title: Views of West African surgeons on how well their educational and professional backgrounds may have prepared them for health leadership roles.
abstract: BACKGROUND
  Because of the appalling health indices in West Africa, Physicians there need to be at the forefront of the organizational challenge in managing and improving health systems.
  
  
  OBJECTIVE
  To collate the views of West African surgeons on how well their educational and professional backgrounds may have prepared them for leadership and managerial roles in health care, and draw appropriate policy implications.
  
  
  METHODS
  Filled structured questionnaires from 110 surgeons that were attending an annual conference were analyzed. The respondents' bio data, professional, educational, health administrative backgrounds were probed. Their views on justifications for physicians' involvement in health managerial roles, probable influence of some physicians' characteristic traits and professional attributes on health leadership roles, and suggestions for improvement were also collated.
  
  
  RESULTS
  71.8% of the respondents had held or were then holding health-related administrative posts; 90% had attended different varieties of management courses; 95.4% identified physicians as the inherent leaders of the health care team; but only 28.4% adjudged their health management role "strongly important" (28.4%) among their multi-faceted roles; and they largely agreed that some stated professional and characteristic traits of physicians tend to make them poor leaders and managers.
  
  
  CONCLUSIONS
  Our findings suggest that the preparations that the respondents got from their formal and professional education for leadership and managerial roles in health care were not optimal. We recommend for a paradigm shift for physicians on health leadership issue which is to be facilitated by a well-focused short time duration health management course for all physicians, particularly specialists.
authors.affiliation: Department of Ophthalmology, University of Ilorin Teaching Hospital, Ilorin, Nigeria.
authors.forename: Abdulraheem O
authors.initials: AO
authors.lastname: Mahmoud
authors.forename: Dennis
authors.initials: D
authors.lastname: Nkanga
authors.forename: Adeola
authors.initials: A
authors.lastname: Onakoya