scholarly journals Review of determinants of national medical leadership development

BMJ Leader ◽  
2017 ◽  
Vol 1 (4) ◽  
pp. 36-43 ◽  
Author(s):  
Wouter Keijser ◽  
Max Poorthuis ◽  
Judith Tweedie ◽  
Celeste Wilderom
Keyword(s):  
Leadership Development ◽  
Resistance To Change ◽  
Medical Profession ◽  
Data Extraction ◽  
National Level ◽  
National Development ◽  
National Medical ◽  
Physician Engagement ◽  
High Level ◽  
Medical Leadership

Increasingly, physician engagement in management, quality and innovation is being recognised as vital, requiring ‘medical leadership’ (ML) competencies. Besides numerous local institutional efforts and despite the high level of autonomy of the medical profession and the education of its members, in some countries, national level activities are focusing on developing ML competencies to guide physicians in more effectively engaging in these non-medical activities. Up to this date, little is known about effective strategies and tactics for developing ML on a national level. This study investigates existing literature on determinants and interventions for national ML development. We performed a scoping review and subsequent systematic literature review of published reviews, using PubMed, Scopus, Web of Science, Ovid MEDLINE and Science Direct in search for eligible papers between 2011 and 2016. Full-text versions of 43 papers were studied, and a snowballing method was deployed. Data extraction included grounded theory coding, and synthesis of data was done iteratively during data clinics. Analysis of the seven included papers resulted in five discrete categories of determinants of and 10 distinct interventions relevant to national development of ML approaches. None of the papers reported on any specific phasing of national ML development. Our data suggest that local and national level activities in ML development should consider multifaceted and multilevel approaches, taking into account resistance to change and redesign of institutionalised logics that accompany changing positions and reconstruction of professional identities of physicians.

Phases to Face in National Medical Leadership Development

2017 ◽  
Vol 2017 (1) ◽  
pp. 16102
Author(s):  
Wouter A. Keijser ◽  
Max B. Poorthuis ◽  
Judith Tweedie ◽  
Peter Lees ◽  
Graham Dickson
Keyword(s):  
Leadership Development ◽  
National Medical ◽  
Medical Leadership

A long and winding road: non-traditional routes into medical leadership

BMJ Leader ◽  
2021 ◽  
pp. leader-2021-000528
Author(s):  
Steve Gulati ◽  
Christiane Shrimpton
Keyword(s):  
Leadership Development ◽  
Medical Profession ◽  
Leadership Education ◽  
Doctor Who ◽  
Development Activity ◽  
Leadership Practice ◽  
Clinical Leadership ◽  
Self Image ◽  
Personal Reflections ◽  
Medical Leadership

IntroductionClinicians enter the medical profession through a variety of routes. This paper explores how non-traditional routes into the medical profession can follow through into subsequent medical leadership practice, influencing issues of confidence, self-image and assumptions about leadership as a concept.MethodThe first-person reflections of a doctor who entered the profession and the National Health Service from the German system and with a non-standard background are considered. We then discuss how those involved in leadership education can use diversity as a developmental tool. The article starts and ends with personal reflections and observations from a Consultant Opthalmologist, interposed with insights from the pedagogy of leadership development by a University academic.ConclusionsWe conclude that medical leadership development can be enriched through recognising the value that non-traditional routes in clinical leadership can bring, and that educators can use the leverage of difference and diversity to create positive loops of development activity.

scholarly journals Medical leadership: competencies in action

2011 ◽  
Vol 17 (3) ◽  
pp. 162-170 ◽  
Author(s):  
Shruti Garg ◽  
Jon van Niekerk ◽  
Margaret Campbell
Keyword(s):  
Leadership Development ◽  
Personal Development ◽  
Medical Training ◽  
Medical Profession ◽  
Leadership Skills ◽  
Leadership Competencies ◽  
Junior Doctors ◽  
Management Competencies ◽  
Development Plans ◽  
Medical Leadership

