2026/04/06 by Karin Becke, Karin Becke-Jakob, Aine Sommerfield +2
Health Professions · Medicine · Social Sciences · #Diversity and Career in Medicine #Global Health and Surgery #Patient Safety and Medication Errors
paper · doi:10.1097/aco.0000000000001655
openalex publication_date 2026/04/06 · openalex created_date 2026/04/22 · openalex updated_date 2026/07/30
PURPOSE OF REVIEW: Leadership in paediatric anaesthesia is undergoing rapid transformation as clinical complexity, workforce expectations, and organizational structures evolve. This review synthesizes recent developments and highlights the competencies required for effective leadership in this high-stakes specialty. RECENT FINDINGS: Recent literature emphasizes the shift from individual expertise to team-based performance, supported by advances in technology, simulation, and organizational culture. Studies highlight the importance of psychological safety, diversity, and equitable leadership pathways. Emerging leadership models - such as shared leadership, New Work principles, and Just Culture - are increasingly relevant. Workforce well-being, moral injury, and toxic leadership/followership have become central concerns. Global perspectives and structured leadership development programs are expanding, with growing attention to gender, racial, and generational disparities in leadership roles. SUMMARY: Leadership in paediatric anaesthesia requires adaptability, communication excellence, and a commitment to inclusive, psychologically safe team environments with a robust ethical attitude. Future progress depends on integrating modern leadership frameworks, strengthening mentorship, and fostering sustainable, collaborative models that support clinicians and improve patient outcomes.