PT - JOURNAL ARTICLE AU - Steve Gulati AU - Christiane Shrimpton TI - A long and winding road: non-traditional routes into medical leadership AID - 10.1136/leader-2021-000528 DP - 2022 Sep 01 TA - BMJ Leader PG - 168--170 VI - 6 IP - 3 4099 - http://bmjleader.bmj.com/content/6/3/168.short 4100 - http://bmjleader.bmj.com/content/6/3/168.full SO - BMJ Leader2022 Sep 01; 6 AB - Introduction Clinicians enter the medical profession through a variety of routes. This paper explores how non-traditional routes into the medical profession can follow through into subsequent medical leadership practice, influencing issues of confidence, self-image and assumptions about leadership as a concept.Method The first-person reflections of a doctor who entered the profession and the National Health Service from the German system and with a non-standard background are considered. We then discuss how those involved in leadership education can use diversity as a developmental tool. The article starts and ends with personal reflections and observations from a Consultant Opthalmologist, interposed with insights from the pedagogy of leadership development by a University academic.Conclusions We conclude that medical leadership development can be enriched through recognising the value that non-traditional routes in clinical leadership can bring, and that educators can use the leverage of difference and diversity to create positive loops of development activity.