LAMP: Leadership, Advocate, Management, Professional a new simple and dynamic medical management competency model for doctors

Hospitals are complex organisations. Hospital managers have to deal with this complexity, and this management requires a focus on the competencies that managers need in order to be effective. Attention has been given to the development of management competencies, including medical management competencies, but the development of doctors' competencies in their roles in managing hospitals remains an under-researched area. This paper reviews the current literature from Australia, the United States and the United Kingdom and proposes a simple and dynamic medical management competency model for doctors based on existing competency frameworks. This LAMP model has four major competency domains: Leader, Advocate, Manager and Professional. This model shows these four competency domains to be in constant, dynamic tension with each other. This new competency framework opens up a new area for research in relation to theories relating to possible competing tensions between medical management competencies for doctors, and can be used as a framework for medical management training, development and practice.