SummaryThe engagement of the medical profession in management and leadership activities has become a priority for the UK's National Health Service (NHS). It makes sense to develop these leadership competencies as early as possible, inculcating leadership skills in junior doctors. The recent core and specialist curriculum competencies address this and, together with the Medical Leadership Competency Framework developed by the Academy of Medical Royal Colleges and the NHS, sets out a blueprint for personal development plans for junior doctors. A culture shift is called for, such that doctors in training prioritise their leadership development alongside their medical training. This article is of particular relevance to educational supervisors, as it describes how they can support junior doctors in achieving the leadership and management competencies outlined in the 2009 core and specialty psychiatry curriculum.

scholarly journals The Chief Registrar role in the UK: leadership capacity and development of hybrid leaders

2020 ◽  
Vol 34 (1) ◽  
pp. 1-15 ◽  
Author(s):  
Iain Snelling ◽  
Mark Exworthy ◽  
Shahin Ghezelayagh
Keyword(s):  
Leadership Development ◽  
Personal Development ◽  
Two Dimensions ◽  
Leadership Capacity ◽  
Leadership Roles ◽  
Content Type ◽  
Hybrid Leadership ◽  
The Uk ◽  
High Level ◽  
Medical Leadership

PurposeThe purpose of the study is to evaluate the first cohort of the Royal College of Physicians' (RCP) Chief Registrar programme in 2016/7. Chief Registrars provide medical leadership capacity through leadership development posts.Design/methodology/approachThe study adopted a mixed methods design, comprising a monthly survey of the 21 Chief Registrars in the first cohort, interviews with Chief Registrars, and six cases studies where Chief Registrars and colleagues were interviewed.FindingsChief Registrars enjoyed high levels of practical, professional, and leadership support from their employing organisations, the RCP, and the Faculty of Medical Leadership and Management. They had high degrees of autonomy in their roles. As a result, roles were enacted in different ways, making direct comparative evaluation problematic. In particular, we identified variation on two dimensions: first, the focus on medical leadership generally, or quality improvement more specifically, and second, the focus on personal development or organisational leadership capacity.Research limitations/implicationsThe data are limited and drawn from the first cohort's experience. The Chief Registrar scheme, unlike many other leadership fellowships, maintains a high level of clinical practice (with a minimum 40 per cent leadership work). This suggests a clearer preparation for future hybrid leadership roles.Practical implicationsThis paper may offer some support and guidance for Chief Registrars and those who work with and support them.Originality/valueThis study adds to the literature on leadership development for doctors in hybrid roles, and highlights the distinctiveness of the scheme compared with other schemes.

Philosophical and Cultural Aspects of Medical Profession: Philosophical and Conceptual Peculiarities

Cultura ◽  
2019 ◽  
Vol 16 (1) ◽  
pp. 165-174
Author(s):  
Iryna MELNYCHUK ◽  
Nadiya FEDCHYSHYN ◽  
Oleg PYLYPYSHYN ◽  
Anatolii VYKHRUSHCH
Keyword(s):  
Medical Students ◽  
Medical Profession ◽  
Subject Area ◽  
Human Relations ◽  
Cultural Aspects ◽  
Cultural Proximity ◽  
Personal Qualities ◽  
The Subject ◽  
Ecological Culture ◽  
High Level

The article analyzes the philosophical and cultural view of “doctor’s professional culture” as a result of centuries-old practice of human relations, which is characterized by constancy and passed from generation to generation. Medicine is a complex system in which an important role is played by: philosophical outlook of a doctor, philosophical culture, ecological culture, moral culture, aesthetic culture, artistic culture. We have found that within the system “doctor-patient” the degree of cultural proximity becomes a factor that influences the health or life of a patient. Thus, the following factors are important here: 1) communication that suppresses a sick person; 2) the balance of cultural and intellectual levels; 3) the cultural environment of a patient which has much more powerful impact on a patient than the medical one.At the present stage, the interdependence of professional and humanitarian training of future specialists is predominant, as a highly skilled specialist can not but become a subject of philosophizing. We outlined the sphere where the doctors present a genre variety of philosophizing (philosophical novels, apologies, dialogues, diaries, aphorisms, confessions, essays, etc.). This tradition represents the original variations in the formation of future doctor’s communicative competences, which are formed in the process of medical students’ professional training.A survey conducted among medical students made it possible to establish their professional values, which are indicators of the formation of philosophical and culturological competence. It was found out that 92% of respondents believed that a doctor should demonstrate a high level of health culture (avoid drinking and smoking habits, etc.)99% of respondents favoured a high level of personal qualities of a doctor which would allow methods and forms of medical practice to assert higher human ideals of truth, goodness and beauty that are the subject area of cultural studies and philosophy.

