Are true leaders born with specific traits and evolve into successful influencers or are individuals able to learn how to develop the skills to become effective leaders? This debate continues to prompt scholars to examine the psychology associated with leadership and the many different theories and contributing factors linked to the various approaches. This paper presents an overview of divergent perspectives on this “nature versus nurture” concept with the final conclusion that there is no consensus about this topic. Although there is no conformity surrounding the psychological theories on this subject, there is agreement that leadership among physicians is a key component for medical practices to cultivate for their future viability. Assessment tools and resources are available for identification of the characteristics and potential aptitude for physician executives to be instrumental within our industry. This leadership development philosophy begins with recruitment and remains an ongoing process for progressive healthcare organizations.