Purpose of Review <p>Leadership skills are an integral component of a successful career as a physician, however specific leadership skills are often not a target of physician education. The aim of this review is to evaluate the literature for physician leadership training and look specifically at leadership development in Physical Medicine and Rehabilitation (PM&amp;R) to provide a rationale for the optimal leadership competencies for physiatrists.</p> Recent Findings <p>Physiatrists are not intentionally being trained as future leaders.</p> Summary <p>Leadership skills should be specifically addressed and targeted for physiatrists, and dedicated leadership training should be a planned part of all PM&amp;R residencies with a thoughtful curated curriculum including the following competencies: emotional intelligence, communication skills, conflict management/difficult conversations, leading a team, managers versus leaders, mission and vision setting, change management, mentorship, and personal values and bias.</p>