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Coach leadership physician leadership leadership development coaching

Brett Sadowski, Sarah Cantrell, Adam Barelski, Patrick G O'Malley, Joshua D Hartzell
Background : Leadership is a critical component of physician competence, yet the best approaches for developing leadership skills for physicians in training remain undefined. Objective : We systematically reviewed the literature on existing leadership curricula in graduate medical education (GME) to inform leadership program development. Methods : Using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines, we searched MEDLINE, ERIC, EMBASE, and MedEdPORTAL through October 2015 using search terms to capture GME leadership curricula...
April 2018: Journal of Graduate Medical Education
Samara B Ginzburg, Susan Deutsch, Jaclyn Bellissimo, David E Elkowitz, Joel Nh Stern, Robert Lucito
Purpose: The evolution of health care systems in response to societal and financial pressures has changed care delivery models, which presents new challenges for physicians. Leadership training is increasingly being recognized as an essential component of medical education training to prepare physicians to meet these needs. Unfortunately, most medical schools do not include leadership training. It has been suggested that a longitudinal and integrated approach to leadership training should be sought...
2018: Advances in Medical Education and Practice
Katharine E Morley, Constance M Barysauskas, Victoria Carballo, Orinta Kalibatas, Sandhya K Rao, Joseph O Jacobson, Brian M Cummings
INTRODUCTION: The Partners Clinical Process Improvement Leadership Program provides quality improvement training for clinicians and administrators, utilizing graduates as volunteer peer coaches for mentorship. We sought to understand the factors associated with volunteer coach participation and gain insight into how to improve and sustain this program. METHODS: Review of coach characteristics from course database and survey of frequent coaches. RESULTS: Out of 516 Partners Clinical Process Improvement Leadership Program graduates from March 2010 to June 2015, 117 (23%) individuals volunteered as coaches...
April 2018: Quality Management in Health Care
Anurag Saxena, Loni Desanghere, Kent Stobart, Keith Walker
BACKGROUND: With current emphasis on leadership in medicine, this study explores Goleman's leadership styles of medical education leaders at different hierarchical levels and gain insight into factors that contribute to the appropriateness of practices. METHODS: Forty two leaders (28 first-level with limited formal authority, eight middle-level with wider program responsibility and six senior- level with higher organizational authority) rank ordered their preferred Goleman's styles and provided comments...
September 19, 2017: BMC Medical Education
Joshua D Hartzell, Clifton E Yu, Brian M Cohee, Michael R Nelson, Ramey L Wilson
BACKGROUND: Despite calls for greater physician leadership, few medical schools, and graduate medical education programs provide explicit training on the knowledge, skills, and attitudes necessary to be an effective physician leader. Rather, most leaders develop through what has been labeled "accidental leadership." A survey was conducted at Walter Reed to define the current status of leadership development and determine what learners and faculty perceived as key components of a leadership curriculum...
July 2017: Military Medicine
Judith C Dolins, Jennifer Powell, Edward Wise, Kimberly Giuliano, Peggy Stemmler, Wes Stubblefield, P Cooper White, James Wiley, Dennis Z Kuo
BACKGROUND AND OBJECTIVES: Pediatric medical professionals have an increasing desire for quality improvement (QI) methods that produce sustainable changes in health care delivery. Previous reports have described QI in single settings or single coordinating entities that work with multiple sites. The objectives of this project are (1) to improve care for children with asthma across multiple practice settings and (2) to develop state-level expertise to support QI projects across entities in multiple states...
July 24, 2017: Pediatrics
Sara Ann Cerrone, Patti Adelman, Salaahuddin Akbar, Andrew C Yacht, Alice Fornari
BACKGROUND: Chief Residents must lead, manage and mentor a diverse and often large group of residents, however there is a lack of formal leadership training throughout graduate medical education. OBJECTIVE: Development of a 3-part Chief Resident (CR) Program focused on leading, managing and mentoring. DESIGN: Each participant completes an Emotional Intelligence (EI) Inventory prior to the day-long event. Participants receive their EI scores at the beginning of the program, which features interactive sessions on leadership, management, and feedback skills...
