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Medical providers’ leadership has become essential in today’s complex healthcare environment; however, traditional medical training rarely prepares physicians for management, strategic, and system-level roles. This gap is not unique to medicine: many professions emphasize technical content and practice while providing limited formal preparation for leadership. This narrative review examines the core competencies required for effective physician leadership and the main professional pathways available, with particular attention to the growing role of online and hybrid education. Online formats offered by organizations such as the American Association for Physician Leadership (AAPL), academic partners, and health-system academies provide accessible, flexible options that address time and geographic barriers while supporting competency development in business acumen, emotional intelligence, and change management. Although certain interpersonal skills appear to benefit from hybrid or in-person elements, the available literature suggests that well-designed online programs can contribute meaningfully to physician leadership development. Evidence regarding comparative long-term outcomes of fully online versus hybrid or in-person formats remains limited, and claims of organizational benefit associated with physician leadership should be interpreted with appropriate caution. Healthcare organizations and individual physicians are encouraged to leverage high-quality online and hybrid opportunities as one practical component of broader leadership capacity building.
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Amir Khalighi (2026) studied this question.
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