Accreditation Council for Graduate Medical Education

DIO as Leader

Kevin B. Weiss, MD

Senior Vice President, Institutional Accreditation

Co-Chair, CLER Evaluation Committee

ACGME Annual Education Conference

February 28, 2013

????????

• The draft new institutional

requirements will give DIOs the role

authority to lead the GMEC.

True / False

????????

• After the CLER visit the DIO will be

expected to lead an institutional

workgroup to provide a response to

the CLER report.

True / False

?

• ACGME anticipates the role of the

DIO will be rapidly evolving from

administrative to that of an

educational leader in the institution.

Yes / No

?

• Are you truly ready to lead GME?

Yes / No

• “Never doubt that a small

group of thoughtful

committed citizens can

change the world. Indeed, it

is the only thing that ever

has.”

• - Margaret Mead

• What kind of leader am I?

• What kind of leader do I want to be?

• What do I bring to the table – both strengths

and challenges?

• Where am I in my professional journey in

willing to make change?

Role Authority

Authority

• Legitimate • (recognized by both ruler and ruler)

• Three types (M. Weber)

• Rational-legal

• Traditional

• Charismatic

Leadership

• Persuasiveness

• Influence

• Motivation

Leading from Within

a My Boss

Another leader

Another leader

ME

My staff

Another leader

Department Chairs

Program Directors

“To be lone chief atop a pyramid is abnormal and corrupting.* None of us are perfect by

ourselves, and all of us need the help and

correcting influence of others.”

Robert Greenleaf, Servant Leadership, 1977

* Italics as per author

Operator and Conceptualizer

“Operating talent is more administrating in

contrast to leading.”

“Conceptual talent sees the whole in the

perspective of history---past and future.”

“Both of these talents, in balance and rightly

placed, are required…”

Robert Greenleaf, Servant Leadership, 1977

* Italics as per author

“One can have no

greater mastery than the

mastery of oneself”

Leonardo DaVinci

Mastery – Apprenticeship

Step I. Deep Observation

Step II. Skills Acquisition

Step III. Experimentation

Robert Greene. Mastery, Viking Press. 2012

Mastery -- Mentorship

Robert Greene. Mastery, Viking Press. 2012

See people as they are..

“It is a great folly to hope that other men will harmonize

with us; I have never hoped this. I have always

regarded each man an independent individuals, whom

I endeavored to understand with all his peculiarities,

but from who I desired no further sympathy. In this

way I have been enable to converse with every man,

and thus alone has produced the knowledge of various

characters and the dexterity necessary for the conduct

of life.” Johann Wolfgang von Goethe

• Leadership seeks

to understand

people's

personalities, and

how different

people react

differently to

change….

• A leader takes people where

they want to go. A great leader

takes people where they don't

necessarily want to go, but

ought to be.

• - Rosalynn Carter

When to Make Change

Change Management Burning Platform

Increase in Physician Accountability

The impact of Health Information Technology

The Accountable Care Act

The Next Accreditation System

What Changes to Focus on?

Redesign or Tune-up

Attempting to boil the ocean

Change Management

Change Management

One Step:

a leader

Ten Steps:

a target

Change Management

Paddling Upstream

Leading from Within

a My Boss

Another leader

Another leader

ME

My staff

Another leader

Department Chairs

Program Directors

• What leadership attributes do you believe are most needed in

the role of DIO in the next accreditation system?

• Which of your attributes as a leader do you believe will be

most valuable to you as a DIO?

• For which attribute as a leader do you believe you need the

most development?

• What excites you most about your role as institutional leader

in graduate medical education?

• “You can often change

your circumstances by

changing your attitude”

• ― Eleanor Roosevelt

????????

• The draft new institutional

requirements will give DIOs the role

authority to lead the GMEC.

True / False

????????

• After the CLER visit the DIO will be

expected to lead an institutional

workgroup to provide a response to

the CLER report.

True / False

?

• ACGME anticipates the role of the

DIO will be rapidly evolving from

administrative to that of an

educational leader in the institution.

Yes / No

?

• Are you truly ready to lead GME?

Yes / No

Accreditation Council for Graduate Medical Education

Wishing you the wind

behind your sail