importance of leadership in medical practice
Post on 20-Oct-2014
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Lecture delivered at Tiger Resort Ranthambhor, Rajasthan durind a professional development programmeTRANSCRIPT
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Importance of leadership in Importance of leadership in medical practice medical practice
Vijay sardana MD , DM ( neurology)
Professor & Head, Dept of neurology Medical college kota
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Doctors : Definition of successDoctors : Definition of success
Having lots of patientsNew car/plot Every year/lots of
moneyPublishing papers in journalsTeaching students
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Today's successful doctorToday's successful doctor
Clinician Academician Manager Financial Expert CEO Family care Provider Self care taker
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Leadership in medicineLeadership in medicine
Leadership in medical field /medicine
Political leadership
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Leadership in medicineLeadership in medicine
Management – coping with everyday problems , complex organizational problems & ensure smooth functioning
Leadership – visioning and motivating others to achieve the prefeered vision
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What is LeadershipWhat is Leadership
Taking risks
Having the courage of one’s conviction
Will to act in face of powerful conventional wisdom and strong opposition
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Steps in medical leadershipSteps in medical leadership
To learn how to be a good doctor
To learn how to be a servant leader- using medical and leadership skills in service of patients and community
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What does it takes to be a good What does it takes to be a good DoctorDoctor
Integrity
Compassion
Altruism
Continuing improvement and excellence
Teamwork with Healthcare team- to reduce manufactured conflicts between doctor and managers , specialists & GP, etc.
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Managing knowledge as an Managing knowledge as an adult learneradult learner
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Keeping updated : Managing Keeping updated : Managing knowledgeknowledge
Medical knowledge problem – Mammoth size - Short half life
Medical books -- Become outdated fast Medical journals -- Costly Conference Medical representative Internet
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know your and preferred style of adult learning
Visual Verbal kinesthetic
Managing knowledgeManaging knowledge
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Keeping updatedKeeping updated
Imitation
Structure your knowledge around patients
Learn from your past mistakes
Master clinical protocols & Flow charts
Concentrate on carry home massages
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Marketing and branding in Marketing and branding in medicinemedicine
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Marketing in medicineMarketing in medicine
“Marketing is Practice building not advertising”
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Advertising in medicineAdvertising in medicine
MCI code of ethics doesn't permit
Word of mouth
Scientific presentations of experience to your colleagues
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Practice Practice building/Marketingbuilding/Marketing
Satisfied patients Volunteering at community medical service. Organizing an event – like conference Attracting Media attention Contributing article on health to magazine Public lecture Patient information brochure News letter Website Marketing to referral base
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Branding yourselfBranding yourself
Branding in the big picture view that a doctor presents
Its your image perception you create
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Branding principlesBranding principles
Focus on what you excel
Understand existing markets
Be consistent
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Physician profilesPhysician profiles
Healers
Dealers
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Incorporate business skillsIncorporate business skills
Analyze practice and environment - Patient profile - Referral profile - Services- esp. which are profit making -Competitors and their strategies Analyze your strengths and weaknesses -Cost for economic advantages -technology advantage
-referrer’s convenience -Patient friendliness -Clinical quality Set goal, implement & monitor
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Manage boredom & burnoutManage boredom & burnout
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Stages of careerStages of career
Medical student
Resident
Doctor- professional work
Boredom by 40-50 years? What to do next
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BurnoutBurnout
Loss of Physical, Emotional & Mental Energy
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Doctor - BurnoutDoctor - Burnout
Personality Traits
Perfectionists Want to do everything themselves Often act as if infallible
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Burnout : SymptomsBurnout : Symptoms
Behavioral – Angry/Depressed, poor concentration,
Chronically late or psychologically absent, work avoidance
Excessive drinking/Drugs
Tiredness, lethargy, sleep disorders
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Burnout – Things to do Burnout – Things to do
Learn to take care of yourself – learn to rest - learn to Exercise Learn to say No
Have fulfilling life outside of clinic-develop your hobbies & activities
Learn to cut routine work
Develop strong support system
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High EQ pre requisite to High EQ pre requisite to leadershipleadership
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Emotional Intelligence (EQ)Emotional Intelligence (EQ)
Def – “The ability to monitor one’s own & other feelings & emotion to discriminate among them, and to use this information to guide one’s thinking and action”
IQ Average citizen - 100 Doctor - 120
EQ Average citizen - 100 Doctor - 90
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EQ ComponentsEQ Components
Knowing your own emotions (Self awareness) Managing your own emotion (Self regulation) Motivating yourself Recognizing and understand other people’s emotion (
Empathy) Managing relationships or social skills- Skills in managing emotions in others determines
popularity, leadership & interpersonal effectiveness.
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EQEQ
Physician cannot perform his job without understanding his emotion & those of patients
IQ - Technical Competence EQ - People’s Competence
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Leadership in medicineLeadership in medicine
Stepping away from individual patient-physician relationship
Thinking beyond stethoscope
Examining problem at systems level
View issues broadly- balcony perspective Aero plane's window perspective
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Collaborative leadershipCollaborative leadershipconnective leadershipconnective leadership
Leadership through influence not authority
Leadership by creating a shared purpose and common vision , not by using power or position
“carpool”
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LeadershipLeadership44 sequential activities sequential activities
Generating a vision
Convince others that the goal is worthy
To get the needed individuals to help to achieve the goal
To motivate people achieve goal
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Doctors are not organized or united
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Physicians: well equipped but don’t venture in political leadership
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Physician – lets take a leadPhysician – lets take a leadphysicians well groomed to be good leadersphysicians well groomed to be good leaders
Educated Articulated Affluential Respected Deal with human emotion daily Deal with cross section of society think scientifically.
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Physician : lets take leadPhysician : lets take lead
Leadership – genes, charisma, education, wealth, luck, training, experience
Ethics do right & be caring
Reality Greatness vision Have no think big & new Illusion
Courage act with sustained initiation
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Physician : Lets take a leadPhysician : Lets take a lead
Lets make a professional bodies strong
More representation of Professionals in policy making team e.g. Secy. Medical Education Chandigarh a Doctor
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How to develop leadership skillsHow to develop leadership skills
Experience
Practice
Coaching or mentorship
Leadership training
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Developing leadersDeveloping leaders
Inward journey of self discovery and self development
Establishing a set of core values to guide the organization/team
Communicating visions and purpose that inspires widespread commitment
Building a culture of excellence and accountability
Creating an environment to develop leaders
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Medical Regulatory Bodies also Medical Regulatory Bodies also recommended Leadership as an recommended Leadership as an integral part of medical educationintegral part of medical education
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Outcomes of leadership programmesOutcomes of leadership programmes
Enhanced self awareness Enhanced self confidence Ability to view life broadly and systemically Maintain balcony and aero plane's window
perspective Ability to work in social system Ability to contribute work in a team Ability to think creatively and adapt evidence
based practices
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