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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
GEISELMED.DARTMOUTH.EDU
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
GEISELMED.DARTMOUTH.EDU
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
GEISELMED.DARTMOUTH.EDU
VISION: A Community of Leaders that Promotes and Fosters Effective Leadership in Themselves & Others
GEISELMED.DARTMOUTH.EDU
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
GEISELMED.DARTMOUTH.EDU
GEISELMED.DARTMOUTH.EDU
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)
GEISELMED.DARTMOUTH.EDU
Leadership Course Objectives “Knowing yourself is the beginning of all wisdom.”
~Aristotle
GEISELMED.DARTMOUTH.EDU
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)
GEISELMED.DARTMOUTH.EDU
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
GEISELMED.DARTMOUTH.EDU
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
GEISELMED.DARTMOUTH.EDU
Demonstrate: • Awareness thru observation, mindfulness and self
assessment;• Authenticity by aligning vision and resilience, and • Action by constructing a personal leadership
plan(PLP)
Objectives:
GEISELMED.DARTMOUTH.EDU
Leading Personal Change
Awareness– Know thyself
Authenticity– Be True to thyself
Action – Improve thyself
GEISELMED.DARTMOUTH.EDU
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
GEISELMED.DARTMOUTH.EDU
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
GEISELMED.DARTMOUTH.EDU
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.
GEISELMED.DARTMOUTH.EDU
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)
GEISELMED.DARTMOUTH.EDU
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 ____________________________
GEISELMED.DARTMOUTH.EDU
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?
Adapted from SWOT analysis template – a free resource from www.businessballs.com. Template © Alan Chapman 2005.
GEISELMED.DARTMOUTH.EDU
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.
GEISELMED.DARTMOUTH.EDU
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
GEISELMED.DARTMOUTH.EDU
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
GEISELMED.DARTMOUTH.EDU
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
GEISELMED.DARTMOUTH.EDU
Analyze: 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 ____________________________
GEISELMED.DARTMOUTH.EDU
Personal Leadership Plan (PLP)
GEISELMED.DARTMOUTH.EDU
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
Personal Leadership Plan (PLP)
GEISELMED.DARTMOUTH.EDU
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
Personal Leadership Plan (PLP)
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