What does this research mean for the field?

Hybrid physician-managers in senior co-leadership roles actively modulate role distance through subtle, private practices to create a separate space ('elsewhereness') and manage fears of being engulfed by the medical component of their role. Novelty: ClaimNovelty.NOVEL_FINDING. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To investigate how hybrid physician-managers in senior co-leadership positions modulate psychological and professional distance from both their clinical and managerial roles.

August 30, 2026Leadership in health services

When fears of exclusion meet fears of engulfment: how hybrid medical co-directors modulate role distance

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Authors

EGEmilie M. Gibeau

Discussion

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Overview

Qualitative narrative study uncovers thirteen practices used by hybrid physician-managers to modulate role distance, highlighting how co-leaders navigate fears of clinical engulfment.

Key Points

To investigate how hybrid physician-managers in senior co-leadership positions modulate psychological and professional distance from both their clinical and managerial roles.
Conducted a qualitative narrative study examining 20 hybrid physician-managers across four healthcare organizations in Quebec.
Analyzed leadership narratives to identify micro-practices used to navigate boundaries with peers and administrative co-directors.
Identified 13 distinct practices used to modulate role distance, including four practices specifically regulating proximity to administrative co-directors.
Demonstrated that leaders create vertical distance through subtle, private micro-practices rather than overt gestures to establish a psychological space of 'elsewhereness.'
Identified a dual-tension dynamic where hybrid leaders simultaneously manage fears of medical ostracism, managerial co-optation, and engulfment by their clinical identity.

Cite This Study

Emilie M. Gibeau (2026) studied this question.

synapsesocial.com/papers/6a93f0b06c1a8fb52e79d027 https://doi.org/10.1108/lhs-11-2025-0178

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August 30, 2026Leadership in health services

When fears of exclusion meet fears of engulfment: how hybrid medical co-directors modulate role distance

View Full Paper

Ask AI

Bookmark

Authors

EGEmilie M. Gibeau

Discussion

Member takes

Overview

Qualitative narrative study uncovers thirteen practices used by hybrid physician-managers to modulate role distance, highlighting how co-leaders navigate fears of clinical engulfment.

Key Points

To investigate how hybrid physician-managers in senior co-leadership positions modulate psychological and professional distance from both their clinical and managerial roles.
Conducted a qualitative narrative study examining 20 hybrid physician-managers across four healthcare organizations in Quebec.
Analyzed leadership narratives to identify micro-practices used to navigate boundaries with peers and administrative co-directors.
Identified 13 distinct practices used to modulate role distance, including four practices specifically regulating proximity to administrative co-directors.
Demonstrated that leaders create vertical distance through subtle, private micro-practices rather than overt gestures to establish a psychological space of 'elsewhereness.'
Identified a dual-tension dynamic where hybrid leaders simultaneously manage fears of medical ostracism, managerial co-optation, and engulfment by their clinical identity.

Cite This Study

Emilie M. Gibeau (2026) studied this question.

synapsesocial.com/papers/6a93f0b06c1a8fb52e79d027 https://doi.org/10.1108/lhs-11-2025-0178

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