Already a member or subscriber? Sign in now

Previous article
Using RN Co-Visits to Improve Access and Completion Rates for Medicare Annual Wellness Visits
Jan / Feb 2026
Next article
The Secret Sauce to Avoiding Burnout

Straddling Dual Roles: The Family Physician as Clinical and Administrative Leader

MARK H. GREENAWALD, MD, FAAFP
JASON E. MARKER, MD, MPA, FAAFP

FPM. 2026;33(1):19-24.

Author disclosures: no relevant financial relationships.

This content conforms to AAFP criteria for CME.

Navigating dual roles requires a deliberate set of tools and a strategy to build new leadership muscles.

Dr. Greenawald is professor and interim chair, Department of Family and Community Medicine, Carilion Clinic and Virginia Tech Carilion School of Medicine, Roanoke, Va.

Dr. Marker is associate director, Memorial Hospital Family Medicine Residency, South Bend, Ind.

Author disclosures: no relevant financial relationships.

  1. 1.Sinek S. Leaders Eat Last: Why Some Teams Pull Together and Others Don’t. Portfolio; 2014.
  2. 2.Marker JE. Leadership development, well-being, and performance improvement: achieving the quadruple aim in your practice. Fam Pract Manag. 2022;29(5)(suppl 1):17-22.
  3. 3.Guthrie MB. Challenges in developing physician leadership and management. Front Health Serv Manage. 1999;15(4):3-26.
  4. 4.Birrer RB. The physician leader in health care. What qualities does a doctor need to be an effective organizational leader? Health Prog. 2002;83(6):27-30.
  5. 5.Barnhart G. Physician whiplash. Trustee. 2012;65(10):1-2.
  6. 6.Greenawald MH, Marker JE. Better together: what physicians and administrators need from each other. Fam Pract Manag. 2025;32(6):17-21.
  7. 7.Eull NA. Emotional intelligence: five ways to have better interactions and improve your work life. Fam Pract Manag. 2020;27(5):9-13.
  8. 8.Greenawald MH, Marker JE. The paradox of professional autonomy: discovering why more could be less. Fam Pract Manag. 2025;32(5):24-29.
  9. 9.Lubbock J. The Beauties of Nature and the Wonders of the World We Live In. Macmillan; 1893.
Previous article
Using RN Co-Visits to Improve Access and Completion Rates for Medicare Annual Wellness Visits
Jan / Feb 2026
Next article
The Secret Sauce to Avoiding Burnout

Latest issue

May / June 2026

May / June 2026

Copyright © 2026 by the American Academy of Family Physicians.

This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. See permissions for copyright questions and/or permission requests.