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Practical leadership ajeto 7.25.18
1.
Practical Leadership “Supporting yourself
and those around you” Alex Ajeto (Uh-jet-oh), R2
2.
© 2014 Virginia
Mason Totally not a real Scenario #1 Ingrid the intern is on her first wards block. While presenting her first admit of the day Sam the senior is busy still coordinating the rounding order via text. Having not yet completed a formal med-rec Ingrid decided to gloss over the pt medication list. Adam the attending interrupts her presentation when he notes the absence of an updated med-rec in Cerner. He reminds her about pt safety, recommends that she never forget to do this again, and sends her away to gather this missing information. 2 What could have gone better here?
3.
© 2014 Virginia
Mason Creating an Open Culture of Candor Identify: fear of failure, passive listening, punitive behavior, missed teaching opportunities • Allow those around you to communicate honestly and openly • Target active listening: sense, evaluate, respond • Welcome all information and difficult conversations • Thank those who bring errors to light • Help create the learning needed to move forward • File a PSA! Embrace a PSA you are part of! 3
4.
© 2014 Virginia
Mason Totes Related Poll Question #1 Which factor affects team dynamics most? A. Frequent communication B. Individual Competency C. Defined Roles D. A ‘safe’ working environment 4
5.
© 2014 Virginia
Mason Totes Related Poll Question #1 Which factor affects team dynamics most? A. Frequent communication B. Individual Competency C. Defined Roles D. A ‘safe’ working environment 5
6.
© 2014 Virginia
Mason This maybe happened Scenario #2 Ingrid the intern has received two admits with “inadequate work-ups” from Dr. Eddy in the ED in just the last two days. She laments out loud, “These ED doctors have no idea what they’re doing.” Sam the senior shares a similar story about an “inadequate work-up” from Dr. Eddy. Everybody then twirls their evil mustaches and laughs maniacally. 6 What could have gone better here?
7.
© 2014 Virginia
Mason Creating a Culture without Gossip Identify: Lacking communication, Condescension, Tribalism • Seek explanations before building “your story” • Acknowledge the effort within others • Avoid condescension • Talk directly with those you have a concern with • Help those around you to do the same 7
8.
© 2014 Virginia
Mason Totes Related Poll Question #1 Which of these can predict divorce best? A. Frequency of fights B. Eye Rolling C. Lying D. Nagging 8
9.
© 2014 Virginia
Mason Totes Related Poll Question #1 Which of these can predict divorce best? A. Frequency of fights B. Eye Rolling C. Lying D. Nagging 9
10.
© 2014 Virginia
Mason OK this happens a lot Scenario #3 While working up a 4:59pm admit Ingrid receives a page about her patient with MRSA endocarditis who wishes to leave AMA. She calls nurse Nancy back who explains that the patient is threatening to leave if her “service dog” is not allowed to stay with her. “She has also been asking for more narcotics all day” Nancy adds. Ingrid drops her work to talk with the pt, ultimately informing her that “she is welcome to leave” as this “is not a prison.” 10 What could have gone better here?
11.
© 2014 Virginia
Mason Seeking a “Win for All” Identify: ‘others’ as obstacles, emotional dysregulation, apathy, resentment • Seek a solution for you, your patient, your team members, and the organization as a whole • Avoid “difficult patient” narratives • Acknowledge perspectives, blame no one, accommodate if you can • All people and circumstances are allies perfectly suited to provide learning and growth 11
12.
© 2014 Virginia
Mason Poll Question #3 What percentage of AMA patients will be readmitted within 2 weeks of discharge? A. 3% B. 12% C. 21% D. 34% 12
13.
© 2014 Virginia
Mason Poll Question #3 What percentage of AMA patients will be readmitted within 2 weeks of discharge? A. 3% B. 12% C. 21% D. 34% 13
14.
© 2014 Virginia
Mason Conscious Leadership 14
15.
© 2014 Virginia
Mason Introducing! The Tournament for the Most Awesome Wards Team Ever in Existence (TMAWTEE) *working title 15 *Actual trophy pending approval
16.
© 2014 Virginia
Mason Proposed List of Tasks 1. Have each team member set a tangible improvement goal for their block 2. Submit a VM Applause for a co-worker 3. Have an intern lead a teaching session 4. Bring a snack for your team 5. Senior completes a discharge summary 6. Read a poem or haiku for your team 7. Have a team discussion about identifying and preventing gossip 8. Take a team coffee break 9. Learn something unique about a co-worker 10. Thank a co-worker for bringing a mistake to your attention 11. Go outside for some fresh air 12. Recognize or celebrate another culture/heritage 13. Submit a PSA! 14. Hold a senior/attending “reverse feedback” session 15. Verbally reframe a ‘mistake’ as a ‘learning experience’ 16
17.
© 2014 Virginia
Mason Rewards $$$$ • First prize will be $50 Visa gift card to be used however you wish. – Team Happy Hour – Celebratory Snacks/Lunch – Loan repayment – Matching tees with Abdullah’s face • Finishing the list of tasks before your final wards day earns your team a $20 gift card to Copper Spoon • Send any suggestions to Travis, David, or Alex 17
18.
© 2014 Virginia
Mason Thanks! 18
Download now