I have had a lot of jobs, maybe more than most people of even my vintage. In the workplace, as well as in other domains, my basic premise is that leadership is earned. It is not granted by role or rite of passage. Once achieved, leadership is not sustainable without continuous proof of concept: what did you do today, or at least yesterday? In other words, leaders must demonstrate their value in a ceaseless and tireless way. For physicians, in a world dominated by administrators and insurance plans, our leadership may best be rendered through what is called “expert authority”—where a physician's unique and extensive knowledge of diseases and therapeutics, and of human nature, serves as the basis of his or her authority and the platform for leading.