Leadership training in family medicine residency: a scoping review

BMJ Leader ◽  
2020 ◽  
Vol 4 (4) ◽  
pp. 239-245
Author(s):  
Stephanie Godard ◽  
Savithiri Ratnapalan

BackgroundGraduate medical education, including family medicine residency, has historically focused on building clinical competencies with little attention paid to leadership skills, leaving residents feeling ill-prepared for leadership roles after training.ObjectiveTo analyse the format, content and outcomes of leadership training programmes offered to family medicine residents.MethodsA MEDLINE (OvidSP) literature search from 1976 to October 2018 for articles on Family Medicine AND Residency AND Leadership Programs retrieved 184 articles. After reviewing inclusion and exclusion criteria, 12 articles were chosen for full review and synthesis.ResultsThree articles described leadership training available to Family Medicine all residents while nine focused on a select group. Programme format and content varied, ranging from a 1-day programme on emotional intelligence to a 5-year integrated leadership track. The most comprehensive curricula were longitudinal and offered to a small group of residents. Inclusive programmes often taught leadership through the lens of a specific competency. Mixed teaching methods were valued including online learning, simulations, small group discussions, mentorship, reflection, placements and projects. Conceptual frameworks were inconsistently used and programme evaluation seldom addressed high-level or long-term outcomes.ConclusionsLeadership skills are important for all family physicians; however, there is limited literature on comprehensive leadership development during training. Existing curricula were described in this review and we suggest a longitudinal mixed-methods programme integrated throughout residency, covering basic comprehensive skills for all residents. However, evaluative data were limited, and a considerable gap remains in how to effectively approach leadership development in family medicine residency, warranting ongoing research.

BMJ Leader ◽  
2018 ◽  
Vol 2 (2) ◽  
pp. 56-58 ◽  
Author(s):  
David A Benrimoh ◽  
Jordan D Bohnen ◽  
Justin N Hall

Physicians are often required to lead teams in clinical and non-clinical environments but may not receive formal training in advance of these opportunities. In this commentary, three medical learners discuss their views on leadership education in undergraduate and postgraduate medicine, arguing that leadership development should be more explicitly integrated into training programmes and that medical leaders need to be better recognised for their contributions to this field, much like expert clinicians, clinician-educators and clinician-scientists are recognised for theirs. After reviewing the published literature in this domain, reflecting on their experiences engaging with medical leaders and attending a leadership education summit, the authors conclude that, as initial steps towards improving leadership training in medical education, faculties and programmes should commit to incorporating leadership training into their curricula, and strive to deliberately connect learners interested in leadership with practising clinician-leaders with an eye towards improving learners’ leadership skills. These first steps could help to catalyse the necessary shift towards improved leadership education and better patient care.


2021 ◽  
Author(s):  
Seul Jee Ha ◽  
Sridhar Reddy Patlolla ◽  
Thomas Robert Wojda

High-level emotional Intelligence (EI) and leadership skills are crucial for physicians to prioritize responsibilities and successfully interact with numerous stakeholders in an every-increasingly complex healthcare system. Although recent research has shown an association between emotional intelligence and leadership, few studies have examined this relationship among family and primary care physicians. Family physicians play an essential role in the evaluation and treatment of illnesses as well as health and wellness promotion. These providers are often the first point of contact with the patient and the use of emotional intelligence and development of leadership abilities of primary care physicians are vital to the maintenance, sustainability, and optimization of a medical organization. Furthermore, high- level emotional intelligence and sharpened leadership skills may aid the patient-provider relationship and dealings with coworkers. This chapter explores key themes of EI and physician leadership as it pertains to Family Medicine Residency.


