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World J Surg (2018) 42:1655–1665

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Fig. 1 Flow diagram of the literature search procedure

Organization management

suggest that dual-degree trainees gain leadership skills to enable them to influence the direction and future of their healthcare system. Interestingly, Goldman et al. [13] found that graduates of MD/MBA programs reported receiving more leadership offers than their counterparts. Ackerly et al. [2] and Keogh [14] also postulated that developing both clinical and management skill sets during MD/MBA graduate medical education holds the promise of creating a bench of talented future PEs. Both Satiani [15] and Spehar [16] have recognized that appointment of clinically skilled physicians as leaders without specific training in the areas described in the MBA program could result in failure. The MBA training is likely to enable PEs to provide much needed leadership to an evolving medical care system, thereby addressing a pressing societal need, according to Krupat [17]. Hall [18] agreed that MBA graduates will be optimally positioned to assume leadership positions in healthcare institutions and industry. In that same vein, Butcher [19] found in their studies that MD/MBA students learn the tools necessary to become more effective leaders.

Leadership (n = 17)

The importance of leadership development was empha sized as providing added value to physicians in 17 of 23 studies. According to Orlando et al. [4] the current state of health care and its ongoing reforms will require physician leaders to take on greater management responsibilities, which will require a unique set of organizational and leadership competencies that traditional medical education does not provide. Sherrill [9] reports that leadership assets gained during the pursuit of an MBA provided physicians with the confidence to influence others and their environ ment as leaders. Furthermore, physician executives were able to blend clinical and management skills into an effective vision for healthcare delivery [10]. Zheng et al. [11] stated that the dual-degree training may help surgeons more effectively interact with hospital administrators, investors and patients alike. In addition, Sherrill [12] pointed out that MD/MBA student surveys

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