GEISELMED.DARTMOUTH.E DU Medical Education Committee (MEC) Catherine Florio Pipas, MD, MPH Craig R....

GEISELMED.DARTMOUTH.EDU

Medical Education Committee (MEC)Catherine Florio Pipas, MD, MPH

Craig R. Westling, MS, MPH

“Creating a Community of Leaders”

Geisel Leadership Development“Knowing yourself is the beginning of all wisdom.” ~Aristotle

July 15, 2014


Objectives: At the end of this session, participants will be able to :

1. Discuss the Framework for the Competency of Leadership @ Geisel

2. Describe the Geisel Leadership Course3. Demonstrate a select Session of the

curriculum


1. Systems – ineffective, inefficient, unsustainable costs

2. Teams – under functioning

3. Individuals – high rates of burnout

AAMC

Why a Competency in Leadership?

Personal Awareness: Independent Learning and Personal Discovery and Growth

Communication &Team Effectiveness: Learning community / Longitudinal Mentors

System Performance: Knowledge / Skills/ Experiences in Leading Change


VISION: A Community of Leaders that Promotes and Fosters Effective Leadership in Themselves & Others

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&docid=wR38qfF4DdDAHM&tbnid=u7d42aubjW3kmM:&ved=&url=http://www.mnn.com/earth-matters/climate-weather/stories/could-wacky-weather-lead-to-flu-pandemics&ei=R3wPU-u-IMyF1AG4kYDwCA&bvm=bv.61965928,d.dmQ&psig=AFQjCNHPHYuKXhWf-BawqMf-8fpyy5O9eA&ust=1393610183961831


Educating physicians, scientists, and teachers to be leaders of change in creating a healthier, better world

Geisel Office of Leadership Development (GOLD) STRATEGIES AND TIMELINE

5

4 year Leadership Course

July 2015

Deans Leadership AWARD

2013 & 2014

Leadership Workshops

AlumniCBF

Nursing

SPLY Leadership Summer Course

2013 & 2014

Leadership Elective

2013 & 2014

LIG/LDC 2012 and Theme 2013

Leadership Assessment and Research Team

Sept 2012

Train the Trainers Educ Working

Group July 2012


Who Should Design & Teach Medical Students Leadership?

Dartmouth Community • Geisel, DH, DC, TDI, Tuck, Thayer)

Interdisciplinary Team• RN, LPN, MA, ARNP• MD/ PhD• MS, MEd, MPH, MBA• Student Peers • Residents

Leadership Pilots 2012-2014

The Science & Practice of Leading Yourself

Leadership Interest Group ‘12-’13 Student Leadership Council ’13-‘14

Workshops on Leadership,Resilience and Ethics ‘13

Leadership Elective ‘13-’14

Pilots

Learning

Tools, Self < Team < Org < Community

Speakers, Topics, Dirigo, Experiential

Students as educational Co-Leaders, Tools

Integration and Alignment for faculty

Real Student Leadership Challenges (Cases)


Leadership Course Objectives “Knowing yourself is the beginning of all wisdom.”

~Aristotle


Methods (80 hour - 4 year long course)

• Large Group lecture-discussions (14 hrs.) (17%)

• Leadership Learning Community (LLC) (66 hrs.)

– Independent and Active Learning– Inter-professional Small Group/Peer-to-Peer Learning – Faculty Mentoring – Leadership Development Portfolio

• Experiential Learning (Real Time Cases and Projects )– Personal Leadership Project (PLP)– Team Leadership Project (TLP)– Organization/ Community Leadership Project (OLP/CLP)


Leadership Sessions (40 @2 hours each)

• SELF – Who am I as a Leader?

• TEAM – Development & Effectiveness

• ORGANIZATION/COMMUNITY– Systems Performance

• ORGANIZATION/COMMUNITY– Leadership Speaker Series

(24hrs)(F, P1)

(14hrs)(F, P1)

(10hrs)(P1)(6hrs)(P2)

(26 hours)(P-3)

Foundations: 4 hours, Phase I: 44 hours, Phase II: 6 hours, Phase III: 26 hours


Assessment

NEW Validated TOOLS:Leadership Questionnaire - 2013; BELS, 9-Step Heuristic - Revised 2014; PLP- 2013

PROPOSED 2014-2015 LEADERSHIP PILOTS

1. Leadership Learning Community (LLC)- PLP & TLP, with Elective Grads

2. GME with LPMR3. IPE- Leadership Elective/LDC Sessions and

Workshops with Nursing 4. Online Modules – SLDC

QUESTIONS ?IDEAS ?

SUGGESTIONS ?Session Demo ( time permitting)?