2019 ◽  
Vol 33 (1) ◽  
pp. 101-111
Author(s):  
Danielle Cobb ◽  
Timothy W. Martin ◽  
Terrie Vasilopoulos ◽  
Erik W. Black ◽  
Chris R. Giordano

Purpose The purpose of this paper is to discuss a unique leadership curriculum developed at the University of Florida and its impact on the leadership skills and values of the anesthesiology residents since its conception. The authors instituted a voluntary anesthesiology residency leadership development program at their institution to fill a perceived gap in leadership training. Mounting evidence reveals that strong clinical leadership skills improve outcomes for patients and health-care institutions. Additionally, this growing body of literature indicates that optimal outcomes result from effective team behaviors and skills, which are directed through the requisite clinical leadership. Unfortunately, adding leadership training into the existing medical education curriculum is a formidable challenge regardless of the level of learner. Design/methodology/approach To evaluate learners, the authors used the Aspiring leaders in Healthcare-Empowering individuals, Achieving excellence, Developing talents instrument, which is a validated and reliable assessment of leadership competency in health-care professionals. In 2017, the authors surveyed the past five graduating classes from the department (classes of 2012-2016), using the two graduating classes before the program’s implementation as a historical control group. Findings The survey was sent to 96 people, of whom 70 responded (73 per cent). Those participants who usually or always participated in the program responded with higher leadership-readiness skills scores than those who occasionally, rarely or never participated in the program. Notably, those who had participated in another leadership development course at any time had higher skills scores than those who had never participated. Originality/value The study’s data provide evidence that residents who either, often or always participated in the leadership development program perceived themselves to be better equipped to become effective health-care leaders as opposed to residents who never, rarely or occasionally participated.


2016 ◽  
Vol 8 (4) ◽  
pp. 587-591 ◽  
Author(s):  
Jared M. Moore ◽  
David A. Wininger ◽  
Bryan Martin

ABSTRACT Background  Developing effective leadership skills in physicians is critical for safe patient care. Few residency-based models of leadership training exist. Objective  We evaluated residents' readiness to engage in leadership training, feasibility of implementing training for all residents, and residents' acceptance of training. Methods  In its fourth year, the Leadership Development Program (LDP) consists of twelve 90-minute modules (eg, Team Decision Making and Bias, Leadership Styles, Authentic Leadership) targeting all categorical postgraduate year (PGY) 1 residents. Modules are taught during regularly scheduled educational time. Focus group surveys and discussions, as well as annual surveys of PGY-1s assessed residents' readiness to engage in training. LDP feasibility was assessed by considering sustainability of program structures and faculty retention, and resident acceptance of training was assessed by measuring attendance, with the attendance goal of 8 of 12 modules. Results  Residents thought leadership training would be valuable if content remained applicable to daily work, and PGY-1 residents expressed high levels of interest in training. The LDP is part of the core educational programming for PGY-1 residents. Except for 2 modules, faculty presenters have remained consistent. During academic year 2014–2015, 45% (13 of 29) of categorical residents participated in at least 8 of 12 modules, and 72% (21 of 29) participated in at least 7 of 12. To date, 125 categorical residents have participated in training. Conclusions  Residents appeared ready to engage in leadership training, and the LDP was feasible to implement. The attendance goal was not met, but attendance was sufficient to justify program continuation.


2009 ◽  
Vol 6 (1) ◽  
pp. 30-52
Author(s):  
Mohammed B. Lahkim ◽  
Gregory J. Skulmoski ◽  
Russel E. Bruhn

This paper investigates the integration of leadership training into IT curricula to develop current and future skills needed by the IT job market. The technical and non-technical skills required for IT professionals are presented and a conceptual model for including leadership training in technical courses is outlined. To implement this model, we adopted the Problem-Based Learning approach to teach an IT course. Qualitative and quantitative data were gathered, through a survey, from 52 undergraduate students in the College of Information Technology at Zayed University. Our results show that our adopted approach was successful in teaching IT skills as well as developing leadership skills. Given these findings, we highlight the importance and feasibility of integrating leadership development on a daily basis within technical courses to develop both the technical and non technical skills required by the job market.


BMJ Leader ◽  
2020 ◽  
pp. leader-2020-000308
Author(s):  
Samuel Hayward ◽  
Sophie McGlade ◽  
Samantha Cockburn ◽  
Ben Ballisat ◽  
Freya Smith-Jack ◽  
...  

