1. Effective Team Leadership Jennifer L. Middleton, MD, MPH, FAAFP Academic Medicine August 2014 Many slides, images, and concepts in this presentation adapted from “NAHHH” by Dr. John Bachman, downloaded from FMDRL 5-23-12.

2. Objectives 1.List three qualities of optimistic leaders. 2.Describe the difference between the reptilian brain and the human brain as it relates to leadership. 3.Define the minimum positive/negative ratio for well-functioning relationships.

3. Would you like to be a leader who…. …has well-functioning relationships with your team? …can more easily resolve problems?

4. Think about the seniors and faculty you’ve worked with. Choose a couple of really good ones. Choose a couple that weren’t so good.

5. Optimism Quiz

6. Want a better score? Boost your optimism: Read an uplifting book Watch a funny television program Spend time with optimistic people Smile more Bring good news to others Do good deeds for others

8. Optimism

9. Optimism is how we handle events internally. It is not the given hand; It is how you play.

10. Pessimists are passive believe “nothing I do matters” have a weaker immune system have shorter life expectancies* * http://voices.washingtonpost.com/checkup/2009/08/the_health_hazards_of_pessimis.html http://voices.washingtonpost.com/checkup/2009/08/the_health_hazards_of_pessimis.html

11. an example

12. “My kid got an F”

13. Optimist: Not Personal Pessimist: Personal “It’s me; I am…”

14. Optimist: Temporary Pessimist: Permanent

15. Optimist: Confined Pessimist: Widespread

16. Optimist

17. Pessimist

18. Optimism is a choice situationvsme temporaryvspermanent specificvsall encompassing

19. It is about a situation, not me. It is about an event that is limited. It is about a specific issue.

20. Another example: “I didn’t get the job.” Was it something I said? (I am a failure) I will never get a promotion. (permanent cloud) I am never good enough. (widespread) It wasn’t my decision. (not me) I just did not get this promotion. (one time) I wasn’t the right match. (limited)

21. Task Take an event or situation you feel badly about and write about it. Rewrite it so that it is situational, temporary, and specific.

22. Putting Optimism to Work

23. STIMULUS RESPONSE

24. Reptilian The Reptilian Brain “Oldest” part of our brains Suited to a life of simple choices: Can I eat it? Should I ignore it? Should I run away?

26. Humans have higher thinking! stimulus response

27. YOU ≠

28. stimulus response optimism the gap between stimulus and response

29. Optimism helps us be response able

30. Nobody will help me. People won’t listen to me. I can’t do it. I’m not good enough. I’ll make the wrong choice. It’s too hard.

31. Help your team members choose positive thoughts! situationvsme temporaryvspermanent specificvsall encompassing

32. What does all this optimism & brain stuff have to do with leadership?

33. Would you like to be a leader who…. …has well-functioning relationships with your team? …can more easily resolve problems?

34. positive negative What do you think the ratio is for a well- functioning relationship?

35. 5 positives 1 negative 12 positives 1 negative betweenbetween

36. < 2 1 3-4 1 5-11 1 > 12 1 suffering flourishing languishing surviving

37. Problems are much harder to resolve when relationships are below the 5:1 threshold.

38. What can we do to increase the positives in our relationships?

39. OpenvsClosed InquirevsAdvocate Ask questionsvsSelf promotion PositivevsNegative