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Considerate Leadership as a 
Measure of Effectiveness 
in Medical and Higher Education: 
Analysis of Supervisory/Managerial 
Leadership 
Rana Zeine, MD, PhD, MBA 
Associate Professor 
Saint James School of Medicine
‘Consideration’ Dimension 
The Extent to Which Managers Are 
Personally Supportive and Considerate 
of their Direct Reports 
A People-Oriented Style of 
Supervisory / Managerial Leadership 
Supportive, Participative, Interactions Create a 
Positive Psychological Environment 
that Supports Goal Attainment 
Cooke,1997. OEI®. Plymouth, MI: Human Synergistics; Mulki & Jaramillo, 
2011; Yukl 2012
Behavioral 
Norms 
CURRENT 
CULTURE 
Desired 
Values 
IDEAL 
CULTURE 
MISSION 
& 
PHILOSOPHY 
Systems 
Structures, 
Technology, 
Skills & 
Qualities 
CAUSAL 
FACTORS 
Individual, 
Group & 
Organizational 
OUTCOMES 
Cooke & Szumal (2000). Using the Organizational Culture Inventory to Understand 
the Operating Cultures of Organizations. In Ashkanasy, Wilderom & Peterson (Eds), 
Handbook of Organizational Culture and Climate. Thousand Oaks, CA: Sage. 
T 
H 
E 
O 
R 
E 
T 
I 
C 
A 
L 
M 
O 
D 
E 
L 
Evolve 
Leadership 
Consideration 
EFFECTIVENESS 
B ‘Best Fit’
Supervisory / Managerial 
Relationships in Higher Education 
♦ Most Relationships Between Higher Education 
Professionals and their Followers are Structured to 
Support Teaching, Learning, Training, and 
Mentoring 
♦ To Facilitate the Transferal of Competencies & 
Expertise 
♦ Examples of Supervisory / Managerial 
Relationships 
(a) the Supervision of Graduate Students by 
Mentors
‘Individualized Consideration’ 
A Component of Transformational Leadership 
Theory 
♦ Supportive Leadership: Focused on 
Understanding the Needs of Followers 
♦ Developmental Leadership: Focused on 
Empowering Followers Towards Attaining 
Higher Levels of Potential 
♦ Empathy and Concern for Individual Needs of 
Followers Bass et al. 1996; Avolio & Bass 1999; Rafferty & Griffin
‘Considerate Leadership’ 
Core of Path-Goal Theory of Leadership 
(Supervision) 
Supervisors Can Affect the Motivation and 
Performance of their Subordinates by 
Ensuring that They “Experience Intrinsic 
Satisfaction” as a Result of Attaining Work 
Goals 
House 1996
Objective 
To Assess Levels of CONSIDERATION 
in Higher Education Institutions
Survey Methods: Organizational 
Effectiveness Inventory (OEI®) 
• Online OEI® Survey: March 1st to April 2nd , 2012 
• Likert-type Scales to Quantitate Responses 
• Mean Score Results Were Compared to 
1) the Historical Average: 50th percentile = Median 
of OEI® Scores Obtained from Members of 1084 
Organizational Units, and to 
2) Constructive Benchmarks = Median of OEI® 
Results from Members of 172 Organizational 
Units with Predominantly Constructive 
Operating Cultures 
Cooke, R.A. 1997. Organizational Effectiveness Inventory®. Plymouth, MI: 
Human Synergistics 
http://www.humansynergistics.com
Home Countries of Institutional Affiliations of 
52 Higher Education Professionals Surveyed 
0 2 4 6 8 10 12 14 16 18 20 22 24 
USA 
India 
UK 
Australia 
France 
Ethiopia 
Egypt 
Macedonia 
Costa Rica 
Jordan 
Wales 
New Zealand 
Canada 
Spain 
Denmark 
Greece 
nd 
Number of Respondents 
North 
America 
Europe 
India 
Australia 
Latin America 
Middle East 
Africa
Gender & Organizational Level 
