Abstract
Background: Good leadership is fundamental for providing a better healthcare. The objective of this study was to evaluate the leadership skills, determinants and attitudes in medical undergraduates. 
 
 Methods: Self and Rater versions of the Authentic Leadership Questionnaire (ALQ) and a formulated questionnaire based on Medical Leadership Competency Framework (MLCF) were distributed among first year students who were followed up in the final year with the same assessments. Skills were evaluated with an average ALQ score, under four domains; transparency (TR), ethical skills (ES), balanced processing (BP) and self-awareness (SA). Determinants of leadership skills were assessed by a self-administered questionnaire.
 
 Results: Students in the first year (n=115; females=64, males=51), had lower leadership skills score (2.74±0.38; mean ± SD) than in the final year (n=101; females=52, males=49; 3.05±0.43p
Highlights
A clinician has varied leadership roles in his/her daily works; including formulating and finalizingLeadership is the active and productive care plans, teaching trainees, handling multicontribution of individuals within their working professional teams etc (Saravo et al 2017).roles to maintain and enhance performance ofgood medical leadership is vital for an organization
The findings of the current study demonstrate low leadership skills in all the Authentic Leadership Questionnaire (ALQ) domains with significant deficiency in ethical skills of the firstyear students and the lower skills in females compared to males
Though leadership skills of females in medicine is not thoroughly researched, some studies suggest that females are better transformational leaders with higher effectiveness compared to males (Eagly et al 2003)
Summary
A clinician has varied leadership roles in his/her daily works; including formulating and finalizingLeadership is the active and productive care plans, teaching trainees, handling multicontribution of individuals within their working professional teams etc (Saravo et al 2017).roles to maintain and enhance performance ofgood medical leadership is vital for an organization Leadership training was not included or properly assessed globally both during undergraduate and post-graduate periods through an approved time-tested curricular [Spurgeon et al 2008; Saravo et al 2017; Kiesewetter et al 2013; Steinert et al 2012; Baker & Denis 2011; Abbas et al 2011). The Medical Leadership Competency Framework (MLCF) developed by the Academy of Medical Royal Colleges and NHS Institute for innovation and improvement outlines the leadership competencies emphasizing that doctors need to become more actively involved in the planning, delivery and transformation of health care services. The objective of this study was to evaluate the leadership skills, determinants and attitudes in medical undergraduates
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