Lecture delivered at Tiger Resort Ranthambhor, Rajasthan durind a professional development programme

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

4. Leadership in medicine
 Leadership in medical field /medicine
 Political leadership

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.

9. Managing knowledge as an
adult learner

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 Medical books -- Become outdated fast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

11. Managing knowledge
know your and preferred style of adult
learning
 Visual
 Verbal
 kinesthetic

12. Keeping updated
 Imitation
 Structure your knowledge around
patients
 Learn from your past mistakes
 Master clinical protocols & Flow
charts
 Concentrate on carry home massages

13. Marketing and branding in
medicine

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

19. Physician profiles
 Healers
 Dealers

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

21. Manage boredom & burnout

22. Stages of career
Medical student
Resident
Doctor- professional work
Boredom by 40-50 years
? What to do next

23. Burnout
Loss of Physical, Emotional & Mental Energy

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

29. High EQ pre requisite to
leadership

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

36. Doctors are not organized or united

37. Physicians: well equipped but don’t
venture in political leadership

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

43. Medical Regulatory Bodies also
recommended Leadership as an
integral part of medical education

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

45. T hanks