Distributions of OEI® Respondents 
0% 5%10%15%20%25%30%35%40%45%50% 
Gender 
Female 
Male 
nd 
Organizational Level 
Faculty / Professor 
Director 
Department Chair 
Associate Dean 
Dean 
Provost / Dean Academic Affairs 
President 
nd 
Percent of Respondents 
D 
E 
M 
O 
G 
R 
A 
P 
H 
I 
C 
S
Years with Organizational & Education 
Level Distributions for OEI® Respondents 
Percent of Respondents 
0% 10% 20% 30% 40% 
Years with Organization 
< 6 months 
6 months to 1 year 
1 to 2 years 
2 to 4 years 
4 to 6 years 
6 to 10 years 
10 to 15 years 
>15 years 
nd 
Education 
Professional degree (Certificate) 
Master’s degree 
Doctorate degree 
MD / PhD 
JD 
Other 
D 
E 
M 
O 
G 
R 
A 
P 
H 
I 
C 
S
Organizational Type & Institutional Level 
Distributions for OEI® Respondents 
Percent of Respondents 
0% 10% 20% 30% 40% 50% 
Type of Higher Educational Institution 
For-profit, Public 
For-profit, Private 
Not-for-profit, Public 
Not-for-profit, Private 
Institutional Level 
Associate's College 
Bachelor's College 
Master's College / University 
Doctorate-granting University 
Special Focus Institution 
nd 
D 
E 
M 
O 
G 
R 
A 
P 
H 
I 
C 
S
Supervisory Managerial Leadership: 
Consideration 
Undesirable 
L 
e 
a 
d 
e 
r 
s 
h 
i 
p 
S 
k 
i 
l 
l 
s 
Constructive Benchmark 
n = 52 
n = 8 
n = 30 
n = 10 
0 1 2 3 4 5 
Total 
Not-for-profit, Private 
Not-for-profit, Public 
For-profit, Private 
For-profit, Public 
Administrators 
Faculty 
Male 
Female 
Mean Score 
± SE 
Historical Average 
Median, 50th 
percentile 
n = 4 
n = 20 
n = 25 
n = 26 
n = 25
Consideration Levels Are Undesirable in 
Higher Education Institutions 
• Scores Fell Below the Historical Average and the 
Constructive Benchmark for Total Respondents, and 
for Faculty, Administrators, Male, Female, Private- & 
Public Not-For-Profit, and Private For-Profit 
Subgroups 
• Females Trended Higher than Males 
• Scores for the Small Public For-Profit subgroup 
Reached the Historical Average, and Showed Wide 
Variations that Rose Above the Constructive 
Benchmark
Discussion on Interactional Injustice 
• Incivility Problems: Hostile Behaviors ↔ Humiliation, 
Belittlement, Intimidation, Mistreatment, Threatening, 
Academic Harassment, Bullying, Abuse, Workplace 
Aggression or Violence, Demeaning Acts, ‘Teaching 
Through Humiliation” (Cookson 2006; Morse 2010; Hershcovis 
2011) 
• Bullying: A Learned Behavior Perpetuated by Overly 
Competitive Work Environments and Reward 
Systems that Encourage Overly Aggressive 
Behaviors (Lewis 2006) 
• Excessive Passive/Defensive and 
Aggressive/Defensive Cultural Styles, and Insufficient 
Constructive Styles, Found in Higher Education
Current 
Culture 
Ideal Culture OCI® 
SUBGROU 
PS 
NOT-FOR-PROFIT 
FOR-PROFIT 
N=34 
N=24 
N=17 
N=12 
CONSTRUCTI 
VE 
AGGRESSIV 
E 
DEFENSIVE PASSIVE 
DEFENSIV 
E 
50th Percentile 
(Historical) 
H 
i 
g 
h 
e 
r 
E 
d 
u 
c 
a 
t 
i 
o 
n 
O 
C 
I 
R 
e 
s 
u 
l 
t 
s 
Zeine, Boglarsky, 
Blessinger & Hamlet, 
2011
T 
H 
E 
O 
R 
E 
T 
I 
C 
A 
L 
M 
O 
D 
E 
L 
Impact of Culture on Effectiveness 
Effective, Creative 
Self-Enhancing 
Develop Others 
Coercive 
Abrupt 
Cynical 
Receptive 
Sustainability 
Noncommittal 
Self-Protecting 
Volatility 
Vulnerability 
Confrontational 
Withdraw 
Research and development by Cooke & Lafferty. Copyright © by Human Synergistics International. All Rights Reserved.
