The medical staffers association met overnight at the Royal Brisbane and Women's Hospital to discuss "ongoing concerns of the governance and the quality of governance of the hospital and the Metro North Health and Hospital Service board", Queensland head of the Australian Medical Association Shaun Rudd said.

"The problem is there has been a lot of change going on in the top positions at this stage we have been advised that there have been 20 executive director positions that have been changed, either by termination, resignations or suspensions over the past 18 months and there are still 13 vacancies for the executive staff at the present time," he told Fairfax Radio 4BC Mornings.

"It is very hard to be confident in the people who are running the place, the governance of the place, when these things are happening.

"The board may or may not be aware of this and the responsibility really lies with them."

Dr Rudd said that lack of confidence may begin to impact patient care.

"It would eventually flow to patient care," he said.

"If things are not being run properly from the top, then things tend to not be run properly further down the chain so it is very important that the governance of the Royal Brisbane and Women's Hospital and Metro North is very well done.

"And it is very important that the board understands how important that is and fixes the situation.

"They need to get confidence back in the staff and they need get staff in, new executive staff in and presumedly work with them and make the place run properly. At this moment in time, no one is really sure why so many changes are going on."

Dr Rudd said the hospital appeared to be running "reasonably well" but staff wanted to discuss the issue before it became a problem.

He said Ian Maynard, who had been called in to fix the doctor contracts' fight, had agreed to speak to the staff association about their concerns.

Acting Metro North chair Vaughan Howell said the region had "dedicated staff who continue to deliver high quality patient care".

"Recent performance results show that we are a 'high performing' Hospital and Health Service," he said.

"To further improve patient outcomes we have embarked on a significant program of organisational reform.

"A key part of our reform is to better align clinical services to the needs of patients and our clinical leaders have set the direction for this improvement.

"The Board has full confidence that the executive, largely made up of clinicians, is well placed to lead this reform."

Health Minister Lawrence Springborg said he was leaving it to the board.

"The important thing is to make sure that there is effective clinical engagement, that they've got effective engagement with their senior clinicians," he said.

"That's a view that I know the board shares and I'm encouraging them to make sure that they build those bridges, and I'm very confident that they will do that now."

Mr Maynard is expected to meet with the association on Thursday afternoon.