Anne Matlow MD FRCPC All PDs January 20, 2017 · It is Saturday and Dr Jones is a PGY1 in the ICU....
Transcript of Anne Matlow MD FRCPC All PDs January 20, 2017 · It is Saturday and Dr Jones is a PGY1 in the ICU....
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Anne Matlow MD FRCPC
All PDs January 20, 2017
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Sources: multiple websites, online search.
Leadership
2
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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
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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
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Jim Collins Good to Great
5 Levels of Leadership
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Big ‘L’ vs little ‘l’ leadership
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Healthcare is Complex
Slide courtesy of Brenda ZImmerman
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• 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.
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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
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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.
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Global imperative to acquire leadership competencies during training
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Wendy Levinson, MD, OC Professor of Medicine, University of Toronto
Chair, Choosing Wisely Canada & International PGME Resource Stewardship Day
November 19th, 2015
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Chief resident leadership forum
- Quarterly - Faculty leader + informal networking + discussion + dinner -
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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
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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.
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LEADS in a a Caring Environment Leadership Framework
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Going forward • Launch modules • Leadership education network: - harness local expertise - develop/share curriculum - build discipline specific cases
[email protected] Thank you!!