Date of Award


Document Type

Campus Access Dissertation


Educational Leadership and Policies


Educational Administration

First Advisor

Jennifer L Bloom

Second Advisor

Christian K Anderson


There are numerous studies on leadership in the literature, but no research studies were found on designated institutional officials (DIOs) at institutions that sponsor graduate medical education programs. This study contributed to the literature by introducing research on leadership characteristics and effectiveness of DIOs. The study's findings can be used to guide further research as well as to influence leadership development programs for DIOs.

The study was based on the leadership orientations framework of Drs. Lee G. Bolman and Terrence E. Deal, which conceptualizes four leadership orientations: structural, human resource, political, and symbolic. Data for the study were obtained by distributing Bolman and Deal's Leadership Orientation Instrument (self) survey to DIOs at 228 institutions in the United States accredited by the Accreditation Council for Graduate Medical Education. Demographic questions were added to the survey to gather data for descriptive purposes. Responses were received from 146 DIOs, a response rate of 64.03%.

The first purpose of the study was to describe the personal and professional demographic characteristics of DIOs. The second purpose of the study was to identify the leadership orientations of DIOs. The third purpose was to compare the relationship between leadership orientations and characteristics of DIOs at institutions with maximum accreditation status to leadership orientations and characteristics of DIOs at institutions with minimum accreditation status.