ABSTRACT
This chapter considers the distinctions between administration, management and leadership. It looks at the competencies needed to manage and lead successfully. The chapter suggests that a framework for evaluating the roles, relationships and responsibilities of the managerial component of any medical job. Modern medical practice is largely delivered by teamwork and so any consultant or principal in general practice will need at least a basic level of competency in management and leadership skills. Modern medicine is a team effort and good relationships are the foundation for effective clinical and managerial teams. Good administration is essential but nobody should employ an expensive doctor to do simple, straightforward administrative tasks. Recruitment and retention of senior medical staff and leading the team of medical managers also appear to be priorities. The chapter also presents some closing thoughts on the key concepts discussed in the preceding chapters of this book.
