Importance of leadership in medical practice


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Lecture delivered at Tiger Resort Ranthambhor, Rajasthan durind a professional development programme

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Importance of leadership in medical practice

  1. 1. Impor tance of leader ship in medical pr actice Vijay sardana MD , DM ( neurology) Professor & Head, Dept of neurology Medical college kota
  2. 2. Doctors : Definition of success  Having lots of patients  New car/plot Every year/lots of money  Publishing papers in journals  Teaching students
  3. 3. Todays successful doctor Clinician Academician Manager Financial Expert CEO Family care Provider Self care taker
  4. 4. Leadership in medicine Leadership in medical field /medicine Political leadership
  5. 5. Leadership in medicine Management – coping with everyday problems , complex organizational problems & ensure smooth functioning Leadership – visioning and motivating others to achieve the prefeered vision
  6. 6. What is Leadership Taking risks Having the courage of one’s conviction Will to act in face of powerful conventional wisdom and strong opposition
  7. 7. Steps 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
  8. 8. What does it takes to be a good Doctor Integrity Compassion Altruism Continuing improvement and excellence Teamwork with Healthcare team- to reduce manufactured conflicts between doctor and managers , specialists & GP, etc.
  9. 9. Managing knowledge as an adult learner
  10. 10. Keeping updated : Managing knowledgeMedical knowledge problem – Mammoth size - Short half life Medical books -- Become outdated fast Medical journals -- Costly Conference Medical representative Internet
  11. 11. Managing knowledgeknow your and preferred style of adult learning Visual Verbal kinesthetic
  12. 12. Keeping updated Imitation Structure your knowledge around patients Learn from your past mistakes Master clinical protocols & Flow charts Concentrate on carry home massages
  13. 13. Marketing and branding in medicine
  14. 14. Mar keting in medicine“Marketing is Practice building not advertising”
  15. 15. Advertising in medicine MCI code of ethics doesnt permit Word of mouth Scientific presentations of experience to your colleagues
  16. 16. Pr acticebuilding/Mar keting 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
  17. 17. Branding yourself Branding in the big picture view that a doctor presents Its your image perception you create
  18. 18. Branding principles Focus on what you excel Understand existing markets Be consistent
  19. 19. Physician profiles Healers Dealers
  20. 20. Incorporate 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
  21. 21. Manage boredom & burnout
  22. 22. Stages of careerMedical studentResidentDoctor- professional workBoredom by 40-50 years? What to do next
  23. 23. BurnoutLoss of Physical, Emotional & Mental Energy
  24. 24. Doctor - BurnoutPersonality Traits Perfectionists Want to do everything themselves Often act as if infallible
  25. 25. Burnout : Symptoms Behavioral – Angry/Depressed, poor concentration, Chronically late or psychologically absent, work avoidance Excessive drinking/Drugs Tiredness, lethargy, sleep disorders
  26. 26. 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
  27. 27. High EQ pre requisite to leadership
  28. 28. 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
  29. 29. EQ 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.
  30. 30. EQ Physician cannot perform his job without understanding his emotion & those of patients IQ - Technical Competence EQ - People’s Competence
  31. 31. Leadership in medicine Stepping away from individual patient-physician relationship Thinking beyond stethoscope Examining problem at systems level View issues broadly- balcony perspective Aero planes window perspective
  32. 32. Collaborative leadership connective leadership Leadership through influence not authority Leadership by creating a shared purpose and common vision , not by using power or position “carpool”
  33. 33. Leadership 4 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
  34. 34. Doctors are not organized or united
  35. 35. Physicians: well equipped but don’t venture in political leadership
  36. 36. Physician – lets take a leadphysicians well groomed to be good leaders  Educated  Articulated  Affluential  Respected  Deal with human emotion daily  Deal with cross section of society  think scientifically.
  37. 37. Physician : 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
  38. 38. Physician : 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
  39. 39. How to develop leadership skills  Experience  Practice  Coaching or mentorship  Leadership training
  40. 40. Developing 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
  41. 41. Medical Regulatory Bodies alsorecommended Leadership as anintegral part of medical education
  42. 42. Outcomes of leadership programmes Enhanced self awareness Enhanced self confidence Ability to view life broadly and systemically Maintain balcony and aero planes window perspective Ability to work in social system Ability to contribute work in a team Ability to think creatively and adapt evidence based practices
  43. 43. T hanks