A private hospital company has the same criteria for leading surgeons as all other healthcare providers. The main criteria are medical competency and good manners with patients and medical staff. Economical knowledge is also very important but does not necessarily include a special qualification in business administration, such as MBA. The head of a surgical department must be able to include current developments in health policy into the work. He should also be able to analyze his own situation and make corrections if possible and discuss the current economical situation in a constructive and trustworthy manner with the management. The head of a surgical department is responsible for the quality of medical and surgical education of his staff.