Vulnerabilities in Higher Education 
Segments 
Examples of Issues that Are Brought to the Attention 
of the Ombudsman by Graduate Students Include 
• (A) Concerns That an Adviser is Delaying their 
Student’s Degree Progress in Order to Retain a 
Cheap Source of Labor 
• (B) Situations in which a Faculty Member Is Taking 
Advantage of a Student Research Assistant who 
Fears Losing their Visa Status 
• (C) One Trainee Is Being Given Credit For Another 
Student’s Work 
Morse, 2010
Vulnerabilities in Medical Education & 
Training 
Percentages of Medical Students, Surveyed at 16 US Medical Schools, who 
Experienced Belittlement and Harassment from Residents or Clinical 
Professors 
Subspecialty Residents Clinical Professors 
Belittleme 
nt 
Harassme 
nt 
Belittlement Harassmen 
t 
Psychiatry 77 % 38 % 66 % 21 % 
Family Medicine 75 % 32 % 69 % 30 % 
General Internal 
72 % 28 % 65 % 25 % 
Medicine 
Emergency Medicine 71 % 30 % 64 % 22 % 
Surgery 70 % 28 % 60 % 24 % 
Pediatrics 73 % 22 % 67 % 20 % 
Public Health, 
69 % 27 % 62 % 22% 
Preventive medicine, 
Urology, other 
Anesthesiology, 
Pathology or 
70 % 27 % 60 % 16 % Data are adapted from Frank, E. et al., Copyright 2006 by the British Medical Journal
Recommendations for Implementing 
Consideration in Higher Education 
Culture 
• Reduce the Use of Passive/Defensive and 
Aggressive/Defensive Cultural Styles 
• Promote Constructive Styles in Supervisory / 
Managerial Relationships in Higher Education 
Institutions (Sanilippo, Bendapudi, Rucci & Schlesinger, 2008; 
Zeine, Boglarsky, Blessinger & Hamlet, 2011) 
• Address Antecedent Factors such as Job Insecurity 
• Eliminate Reasons for Resistance to Change 
• Monitor Employee/Trainee Well-Being, Job 
Satisfaction and Student Satisfaction Regularly and 
Address the Feedback Systemically
Recommendations for Implementing 
Consideration in Higher Education 
Practices 
• Improve Professional Standards: Define Disruptive 
and Inappropriate Behavior and Implementation 
Procedure 
• Raise Awareness and Provide Training for 
Educators/Supervisors on Considerate Leadership 
Styles 
• Adopt Learner-Centered Teaching, Active Learning 
and Adult Learning Theory
Acknowledgements Considerate 
Leadership… in Higher Education Institutions 
Organizational Cultures: An International Journal 
Edward Daly 
Community College of Rhode Island, Warwick, RI 
Patrick Blessinger 
Higher Education Teaching & Learning Association 
(HETL) 
Cheryl Boglarsky 
Human Synergistics International, Inc. 
Alwyn Gilkes 
Bronx Community College, City University of New 
York, NY 
Mary Kurban

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Zeine et al. Considerate Leadership in HEd., Oxford 2014

  • 1. Considerate Leadership as a Measure of Effectiveness in Medical and Higher Education: Analysis of Supervisory/Managerial Leadership Rana Zeine, MD, PhD, MBA Associate Professor Saint James School of Medicine
  • 2. ‘Consideration’ Dimension The Extent to Which Managers Are Personally Supportive and Considerate of their Direct Reports A People-Oriented Style of Supervisory / Managerial Leadership Supportive, Participative, Interactions Create a Positive Psychological Environment that Supports Goal Attainment Cooke,1997. OEI®. Plymouth, MI: Human Synergistics; Mulki & Jaramillo, 2011; Yukl 2012
  • 3. Behavioral Norms CURRENT CULTURE Desired Values IDEAL CULTURE MISSION & PHILOSOPHY Systems Structures, Technology, Skills & Qualities CAUSAL FACTORS Individual, Group & Organizational OUTCOMES Cooke & Szumal (2000). Using the Organizational Culture Inventory to Understand the Operating Cultures of Organizations. In Ashkanasy, Wilderom & Peterson (Eds), Handbook of Organizational Culture and Climate. Thousand Oaks, CA: Sage. T H E O R E T I C A L M O D E L Evolve Leadership Consideration EFFECTIVENESS B ‘Best Fit’
  • 4. Supervisory / Managerial Relationships in Higher Education ♦ Most Relationships Between Higher Education Professionals and their Followers are Structured to Support Teaching, Learning, Training, and Mentoring ♦ To Facilitate the Transferal of Competencies & Expertise ♦ Examples of Supervisory / Managerial Relationships (a) the Supervision of Graduate Students by Mentors
  • 5. ‘Individualized Consideration’ A Component of Transformational Leadership Theory ♦ Supportive Leadership: Focused on Understanding the Needs of Followers ♦ Developmental Leadership: Focused on Empowering Followers Towards Attaining Higher Levels of Potential ♦ Empathy and Concern for Individual Needs of Followers Bass et al. 1996; Avolio & Bass 1999; Rafferty & Griffin
