The need for an effective management to encounter the emerging problems in a hospital requires well -qualified cadre to ensure continued work progress. An education or training in management will influence their roles and skills in the job and increase their productivity. This study aims to assess the perception of physicians working in management positions and the impact of managerial education on the importance and competence of their jobs. This study was conducted in Jordan. It included a total of 75 hospitals which employed about 235 physician executives. Using Linda Roamer method, 280 surveys were distributed out of which 160 (57.14%) were returned. The questionnaire was adopted and used from the one prepared by Pavett and Law which relates to the work of Mintzberg and Katz. Analysis of managerial roles in term of importance allocated to it as well as the perception of respondents of their competence showed that overall respondents viewed their roles as important. On the scale of 1 to 5 the widest gap between importance and competence in the study sample scored 4.4 on entrepreneur. However, the mean scores for competence in the overall sample were 3.7. This observed pattern was consistent even where mean scores were compared by sectors. The widest gap and the narrowest gaps between importance and competence were in Jordan University Hospital and Royal Medical Services respectively. The educational training in management has a significant role in increasing the awareness of physician executives to confront the managerial problems and challenges. This training affected their roles and skills in the job. Key Words: Management Positions, Perception, Roles and Skills, Importance and Competence.