1. Impor tance of leader ship in
medical pr actice
Vijay sardana
MD , DM ( neurology)
Professor & Head,
Dept of neurology
Medical college
kota
2. Doctors : Definition of success
Having lots of patients
New car/plot Every year/lots of
money
Publishing papers in journals
Teaching students
3. Today's successful doctor
Clinician
Academician
Manager
Financial Expert
CEO
Family care Provider
Self care taker
5. Leadership in medicine
Management – coping with everyday problems ,
complex organizational problems & ensure
smooth functioning
Leadership – visioning and motivating others to
achieve the prefeered vision
6. What is Leadership
Taking risks
Having the courage of one’s conviction
Will to act in face of powerful conventional
wisdom and strong opposition
7. Steps in medical leadership
To learn how to be a good doctor
To learn how to be a servant leader- using
medical and leadership skills in service of
patients and community
8. What does it takes to be a good
Doctor
Integrity
Compassion
Altruism
Continuing improvement and excellence
Teamwork with Healthcare team- to reduce manufactured
conflicts between doctor and managers , specialists &
GP, etc.
10. Keeping updated : Managing
knowledge
Medical knowledge problem – Mammoth size
- Short half life
Medical books -- Become outdated fast
Medical journals -- Costly
Conference
Medical representative
Internet
12. Keeping updated
Imitation
Structure your knowledge around
patients
Learn from your past mistakes
Master clinical protocols & Flow
charts
Concentrate on carry home massages
14. Mar keting in medicine
“Marketing is Practice building
not advertising”
15. Advertising in medicine
MCI code of ethics doesn't permit
Word of mouth
Scientific presentations of
experience to your colleagues
16. Pr actice
building/Mar keting
Satisfied patients
Volunteering at community medical
service.
Organizing an event – like conference
Attracting Media attention
Contributing article on health to magazine
Public lecture
Patient information brochure
News letter
Website
Marketing to referral base
17. Branding yourself
Branding in the big picture view that a
doctor presents
Its your image perception you create
18. Branding principles
Focus on what you excel
Understand existing markets
Be consistent
20. Incorporate business skills
Analyze practice and environment
- Patient profile
- Referral profile
- Services- esp. which are profit making
-Competitors and their strategies
Analyze your strengths and weaknesses
-Cost for economic advantages
-technology advantage
-referrer’s convenience
-Patient friendliness
-Clinical quality
Set goal, implement & monitor
25. Doctor - Burnout
Personality Traits
Perfectionists
Want to do everything themselves
Often act as if infallible
26. Burnout : Symptoms
Behavioral – Angry/Depressed, poor
concentration,
Chronically late or psychologically
absent, work avoidance
Excessive drinking/Drugs
Tiredness, lethargy, sleep disorders
27. Burnout – Things to do
Learn to take care of yourself
– learn to rest
- learn to Exercise
Learn to say No
Have fulfilling life outside of clinic-develop your
hobbies & activities
Learn to cut routine work
Develop strong support system
30. Emotional Intelligence (EQ)
Def – “The ability to monitor one’s own &
other feelings & emotion to discriminate
among them, and to use this information to
guide one’s thinking and action”
IQ Average citizen - 100
Doctor - 120
EQ Average citizen - 100
Doctor - 90
31. EQ Components
Knowing your own emotions (Self awareness)
Managing your own emotion (Self regulation)
Motivating yourself
Recognizing and understand other people’s
emotion ( Empathy)
Managing relationships or social skills-
Skills in managing emotions in others
determines popularity, leadership &
interpersonal effectiveness.
32. EQ
Physician cannot perform his job without
understanding his emotion & those of
patients
IQ - Technical Competence
EQ - People’s Competence
33. Leadership in medicine
Stepping away from individual patient-physician
relationship
Thinking beyond stethoscope
Examining problem at systems level
View issues broadly- balcony perspective
Aero plane's window perspective
34. Collaborative leadership
connective leadership
Leadership through influence not authority
Leadership by creating a shared purpose and
common vision , not by using power or position
“carpool”
35. Leadership
4 sequential activities
Generating a vision
Convince others that the goal is worthy
To get the needed individuals to help to
achieve the goal
To motivate people achieve goal
38. Physician – lets take a lead
physicians well groomed to be good leaders
Educated
Articulated
Affluential
Respected
Deal with human emotion daily
Deal with cross section of society
think scientifically.
39. Physician : lets take lead
Leadership – genes, charisma, education, wealth,
luck, training, experience
Ethics
do right & be caring
Reality Greatness vision
Have no think big & new
Illusion
Courage
act with sustained initiation
40. Physician : Lets take a lead
Lets make a professional bodies strong
More representation of Professionals in policy
making team e.g. Secy. Medical Education
Chandigarh a Doctor
41. How to develop leadership skills
Experience
Practice
Coaching or mentorship
Leadership training
42. Developing leaders
Inward journey of self discovery and self development
Establishing a set of core values to guide the
organization/team
Communicating visions and purpose that inspires
widespread commitment
Building a culture of excellence and accountability
Creating an environment to develop leaders
44. Outcomes of leadership programmes
Enhanced self awareness
Enhanced self confidence
Ability to view life broadly and systemically
Maintain balcony and aero plane's window
perspective
Ability to work in social system
Ability to contribute work in a team
Ability to think creatively and adapt evidence
based practices