Hansen, Susan E, MA

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Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksDepartment of Family MedicineE.L.F.: Where Evidence, the Clinical Relationship,and Musings of Leadership Converge.Susan E. Hansen MALehigh Valley Health Network, Susan_E.Hansen@lvhn.orgFollow this and additional works at: https://scholarlyworks.lvhn.org/family-medicineThis Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.Published In/Presented AtHansen, S. E. (2018, May). E.L.F.: Where Evidence, the Clinical Relationship, and Musings of Leadership Converge. Poster Presented at:STFM Society of Teachers of Family Medicine, Washington, DC.                     STRATEGIC THINKING (What could be)  Input (#1) Naturally inquisitive, resourceful, thorough collector of information  Learner (#3) Committed to continuous acquisition of knowledge, skill EXECUTING (Get things done)  Responsibility (#2) Desire to serve and uphold values and stability  Deliberative (#4) Cautious, thoughtful with decisions; pre-emptive trouble shooter  RELATIONSHIP BUILDING (Glue for team)  Harmony (#5) Highlights consensus, ensures  inclusion, uncomfortable with conflict  INFLUENCING (Bring wider audience) CliftonStrengthsTM1 – MY TOP 5 A BOUNDARY-SPANNING LEADER  Co-facilitation of 3 residency-wide learning events in AY 2017-18  At table of curricular change  More visibility in clinical setting INTELLECTUAL CAPITAL  Shared decision making strategies  Theoretical perspectives of clinical practice (EBM, VBP)  Patient perspective INTERACTIVE TOOL OF TURTLE CRAFT  Relationship-Centered Evidence-Informed (RCEI) model DELIVERABLES TO LVHN HOW E.L.F. INFORMED PROCESS  Group Presentation Long-Distance Planning,  Communication, Bonding, Adaptation  Kotter2 “Pitfalls” Analysis Clarity of Vision, Need for Urgency, Guiding Coalition, Short-Term Wins  TED Talks Role Models, Ideas, Inspiration, Emotion  Movie Club Opportunity to Connect, Gain Insight, See Leadership Through Different Lens  “Lollipop” Moments Mindfulness, Gratitude, Intentional Action, Seizing Opportunity  FAMILY MEDICINE OBSERVATION THEMES  Emphasis on medical knowledge because “clinicians’ biggest concern is biomedical competency”  Inpatient service rife with logistical challenges that impede consistent collection of this “other evidence”  Learners mention shared decision making, but rarely describe  what happens in relationship space  Attention to patient context, values, health beliefs emerges most often in Behavioral Medicine Clinic or in response to preceptor prompts  Susan E. Hansen, MA, Medical Education Evaluation Specialist, Lehigh Valley Health Network, Allentown, Pennsylvania E.L.F.: Where Evidence, the Clinical Relationship, and Musings of Leadership Converge     I believe it is my responsibility to ask questions …  foster collaboration … expand my own expertise … connect others to information and resources. In breaking through self-imposed and cultural barriers to bring my voice into the conversation, I have the power to influence perspectives, build stronger connections with colleagues, and reimagine my professional value. LITERATURE SEARCH THEMES  Empirical evidence: Key to shared decision making (SDM)  Clinician training: Communication skills, appropriate situations for shared decision making  Challenges in practice: Physician misconceptions, equipoise discomfort, knowledge of true costs to patients, time commitment   Patient stories: “Illness experience” informs clinical expertise Resources needed: Decision aids, interprofessional teams, referral sites Policy supports SDM: How about clinical guidelines?     MISSION STATEMENT  Introduce new RCEI tool posters and presentation materials in teaching sites  Continue advocacy for curriculum integration opportunities  Explore ways to capture clinical questions at POC    Expand boundaries even farther NEXT STEPS at LVHN References 1. Rath T, Conchie B.  Strengths Based Leadership: Great Leaders, Teams, and Why People Follow.  New York: Gallup Press; 2008. 2. Kotter JP. Leading change: Why transformation efforts fail.  Harvard Business Review. March-April 1995; 59-67.  3. Stevenson B. We need to talk about an injustice [video]. TED Talk 2012 https://www.ted.com/ talks/bryan_stevenson_we_need_to_talk_ about_an_injustice. 4. Dalio R. How to build a company where the best ideas win. [video] TED Talk. 2017. https:// www.ted.com/talks/ray_dalio_how_to_build_a_company_where_the_best_ideas_win.  5. McGonigal K. How to make stress your friend. TED Talk. [video] 2013. https://www.ted.com/ talks/kelly_mcgonigal_how_to_make_stress_ your_friend. 6. Cain S. The power of introverts. TED Talk.2012. https://www.ted.com/talks/susan_cain_the_ power_of_introverts. 7. Meyer P. How to spot a liar. TED Talk. 2011. https://www.ted.com/talks/pamela_meyer_ how_to_spot_a_liar. 8. Adichie CN. The danger of a single story. [video]. TED Talk. 2009. https://www.ted.com/ talks/chimamanda_adichie_the_danger_of_a_single_story. 9. Sinek S. How great leaders inspire action. [video]. TED Talk. 2009. https://www.ted.com/ talks/simon_sinek_how_great_leaders_inspire_action.  10. Wicker-Miurin F. Learning from leadership’s missing manual. [video] TED Talk. 2009. https: //www.ted.com/talks/fields_wicker_miurin_ learning_from_leadership_s_missing_manual. 11. Heffernan M. Forget the pecking order at work. [video] TED Talk. 2015. https://www.ted.com/ talks/margaret_heffernan_why_it_s_time_to_forget_the_pecking_order_at_work.  12. Harford T. Trial, error and the God complex. [video] TED Talk. 2011. https://www.ted. com/ talks/ tim_harford. 13. Dudley D. Everyday leadership. [video] TEDx Toronto 2010. https://www.ted.com/talks/ drew_dudley_everyday_leadership Acknowledgments      I am ever grateful to all of those who made this experience so enriching:      ELF faculty Drs. Renee Crichlow and John Frey for delivering inspiring content and sparking thoughtful discussion. All guest faculty and my cohort colleagues for sharing their expertise and journeys.      Lehigh Valley Health Network leaders Drs. Grant Greenberg, Julie Dostal, Drew Keister, Nyann Biery, Brian Stello for supporting my application process, project formulation and information acquisition.       Drs. Susan Mathieu, Jeff Mathieu, Veronica Brohm, Beth Careyva, Katarzyna Jabbour, Adam Haydt, Lynn Wilson, and Kate Linehan for granting me access to observe clinical precepting sessions and discuss educational theory.        Drs. Daniel Burke, Shane Scanlon, Yasir Abunamous, Joylyn Yeazell, Maggie Chun-Allen, and Erin Smith for insights on these topics from the resident learners’ perspective.       And Dr. William Miller for his ever-sage observations and advice as my “unofficial” fellowship mentor and Turtle Craft spirit guide. “ ” © 2018 Lehigh Valley Health Network 888-402-LVHN    LVHN.org 

E.L.F.: Where Evidence, the Clinical Relationship, and Musings of Leadership Converge.

https://scholarlyworks.lvhn.org/cgi/viewcontent.cgi?article=1528&context=family-medicine

E.L.F.: Where Evidence, the Clinical Relationship, and Musings of Leadership Converge.

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Lehigh Valley Health Network: LVHN Scholarly Works