Answering the Business School Challenge

Nial O'Reilly • July 22, 2026

Over 10 years of vertical development on the University of Galway Executive MBA

In 2005, David Rooke and Bill Torbert published Seven Transformations of Leadership in Harvard Business Review - still among the most widely read introductions to adult development in leadership. The article contains both a compliment to MBA programmes and a challenge that most business schools have yet to answer.

 

The compliment: MBA programmes are genuinely effective at one developmental transformation. Their heavy workloads, ambiguous case studies, and constant teamwork frustrate the perfectionist Expert Action Logic and cultivate the pragmatic, results-oriented Achiever. This is real development, and it is valuable.

 

The challenge: when it comes to supporting leaders beyond Achiever - toward the Individualist and Strategist Action Logics, where the research locates the consistent capacity to transform organisations - business schools, Rooke and Torbert wrote, have a dismal record. Development beyond Achiever cannot be delivered as content. It asks leaders to inquire into their goals themselves, not merely their accomplishment; it requires sustained self-awareness, genuine encounter with other worldviews, and long-term or repeated intense experiences. Programmes of that kind, they noted, existed at only a few universities around the globe.

 

A decade later, Nick Petrie of the Centre for Creative Leadership reached the same diagnosis from a different direction. Most leadership programmes fail, his research suggested, for four reasons: they focus on content rather than the development of the person; they are disconnected from the leader's real work; they leave the leader isolated; and they are designed as events rather than processes. Drawing on interviews with thirty experts in the field - David Rooke among them - Petrie identified three conditions that must combine for vertical development to occur: heat experiences that disrupt habitual ways of making sense, colliding perspectives that expand them, and elevated sensemaking that integrates them. Most programmes achieve one or two. Development takes off only when all three are present.

 

The Vertical Leadership Development module

For ten consecutive years, Harthill's Nial O'Reilly has facilitated the Vertical Leadership Development module on the Executive MBA at the University of Galway. The module was designed to sit squarely in the gap those articles describe - bringing the Leadership Development Framework, developed by David Rooke, Bill Torbert, and Susanne Cook-Greuter, into the heart of a business school curriculum. Its architecture maps directly onto the conditions the research prescribes.

 

**A process, not an event**

The module runs across the programme rather than across a weekend, giving development what it actually requires: time, repetition, and the opportunity to consolidate, rather than the short-term lift of a workshop that fades on contact with Monday morning.

 

**Development inseparable from real work**

Each participant designs leadership experiments in their own organisation - real interventions, in real roles, where results matter and important people are watching. This is developmental heat generated by the participant's working life, not simulated in a classroom.

 

**A developmental network, not a leader in isolation**

At the heart of the module is the Deliberately Developmental Group (DDG), Harthill's core group facilitation format. In small, sustained groups, participants bring their experiments back and subject them to action inquiry together. An Executive MBA cohort is naturally a maximum mix - engineers, clinicians, founders, public servants - so every experiment is examined through perspectives its owner could not have generated alone. The DDG supplies both the strong developmental network and the colliding perspectives that the research identifies as core drivers of vertical growth.

 

**Elevated sensemaking, built into the structure**

Participants complete the Leadership Development Profile - a sentence-completion instrument in the tradition Petrie explicitly recommends - and receive a personal debrief. The Action Logics give each participant a stage map: a way of seeing not only how they lead, but how their meaning-making itself is evolving. Kolb's experiential learning cycle underpins the rhythm of experiment, reflection, and re-engagement. Time, map, and guide - the three ingredients of vertical sensemaking - are designed in rather than squeezed into the margins.

 

Above all, the module attends to the person rather than the syllabus. Executive MBA participants are accomplished professionals whose store of leadership knowledge is already substantial. What the module works on is the one doing the knowing - mindset, identity, and mental models - which is the essential distinction between horizontal development (adding knowledge and skills) and vertical development (transforming how a leader makes sense of the world).

 

Twenty years on

Rooke and Torbert wrote that path-breaking programmes of this kind existed at only a few universities around the globe. Two decades later, one of them is in Galway. Over ten years of continuous delivery, and the cohorts who have passed through it, suggest that the business school challenge can be answered - not with more content, but with a developmental focus. 

By Nial O'Reilly June 8, 2026
A new European survey of psychiatric trainees , published in March, lands a finding that should not surprise anyone and yet keeps surprising the system: 63% had no leadership training in their programme, every single respondent said there should be, and those who did receive some were, on average, dissatisfied with it. The diagnosis is correct. The treatment being prescribed worries but does not surprise me. Look at how the survey — and the institutions responding to the same gap — define “leadership.” It is a list of competencies to be acquired: communication, teamwork, public speaking, professionalism, networking, media interaction. The EPA’s new Leadership Academy, launched last year and a genuinely welcome initiative, describes its aims in almost identical terms: enhancing communication skills, team management, presentation and public speaking technique. Even the UEMS mandate, which I’m glad exists, asks trainees to “acquire and continuously maintain” leadership skills. Acquire and maintain. Those are horizontal verbs. They describe the addition of capabilities to a person whose way of making sense of the world is treated as fixed. But notice what the survey authors keep tripping over without the language to name it. They report that the transition from trainee to consultant — the increase in responsibility, and crucially the increase in “awareness about limitations” — changes which skills people value, and they cite this as a driver of leadership development. That is not skill acquisition. That is a shift in how a person constructs meaning, authority and their own role. In the language of adult constructive-developmental theory, and what we recognise in Harthill a s movement between Action Logics — the kind of vertical growth that no competency checklist can deliver, because the checklist assumes the meaning-maker stays the same while only the toolkit grows. This matters beyond psychiatry. The paper itself notes that the COVID pandemic was what “firmly established” leadership as central to medical identity. Yet what that period actually exposed in healthcare leaders was rarely a deficit of communication technique. It was the struggle to hold complexity, ambiguity and competing legitimate demands without collapsing into false certainty or paralysis. That is a capacity of mind, not a line on a syllabus. You can be an extraordinarily skilled communicator and still be overwhelmed by a problem that exceeds your current way of organising reality. So here is the risk. Europe has correctly diagnosed that medical leadership training is absent. The instinct now is to fill the vacuum quickly, and the fastest thing to reach for is a competency framework — definable, teachable, assessable. We will end up training the what of leadership while leaving untouched the who that determines whether any of it transfers under pressure. None of this is an argument against the EPA Academy or against teaching skills. Skills matter. The point is sequencing and depth: horizontal capability sits on a vertical foundation, and a leader’s stage of development shapes whether they can even use the skills we give them. The same conflict-resolution training lands entirely differently on an Expert-stage clinician defending technical correctness and an Achiever-stage one balancing outcomes across a team — and differently again on someone beginning to question the systems they operate inside. The opportunity for the medical leadership community is to build the vertical dimension in from the start, rather than discovering in ten years that the competency programmes plateaued. The evidence is already pointing there. The survey’s own most-favoured modality — a blend of theory and lived practice, reflected on over time — is exactly the experiential, inquiry-based structure that supports developmental growth, and exactly what most current provision lacks. Diagnose the gap as horizontal, and you fill it horizontally. Recognise that what complexity demands is bigger minds, not just fuller toolkits, and you build something that lasts. Santos et al., “Leadership skills training needs of early career doctors: a European survey,” Academia Mental Health and Well-Being, 2026.
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