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Medical Leadership

Medical Leadership. Competences in action for SAS Doctors. Introductions. Amy Brockbank Project Manager for Educator Development & Medical leadership, North Western Deanery Dr Arokia Sundari Antonysamy Medical Leadership Trainee. Objectives. Introduce Medical Leadership

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Medical Leadership

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  1. Medical Leadership Competences in action for SAS Doctors

  2. Introductions Amy Brockbank Project Manager for Educator Development & Medical leadership, North Western Deanery Dr Arokia Sundari Antonysamy Medical Leadership Trainee

  3. Objectives • Introduce • Medical Leadership • National Initiatives • Medical Leadership Competency Framework • North Western Deanery Medical Leadership Programme • Materials available • Discuss & Consider • Strategy for implementing Medical Leadership for SAS doctors • Challenges and ideas to overcome barriers to Medical Leadership • Toolkit for SAS Doctors • Materials

  4. Why ‘Medical Leadership’? • Built on the concept of Shared Leadership. • Not restricted to people who hold designated leadership roles • Leadership which is shown through a shared sense of responsibility for the success of the organisation and its services. • Acts of leadership can come from anyone in the organisation, as appropriate, at different times, and are focused on the achievement of the group rather than of an individual. • Therefore shared leadership actively supports effective teamwork. (Medical Leadership Curriculum)

  5. Why do we need to develop Medical Leadership? History of… • Low levels of medical engagement in management and leadership • Tensions between doctors and managers Acknowledgment that… • ALL doctors require management and leadership competences to be effective practitioners; SOME take on service leadership roles • Leadership is a requirement of all doctors as laid out in the General Medical Council (GMC) publications Good Medical Practice and Management for Doctors. Growing evidence of a link between… • Medical engagement and organisational performance (Ham and Dickinson, 2008). • Medical engagement and patient safety (Firth-Cozens and Mowbary, 2001).

  6. National Drivers • The NHS Next Stage Review Report (2008) highlights a commitment to improving leadership within the NHS • National Leadership Council aims to champion the transformation of leadership across the NHS and ensure that world-class leadership talent and development exists at every level of the system • Enhancing Engagement in Medical Leadership Project

  7. Enhancing Engagement in Medical Leadership Project This UK-wide project aims to promote medical leadership and help create organisational cultures where doctors seek to be more engaged in management and leadership of health services and non-medical leaders genuinely seek their involvement to improve services for patients across the UK.

  8. Key Project Outputs… Medical Leadership Competency Framework The Medical Leadership Competency Framework (MLCF) describes the leadership competencies doctors need in order to become more actively involved in the planning, delivery and transformation of health services (June 2009 update) Medical Leadership Curriculum The Medical Leadership Curriculum is based on & developed from the MLCF and details the knowledge, skills, attitudes and behaviours to be formally achieved and consolidated as all doctors progress in their careers. (Medical Leadership Curriculum)

  9. Medical Leadership Competency Framework To deliver appropriate, safe and effective services, it is essential that any doctor is competent in each domain.

  10. Delivering the service…

  11. Demonstrating Personal Qualities Demonstrating Personal Qualities • Developing self Awareness • Managing yourself • Continuing personal development • Acting with integrity

  12. How the MLCF is being used… • Basis of Medical Leadership Curriculum • Integrated into Undergraduate and Postgraduate curricula • Personal Development Planning • Career Planning • Appraisal • Recruitment • To inform leadership development programmes…

  13. Leadership Development: NHS North West • Healthier Horizons – 10 year vision for the NHS North West • Highlights importance of strengthening clinical leadership • NHS North West Leadership Fellows • June 2009 launch of Pilot • Initiated after NHS Next Stage Review • Partnership with the clinical pathway groups • 14 clinical leaders (not all medical) • 12 month secondment – support clinical pathway groups implement Healthier Horizons • North Western Deanery Medical Leadership Pilot Programme

