RT Journal Article SR Electronic T1 Learning while leading: a realist evaluation of an academic leadership programme JF BMJ Leader JO BMJ Leader FD BMJ Publishing Group Ltd SP 263 OP 270 DO 10.1136/leader-2021-000508 VO 6 IS 4 A1 Shelly-Anne Li A1 Ruth Chen A1 X Catherine Tong A1 Anne K Wong A1 Teresa M Chan YR 2022 UL http://bmjleader.bmj.com/content/6/4/263.abstract AB Introduction Many academic health centres and universities have implemented leadership development programmes; however, their potential impact in different contexts in healthcare remains unknown. We assessed the impact of an academic leadership development programme on the self-reported leadership activities of faculty leaders in their respective work contexts.Methods Ten faculty leaders who participated in a 10-month leadership development programme between 2017 and 2020 were interviewed. The realist evaluation approach was used to guide deductive content analysis, allowing concepts related to what works for whom, why and when to emerge from the data.Results Faculty leaders benefited in different ways depending on the organisational context (eg, culture) in which they reside and their individual contexts (eg, personal aspirations as a leader). Faculty leaders who have minimal mentorship in their leadership role gained an increased sense of community and belongingness with peer leaders and received validation in their personal leadership approach from the programme. Faculty leaders with accessible mentors were more likely than their peers to apply the knowledge they learnt to their work settings. Prolonged engagement among faculty leaders in the 10-month programme fostered continuity of learning and peer support that extended beyond programme completion.Conclusions This academic leadership programme included participation of faculty leaders in different contexts, resulted in varying impacts on participants’ learning outcomes, leader self-efficacy and application of acquired knowledge. Faculty administrators should look for programmes with a multitude of learning interfaces to extract knowledge, hone leadership skills and build networks.Data are available on reasonable request. Data available upon request.