Abstract
Women remain under-represented in leadership positions in both clinical medicine and medical education, despite a rapid increase in the proportion of women in the medical profession. This chapter explores potential reasons for this under-representation and how it can be ameliorated, drawing on a range of international literatures, theories and practices. We consider both the 'demand' for and 'supply' of women as leaders, by examining: how evolving theories of leadership help to explain women's' leadership roles and opportunities, how employment patterns theory and gender schemas help to explain women's career choices, how women aspiring to leadership can be affected by the 'glass ceiling' and the 'glass cliff' and the importance of professional development and mentoring initiatives. We conclude that high-level national strategies will need to be reinforced by real shifts in culture and structures before women and men are equally valued for their leadership and followership contributions in medicine and medical education.