In health care the prevailing professional paradigm is perceived by some clinicians to be challenged by a management logic which is at odds with what clinical professionals may conceptualise as their autonomy.Hujala A.,et al Journal of Health Organisation Management (2014)28:5:590-601 and Komesaroff P,et al.Intern Med J.2013;43(3):221-2 Consider the peer reviewed literature on this issue and in so doing: 1)Briefly describe the history of formal management in the setting of the healthcare organisation 2)Speculate on the place of formal management in a contemporary health care organisation, particularly in relation to the engagement of clinicians by the organisation. 3)Consider the role of clinical leaders in balancing organisational and clinical imperatives. 4)Consider your own organisation,s management structure and paradigm. 5) Describe your own views on ''managerialism'' Research and synthesise the literature on this subject and demonstrate an understanding of healthcare organisations,their rationale and the role and function of management in achieving organisational effectiveness.