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As someone who made the jump from clinician to manager the problem is not reconciling warring managers and clinicians but to do the job properly and take on the corporate accountability must mean that you have no time to devote to remaining a clinicain. Lets be honest and say that clinicians can use all their clinical skills as managers but they don't then really remain clinicians. They do though. know where to ask for clinical advice. I'm fed up of leadership and long for decent management. i can think of some great leaders I'd rather not have worked for Ghenghis Khan anyone? Napoleon? He might have made it back from Moscow with a few decent quarter masters managing his supply line.