Skip to main content
From impostor syndrome to political pressure, leadership is not always easy. The president and CEO of the Association of American Medical Colleges offered his advice during the 2024 Stephen P. Bogdewic Lectureship in Medical Leadership event.

AAMC President and CEO David Skorton, MD, shares five leadership lessons with IU community

AAMC President and CEO David J. Skorton, MD, answers a question posed by IU School of Medicine Dean Jay Hess, MD, PhD, MHSA, during the 2024 Stephen P. Bogdewic Lectureship in Medical Leadership event Oct. 14.

AAMC President and CEO David J. Skorton, MD, answers a question posed by IU School of Medicine Dean Jay Hess, MD, PhD, MHSA, during the 2024 Stephen P. Bogdewic Lectureship in Medical Leadership event Oct. 14. (Photo credit: Doug McSchooler)

Shortly after then-governor of New York Andrew Cuomo nudged him into a position as chair of the New York Racing Association, David J. Skorton, MD, then the president of Cornell University, saw the headline: “New NYRA chief: ‘I really don’t know much about horse racing.’”

There it was: doubt in Skorton’s ability to lead, published in large, bold print across the top of the webpage of the Times Union, a daily newspaper in Albany, New York, that proclaims itself to be the “leading news organization in New York’s Capital Region.”

And something else was there, too: that old, familiar nag, impostor syndrome, working its way back to the front of Skorton’s psyche.

Even as an already-accomplished leader who had been trusted enough by the state’s governor to lead the NYRA out of a mismanagement crisis that threatened to derail 20% of the nation’s thoroughbred racing industry, Skorton was not immune to the all-too-common feeling of doubting one’s own skills and ability to lead.

It’s apparent that impostor syndrome is a topic that is close to Skorton’s heart even today, 12 years after that headline was blasted to greater New York. Only now, he has learned to embrace it, and he encourages other leaders to do the same.

 
Skorton and Hess share a laugh during the 2024 Stephen P. Bogdewic Lectureship in Medical Leadership event Oct. 14 at IU Indianapolis.

Guest of honor

Skorton was the honored guest at the Indiana University School of Medicine’s Stephen P. Bogdewic Lectureship in Medical Leadership event, held Oct. 14 at IU Indianapolis.
 
Now the president and chief executive officer of the Association of American Medical Colleges (AAMC), Skorton spoke to a crowd of approximately 150 IU School of Medicine current and aspiring leaders about the lessons he’s learned about leadership over his distinguished career. The school’s dean, Jay Hess, MD, PhD, MHSA, interviewed Skorton in a fireside-chat-style event that provided a friendly, intimate glimpse into Skorton’s career and highlighted his professional insights about growing as a leader.
 
Growth, he emphasized, often includes feeling like an impostor.

 

Lesson 1: It's okay to learn while one leads.

Skorton points to a photo of himself holding a ball signed by one baseball legend (Babe Ruth) and the mitt once used by another (Sandy Koufax) during his time as secretary of the Smithsonian Institution.
Before taking his role at the AAMC in 2019, Skorton served as the 13th secretary of the Smithsonian Institution, where he oversaw 19 museums, 21 libraries, the National Zoo, and numerous research centers and education programs. By the time he had arrived at the Smithsonian, in 2015, he had already served as the president of two universities (Cornell University and the University of Iowa), had pioneered early cardiac imaging and computer processing techniques, and had held leadership positions in various professional associations — yet, he said, every day he served at the Smithsonian, he suffered from impostor syndrome.
 
Art, design, history, culture, science, nature, education and research — “the fields of endeavor were so broad … it was difficult to imagine what I could bring to that position other than process,” Skorton said. “It was very, very challenging, because it was out of my line of training.”
 
Then he realized that it is okay to not know everything. It is okay to learn as one leads.
 
“It is possible to express leadership in an area where you’re still on a learning curve,” Skorton said. “I think the best leaders are always learning while they’re leading.”
 
In fact, he says, it’s important for leaders to acknowledge that they don’t know everything.

 

Lesson 2: Know your limitations.

“Humility is a really important factor in leadership,” he said. “The kind of leader you want to be — and the kind of leader you want to follow — is someone who understands their limitations.”
 
Recognizing the limits of one's own knowledge leads to better decision-making, he said, because one learns to seek input from people who do know what he or she doesn't.
 
This is especially true of high-level leaders. “When you’re at the very pinnacle of an organization, there is no chance that you understand every little thing that goes on in every part of the organization. No way,” he said. “Only the people in those different intricacies of the organization really know what’s going on there.”

Great leaders must be willing to obtain input from others — and not just other high-level leaders. 

