Anne Matlow MD FRCPC All PDs January 20, 2017 · It is Saturday and Dr Jones is a PGY1 in the ICU....

Anne Matlow MD FRCPC

All PDs January 20, 2017

Sources: multiple websites, online search.

Leadership

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Outline 1. Leadership education for physicians: What? Why? Why now? 2. What is PGME doing about it?

- Chief resident leadership forum - TISLEP (Toronto International Leadership Education for Physicians) - sanokondu.com curriculum

3. Going forward: - Leadership education network

What is a leader?

Effective leaders across diverse settings demonstrate the abilities to - articulate a vision or goal, - communicate this vision to others, - build willing support for this vision, and - empower others through passion and teamwork to be leaders in return.

Blumenthal, Academic Medicine, 2012

Jim Collins Good to Great

5 Levels of Leadership

Big ‘L’ vs little ‘l’ leadership

Healthcare is Complex

Slide courtesy of Brenda ZImmerman

• Higher quality AMI care associated with: – “Shared vision of excellence in clinical care;” – Emphasis on learning from failure; – High quality communication between staff; – Attention to care coordination; – “Physician champions” for QI practices and

“empowered nursing staff;” and – Senior leadership support for QI efforts.

The impact of leadership and quality climate on hospital performance. Shipton, Armstrong, West & Dawson. International Journal for Quality in Health Care 2008; 20(6):439-445.

Leadership correlates with outcomes

Slide courtesy of Peter Lees

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Leading in a VUCA

Environment

Harvard Business Review 2014

It is Saturday and Dr Jones is a PGY1 in the ICU. The staff and senior resident considered Mr. Singh, a trauma patient ready for transfer out; discharge orders were written, and their parting words were ‘don’t call tonight, I’m busy’. It is 7 pm and the patient has developed a fever and tachypnea. The charge nurse is adamant that the bed be vacated. Dr Ali, a PGY 3, has come to you. He was very peripherally involved in a critical incident and would like to be involved in the investigation and debrief. QCIPA has been invoked and he is not sure what to do.

Global imperative to acquire leadership competencies during training

Wendy Levinson, MD, OC Professor of Medicine, University of Toronto

Chair, Choosing Wisely Canada & International PGME Resource Stewardship Day

November 19th, 2015

Chief resident leadership forum

- Quarterly - Faculty leader + informal networking + discussion + dinner -

Opportunity for formal training which is rarely offered in

leadership

Excellent open forum.

I enjoyed the chance to talk with people who have similar challenges.

Candid discussion between chiefs from different disciplines

commitment to confidentiality

Great moderators who created great environment

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COMPETENCY BASED LEADERSHIP CURRICULUM

Toronto International

Summit on Leadership

Education for Physicians

Toronto International Summit on Leadership Education for Physicians 2014

Toronto Statement: Guiding Principles 1. All physicians are expected to be leaders within their clinical

practice environment; 2. Leadership (in healthcare) is a people business so it must be taught

and learned around the people with whom leaders will need to work;

3. Leadership training tailored to the clinical or system level should be guided by a framework that pays attention to competency, character, and managerial skills;

4. Because of the importance of the character traits needed by leaders, training should be grounded in situations and experiences that reflect the challenges that physicians will face;

5. Leadership training goals should ultimately focus on better health system performance.

LEADS in a a Caring Environment Leadership Framework

www.sanokondu.com

Going forward • Launch modules • Leadership education network: - harness local expertise - develop/share curriculum - build discipline specific cases

anne.matlow@utoronto.ca Thank you!!