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BIEN ELI NILLOS, MD, MHSS• Masters in Health Social Science, De La Salle University Manila,
2014• Doctor of Medicine, University of Saint La Salle College of
Medicine, 2006• Doctor to the Barrios, Batch 23, 2007-2010• Associate Professor, Family and Community Medicine, University
of Saint La Salle College of Medicine• Faculty in Charge, Social Determinants of Health, Development
Academy of the Philippines Masters in Public Management – Health Systems and Development, DTTBs, 2015.
• Director, Community Health Partnership Program, Zuellig Family Foundation
“Are Leaders Born or Made?”• The Debate is still unresolved (selection vs.
developmental)• How you answer this question (perspective) describe
how you see leadership to be.• How you see what leaders “should be” influence your
own leadership style.
Defining Leadership
• “The critical difference between management and leadership is reflected in the root meanings of the two words - the difference between what it means to handle things and what it means to go places. The unique role of leaders is to take us to places we’ve never been before” (Kouzes and Posner, 1995)
• Etymology: Old English, proto-Indo-Celtic language: “to travel” “to go” “to be first in place” “to flow” “to guide”
“To go from where to where?”
• Look around you: What do you see?• What do you think with what you are seeing?• What does this make you feel?• Would you like to change what you are seeing?• What do you prefer to see?
We need both LEADERS and MANAGERS• Leading = doing the right things• Managing = doing things right
“Failing organizations are usually over-managed and under-led” – Warren Bennis
“Hugot” Leadership
• Saan nanggagaling ang pagiging leader mo?• Leadership “CORE”– C – competency (skills)– O – objective obsession (“purpose”)– R – “regard” (values, principles)– E – experiences (“life stories”)
“WHY DO YOU WANT TO BECOME A DOCTOR?”
Health Change Model©
Leadership and Governance
Innovative Solutions
Institutional Arrangements
Better Health Outcomes
The Bridging Leadership
ResponsivePrograms
and Services/
Social Innovations
Collaborative Response
EngagementMechanisms
SharedVision &Mission
New Relationships
AmongStakeholders
EmpoweredCitizenry
TransformedInstitutions
New Institutional
Arrangements
Health Equity
BridgingLeader
HealthInequity/Divide
andStakeholders
Personal
Vision &Mission
Personal Response
Multi-Stakeholder Processes/
Convening and Trust-Building
Dialogue
OWNERSHIP CO-OWNERSHIP CO-CREATION
Source: AIM-TeaM Energy Center
Influence
• Community
Voice &
participation
• Leadership
•Government
•Civil Society
Organizations
• Private
Sector
• Traditional
Institutions &
Institutional Arrange-ments that
provide access to
• Economic
• Social/
Health
• Political
Oppor-tunities & Programs Available
to the People
Human Condition
MMR
IMR
Malnutrition
HIV, TB, Malaria
• Economic
• Social/
Health
• Political
Oppor-tunities & Programs
for the People
•Government
•Civil Society Organizations
•Private Sector
•Traditional
Institutions &
Institutional Arrange-ments that
provide access to
Influence
•Community
Voice &
participation
• Leadership
Human Condition
MMR
HIV, TB, Malaria
Malnutrition
IMR
Weak or Absent Strong
Source: Sen, as modified
What are you called to do as “future doctors?”
• Formation – strengthening of skills and clarification of values
“People don’t care how much you know until they know how much you care”-John Maxwell
What are you called to do as “future doctors?”
• Involvement – desensitizing and sensing
“The physicians are the natural attorneys of the poor, and social problems fall to a large extent within their jurisdiction.” – Rudolph Virchow
What are you called to do as “future doctors?”
• Transformation – “Presencing” and reframing of perspectives (doctors ≠ clinicians)
“The choice of working in Public Health should not be an alternative option but rather the norm.”
END
“Medicine is a social science, and politics is nothing else but medicine on a large scale. Medicine, as a social science, as the science of human beings, has the obligation to point out problems and to attempt their theoretical solution; the politician, the practical anthropologist, must find their means for their actual solution.” – Rudolph Virchow