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

Doctors : Definition of successDoctors : Definition of success

Having lots of patientsNew car/plot Every year/lots of

moneyPublishing papers in journalsTeaching students

Today's successful doctorToday's successful doctor

Clinician Academician Manager Financial Expert CEO Family care Provider Self care taker

Leadership in medicineLeadership in medicine

Leadership in medical field /medicine

Political leadership

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

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

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

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.

Managing knowledge as an Managing knowledge as an adult learneradult learner

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Medical books -- Become outdated fast Medical journals -- Costly Conference Medical representative Internet

know your and preferred style of adult learning

Visual Verbal kinesthetic

Managing knowledgeManaging knowledge

Keeping updatedKeeping updated

Imitation

Structure your knowledge around patients

Learn from your past mistakes

Master clinical protocols & Flow charts

Concentrate on carry home massages

Marketing and branding in Marketing and branding in medicinemedicine

Marketing in medicineMarketing in medicine

“Marketing is Practice building not advertising”

Advertising in medicineAdvertising in medicine

MCI code of ethics doesn't permit

Word of mouth

Scientific presentations of experience to your colleagues

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

Branding yourselfBranding yourself

Branding in the big picture view that a doctor presents

Its your image perception you create

Branding principlesBranding principles

Focus on what you excel

Understand existing markets

Be consistent

Physician profilesPhysician profiles

Healers

Dealers

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

Manage boredom & burnoutManage boredom & burnout

Stages of careerStages of career

Medical student

Resident

Doctor- professional work

Boredom by 40-50 years? What to do next

BurnoutBurnout

Loss of Physical, Emotional & Mental Energy

Doctor - BurnoutDoctor - Burnout

Personality Traits

Perfectionists Want to do everything themselves Often act as if infallible

Burnout : SymptomsBurnout : Symptoms

Behavioral – Angry/Depressed, poor concentration,

Chronically late or psychologically absent, work avoidance

Excessive drinking/Drugs

Tiredness, lethargy, sleep disorders

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

High EQ pre requisite to High EQ pre requisite to leadershipleadership

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

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.

EQEQ

Physician cannot perform his job without understanding his emotion & those of patients

IQ - Technical Competence EQ - People’s Competence

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

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”

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

Doctors are not organized or united

Physicians: well equipped but don’t venture in political leadership

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.

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

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

How to develop leadership skillsHow to develop leadership skills

Experience

Practice

Coaching or mentorship

Leadership training

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

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

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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