Perilli, Gretchen A, MD, FACP, FACE

Smith, Stacey, MD

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksDepartment of MedicineDeveloping Internal Medicine Resident as Leader.Gretchen A. Perilli MD, FACP, FACELehigh Valley Health Network, gretchen_a.perilli@lvhn.orgStacey Smith MDLehigh Valley Health Network, Stacey_J.Smith@lvhn.orgFollow this and additional works at: http://scholarlyworks.lvhn.org/medicinePart of the Medical Sciences CommonsThis 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 AtPerilli, G. A., Smith, S. (2017, March 17 & 22). Developing Internal Medicine Resident as Leader. Poster Presented at: Alliance forAcademic Internal Medicine, Baltimore, Maryland.© 2017 Lehigh Valley Health NetworkREFERENCES:1.  Pettit, J et al.  Neurosurgery resident leadership development:  an innovative approach.  Neurosurgery. 2011; 68 (4): 546-550.2.  Tuso, PJ.  The physician as leader.  The Permanente Journal. 2003; 7:68-71.3.  Raviglione, MC.  Machiavelli and the chief resident. Acad Med, 1990; 65:361-362.4.  Myatt, Mike. “10 Communication Secrets of Great Leaders.” Forbes, 2012.5.  Madden, Mark.  “Essential Soft Skills for Healthcare Leaders in the Era of Reform.” BE Smith Healthcare Leadership White Paper. Web 2014.6.  Weller, J., Boyd, M. ,Cumin,D.  Teams, tribes, and patient safety: overcoming barriers to effective teamwork in health care.  Postgrad Med J. 2014; 90: 149-154.7.  Parker, Glenn M. Parker Team Player Survey: Styles of Another Person. Xicom, 1991.8.  Thomas, Kenneth W. Thomas-Kilmann conflict mode instrument. Tuxedo, NY: Xicom, 1974.9.  Saltman, DC, O’Dea, NA, Kidd, MR. Conflict management: a primer for doctors in training.  Postgrad Med J.  2006. 82: 9-12.DESCRIPTION OF INNOVATION RESULTSPROBLEMIDENTIFICATION•  Creating excellent clinicians is the primary goal for internal medicine residency but should not be the only endpoint •  Clinical leadership is an important part of health care, quality improvement, and cost control•  Internal medicine residents are asked to lead multi-disciplinary teams during their residency; furthermore, many will go on to pursue leadership roles in their future practice•  Most current internal medicine residencies lack formal guidance in leadership skills including professionalism, communication, team building, conflict management, emotional intelligence, and giving feedback.•  Identify leadership styles and foster strengths•  Understand the role of the leader in general and specific to Internal Medicine, Medical Education, and Quality Improvement•  Prepare residents to be better leaders to their junior residents and peers.•  Prepare residents for leadership roles in the future careers.•  Utilize their leadership skills to formulate and implement a quality improvement project at Lehigh Valley Health Network•  We initiated a formal Resident as Leader (RaL) program as a pilot program at Lehigh Valley Health Network (LVHN)Internal Medicine residency•  Recruited two high-performing interns with interest in leadership roles to participate  −  One transitional resident  −  One categorical resident•  The RaL program has several facets:  −  Monthly didactic sessions to review general principles of leaders    •  Self assessment    •  Journal club style review of literature in core leadership topics using business and medical literature    •  Discussion  −  Mentorship with established leaders at LVHN including leaders within the residency and quality improvement  −  Attendance at meetings with mentors:    •  Graduate Medical Education Committee meetings    •  Quality Improvement Committee meetings    •  Internal Medicine residency leadership committee  −  Unique quality improvement projects focused on program development and processes•  Completing month 5 of Resident as Leader curriculum•  Useful feedback given regarding self-assessment tools and articles reviewed•  Regular intern attendance at high level leadership meetings•  Excellent quality improvement program development QI projects  −  Creation of a Preventative Health rotation  −  Improvement of procedure experiences•  Resident as Leader is a helpful recruitment tool for incoming intern classFUTURE WORK•  Opening the curriculum to a larger group of interested residents while keeping the experience intimate and personal•  Building the class to include PGY2 and PGY3 residents•  Having PGY2 and PGY3 members lead and teach interns•  Ongoing recruitment of additional mentors•  Ongoing program focused Quality Improvement•  Addition of a Leadership Book Club•  Collection of data regarding end of rotation evaluations, in service exam scores, and board scores to gauge the objective impact of Resident as Leader course  10.  Harolds, J. and Wood, B.P.  Conflict management and resolution. Journal of the American College of Radiology.  2006; 3: 200-206.11.  Varkey, P, Hernandez, JS, Schwenk, N. Six techniques for creative problem solving.  Physician Exec. 2009; 35: 50-5312.  Orsini, C, Binne, VI, Wilson, SL.  Determinants and outcomes of motivation in health professionals education: a systematic review based on self-determination theory.  J Edu Eval Health Prof. 2016; 13: 19.13.  Branch, WT, Paranjape, A.  Feedback and reflection: teaching methods for clinical settings.  Acad Med.  2002; 77: 1185-1188.14.  George, B, Sims, P, McLean AN, Mayer, D. Discovering your authentic leadership.  HBR.  2007; 85: 132-138.GOALSLehigh Valley Health Network, Allentown, PennsylvaniaDeveloping Internal Medicine Resident as LeaderGretchen Perilli, MD, FACP, FACE and Stacey Smith, MDResident as Leader CurriculumSession Topic Self-Assessment Tool Articles Month 1 Leadership Style http://www.nwlink.com/~donclark/leader/matrix.html#questionnaire Tuso’s “The Physician as Leader”Month 2Moving from Peer to Leaderhttp://www.nwlink.com/~donclark/leader/survlead.htmGoffee & Jones’ “Why Should Anyone be Led by You?”Raviglione’s “Machiavelli & the Chief Resident”Month 3Effective Communicationhttps://www.mindtools.com/pages/article/newCS_99.htmMyatt’s “10 Communication Secrets of Great Leaders”Madden’s “Essential Soft Skills”Month 4Team Leadership/Role of Team MembersParker Team Player Survey Weller’s “Teams, Tribes, & Patient Safety”Month 5Conflict Management Thomas Kilman Conflict Mode InstrumentHarolds’ “Conflict Management & Resolution”Saltman’s “Conflict Primer”Month 6Innovative Problem Solvinghttps://www.mindtools.com/pages/article/creativity-quiz.htm Varkey’s “Creative Problem Solving”Month 7Motivational Coaching McGregor Theory X-Y testOrsini’s “Motivation in Healthcare Professionals”Bass’s “Transactional to Transformation Leader”Month 8 Giving Feedback Constructive Feedback Self Assessment Tool Branch’s “Feedback & Reflection”Month 9 Avoiding Burnout Maslach Burnout Inventory George’s “Discovering Your Authentic Leader”

Developing Internal Medicine Resident as Leader.

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Developing Internal Medicine Resident as Leader.

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Lehigh Valley Health Network: LVHN Scholarly Works