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Page 0 xxx00.#####.ppt 4/3/2014 1:45:34 PM Pediatrics Pediatrics Is Your Iceberg Really Melting? Melodie Allison, C-TAGME Pediatric Residency Program Cynthia Gaskill Pediatric ID Fellowship Program

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Is Your Iceberg Really Melting?

Melodie Allison, C-TAGME Pediatric Residency Program Cynthia Gaskill Pediatric ID Fellowship Program

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No conflicts of interest to report

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• Phase 1 Milestones and Other ACGME Changes

• Phase 2 Milestones and Other ACGME Changes

• Similarities with “Our Iceberg is Melting”

Introduction

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• Recognize change as universal and constant

• Address resistance to change

• Discuss methods to encourage “buy in” to change

• Maintaining momentum

Goals and Objectives

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• If you are wearing a jacket or sweater that can be removed, will you please stand up?

• If you are willing, please remove your jacket or sweater.

• Thank you.

Group Activity

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• Using the hand you do not write with,

• Please put your garment back on.

Here’s the Challenge:

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Our Iceberg is Melting

Quick Review

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1. Locate the blue paper at the back of your handout.

2. Please read the descriptions for the Penguins then answer the questions on the back based on your training program.

3. Select only one character per question.

Group Activity 2

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1. Which character best describes your program leadership?

2. Which character best describes you?

3. Which character do you avoid?

_____ Fred _____ Alice _____ NoNo _____ Buddy

_____ Louis _____ Scouts _____ Professor _____ Sallie Ann

Questions:

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ACGME Changes

OUR ICEBERG……………

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1. True Urgency

• Resistance

• The pulse of change

• Communication

• Define leaders, team players, and barriers

Building the Toolbox

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2. Create a guiding coalition – Teamwork

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3. Develop the Vision - Action Plan

• Easy to communicate

• Understandable

• Easy to remember

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4. Buy in from All – Communication

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5. Empower and Inspire

• Define and remove barriers

• Champions of Change

• Communicate the vision and long term benefits

• Empower every level

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6. Incorporate short term wins

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7. Do Not Let Up! Go Team Go!

• Resistance

• Raising the bar - balancing

• Reinforce urgency, press harder

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8. Create a New Culture -Make it Stick

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1. True Urgency

2. Create a Guiding Coalition – Teamwork

3. Develop the Vision – Action Plan

4. Buy In From All – Communication

5. Empower and Inspire

6. Incorporate Short Term Wins

7. Do Not Let Up! Go Team Go!

8. Create a New Culture – Make It Stick!

The Eight Step Process of Successful Change:

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Summary

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1. Please stand up

2. Bring your arms straight out in front of you

3. Clap rapidly 5 times

Before we leave...

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Everyone deserves a standing ovation because…

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We Are All True Heroes for Our Programs!!!!!!!

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Reference Acknowledgement Kotter, J. & Rathgeber, H. (2005) Our Iceberg is Melting; Changing and Succeeding Under Any Conditions. NY: St. Martin’s Press

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https://www.appd.org/amsurvey/

Please Provide Feedback

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Melodie Allison Cynthia Gaskill

[email protected] [email protected]

Thank You!

Questions or Comments?