  • 6. ‘Considerate Leadership’ Core of Path-Goal Theory of Leadership (Supervision) Supervisors Can Affect the Motivation and Performance of their Subordinates by Ensuring that They “Experience Intrinsic Satisfaction” as a Result of Attaining Work Goals House 1996
  • 7. Objective To Assess Levels of CONSIDERATION in Higher Education Institutions
  • 8. Survey Methods: Organizational Effectiveness Inventory (OEI®) • Online OEI® Survey: March 1st to April 2nd , 2012 • Likert-type Scales to Quantitate Responses • Mean Score Results Were Compared to 1) the Historical Average: 50th percentile = Median of OEI® Scores Obtained from Members of 1084 Organizational Units, and to 2) Constructive Benchmarks = Median of OEI® Results from Members of 172 Organizational Units with Predominantly Constructive Operating Cultures Cooke, R.A. 1997. Organizational Effectiveness Inventory®. Plymouth, MI: Human Synergistics http://www.humansynergistics.com
  • 9. Home Countries of Institutional Affiliations of 52 Higher Education Professionals Surveyed 0 2 4 6 8 10 12 14 16 18 20 22 24 USA India UK Australia France Ethiopia Egypt Macedonia Costa Rica Jordan Wales New Zealand Canada Spain Denmark Greece nd Number of Respondents North America Europe India Australia Latin America Middle East Africa
  • 10. Gender & Organizational Level Distributions of OEI® Respondents 0% 5%10%15%20%25%30%35%40%45%50% Gender Female Male nd Organizational Level Faculty / Professor Director Department Chair Associate Dean Dean Provost / Dean Academic Affairs President nd Percent of Respondents D E M O G R A P H I C S
  • 11. Years with Organizational & Education Level Distributions for OEI® Respondents Percent of Respondents 0% 10% 20% 30% 40% Years with Organization < 6 months 6 months to 1 year 1 to 2 years 2 to 4 years 4 to 6 years 6 to 10 years 10 to 15 years >15 years nd Education Professional degree (Certificate) Master’s degree Doctorate degree MD / PhD JD Other D E M O G R A P H I C S
  • 12. Organizational Type & Institutional Level Distributions for OEI® Respondents Percent of Respondents 0% 10% 20% 30% 40% 50% Type of Higher Educational Institution For-profit, Public For-profit, Private Not-for-profit, Public Not-for-profit, Private Institutional Level Associate's College Bachelor's College Master's College / University Doctorate-granting University Special Focus Institution nd D E M O G R A P H I C S
  • 13. Supervisory Managerial Leadership: Consideration Undesirable L e a d e r s h i p S k i l l s Constructive Benchmark n = 52 n = 8 n = 30 n = 10 0 1 2 3 4 5 Total Not-for-profit, Private Not-for-profit, Public For-profit, Private For-profit, Public Administrators Faculty Male Female Mean Score ± SE Historical Average Median, 50th percentile n = 4 n = 20 n = 25 n = 26 n = 25
  • 14. Consideration Levels Are Undesirable in Higher Education Institutions • Scores Fell Below the Historical Average and the Constructive Benchmark for Total Respondents, and for Faculty, Administrators, Male, Female, Private- & Public Not-For-Profit, and Private For-Profit Subgroups • Females Trended Higher than Males • Scores for the Small Public For-Profit subgroup Reached the Historical Average, and Showed Wide Variations that Rose Above the Constructive Benchmark
  • 15. Discussion on Interactional Injustice • Incivility Problems: Hostile Behaviors ↔ Humiliation, Belittlement, Intimidation, Mistreatment, Threatening, Academic Harassment, Bullying, Abuse, Workplace Aggression or Violence, Demeaning Acts, ‘Teaching Through Humiliation” (Cookson 2006; Morse 2010; Hershcovis 2011) • Bullying: A Learned Behavior Perpetuated by Overly Competitive Work Environments and Reward Systems that Encourage Overly Aggressive Behaviors (Lewis 2006) • Excessive Passive/Defensive and Aggressive/Defensive Cultural Styles, and Insufficient Constructive Styles, Found in Higher Education
  • 16. Current Culture Ideal Culture OCI® SUBGROU PS NOT-FOR-PROFIT FOR-PROFIT N=34 N=24 N=17 N=12 CONSTRUCTI VE AGGRESSIV E DEFENSIVE PASSIVE DEFENSIV E 50th Percentile (Historical) H i g h e r E d u c a t i o n O C I R e s u l t s Zeine, Boglarsky, Blessinger & Hamlet, 2011
  • 17. T H E O R E T I C A L M O D E L Impact of Culture on Effectiveness Effective, Creative Self-Enhancing Develop Others Coercive Abrupt Cynical Receptive Sustainability Noncommittal Self-Protecting Volatility Vulnerability Confrontational Withdraw Research and development by Cooke & Lafferty. Copyright © by Human Synergistics International. All Rights Reserved.
