There has recently been debate on these pages regarding optimal expertise for biomedical leadership, precipitated by Roy Poses' posts NY Times Proclaims Anyone Can Run a Health Care Organization with a Little Studying Up.
I am resurfacing a post I wrote in Jan. 2009 entitled that I believe succinctly states the problems with 'management by amateur.'
Read the entire post, but here are the highlights:
Those in charge cannot see that which the domain specialist sees.