2017: Medical Education Online
Erin Gallagher, Ainsley Moore, Inge Schabort
OBJECTIVE: To assess the current status of leadership training as perceived by family medicine residents to inform the development of a formal leadership curriculum. DESIGN: Cross-sectional quantitative survey. SETTING: Department of Family Medicine at McMaster University in Hamilton, Ont, in December 2013. PARTICIPANTS: A total of 152 first- and second-year family medicine residents. MAIN OUTCOME MEASURES: Family medicine residents' attitudes toward leadership, perceived level of training in various leadership domains, and identified opportunities for leadership training...
March 2017: Canadian Family Physician Médecin de Famille Canadien
Duong M Duc, Anna Bergström, Leif Eriksson, Katarina Selling, Bui Thi Thu Ha, Lars Wallin
BACKGROUND: The recently developed Context Assessment for Community Health (COACH) tool aims to measure aspects of the local healthcare context perceived to influence knowledge translation in low- and middle-income countries. The tool measures eight dimensions (organizational resources, community engagement, monitoring services for action, sources of knowledge, commitment to work, work culture, leadership, and informal payment) through 49 items. OBJECTIVE: The study aimed to explore the understanding and stability of the COACH tool among health providers in Vietnam...
2016: Global Health Action
Nico F Leenstra, Oliver C Jung, Addie Johnson, Klaus W Wendt, Jaap E Tulleken
PURPOSE: Good leadership is essential for optimal trauma team performance, and targeted training of leadership skills is necessary to achieve such leadership proficiency. To address the need for a taxonomy of leadership skills that specifies the skill components to be learned and the behaviors by which they can be assessed across the five phases of trauma care, the authors developed the Taxonomy of Trauma Leadership Skills (TTLS). METHOD: Critical incident interviews were conducted with trauma team leaders and members from different specialties-emergency physicians, trauma surgeons, anesthesiologists, and emergency ward nurses-at three teaching hospitals in the Netherlands during January-June 2013...
February 2016: Academic Medicine: Journal of the Association of American Medical Colleges
Anna Bergström, Sarah Skeen, Duong M Duc, Elmer Zelaya Blandon, Carole Estabrooks, Petter Gustavsson, Dinh Thi Phuong Hoa, Carina Källestål, Mats Målqvist, Nguyen Thu Nga, Lars-Åke Persson, Jesmin Pervin, Stefan Peterson, Anisur Rahman, Katarina Selling, Janet E Squires, Mark Tomlinson, Peter Waiswa, Lars Wallin
BACKGROUND: The gap between what is known and what is practiced results in health service users not benefitting from advances in healthcare, and in unnecessary costs. A supportive context is considered a key element for successful implementation of evidence-based practices (EBP). There were no tools available for the systematic mapping of aspects of organizational context influencing the implementation of EBPs in low- and middle-income countries (LMICs). Thus, this project aimed to develop and psychometrically validate a tool for this purpose...
2015: Implementation Science: IS
Lisa Ruth Hirschhorn, Katherine Semrau, Bhala Kodkany, Robyn Churchill, Atul Kapoor, Jonathan Spector, Steve Ringer, Rebecca Firestone, Vishwajeet Kumar, Atul Gawande
BACKGROUND: Pragmatic and adaptive trial designs are increasingly used in quality improvement (QI) interventions to provide the strongest evidence for effective implementation and impact prior to broader scale-up. We previously showed that an on-site coaching intervention focused on the World Health Organization Safe Childbirth Checklist (SCC) improved performance of essential birth practices (EBPs) in one facility in Karnataka, India. We report on the process and outcomes of adapting the intervention prior to larger-scale implementation in a randomized controlled trial in Uttar Pradesh (UP), India...
August 14, 2015: Implementation Science: IS
Traci N Fraser, Daniel M Blumenthal, Kenneth Bernard, Christiana Iyasere
Internal medicine (IM) physicians, including residents, assume both formal and informal leadership roles that significantly impact clinical and organizational outcomes. However, most internists lack formal leadership training. In 2013 and 2014, we surveyed all rising second-year IM residents at a large northeastern academic medical center about their need for, and preferences regarding, leadership training. Fifty-five of 113 residents (49%) completed the survey. Forty-four residents (80% of respondents) reported a need for additional formal leadership training...
