November 11, 2022 – While administrative leadership programs positively impact the career paths of individual leaders, male leaders benefit more from these programs than female leaders do, according to a longitudinal study featured in the November/December issue of Journal of Healthcare Management (JHM), an official publication of the American College of Healthcare Executives. The journal is published in the Lippincott portfolio by Wolters Kluwer.
The study looked at the value of administrative fellowship programs on career attainment as well as whether career attainment differs by gender. Findings indicate that “although fellowships can accelerate career progression for both men and women, the effect is significantly stronger for men, suggesting that, in aggregate, there is some risk that fellowships may be widening the leadership gender gap, rather than attenuating it,” write Julie Robbins, PhD, The Ohio State University, along with Brooke Z. Graham, MBA, MS, James Madison University, Andrew N. Garman, PsyD, Rush University, Randa Smith Hall, MBA, MHSA, University of Alabama-Birmingham, and Jeffrey Simms, MSPHA, University of North Carolina at Chapel Hill, in the November issue of the Journal of Healthcare Management (JHM).
Diverse leadership can lead to higher quality of care
While women account for nearly 80% of the total healthcare workforce in the United States (and 70% globally), they represent just 30% of C-suite positions. Further, a recent survey reported 86% of women in healthcare believe change is needed to increase women in senior leadership positions. Many experts and analysts believe women leaders—and more diverse leadership in general—are critical for an efficient healthcare organization that provides high-quality care to patients from all backgrounds.
Administrative fellowship programs are highly selective and designed to help graduates move directly into healthcare leadership positions, offering practical experience as well as professional networking opportunities. Many programs focus on increasing gender diversity, yet there are few studies of the programs’ impact on career progression and on gender disparities in leadership.
The research team set out to uncover whether there is a difference in career attainment between female and male graduates, between those who graduated from an administrative fellowship program and those who did not, and between female and male administrative fellows.
Demographic and career attainment data were collected in 2018 from historical records, alumni databases, and career resources of the graduating classes of 2013, 2008, and 1998 from 15 administrative fellowship programs. The sample included 689 student records.
Closing the gender gap in healthcare leadership requires career-supporting strategies and initiatives
Among the findings, women were found to be a slight majority of graduates across the three graduating classes. Those who began their careers in administrative fellowships increased to 38% in 2013. Further, 52% of graduates across the three classes held senior management or executive positions as of 2018. Finally, while beginning a healthcare career in an administrative fellowship appears to accelerate career attainment for both women and men, the effect is significantly stronger for men.
While additional studies and efforts are needed, the authors believe “this research can help early careerists and especially women better understand their career planning steps and developmental opportunities to reach leadership positions.” It is clear that administrative fellowship programs are a valuable vehicle for leadership development.
The article goes on to suggest that administrative fellowship program directors can help reduce this gender gap by, for example, re-designing programs to be more equitable, further expanding program access to women, and tracking program application patterns by gender.
Read [Closing the Gender Gap in Healthcare Leadership: Can Administrative Fellowships Play a Role?]
DOI: 10.1097/JHM-D-21-00314
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About the Journal of Healthcare Management
The Journal of Healthcare Management (JHM) is an official journal of the American College of Healthcare Executives (ACHE). Published bimonthly, JHM is a peer-reviewed publication dedicated to providing healthcare leaders with the information they need to manage complex healthcare issues and to make effective strategic decisions. JHM provides a forum for discussion of current trends and presentation of new research as applied to healthcare management.
About the American College of Healthcare Executives
The American College of Healthcare Executives is an international professional society of more than 48,000 healthcare executives who lead hospitals, healthcare systems and other healthcare organizations. ACHE's mission is to advance its members and healthcare leadership excellence. ACHE offers its prestigious FACHE® credential, signifying board certification in healthcare management. ACHE's established network of 76 chapters provides access to networking, education and career development at the local level. In addition, ACHE is known for its magazine, Healthcare Executive, and its career development and public policy programs. Through such efforts, ACHE works toward its vision of being the preeminent professional society for leaders dedicated to improving health.
The Foundation of the American College of Healthcare Executives was established to further advance healthcare management excellence through education and research. The Foundation of ACHE is known for its educational programs, including the annual Congress on Healthcare Leadership, which draws more than 4,000 participants and groundbreaking research. Its publishing division, Health Administration Press, is one of the largest publishers of books and journals on health services management, including textbooks for college and university courses. For more information, visit www.ache.org.
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Journal of Healthcare Management