Followership and Leadership: A Symbiotic Partnership for Success

Ronald Dwinnells, MD, MBA, CPE


Mar 6, 2026


Physician Leadership Journal


Volume 13, Issue 2, Pages 43-45


https://doi.org/10.55834/plj.4637041789


Abstract

Followership is an essential yet often overlooked component of leadership, emphasizing the symbiotic relationship between leaders and followers. While leaders are traditionally seen as visionaries who command authority, followers play a critical role in executing visions and contributing to organizational success. Effective followership involves more than passive obedience; it requires active engagement, critical thinking, shared vision, and adaptability. Robert Kelley’s five types of followers — passive, conformist, alienated, pragmatist, and exemplary — offer insights into the diverse ways followers interact with leaders. To cultivate and retain high-performing followers, leaders must prioritize trust, respect, communication, and chemistry while aligning personal and organizational goals. Ultimately, the leader-follower relationship is a partnership built on mutual understanding, shared aspirations, and the ability to adapt to evolving circumstances.




Ronald Dwinnells, MD, MBA, CPE
Ronald Dwinnells, MD, MBA, CPE

Ronald Dwinnells, MD, MBA, CPE, is a pediatrician and a certified physician executive. He is the CEO of ONE Health Ohio, an integrated community health center program serving the medically uninsured, underinsured, and underserved populations in northeast Ohio.

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