July 2015: Proceedings of the Baylor University Medical Center
James C Blankenship, Barry Feldman, Priyantha Ranaweera, John Dent, Xiaoyan Huang, Sara Singer
Interventional cardiologists act as leaders every time they step into a catheterization laboratory (cath lab), but leadership training is rarely included in cardiology training programs. Cath lab physicians should cultivate and practice effective leadership skills. Specifically, (1) before each procedure assess whether the cath lab team is prepared; (2) delegate authority to trainees and team members when appropriate; (3) use every procedure to improve the performance of team members through teaching, coaching, and mentorship; (4) debrief the team after adverse events; (5) develop the traits, styles, and skills associated with successful leadership; and (6) provide team training for the cath lab team...
June 2015: Journal of Invasive Cardiology
Hedy S Wald
A fundamental goal of medical education is the active, constructive, transformative process of professional identity formation (PIF). Medical educators are thus charged with designing standardized and personalized curricula for guiding, supporting, and challenging learners on the developmental professional identity pathway, including the process of socialization. The author of this Commentary provides an overview of foundational principles and key drivers of PIF supporting the being, relating, and doing the work of a compassionate and competent physician...
June 2015: Academic Medicine: Journal of the Association of American Medical Colleges
Michiel G J S Hageman, David C Ring, Paul J Gregory, Harry E Rubash, Larry Harmon
BACKGROUND: There is evidence that feedback from 360-degree surveys-combined with coaching-can improve physician team performance and quality of patient care. The Physicians Universal Leadership-Teamwork Skills Education (PULSE) 360 is one such survey tool that is used to assess work colleagues' and coworkers' perceptions of a physician's leadership, teamwork, and clinical practice style. The Clinician & Group-Consumer Assessment of Healthcare Providers and System (CG-CAHPS), developed by the US Department of Health and Human Services to serve as the benchmark for quality health care, is a survey tool for patients to provide feedback that is based on their recent experiences with staff and clinicians and soon will be tied to Medicare-based compensation of participating physicians...
May 2015: Clinical Orthopaedics and related Research
Steven E Raper, Andrew S Resnick, Jon B Morris
OBJECTIVES: Surgery residents are expected to demonstrate the ability to communicate with patients, families, and the public in a wide array of settings on a wide variety of issues. One important setting in which residents may be required to communicate with patients is in the disclosure of medical error. This article details one approach to developing a course in the disclosure of medical errors by residents. DESIGN: Before the development of this course, residents had no education in the skills necessary to disclose medical errors to patients...
November 2014: Journal of Surgical Education
Carole M Warde, Michelle Vermillion, Sebastian Uijtdehaage
BACKGROUND AND OBJECTIVES: Many medical trainees seek work among underserved communities but may be unprepared to cope with the challenges. Relationship-centered qualities have been shown to promote physician resilience and prevent burnout. The UCLA-PRIME program aims to prepare medical students to work among vulnerable groups and begins with a 3-week leadership course. We describe this course and share lessons with those seeking to foster leadership, advocacy, and resiliency in our future physician workforce...
June 2014: Family Medicine
Warren E Ross, Karen H C Huang, Greg H Jones
The success of newly recruited medical school department chairs has become increasingly important for achievement of organizational goals. An effective onboarding program for these chairs can greatly facilitate early success, as well as satisfaction of the new hire with the position and the school. Onboarding programs can include traditional orientation items such as payroll signup and parking details, but should focus heavily on sharing organizational structure, culture, and how things get done. The goals of onboarding will be well served by implementation of three roles in the process...
May 2014: Academic Medicine: Journal of the Association of American Medical Colleges
Elizabeth L Travis, Leilani Doty, Deborah L Helitzer
Despite increases in the percentages of women medical school graduates and faculty over the past decade, women physicians and scientists remain underrepresented in academic medicine's highest-level executive positions, known as the "C-suite." The challenges of today and the future require novel approaches and solutions that depend on having diverse leaders. Such diversity has been widely shown to be critical to creating initiatives and solving complex problems such as those facing academic medicine and science...
October 2013: Academic Medicine: Journal of the Association of American Medical Colleges
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