Best Practices in Leadership Training in Undergraduate Medical Education: A Systematic Review of Studies Published Between 2017–2024
Best Practices in Leadership Training in Undergraduate Medical Education
DOI:
https://doi.org/10.54393/pjhs.v7i1.3632Keywords:
Leadership Training, Medical Students, Undergraduate Medical Education, Curriculum, Professional Development, Teaching MethodsAbstract
Leadership is increasingly recognized as a core professional competency in undergraduate medical education, yet existing training remains inconsistent in structure and depth. Recent studies show considerable variation in how leadership is taught and evaluated, making it difficult for medical schools to define effective educational strategies. Objectives: To synthesize contemporary evidence on teaching methods, curricular structures, and reported outcomes of leadership training for undergraduate medical students (2017–2024). Methods: A systematic search of PubMed, Scopus, and the Cochrane Library (2017–2024) identified original research involving undergraduate medical students. Eligible studies reported a leadership-related intervention, perceptions, or readiness. Data extraction focused on teaching approaches, duration, assessment tools, and reported learning outcomes. Study quality was appraised using MMAT and JBI checklists. Results: Fifteen studies met the inclusion criteria. Most interventions were short workshops, brief courses, or needs-assessment surveys, with only a few longitudinal or integrated curricula. Common pedagogical methods included interactive workshops, reflective activities, team-based tasks, and student-led sessions. Outcomes largely reflected self-reported improvements in communication, teamwork, and confidence, while evidence of behavioural change or objective performance was limited. Considerable inconsistency existed in outcome measures and leadership competencies assessed. Conclusion: Current evidence indicates growing attention to leadership training but highlights significant gaps in curricular structure, assessment tools, and long-term evaluation. Programs using blended, experiential, and repeated learning opportunities show promise, but more rigorous, longitudinal, and competency-based approaches are needed to establish effective leadership development in undergraduate medical education.
References
Stojan J, Haas M, Thammasitboon S, Lander L, Evans S, Pawlik C et al. Online Learning Developments in Undergraduate Medical Education in Response to the COVID-19 Pandemic: A BEME Systematic Review: BEME Guide No. 69. Medical Teacher. 2022 Feb; 44(2): 109-29. doi: 10.1080/0142159X.2021.1992373. DOI: https://doi.org/10.1080/0142159X.2021.1992373
Nicolaou N, Nicolaou C, Nicolaou P, Nicolaides P, Papageorgiou A. Development of a Leadership and Management Module for the Undergraduate Medical Curriculum. BioMed Central Medical Education. 2024 Nov; 24(1): 1310. doi: 10.1186/s12909-024-06004-x. DOI: https://doi.org/10.1186/s12909-024-06004-x
Lewis A, Jamieson J, Smith CA. Professional Identity Formation in Allied Health: A Systematic Review with Narrative Synthesis. Teaching and Learning in Medicine. 2025 Jan; 37(1): 24-40. doi: 10.1080/10401334.2023.2290608. DOI: https://doi.org/10.1080/10401334.2023.2290608
MacKay M, Ford C, Grant LE, Papadopoulos A, McWhirter JE. Developing Competencies in Public Health: A Scoping Review of the Literature on Developing Competency Frameworks and Student and Workforce Development. Frontiers in Public Health. 2024 Mar; 12: 1332412. doi: 10.3389/fpubh.2024.1332412. DOI: https://doi.org/10.3389/fpubh.2024.1332412