Leadership Development and Experiential Training is:

• A Core Competency for all Medical Students• Critical to the Future of Medicine• Built upon IP & ID Evidence-Based Frameworks• Soon to be LCME required by AAMC• Feasible longitudinally @ Geisel • Valued by Students, Faculty & Residency Directors

Summary

Leadership Sample Session:

LEADERSHIP WELLNESS IN THE FACE OF CHANGEA Model Based on

Awareness, Authenticity and Action


Demonstrate: • Awareness thru observation, mindfulness and self

assessment;• Authenticity by aligning vision and resilience, and • Action by constructing a personal leadership

plan(PLP)

Objectives:


Leading Personal Change

Awareness– Know thyself

Authenticity– Be True to thyself

Action – Improve thyself


Self-Awareness“”It seems our culture does not fully appreciate the value of quiet reflection time. Valuable insights rarely come to us in the flurry of emails and task mastering.” - Paul Batalden ECS 117, 10-08 The Dartmouth Institute (TDI)

• Observation & Reflection– Mindfulness– Appreciative inquiry

• Formal Self-Assessment– Global– Situational


Mindfulness

• Pay attention in the present moment• Observe thoughts, feelings, actions and body

sensations even when these are unpleasant• Focus on experience without judging• Act out of awareness: Not on autopilot• Appreciate the present

Kabat-Zinn 1994; Krasner 2009


The RAISIN EXERCISE (HERSHEY KISS)When you eat, eat! ZEN

Based on Kabat-Zinn. From Segal, Z. V., Williams, J. M. G., & Teasdale, J. D.(2002). Mindfulness-Based Cognitive Therapy for Depression. NY: Guilford.


Formal, Global (360) and Situational

– SWOT Analysis– BELS, 9 Step Heuristic, PLP– Thomas Kilman Conflict Mode Instrument– Inventory of Leadership Styles HAYGROUP– Burnout Questionnaire– Social Network Index – Connor Davidson Resilience Scale– Myers Briggs Personality Instrument – Emotional & Social Competency Inventory (Smithfield)– Life Orientation Test (LOT) Scheier et al., 1994– Purpose in Life Test (Crumbaugh & Maholik, ‘64)


EXERCISE: SELF SWOTMY Strengths MY Weakness

MY Opportunities MY Threats

Adapted from SWOT analysis template – a free resource from www.businessballs.com. Template © Alan Chapman 2005.

MY VALUES_________________________MISSION___________________________VISION ____________________________

http://www.businessballs.com/


EXERCISE: SELF SWOTMY Strengths

What do I do well ? What knowledge, skills ,styles, attitudes, capabilities, USP's (unique selling points), values and commitments do I hold?

MY Weakness

What gaps or areas for improvement do I have in knowledge, skills, capabilities, vulnerabilities, reliability?Do I fall short in accountability, integrity, performance or commitment to myself or others?

MY Opportunities

What new niches, trends, partnerships, collaborative projects, initiatives or skills might I take advantage of to be more effective?Are these aligned with my values, mission, vision and priorities?

MY Threats

What Intrinsic factors limit my effectiveness? --belief system, biases, prejudices, recurrent thoughts or actions , past experiences? What Extrinsic threats - political, policy, environmental, or organizational cultures limit my effectiveness?




Authenticity “People do best what comes naturally.” John F. Kennedy“Be yourself. Everyone else is taken.” Oscar Wilde“If I am not myself, who else will be?” Henry David Thoreau “The chief happiness for a man is to be what he is.” Erasmus

Who am I? • What is Important to me (Values) ?• What gives me Meaning (Mission)?• What are my Commitments (Vision)?• How Adaptable am I? (Resilience)?

Souba, W. W. (2001). "Leadership and strategic alignment--getting people on board and engaged." J Surg Res 96(2): 144-151.


Resilience

“the process of adapting well in the face of adversity, trauma, threats, and even significant sources of stress” The American Psychology Association

“the ability to bend but not break, to bounce back and sometimes even to grow when faced with adversity.”Coutu, D. L. (2002). "How resilience works.” Harvard Bus Rev 80(5): 46-50, 52, 55 passim. http://www.ncbi.nlm.nih.gov/pubmed/12024758


Importance of Resilience

“More than education, more than experience, more than training, a person’s resilience will determine who succeeds and who fails. That’s true in the cancer ward, its true in the Olympics, its true in the boardroom.”

Diane Coutu: Harvard Business Review 2002


10 Factors Contributing to Resilience

1. Optimism2. Facing Fear3. Moral Compass4. Religion & Spirituality5. Social Support

6. Role Models7. Physical exercise8. Mental exercise9. Flexibility & Acceptance10. Meaning & Purpose

Southwick, S. M. and D. S. Charney (2012) “Resilience, The Science of Mastering Life’s Greatest Challenge”Cambridge University Press


Analyze: SELF SWOTMY Strengths MY Weakness

MY Opportunities MY Threats


MY VALUES_________________________MISSION___________________________VISION ____________________________



Personal Leadership Plan (PLP)


GOAL: Enhance Positivity using Appreciative Inquiry (AI)

SMART OBJECTIVE:Specific – begin a daily AI journalMeasurable – list one item that I did well, or identify the good that can come from an adverse experienceAchievable – confident 9/10Relevant – important 10/10 to my goal of

improving my effectiveness as a leaderTimely – begin today & complete daily for 1 month



GOAL: Increase Physical Exercise

SMART OBJECTIVE:Specific – begin walking Measurable – walk daily for 30 minutesAchievable – confident 9/10Relevant – important 10/10 to my goal of improving my healthTimely – beginning today and daily for

1 month


Leadership Development and Experiential Training is:

• A Core Competency for all Medical Students• Critical to the Future of Medicine• Built upon IP & ID Evidence-Based Frameworks• Soon to be LCME required by AAMC• Feasible longitudinally @ Geisel • Valued by Students, Faculty & Residency Directors

Summary

GEISELMED.DARTMOUTH.E DU Medical Education Committee (MEC) Catherine Florio Pipas, MD, MPH Craig R....

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