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Reframing Contemporary Physician Leadership: We Started as Heroes Adaptability and communication with patientsGrace E. Terrell, MD, MMM, CPE, FACP, FACPE The practice of medicine, today, requires transformational skills. Healthcare challenges are no longer adequately addressed by the traditional paternalistic physician role. Healthcare must be physician led, but patient centered. Effective leadership must be collaborative rather than authoritarian, proactive rather than reactive. Most physicians work in environments where current cultural paradigms, such as