IntroductionThe National Health Service Long Term Plan recognises that excellent quality care requires great leadership. Understanding junior doctor experiences of leadership development can inform organisations to improve trainee leadership skills.MethodsA survey of South West (SW) England trainees was conducted to capture views on leadership and management training.ResultsResults came from 190 trainees across both SW deaneries, areas of practice and all training stages. Respondents agreed that leadership skills are important for doctors (n=186; 99%). Lack of time was indicated as a barrier to developing leadership skills (n=139; 75.5%). Audits and quality improvement projects were used for developing leadership skills. Colleagues were the main source of support.DiscussionSW trainees recognise the importance of developing leadership skills, underlining the need to prioritise opportunities for leadership development. Respondents had ideas to improve areas of practice, where ideas were supported, they were implemented.ConclusionCompared with national findings SW trainee experiences are positive, with more ideas implemented, more time for developing skills and more resources used. Activities engaged in closely aligned to the 70:20:10 model of leadership. Trainees should be encouraged to access support from peers and create networks of opportunity. Additional research in this area is needed.


Author(s):  
Makmun Abdullah

Leadership development program is an integrated leadership quality development program towards individuals and organizations to achieve organizational goals.  This is important in response to the urgent need to prepare competent leaders in the face of global challenges and uncertainty conditions. Through appropriate leadership development programs, government/institutions are expected to achieve their goals effectively and efficiently. Currently there has been a paradigm shift in leadership development programs that more targeted to the human side by focusing on individuals rather than on their own management processes. This research is expected to answer questions related to the benefits, effectiveness, and development of Leadership Training program organized by the Ministry of Energy and Mineral Resources at this time. The approach of this research is literature review and qualitative descriptive by distributing questionnaires with respondents of alumni of Diklatpim Level IV at KESDM Year 2017. The results show that the Leadership Training which has been held essentially in accordance with the trend of leadership development that is considered most effective model at this time. The alumni of leadership training program have also benefited from the implementation of the training.


2020 ◽  
Vol 52 (8) ◽  
pp. 570-575
Author(s):  
Susan D. Pohl ◽  
Sonja Van Hala ◽  
Dominik Ose ◽  
Benjamin Tingey ◽  
Jennifer P. Leiser

Background and Objectives: The Accreditation Council for Graduate Medical Education (ACGME) requires all residents be trained in quality improvement (QI), and that they produce scholarly projects. While not an ACGME requirement, residents need leadership skills to apply QI knowledge. We developed the Skills-based Experiential Embedded Quality Improvement (SEE-QI) curriculum to integrate training in QI, leadership, and scholarship. Methods: The University of Utah Family Medicine Residency Program began using the novel curriculum in 2012. The aim of the curriculum is to tie didactic teaching in quality improvement, leadership, and scholarship with skills application on multidisciplinary QI teams. Coaching for resident leaders is provided by faculty. Third-year resident leaders prepare academic presentations. Results of the ACGME Practice-Based Learning and Improvement (PBLI) 3 scores and number of scholarship presentations are described as a measure of efficacy. Results: Two cohorts of residents completed the curriculum and all competency assessments. The average initial and final competency scores for competency PBLI-3 showed improvement and the average final competency for each cohort was above the proficient level. The residency requirements for QI scholarship did not change with introduction of the curriculum, but the amount of optional curricular QI scholarship and independent QI scholarship increased. Conclusions: The SEE-QI curriculum resulted in a high level of resident QI competency, opportunity for leadership training, and an increase in scholarship. We studied the results of this curriculum at one institution. Efforts to tie QI, leadership, and scholarship training should be evaluated at other programs.


Author(s):  
Einad Sayel Al-Ta'ani

The main objective of this study is to answer the question of the role of leadership training programs in enhancing the leadership skills of the target customs officer in the leadership development programs، The researcher used the descriptive analytical method، The study community is staffed first class (University graduates and comprehensive diploma)، A random sample was selected () Employee From various departments. One of the main results of the study، according to the sample، is that the implementation of this program will enhance leadership skills، at the same time promoting confidence between staff and senior management in achieving fairness and transparency in selection The results of the study confirmed that there are no statistically significant differences in the role of the leadership training programs in enhancing the leadership skills of the employee if he participated in the programs of preparing leaders، The reasons are due to the type of job and training program. also there are statistically significant differences in the role of leadership training programs in the promotion of leadership skills from the point of view of the sample of the department's staff to the leadership development program.


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