  14. Project started February 2008 Pilot 7 Medical Leadership Trainees Based on the MLCF Medical Leadership Programme

  15. Medical Leadership & Clinical Training • Vocational Component • Orientation placements • Projects • Workplace Based Assessments Clinical Component • 4 Year Programme • Integrated into clinical training • Approximately 50% • Clinical training can be extended by a maximum of 2 years Academic component • Manchester Business School, University of Birmingham and the Kings Fund • MSc in Health and Public Leadership • Work alongside trainees on the NHS GMTS Working alongside NHS Graduate Management Trainees

  16. Demonstrating Leadership Competencies • Knowledge, Skills, Attitude Framework • Medical Leadership Curriculum • MLP Handbook: Outlines the KSA and includes suggested learning tools • Workplace Based Assessments • Many developed; includes • Time Management • Chairing a Meeting • Presentation Skills • Audit Based Discussion • Portfolio Example of Suggested Learning tools from the Medical Leadership Programme Handbook 2008 Curriculum Area Personal Qualities & Professionalism Learning Tools Myers Briggs Type Inventory Honey and Mumford Learning Styles Inventory Reflective practice Transformational Leadership Questionnaire Urgent and important time management matrix The four principle method to medical ethics Structured departmental visits to share good practice Understanding Adult Learning Principles

  17. Potential Barriers to Medical Leadership • Time Conflicts • Negative perceptions of management and leadership in the NHS …“moving to the dark side” • Challenges associated with bridging different cultures • Lack of formal recognition for informal leadership roles

  18. Medical Leadership Trainee Experience

  19. Key Points • Core concept: Medical Leadership is for all doctors • National drives for developing medical leadership • Next Stage Review • National Leadership Council • Enhancing Engagement in Medical Leadership • National projects developing tools to aid the development of medical leadership • Medical Leadership Competency Framework • Medical Leadership Curriculum • These tools are translated into local leadership development programmes • Learning from specific programmes can be used to help implement Medical Leadership by all doctors…

  20. Questions…

  21. Group Work 30 minutes to: • Discuss how you can develop/implement medical leadership and demonstrate you have completed Medical Leadership initiatives in your workplace; • Consider potential challenges you might face in completing (1) and how you may overcome them; • Discuss what might be helpful in terms of a Medical Leadership toolkit for SAS doctors.

  22. Discussion

  23. Useful Links Information on the Enhancing Engagement in Medical Leadership Project: http://www.institute.nhs.uk/building_capability/enhancing_engagement/enhancing_engagement_in_medical_leadership.html Medical Leadership Competency Framework: http://www.institute.nhs.uk/assessment_tool/general/medical_leadership_competency_framework_-_homepage.html Medical Leadership Curriculum: http://www.institute.nhs.uk/images/documents/BuildingCapability/Medical_Leadership/Medical%20Leadership%20Curriculum.pdf Medical Leadership Project Documents & Publications: http://www.institute.nhs.uk/building_capability/building_leadership_capability/project_documents.html National Leadership Council: http://www.nhsconfed.org/OurWork/Policy/Future-of-leadership/Pages/TopLeadersProgramme.aspx North West Leadership Academy http://www.nwacademy.nhs.uk/ North Western Deanery Medical Leadership Programme www.nwpgmd.nhs.uk/medlead/programme.htm

  24. Materials Medical Leadership Pilot Programme 2008 Handbook: http://www.nwpgmd.nhs.uk/medlead/docs/MLP%20Handbook%20v7.1%2003%2004%2009.pdf Time Management Workplace Based Assessment: http://www.nwpgmd.nhs.uk/medlead/docs/Time%20Management%20Tool%20V2%2005.02.09.pdf Presentation Skills Workplace Based Assessment: http://www.nwpgmd.nhs.uk/medlead/docs/Presentation%20Skills%20Assessment%20MLP.pdf Chairing a Meeting Workplace Based Assessment: http://www.nwpgmd.nhs.uk/medlead/docs/Chairing%20a%20Meeting.pdf Audit Based Discussion Workplace Based Assessment: http://www.nwpgmd.nhs.uk/medlead/docs/Audit%20Based%20Discussion.pdf

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