Career Physician’s New Leader Engagement Program is a comprehensive approach to optimize a leader’s success in their new role. It begins with an experienced leader performing an extensive review of the institution and its component divisions and departments with their respective strengths, weaknesses and challenges. That same reviewer can then be an effective facilitator during the recruitment process based on that in-depth understanding of the institution and the area of specialty. The most powerful dividend of this program may be the potential for that same reviewer to serve as an advisor/coach for the individual selected to be the new leader. While this advisor/coach role may differ somewhat from the formal executive coaching role, the value of an outside advisor with specific knowledge of the situation, and who can serve as a confidant with no conflict of interests, may be powerful.