Designing and Implementing a Competency-based Curriculum: Leadership Implications
Academic Leadership - Online Journal,
Vol. 6 No. 1 (2005): Vol-6-Issue-1-January-2005
Choices in leadership decision-making reflect forces stemming from the leader, the environment and
the group, where the quality of the decision and its acceptance are at stake (Yukl 1981). In academic
institutions, establishing a supportive learning environment is not sufficient for achieving desired
changes; implementing and sustaining the leader’s vision becomes absolutely necessary (Stinson,
Pearson, and Lucas 2006).
Residency programs can be viewed as sub-systems of the departments within the complex system of
healthcare organizations. Complex organizations are marked by multiple layers of hierarchy and open
informational boundaries. Such systems change over time and adapt to the new environment and
participants, where new behaviors follow the momentum for change within the system; thus, in such
complex systems creating an expectation for change is more effective than overcoming resistance
(Minas 2005). Adaptive and participatory leadership are two approaches that have been successfully
used to introduce change in teaching environments.