 

Lesson 3: Leaders must seek input from the people who know the nuances of the problems they must solve together.

In academic medicine, that means listening not only to faculty and staff but learners, as well.
 
“They have a lot of wisdom, and it’s not wisdom born of years and years and decades of experience,” said Skorton. “It’s wisdom born of being in the moment. That’s why we’re here. That’s why our institutions were chartered — for education.”
 
The students who are learning from our faculty are the ones who will be the most affected by our decisions. They're also the ones closest to the “problem” our school solves — that being the challenge of developing learners into successful healers, researchers and medical practitioners. Their voices should be included in decision-making, said Skorton.
 
Leaders should also seek input from — and seek to build — diverse teams of faculty and staff. Skorton passionately encouraged leaders to become familiar with the abundant evidence that proves that diversity brings better answers, better processes and better results. Diversity is not an ideology, he said, but a better way of doing things.

 

Lesson 4: Don't shy away from diversity.

Recognizing the current political climate, he urged leaders to not be discouraged in their efforts toward building inclusive teams and cultures. But he did emphasize the need to ensure that rhetoric does not outpace evidence.
 
 “These folks who don’t believe in the values of inclusion are looking for opportunities for me or others who have the privilege of a national platform to say something that is not backed up, strictly speaking, by evidence,” said Skorton.
 
In fact, naysayers are examining everyone with a voice of any kind, looking for opportunities to dismiss comments or challenge efforts to create diverse environments. As a result, Skorton said, when interacting with others — whether it be top-tier university leaders, state legislators, gubernatorial-appointed boards or others — leaders must first “believe it down to the core of your being that diversity adds excellence” and second, develop talking points and lead conversations that are supported by evidence that diversity is a successful approach to business. Avoid speculation and personal opinion.
 
“You have the evidence, then you develop the rhetoric — not the other way around,” Skorton said. “It’s very, very important to look hard at the evidentiary base.”

 

Lesson 5: It's not going to be easy.

When things inevitably get hard — whether under the heavy hand of national or statewide politics or under the watchful eye of the faculty and staff in your department — leaders must believe in their hearts that they are doing what they believe is right, “that you’re doing it for the right reasons, and that you are okay that not everybody is patting you on the back all the time,” said Skorton.
 
Leadership, after all, isn’t always a grand endeavor.
 
And while Skorton encourages leaders to find some enjoyment throughout their journeys, he acknowledges that it isn’t always easy. Leaders will make mistakes.
 
“Forgive yourself for not being a perfect leader,” Skorton said. “You’re doing the best you can. … Remind yourself that you can do it. And just take it one breath at a time.”
 

There’s more!

Hear Skorton describe other memorable life and career experiences, including ...
  • how he chose the medical profession (it wasn’t his first choice)
  • what it was like to hold the mitt of baseball legend Sandy Koufax (his father’s idol) at the Smithsonian
  • the “wrong answer” he told his wife after playing flute onstage with Billy Joel at Cornell University
  • the time he stepped in for journalist Dan Rather to interview the musical artist Sting

... by watching the recording of the Bogdewic lecture.

 


The event's namesake, Stephen P. Bogdewic, PhD, asks a question of Skorton during the Q-and-A session at the conclusion of the event.About the Stephen P. Bogdewic Lectureship in Medical Leadership

The Stephen P. Bogdewic Lectureship in Medical Leadership is an annual program that brings outstanding leaders to the IU School of Medicine to share their leadership insights with our community, allowing faculty, staff and learners to have a rich conversation about leadership while helping to cultivate a leadership mindset among all of us.
 
The event was founded in honor of Stephen P. Bogdewic, PhD, who retired in 2019 after 28 years of distinguished service to IU School of Medicine. Bogdewic was Faculty Affairs and Professional Development’s first executive associate dean and the School of Medicine’s first executive vice dean. A cornerstone of his career has been the belief that we should do all we can to help faculty be successful. He built his career around faculty development and is nationally known for his innovative work in leadership development within the specialty of family medicine and, more broadly, in academic medicine.
 
 
 

Default Author Avatar IUSM Logo
Author

Corie Farnsley

Corie is communications generalist for Indiana University School of Medicine Faculty Affairs and Professional Development (FAPD). She focuses on telling the story of FAPD by sharing information about the many opportunities the unit provides for individuals’ professional development, the stories behind how these offerings help shape a broad culture of faculty vitality, and ultimately the impact IU School of Medicine faculty have on the future of health. She is a proud IU Bloomington School of Journalism alumna who joined the IU School of Medicine team in 2023 with nearly 25 years of communications and marketing experience.

The views expressed in this content represent the perspective and opinions of the author and may or may not represent the position of Indiana University School of Medicine.