Bucklin BA, Asdigian NL, Hawkins JL, Klein U. Making It Stick: Use of Active Learning Strategies in Continuing Medical Education. BioMed Central Medical Education. 2021 Jan; 21(1): 44. doi: 10.1186/s12909-020-02447-0. DOI: https://doi.org/10.1186/s12909-020-02447-0
Chen YM, Chang TH, Chang TF, Tzeng WC. Nursing Department Directors' Perspectives on Leadership Training Programme: A Descriptive Qualitative Study. Nurse Education Today. 2024 Dec; 143: 106405. doi: 10.1016/j.nedt.2024.106405. DOI: https://doi.org/10.1016/j.nedt.2024.106405
Yemane L, Powell C, Edwards J, Shumba T, Alvarez AA, Bandstra B et al. Underrepresented in Medicine Trainees’ Sense of Belonging and Professional Identity Formation After Participation in the Leadership Education in Advancing Diversity Program. Academic Pediatrics. 2025 Jan; 25(1): 102558. doi: 10.1016/j.acap.2024.08.003. DOI: https://doi.org/10.1016/j.acap.2024.08.003
Lee IR, Jung H, Lee Y, Shin JI, An S. An Analysis of Student Essays on Medical Leadership and Its Educational Implications in South Korea. Scientific Reports. 2022 Apr; 12(1): 5788. doi: 10.1038/s41598-022-09617-8. DOI: https://doi.org/10.1038/s41598-022-09617-8
Ghias K, Rehman R, Sabzwari S, Alam F, Abbas A, Ayoub Shaikh P et al. Targeted Needs Assessment for a Leadership Curriculum in a Medical College of a Developing Country. MedEdPublish. 2017 Apr; 6: 74. doi: 10.15694/mep.2017.000074. DOI: https://doi.org/10.15694/mep.2017.000074
Barry ES, Grunberg NE, Kleber HG, McManigle JE, Schoomaker EB. A Four-Year Medical School Leader and Leadership Education and Development Program. International Journal of Medical Education. 2018 Apr; 9: 99. doi: 10.5116/ijme.5abe.12d2. DOI: https://doi.org/10.5116/ijme.5abe.12d2
El Bakry AA, Farghaly A, Shehata MH, Matter A, Hosny S. Evaluation of an Interprofessional Course on Leadership and Management for Medical and Nursing Pre-registration House Officers. Education in Medicine Journal. 2018 Mar; 10(1). doi: 10.21315/eimj2018.10.1.6. DOI: https://doi.org/10.21315/eimj2018.10.1.6
Richard K, Noujaim M, Thorndyke LE, Fischer MA. Preparing Medical Students to be Physician Leaders: A Leadership Training Program for Students Designed and Led by Students. MedEdPORTAL. 2019 Dec; 15: 10863. doi: 10.15766/mep_2374-8265.10863. DOI: https://doi.org/10.15766/mep_2374-8265.10863
Wagenschutz H, McKean EL, Mangrulkar R, Zurales K, Santen S. A First‐Year Leadership Programme for Medical Students. The Clinical Teacher. 2019 Dec; 16(6): 623-9. doi: 10.1111/tct.13005. DOI: https://doi.org/10.1111/tct.13005
Budakoglu II, Coskun O, Karabacak O, Karabacak NI. Curriculum Implementation for Leadership and Teamwork: Medical Students. Gazi Medical Journal. 2021 Jan; 32(1). doi: 10.12996/gmj.2021.05. DOI: https://doi.org/10.12996/gmj.2021.05
Sethi S, Chari S, Shah H, Agarwal R, Dabas R, Garg R. A Pilot Study of the Implementation and Evaluation of a Leadership Program for Medical Undergraduate Students: Lessons Learned. Education for Health. 2021 May; 34(2): 64-72. doi: 10.4103/1357-6283.332959. DOI: https://doi.org/10.4103/1357-6283.332959
Riaz S and Tabassum M. A Need Analysis for Teaching Leadership Skills to Medical Students in Pakistan. Journal of Ayub Medical College Abbottabad. 2021 Feb; 33(1): 75-81.
Abbas SM and Ashar A. Essential Leadership Domains and Strategies to Enhance Leadership Skills Among Undergraduate Medical Students: A Mixed Methods Study. Pakistan Armed Forces Medical Journal. 2021 Oct; 71(5): 1791-6. doi: 10.51253/pafmj.v71i5.3760. DOI: https://doi.org/10.51253/pafmj.v71i5.3760
Hjiej G, Touissi Y, Chouhab O, Hssein J, Hajjioui A, Bentata Y et al. Knowledge, Attitudes, and Practice of Leadership Skills among Undergraduate Medical Students. Acta Bio Medica: Atenei Parmensis. 2023 Feb; 94(1): e2023009.
