Background: Most of clinicians are promoted as public health or hospital administrators without training. This results in inadequate management of the programmes and inefficient use of resources. Objectives: To know managerial skills of Medical officers and to identify probable factors responsible for it and to suggest possible interventions. Method: A cross sectional study using self-administered questionnaire was conducted among medical officers of all the 64 wards of Ahmedabad city. Results: 10.9% MO’s showed low level of managerial skills, 76.56% showed average level of managerial skills and 12.5% showed high level of managerial skills. Staff vacancy, additional charges and contractual job are the few of important factors responsible. Level of education and years of job experience has no association with level of managerial skills. Conclusion: Majority of medical officers lacked managerial skills. Work experience and higher education are not responsible for better skills. Proper training of medical officers may help to improve the present scenario.