scholarly journals The impact of preferences for clinical and managerial leadership roles on the willingness to apply for a medical leadership position: Analysis of gender differences among a sample of German senior physicians

2021 ◽  
pp. 095148482110102
Author(s):  
Florian Liberatore ◽  
Julia Schätzle ◽  
Henrik Räwer ◽  
Kia Homayounfar ◽  
Jörg Lindenmeier
Keyword(s):  
Structural Equation ◽  
Medical Profession ◽  
Equation Modeling ◽  
Mentoring Programs ◽  
Leadership Roles ◽  
University Hospitals ◽  
Managerial Leadership ◽  
Clinical Leadership ◽  
Medical Leadership ◽  
The Impact

Background The hybrid role (clinical and managerial leadership tasks) of physicians in medical leadership positions (MLPs) is a driver of the attractiveness of these positions. The increasing feminization of the medical profession makes gender-related preferences for hybrid roles relevant. Purpose The current study uses the (EPL) career aspirations framework to analyze the (gender-related) effects that efficacy beliefs, motivations, and preferences for clinical leadership and managerial leadership have on the willingness of chief physicians to apply for an MLP. Methodology: A survey of senior physicians in German university hospitals yielded a sample size of N = 496. The resulting data were analyzed using a structural equation modeling approach. Findings The results confirm the low preference for MLPs among senior physicians, which is mainly affected by preferences for managerial leadership tasks. Female senior physicians perceive the position of an MLP to be less attractive than their male counterparts do, and female physicians’ willingness to apply for an MLP is concurrently driven by their preferences for clinical leadership and managerial leadership tasks. Practical implications: Mentoring programs could boost female senior physicians’ preparedness for MLPs. Further, flexibility in fulfilling managerial leadership tasks could be promoted to make MLPs more attractive to women.

scholarly journals Spatiotemporal Distribution Characteristics and Driving Forces of PM2.5 in Three Urban Agglomerations of the Yangtze River Economic Belt

2021 ◽  
Vol 18 (5) ◽  
pp. 2222
Author(s):  
Jin-Wei Yan ◽  
Fei Tao ◽  
Shuai-Qian Zhang ◽  
Shuang Lin ◽  
Tong Zhou
Keyword(s):  
Geographically Weighted Regression ◽  
Yangtze River ◽  
National Level ◽  
National Development ◽  
Urban Agglomeration ◽  
Spatiotemporal Distribution ◽  
Weighted Regression ◽  
Series Data ◽  
The Yangtze River ◽  
Urban Agglomerations

As part of one of the five major national development strategies, the Yangtze River Economic Belt (YREB), including the three national-level urban agglomerations (the Cheng-Yu urban agglomeration (CY-UA), the Yangtze River Middle-Reach urban agglomeration (YRMR-UA), and the Yangtze River Delta urban agglomeration (YRD-UA)), plays an important role in China’s urban development and economic construction. However, the rapid economic growth of the past decades has caused frequent regional air pollution incidents, as indicated by high levels of fine particulate matter (PM2.5). Therefore, a driving force factor analysis based on the PM2.5 of the whole area would provide more information. This paper focuses on the three urban agglomerations in the YREB and uses exploratory data analysis and geostatistics methods to describe the spatiotemporal distribution patterns of air quality based on long-term PM2.5 series data from 2015 to 2018. First, the main driving factor of the spatial stratified heterogeneity of PM2.5 was determined through the Geodetector model, and then the influence mechanism of the factors with strong explanatory power was extrapolated using the Multiscale Geographically Weighted Regression (MGWR) models. The results showed that the number of enterprises, social public vehicles, total precipitation, wind speed, and green coverage in the built-up area had the most significant impacts on the distribution of PM2.5. The regression by MGWR was found to be more efficient than that by traditional Geographically Weighted Regression (GWR), further showing that the main factors varied significantly among the three urban agglomerations in affecting the special and temporal features.

