Abstract
Although organizations strive to develop transformational leaders, frontline medical managers and directors are inadequately prepared lacking transformational leadershipbehavior.Organizational culture is the values that are shared by all older and younger members in the group along with their perceptions of the world. Implementing culture change needs recognition of adaptive challenges that require reframing of norms and expectations, and the development of novel and flexible solutions. Managers and administrators seeking to implement persondirected care will need to consider the role of adaptive leadership to address these adaptive challenges.To build transformational leaders, medical organizations and institutesmust balance formal leadership training programs with advanced degree attainment to encourage leaders to envision and blend with the future.
KEYWORDS: organizational culture change, medical institution, performance, leadership