  • 18. Vulnerabilities in Higher Education Segments Examples of Issues that Are Brought to the Attention of the Ombudsman by Graduate Students Include • (A) Concerns That an Adviser is Delaying their Student’s Degree Progress in Order to Retain a Cheap Source of Labor • (B) Situations in which a Faculty Member Is Taking Advantage of a Student Research Assistant who Fears Losing their Visa Status • (C) One Trainee Is Being Given Credit For Another Student’s Work Morse, 2010
  • 19. Vulnerabilities in Medical Education & Training Percentages of Medical Students, Surveyed at 16 US Medical Schools, who Experienced Belittlement and Harassment from Residents or Clinical Professors Subspecialty Residents Clinical Professors Belittleme nt Harassme nt Belittlement Harassmen t Psychiatry 77 % 38 % 66 % 21 % Family Medicine 75 % 32 % 69 % 30 % General Internal 72 % 28 % 65 % 25 % Medicine Emergency Medicine 71 % 30 % 64 % 22 % Surgery 70 % 28 % 60 % 24 % Pediatrics 73 % 22 % 67 % 20 % Public Health, 69 % 27 % 62 % 22% Preventive medicine, Urology, other Anesthesiology, Pathology or 70 % 27 % 60 % 16 % Data are adapted from Frank, E. et al., Copyright 2006 by the British Medical Journal
  • 20. Recommendations for Implementing Consideration in Higher Education Culture • Reduce the Use of Passive/Defensive and Aggressive/Defensive Cultural Styles • Promote Constructive Styles in Supervisory / Managerial Relationships in Higher Education Institutions (Sanilippo, Bendapudi, Rucci & Schlesinger, 2008; Zeine, Boglarsky, Blessinger & Hamlet, 2011) • Address Antecedent Factors such as Job Insecurity • Eliminate Reasons for Resistance to Change • Monitor Employee/Trainee Well-Being, Job Satisfaction and Student Satisfaction Regularly and Address the Feedback Systemically
  • 21. Recommendations for Implementing Consideration in Higher Education Practices • Improve Professional Standards: Define Disruptive and Inappropriate Behavior and Implementation Procedure • Raise Awareness and Provide Training for Educators/Supervisors on Considerate Leadership Styles • Adopt Learner-Centered Teaching, Active Learning and Adult Learning Theory
  • 22. Acknowledgements Considerate Leadership… in Higher Education Institutions Organizational Cultures: An International Journal Edward Daly Community College of Rhode Island, Warwick, RI Patrick Blessinger Higher Education Teaching & Learning Association (HETL) Cheryl Boglarsky Human Synergistics International, Inc. Alwyn Gilkes Bronx Community College, City University of New York, NY Mary Kurban

Notas do Editor

  1. The nature of relationships in higher education
  2. We collected data from members of Higher Education Institutions by surveying academic faculty and administrators located in North America, Europe, India, Australia, New Zealand, Latin America and some countries in the Middle East and Africa.
  3.  Gender distributions were equally split between men and women, and job roles were equally distributed between Faculty and Administrators.
  4. The majority had been with their institutions for more than 2 years.
  5.  For-profits, Not-for-profits, Public and Private institutions were represented. More than 75% were at Universities.
  6. Consideration Undesirable supervisory leadership
  7. Subgroup analysis revealed no appreciable differences between Not-For-Profits, shown in the upper panels, and For-Profits, shown in the lower panels. Both institutional types exhibit current cultures that have deficits in constructive styles and excesses in the defensive styles.
  8. How does culture impact effectiveness ? Well, if the cultural styles are passive-defensive, the people would tend to withdraw, and behave in ways that are noncommittal and self-protecting which increases organizational vulnerability. If the cultural styles are aggressive-defensive, the people would behave in ways that are coercive, abrupt cynical and confrontational which increases organizational volatility. It is only when cultural styles are constructive that the people become highly effective, creative, self-enhancing, receptive to change and whole-hearted in developing others. So, constructive cultures strengthen organizational sustainability.