Presentation on theme: "MEDICAL LEADERSHIP & CIVIL NON-CONFORMITY : QUESTIONS, ENGAGEMENT, AND PUSHING BACK THE CURTAIN ON MEDICAL SECRETS JOHN HENNING SCHUMANN, MD MAY 19, 2013."— Presentation transcript:
MEDICAL LEADERSHIP & CIVIL NON-CONFORMITY : QUESTIONS, ENGAGEMENT, AND PUSHING BACK THE CURTAIN ON MEDICAL SECRETS JOHN HENNING SCHUMANN, MD MAY 19, 2013 CIR/SEIU CONVENTION
BIASES Disclosures Blogger (ad-free) Writer: publications, sites Radio Consultant, legal work Academia-Program Director Primary care, Longitudinal relationships Community health, underserved, mission- driven
LEADERSHIP: MY STORY Called non-profits, for-profits, AMCs Mission-driven purpose Sharing spirit All junked for $$ including teaching and clinical careall to preserve research No money no mission The brass ring of idealism
LEADERSHIP Domain change: from operations to patient experience A response: start a blog How to blog? anonymously What are the goals? Who is the audience?
CONFORMITY, REDUX Minions of hospitalistsunionize? We are mostly employees now Theres been a widgetization of medicine Bad: loss of autonomy, perhaps creativity Good: systemization and quality control Hells Angels (conformity of a different sort)
FUNDAMENTAL QUESTIONS Bloggery: What pisses me off? Waiting Jargon Shoddy communication (Lack of) Empathy putting yourself in your patients shoes
ENGAGEMENT Patients Systems Learners Colleagues Management Collectivism Preaching to the choiryou are the leaders of the bunch 13k, 200 here you are the 1% of the 11.7% (111000 residents and fellows total in US)
PULLING BACK THE CURTAIN Telling stories: advocacy
MEDICAL SECRETS Make a commitment to find out or tell- Get Curious!
3. WHO DO I WORK FOR? The patient, right? Its not always cleardual and triple loyalties when you work for others….. Easy examplesutilization review Hard examples-Im in a department and my chairman tells me to refer to my own neurologist or surgeon when its less convenient for a patient
4. HOW WILL I MAKE AN IMPACT? Those of you in this room are not just going to be punching the clock. What is your passion? What will you do to make a difference?
7. WHAT AM I AFTER? Prestige/power, possessions ($), or purpose? I was asked to become CQO it aligned with my goal of leadership, but not my passion/purposeits really hard, and not my strong suit.
8. WILL I STAY TRUE TO MYSELF? Your identity has been subsumed into your profession. It becomes too easy to view people as constellations of disease, diagnoses, drugs…. Why did you go into medicine? What gives you meaning? How can you avoid the pitfall of cynicism when its in the air around us?
9. AM I OF THE SYSTEM OR OUTSIDE OF IT? We are all most definitely OF, but are we toe holding in the other world?