/10.1136/jisakos-2019-000290

Hoof, M. A., Sommi, C., Meyer, L. E., Bird, M. L., Brown, S. M., & Mulcahey, M. K. (2020). Gender- related Differences in Research Productivity, Position, and Advancement Among Academic Orthopedic Faculty Within the United States. The Journal of the American Academy of Orthopedic Surgeons, 28(21), 893–899. https://doi.org/10.5435/JAAOS-D-19-00408

Rynecki, N. D., Krell, E. S., Potter, J. S., Ranpura, A., & Beebe, K. S. (2020). How Well Represented Are Women Orthopedic Surgeons and Residents on Major Orthopedic Editorial Boards and Publications? Clinical Orthopedics and Related Research, 478(7), 1563–1568. https://doi.org/10.1097/CORR.0000000000000824

Sobel, A. D., Cox, R. M., Ashinsky, B., Eberson, C. P., & Mulcahey, M. K. (2018). Analysis of Factors Related to the Sex Diversity of Orthopedic Residency Programs in the United States. The Journal of Bone and Joint Surgery. American Volume, 100(11), e79. https://doi.org/10.2106/JBJS.17.01202

Yue, T., & Khosa, F. (2020). Academic Gender Disparity in Orthopedic Surgery in Canadian Universities. Cureus, 12(3), e7205. https://doi.org/10.7759/cureus.7205

Benzil, D. L., Abosch, A., Germano, I., Gilmer, H., Maraire, J. N., Muraszko, K., Pannullo, S., Rosseau, G., Schwartz, L., Todor, R., Ullman, J., & Zusman, E. (2008). The future of neurosurgery: A white paper on the recruitment and retention of women in neurosurgery. Journal of Neurosurgery, 109(3), 378–386. https://doi.org/10.3171/JNS/2008/109/9/0378

Donaldson, K., Callahan, K. E., Gelinne, A., Everett, W., Ames, S. E., Air, E. L., & Durham, S. R. (2021). Gender diversity in United States neurosurgery training programs. Journal of Neurosurgery, 1–6. https://doi.org/10.3171/2020.7.JNS192647

Feng, R., Hoffman, S. E., Wagner, K., Ullman, J. S., Stippler, M., & Germano, I. M. (2021). Women Neurosurgeons in Academic and Other Leadership Positions in the United States. World Neurosurgery, 147, 80–88. https://doi.org/10.1016/j.wneu.2020.12.069

Ganju, A., Mahajan, U. V., Kemeny, H., Gregory Frankel, H., & Benzil, D. L. (2021). Slow progress in the visibility of women in neurosurgery in the United States: Opportunity for improvement. Neurosurgical Focus, 50(3), 1–7. Scopus. https://doi.org/10.3171/2020.12.FOCUS20919

Melnick, K., Grady, C., Cuneo, M., Brennan, M., & Rahman, M. (2021). Academic Accomplishments of Female Neurosurgeons Currently in Practice in the United States. World Neurosurgery, 150, 20–25. https://doi.org/10.1016/j.wneu.2021.03.023

Odell, T., Toor, H., Takayanagi, A., Zampella, B., Siddiqi, J., Jalal, S., Golbaz, K., Qamar, S., & Khosa,

F. (2019). Gender Disparity in Academic Neurosurgery. Cureus, 11(5), e4628. https://doi.org/10.7759/cureus.4628

Renfrow, J. J., Rodriguez, A., Wilson, T. A., Germano, I. M., Abosch, A., & Wolfe, S. Q. (2018). Tracking Career Paths of Women in Neurosurgery. Neurosurgery, 82(4), 576–582. https://doi.org/10.1093/neuros/nyx251

Rodriguez, A. (2015). Women in surgical leadership positions: Further assessment and future planning needed. American Journal of Surgery, 209(6), 1112. https://doi.org/10.1016/j.amjsurg.2014.12.030

Ryan, C. A., Sciscent, B. Y., Bhanja, D., Tucker, J., & Daggubati, L. C. (2023). Female Neurosurgery Residency Program Directors in the United States: A Cross-sectional Descriptive Analysis. World Neurosurgery, 169, 52–56. https://doi.org/10.1016/j.wneu.2022.10.091

Silva, N., Cerasiello, S., Semonche, A., Sotayo, A., Luis, J., Shao, B., Richardson, A., & Eloy, J. A. (2019). Gender Representation at Neurological Surgery Conferences. World Neurosurgery, 129, 453–459. https://doi.org/10.1016/j.wneu.2019.06.062

Chen, K., Ha, G., Schultz, B. D., Zhang, B., Smith, M. L., Bradley, J. P., Thorne, C. H., Kasabian, A. K., Pusic, A. L., & Tanna, N. (2020). Is There Gender Inequality in Plastic Surgery? Evaluation of Society Leadership and Composition of Editorial Boards. Plastic and Reconstructive Surgery, 145(2), 433e– 437e. https://doi.org/10.1097/PRS.0000000000006503

Chen, W., Baron, M., Bourne, D. A., Kim, J. S., Washington, K. M., & De La Cruz, C. (2020). A report on the representation of women in academic plastic surgery leadership. Plastic and Reconstructive Surgery, 844–852. Scopus. https://doi.org/10.1097/PRS.0000000000006562

Hughes, A. J., Samson, T. D., Henry, C. R., & Johnson, T. S. (2022). A Descriptive Analysis of Integrated Plastic Surgery Residency Program Directors in the United States. Annals of Plastic Surgery, 89(4), 344–349. Scopus. https://doi.org/10.1097/SAP.0000000000003239

Landeen, K. C., Xie, Y., Moran, M. L., & Yang, S. F. (2022). Female Representation and Academic Leadership in Facial Plastic and Reconstructive Surgery. Laryngoscope, 132(4), 781–785. Scopus. https://doi.org/10.1002/lary.29839

Ngaage, L. M., Harris, C., Rosen, C., Ge, S., Kim, C., Rada, E. M., Manahan, M., Silverman, R. P., Slezak, S., & Rasko, Y. M. (2020). Sex Disparity in Academic Rank and Industry Payments to Plastic Surgeons. Annals of Plastic Surgery, 84(2), 201–207. https://doi.org/10.1097/SAP.0000000000001989

Ngaage, L. M., Ngadimin, C., Harris, C., Rawes, C., Wu, Y., Landford, W., Slezak, S., & Rasko, Y. M. (2020). The Glass Ceiling in Plastic Surgery: A Propensity-Matched Analysis of the Gender Gap in Career Advancement. Plastic and Reconstructive Surgery, 146(3), 690–697. https://doi.org/10.1097/PRS.0000000000007089

Robinson, I. S., Silva, A. K., Abdou, S. A., Daar, D. A., Hazen, A., & Thanik, V. (2020). Melting the Plastic Ceiling: Where We Currently Stand on Measures to Support Women in Academic Plastic Surgery. Plastic and Reconstructive Surgery, 698–707. Scopus. https://doi.org/10.1097/PRS.0000000000007090

Cómo citar
Erkan, B., Koyuncu, S. B., Eroğlu, F. S., & Kıyak, Y. S. (2024). What are the Leadership and Management Positions in Medical Education? A Scoping Review. Revista Española de Educación Médica, 5(3). https://doi.org/10.6018/edumed.606541