(01-01-2024, 11:32 AM)BigJohn043 Wrote: Doctors spend ~10 years training to be doctors. I would assume they then spend at least 10 years as junior doctors. They can then run departments but isn't this often a part time job while they continue to practice medicine? My point of course is that the vast majority of their experience isn't really running anything.
In any case, I really wonder if doctors get put in charge of medical institutions because they are best positioned or because doctors have power in those organizations and they want one of their own. I would make the same point about universities & professors.
I would argue that the doctors and professors in fact do NOT have the power. The power to appoint CEOs is usually vested in some kind of "Board of Trustees" that often is made up of people who do not actually work at or for the organization in question. One of the factors these boards often (IMO must always but sometimes do not) take into consideration when selecting a new CEO is the ability of that CEO to gain the respect of his subordinates. If he cannot, things probably will not go well. Unfortunately, sometimes the board chooses a candidate whose main qualification is convincing the board to select them.
It is however more common the boards make a "safe" choice. In a University a professor is usually a relatively "safe" choice. The fact is that most Universities can get by just fine with relatively ineffectual CEOs because the support staff is usually what "runs" the University anyway. These type of CEOs don't usually make any big mistakes and also don't do anything that is risky. For a place like Stanford, that "works" most of the time. Universities are not rapidly changing businesses that may need to change direction on a dime. Of course, in times and situations of rapid change and significant stress (like the PAC-12 implosion), such leaders don't do well.
Quote:Of course the largest organization in the country is the US Government and it has been run by people whose management experience is dealing with a <10 person Senate office.
The political sphere is an example of the situation where the number one imperative is finding a way to get "the board" (electorate) to chose you. It is quite possible you have no real skills to "run" anything. If one looks at US history there are lots of presidents who weren't very bright and were not good managers. In may cases it didn't matter because they were fortunate and times were "easy". There are unfortunately quite a few other cases where there were things that could have been done that would arguably have eliminated problems that became critical 10 or more years after these ineffectual leaders were gone. In many cases the choice not to act was made based on current political advantage and/or sheer incompetence. In other cases, the foreseeable problem was not even recognized. A "smarter" leader might well have done so. OTOH there are also quite a few cases of questionably qualified presidents doing the "right thing" because of political pressure. Sometimes it was the right thing done for the wrong reasons. It can go both ways.
IMO there are two factors that must be acknowledged. First, the CEO of many companies that are doing "well" are often almost irrelevant in the short term. These companies are in a position that even if they are not managed anywhere near optimally they will be fine for many years. The cumulative long term effects of poor management might catch up to them eventually, but baring a major error by the CEO this will happen slowly many years after he is gone. Stanford is probably in this condition.
The second factor applies mostly to government, but also to some companies. It is often said that "The US Navy is an organization designed by geniuses so that it can be run by idiots. Unfortunately, it can only be run by idiots". In large measure, our government has been like that. There are so many good people in the trenches that less than great leadership can still make it work. In what other organization is the entire next level of management (cabinet offices) replaced when the CEO (President) is? The old GS-<big number> saying "I was here before he came and I will be here after he is gone" fortunately has covered a multitude of mediocrity. This approach can't go on forever in government, just as it can't in business. Eventually, times change and forces build up that must be acknowledged and dealt with.