RT Journal Article SR Electronic T1 A long and winding road: non-traditional routes into medical leadership JF BMJ Leader JO BMJ Leader FD BMJ Publishing Group Ltd SP 168 OP 170 DO 10.1136/leader-2021-000528 VO 6 IS 3 A1 Gulati, Steve A1 Shrimpton, Christiane YR 2022 UL http://bmjleader.bmj.com/content/6/3/168.abstract 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.