Leading Change. Using a Case-Study Format to Engage Residents in Local Improvement. Author: Anu Wadhwa, MD, MEd, FRCPC Date: October 1, 2016

Transcription

1 Leding Chnge Using Cse-Study Formt to Engge Residents in Locl Improvement Author: Anu Wdhw, MD, MEd, FRCPC Dte: October 1, 216

2 I do not hve n ffilition (finncil or otherwise) with phrmceuticl, medicl device or communictions orgniztion. Je n i ucune ffilition (finncière ou utre) vec une entreprise phrmceutique, un fbricnt d ppreils médicux ou un cbinet de communiction. 2

3 Introduction Ledership by frontline clinicins is criticl to improving helth cre qulity Few residency progrms systemticlly teching ledership skills Residents often equte ledership with positions of uthority Function of leder is to produce chnge

4 Leding Chnge Module Reding Written Leding Chnge HBR 1995 Choosing Strtegies for Chnge HBR 1979 Describe leding chnge experience Obstcles fced? Anything different? M n g Ri en g d i E nn ge r Ag sy s, i H gb nr m, eo nc t t 2 7 Session Short didctic Review of ssignment Illustrtive cse Food Revolution

5 Leding Chnge Module Reding Session Leding Chnge HBR 1995 Choosing Strtegies for Chnge HBR 1979 Short didctic Review of ssignment Cse study Food Revolution M n g Ri en g d i E nn ge r Ag sy s, i H gb nr m, eo nc t t 2 7 Written Select something they wnt to chnge Complete the worksheet by writing out how they would do this

6 Leding Chnge Module Reding Session Leding Chnge HBR 1995 Choosing Strtegies for Chnge HBR 1979 Short didctic Review of ssignment Cse study Food Revolution M n g Ri en g d i E nn ge r Ag sy s, i H gb nr m, eo nc t t 2 7 Written Select something they wnt to chnge Complete the worksheet by writing out how they would do this

7 Leding Chnge Module Reding Written Leding Chnge HBR 1995 Choosing Strtegies for Chnge HBR 1979 Describe leding chnge experience Obstcles fced? Anything different? M n g Ri en g d i E nn ge r Ag sy s, i H gb nr m, eo nc t t 2 7 Session Short didctic Review of ssignment Illustrtive cse Food Revolution

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10 8 Steps to Trnsforming Your Orgniztion 1. Estblishing Sense of Urgency 2. Forming Powerful Guiding Colition 3. Creting Vision 4. Communicting the Vision 5. Empowering Others to Act on the Vision 6. Plnning for nd Creting Short-Term Wins 7. Consolidting Improvements nd Producing Still More Chnge 8. Institutionlizing New Approches

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13 Leding Chnge Module Reding Session Leding Chnge HBR 1995 Choosing Strtegies for Chnge HBR 1979 Short didctic Review of ssignment Cse study Food Revolution M n g Ri en g d i E nn ge r Ag sy s, i H gb nr m, eo nc t t 2 7 Written Select something they wnt to chnge Complete the worksheet by writing out how they would do this

14 Cse Study Jmie Oliver Food Revolution

15 Leding Chnge Module Reding Session Leding Chnge HBR 1995 Choosing Strtegies for Chnge HBR 1979 Short didctic Review of ssignment Cse study Food Revolution M n g Ri en g d i E nn ge r Ag sy s, i H gb nr m, eo nc t t 2 7 Written Select something they wnt to chnge Complete the worksheet by writing out how they would do this

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17 Outcomes 7/8 residents ttended the session 8/8 residents completed the written ssignment High resident stisfction Enjoyed the cse-study formt

18 Outcomes Hnding in written ssignment ws mndtory but implementtion ws not 4/8 went on to implement their described chnges Revmped hndover list Ptient instruction sheet creted in clinic Telephone consulttion documenttion system

19 Why it worked? Video clips drew on emotions Cse study formt mde the redings more relevnt Mndtory ssignment forced trinees to pply wht they hd lerned to problem tht mttered to them Esy to implement, inexpensive

20 Conclusion Cse-study formt ws n effective wy to teching Leding Chnge skills Served to illustrte the relevnce of ledership skills to their dily prctice Engged residents to led locl improvements Could contribute to building residents longterm interest in ledership

21 Thnk-you Anu Wdhw

22 References Cse study, food revolution: Required redings: Kotter, John P. "Leding Chnge why Trnsformtin Efforts Fil." Hrvrd Business Review 92 (27): 17. Kotter, John P., nd Leonrd A. Schlesinger. Choosing strtegies for chnge. Hrvrd Business Review, Other references: Blumenthl, Dniel M., et l. "Addressing the ledership gp in medicine: residents' need for systemtic ledership development trining." Acdemic Medicine 87.4 (212): Blumenthl, Dniel M., et l. "Implementing pilot ledership course for internl medicine residents: design considertions, prticipnt impressions, nd lessons lerned." BMC medicl eduction 14.1 (214): 1. Bohmer, Richrd. "The instrumentl vlue of medicl ledership." Engging doctors in improving services. London: The Kings Fund (212). Dhliwl, Gurpreet, nd Nirj L. Sehgl. "Demystify ledership in order to cultivte it." Acdemic Medicine (214): 1441 Frich, Jn C., et l. "Ledership development progrms for physicins: systemtic review." Journl of generl internl medicine 3.5 (215):

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