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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
Going forward • Launch modules • Leadership education network: - harness local expertise - develop/share curriculum - build discipline specific cases
[email protected] Thank you!!