Imran N, Khalid B, Afzal Z, Azeem S, Fatima O, Haider II et al. Leadership in Undergraduate Medical Education: A Study of Pakistani Medical Students’ Perceptions, Attitudes, and Interest. Annals of King Edward Medical University. 2023 Sep; 29(2): 105-10. doi: 10.21649/akemu.v29i2.5435. DOI: https://doi.org/10.21649/akemu.v29i2.5435
Rajeh NA. Contextual Importance of Leadership and Management Training in Undergraduate Medical Education: Literature Review. Archives of Medicine and Health Sciences. 2023 Jan; 11(1): 148-56. doi: 10.4103/amhs.amhs_294_22. DOI: https://doi.org/10.4103/amhs.amhs_294_22
Alblihed M and Alzghaibi H. Needs Assessment for a Leadership Course in Saudi Medical Schools: The Student Perspective. Advances in Medical Education and Practice. 2024 Dec: 801-13. doi: 10.2147/AMEP.S457187. DOI: https://doi.org/10.2147/AMEP.S457187
Fatima H, Khan MN, Niaz M, Durrani M, Irum S, Sami MA. Cultivating Leadership Attributes in Undergraduate Medical Education: A Mixed Method Study. Journal of Rawalpindi Medical College. 2024; 28(4). doi: 10.37939/jrmc.v28i4.2667. DOI: https://doi.org/10.37939/jrmc.v28i4.2667
SenthilKumar G, Sommers KC, He Y, Stark K, Craig T, Keval A et al. Student Leadership Development Initiative for Medical Students: Lessons Learned from Transitioning to Virtual Modalities. Journal of Medical Education and Curricular Development. 2023 Sep; 10: 23821205231200731. doi: 10.1177/23821205231200731. DOI: https://doi.org/10.1177/23821205231200731
Evans MA, James EJ, Mi M. Leadership Training in Undergraduate Medical Education: A Systematic Review. International Journal of Medical Students. 2023 Mar; 11(1): 58-66. doi: 10.5195/ijms.2023.1717. DOI: https://doi.org/10.5195/ijms.2023.1717
Mucheru D, McAuliffe E, Kesale A, Gilmore B. A Rapid Realist Review on Leadership and Career Advancement Interventions for Women in Healthcare. BioMed Central Health Services Research. 2024 Jul; 24(1): 856. doi: 10.1186/s12913-024-11348-7. DOI: https://doi.org/10.1186/s12913-024-11348-7
Phillipson J, Pinto AC, Kingsley-Smith H, Krachler N, McGivern G, Lyons O. Leadership Training in Healthcare: A Systematic Umbrella Review. British Medical Journal Leader. 2025 Jun: leader-2025. doi: 10.1136/leader-2025-001269. DOI: https://doi.org/10.1136/leader-2025-001269
Shen MR, Tzioumis E, Andersen E, Wouk K, McCall R, Li W et al. Impact of Mentoring on Academic Career Success for Women in Medicine: A Systematic Review. Academic Medicine. 2022 Mar; 97(3): 444-58. doi: 10.1097/ACM.0000000000004563. DOI: https://doi.org/10.1097/ACM.0000000000004563
Keluth Chavan A and Bendriss R. Leadership Curriculum in Medical Education: Exploring Student and Faculty Perceptions in a US Medical School in Qatar. Journal of Healthcare Leadership. 2022 Jan: 163-73. doi: 10.2147/JHL.S370645. DOI: https://doi.org/10.2147/JHL.S370645
Kieran NW, Sinnott JF, Shah YB, Patil S, Round KJ, Wenyon S, Levine LJ. Comparison of Online to in-Person Administration of a Medical Student Leadership Curriculum. Academic Medicine. 2023 Nov; 98(11S): S206-7. doi: 10.1097/ACM.0000000000005408. DOI: https://doi.org/10.1097/ACM.0000000000005408
Ogurek B and Harendza S. Development of Medical Leadership Competence During Undergraduate Medical Students’ Final Year–A Cross-Sectional Cohort Study. BioMed Central Medical Education. 2025 Jul; 25(1): 1044. doi: 10.1186/s12909-025-07635-4. DOI: https://doi.org/10.1186/s12909-025-07635-4
Anand N, Pujar S, Rao S. A heutagogical Interactive Tutorial Involving Fishbowl with Fish Battle and Round Robin Brainstorming: A Novel Syndicate Metacognitive Learning Strategy. Medical Journal Armed Forces India. 2021 Feb; 77: S73-8. doi: 10.1016/j.mjafi.2020.12.003. DOI: https://doi.org/10.1016/j.mjafi.2020.12.003
Matsas B, Goralnick E, Bass M, Barnett E, Nagle B, Sullivan EE. Leadership Development in US Undergraduate Medical Education: A Scoping Review of Curricular Content and Competency Frameworks. Academic Medicine. 2022 Jun; 97(6): 899-908. doi: 10.1097/ACM.0000000000004632. DOI: https://doi.org/10.1097/ACM.0000000000004632
Alsharari T, Khattak O, Agarwal A, Chaudhary FA, Suhail N, Begum G et al. Health Professional Students' Perceptions and Preparedness for Interprofessional Education: A Multicentric Analysis Across Five Countries. Frontiers in Medicine. 2025 Sep; 12: 1665243. doi: 10.3389/fmed.2025.1665243. DOI: https://doi.org/10.3389/fmed.2025.1665243
Burn E and Waring J. The Evaluation of Health Care Leadership Development Programmes: A Scoping Review of Reviews. Leadership in Health Services. 2023 May; 36(3): 315-34. doi: 10.1108/LHS-05-2022-0056. DOI: https://doi.org/10.1108/LHS-05-2022-0056
James E, Evans M, Mi M. Leadership Training and Undergraduate Medical Education: A Scoping Review. Medical Science Educator. 2021 Aug; 31(4): 1501-9. doi: 10.1007/s40670-021-01308-9. DOI: https://doi.org/10.1007/s40670-021-01308-9
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