What characterizes effective leaders and how can we train them so that the future of the healthcare field will be secure and successful? In the lead paper, Leatt and Porter do an excellent job of summarizing the leadership literature. They then comment on the challenges for the healthcare field. A problem with their analysis is the narrow focus on provider organizations and its attendant limited perspective. Also, further consideration should be given to graduate programs that are actively engaged in lifelong learning opportunities and the best educational practices they demonstrate.