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Leadership development programs often use institutional projects to activate learning. We explored how project work shaped leadership identity formation in senior women leaders from one academic health science center who enrolled in The Hedwig von Ameringen Executive Leadership in Academic Medicine (ELAM ® ) program. We interviewed ELAM Fellows and conducted a qualitative analysis of transcripts. Our primary analysis focused on the influences of projects on Fellows and institutions. Leadership identity formation emerged as a distinct pattern, so this narrative content was separated for secondary analysis. All authors approved the final assignment of themes and codes. Participants described a multi-dimensional process for developing a leadership identity. Themes encompassed participants’  View of Self and One’s Image as a Leader ,  Interpersonal Relationships , and  Commitment to a Value-based Goal . These internal factors grounded external influences, such as interactions with colleagues and institutional leaders, and the world beyond the institution. We examined the process of leadership identity formation from the perspective of women leaders in academic health sciences who completed an institutional project during a leadership development program. Findings illustrate how internal and external forces, experienced in the context of project work, combine to influence leadership identity formation in women.

Becoming by doing: How women in academic health sciences build a leadership identity through project experiences