Leadership is a discipline which produces a deliberate exercise influence in a given group with the aim of achieving a set of preset goals beneficial nature, useful for meeting the real needs of the group. Requires a set of skills and above all a series of impersonal communication through which the individual who leads a group influences its environment in order to achieve a voluntary and effective realization of the objectives of the organization. Leadership is therefore a discipline and who exercise have a commitment to himself, because the real leader has a special influence on people who rodean.1 In the management of health systems and services play a leadership role for the proper gesti n.2 For its part, says Manuel Quijano, leadership means setting a direction, a vision of the future, spreading it to others of the need to live a dream, motivate them to overcome obstacles and persevere in trying to see a goal achieved. Leadership must deal with change, anticipate where possible and promote the internal forces that guide, assimilate it and make it part of its own arsenal and his own expertise. The leader has to be a catalyst as defined we learned in high school, accelerates a chemical reaction without being involved in ella.3 Leadership is the catalytic base for the participation of all members of an organization in achieving a goal.The key to this lies in genuine leadership at all levels of the organization so as to be able to convey the direction and inspiration necessary to maintain and improve employee engagement. Nanus Bennis and point out that the main difference between leaders and managers is in the first place their emphasis on emotional and spiritual resources of an organization and its values and operations, while managers do in their physical resources such as raw materials, technology and capital.4 One of the qualities most sought in any professional association is the ability of leadership is the ability of their representatives. Leadership is an extraordinary power, can mean the difference between success and failure in whatever you do, for himself or for any group to which he belongs.The leader knows, directs, is an excellent communicator, ambitious, create your own leadership style, there is for function, not by qualification and is characterized by its business making decisiones.5 Teodoro Carrada mentions that doctors may be nominated for leadership and Medicine Units, hospitals or academic departments, this being an opportunity to improve the quality of health care, there are two versions of medical leadership: the leadership successful and failed leadership.A good leader is identified because things change leaders define reality with measurable data, make proposals for change and tested, conviction, leadership is action, not a position, not feeling like a victim, it is also a challenge to the established, so that successful managers need to have the cap and gown of liderazgo.6 Leadership is one of the four pillars of Family Medicine, where true leadership begins at home, is a leader of yourself, the driver of your destination, know who I am , What I want , Is a prerequisite for drag others to implement new ideas.