scholarly journals A Review of Mormon Studies in China

Religions ◽  
2021 ◽  
Vol 12 (6) ◽  
pp. 375
Author(s):  
Hongmeng Cheng
Keyword(s):  
Presidential Election ◽  
National Level ◽  
Chinese Government ◽  
Journal Articles ◽  
Internal Factors ◽  
History Of ◽  
Us Presidential Election ◽  
Chinese Scholars ◽  
Mitt Romney ◽  
High Level

Mormon studies in China began in the early 1990s and can be divided into three phases between the years of 2004 and 2017. The first Master’s and Doctoral theses on Mormonism were both published in 2004, and journal articles have also been increasing in frequency since then. The year of 2012 saw a peak, partly because Mormon Mitt Romney won the Republican nomination for the 2012 US presidential election. In 2017, a national-level project, Mormonism and its Bearings on Current Sino-US Relations, funded by the Chinese government, was launched. However, Mormon studies in China is thus far still in its infancy, with few institutions and a small number of scholars. Academic works are limited in number, and high-level achievements are very few. Among the published works, the study of the external factors of Mormonism is far more prevalent than research on its internal factors. Historical, sociological, and political approaches far exceed those of philosophy, theology, and history of thoughts. To Mormon studies, Chinese scholars can and should be making unique contributions, but the potential remains to be tapped.

scholarly journals Uganda’s increasing dependence on development partner’s support for immunization – a five year resource tracking study (2012 – 2016)

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Carol Kamya ◽  
Christabel Abewe ◽  
Peter Waiswa ◽  
Gilbert Asiimwe ◽  
Faith Namugaya ◽  
...  
Keyword(s):  
Vaccine Coverage ◽  
National Level ◽  
Health Financing ◽  
Health Facilities ◽  
Development Partner ◽  
National Medical ◽  
External Sources ◽  
Lower Health ◽  
Health Accounts ◽  
The Government

Abstract Background In Uganda, there are persistent weaknesses in obtaining accurate, reliable and complete data on local and external investments in immunization to guide planning, financing, and resource mobilization. This study aimed to measure and describe the financial envelope for immunization from 2012 to 2016 and analyze expenditures at sub-national level. Methods The Systems of Health Accounts (SHA) 2011 methodology was used to quantify and map the resource envelope for immunization. Data was collected at national and sub-national levels from public and external sources of immunization. Data were coded, categorized and disaggregated by expenditure on immunization activities using the SHA 2011. Results Over the five-year period, funding for immunization increased fourfold from US$20.4 million in 2012 to US$ 85.6 million in 2016. The Ugandan government was the main contributor (55%) to immunization resources from 2012 to 2014 however, Gavi, the Vaccine Alliance contributed the majority (59%) of the resources to immunization in 2015 and 2016. Majority (66%) of the funds were managed by the National Medical Stores. Over the five-year period, 80% of the funds allocated to immunization activities were spent on facility based routine immunization (expenditure on human resources and outreaches). At sub-national level, districts allocated 15% of their total annual resources to immunization to support supervision of lower health facilities and distribution of vaccines. Health facilities spent 5.5% of their total annual resources on immunization to support outreaches. Conclusion Development partner support has aided the improvement of vaccine coverage and increased access to vaccines however, there is an increasing dependence on this support for a critical national program raising sustainability concerns alongside other challenges like being off-budget and unpredictable. To ensure financial sustainability, there is need to operationalize the immunization fund, advocate and mobilize additional resources for immunization from the Government of Uganda and the private sector, increase the reliability of resources for immunization as well as leverage on health financing reforms like the National Health Insurance.

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