1. Saving Lives. Enhancing Health. Invest in Physician Leadership Development for Enhanced Health System Performance. James A. Rice, Ph.D., FACHE jrice@msh.org Victoria Falls Organized with Compre Health August 2014 Competency Courage Cash

2. Preparation and choice- “We are taking very good doctors and turning them into mediocre managers.” Rajat Gupta, Chair GFATM former head of McKinsey voices

3. “In medical school there is a hidden curriculum that the physician is a born leader. Medical students need structured knowledge on management and leadership as well as practical experience.” Dr. Henrique Sa Dean, University of Fortaleza Medical School, Brazil

4. voices “ I have known how to solve patient problems. Solving staff problems, though, is another thing.” District Medical Officer Kenya Health Sector Survey April – June 2008

5. voices D r. Mubwandarikwa Physician Leaders need: 1.Knowledge 2.Continuity 3.Train-Teach-Tools

6. Leaders Earn Followers 1.Learn to Listen, Listen to Learn 2.To journey to new lands, must be willing to loose sight of the shore 3.Don’t do nothing, because you cannot do everything 4.Sincere invitation to engage, to seek the ideas of others

7. Zimbabwe Medical Association August 2014 7 Q: How to encourage, facilitate and support life long learning for a strong medical profession in Zimbabwe? A: Do not stand alone. The Challenge:

8. Zimbabwe Medical Association August 2014 8 Invest in Strong Professional Association with three attributes: 1.Embrace Professionalism 2.Listen to Members 3.Champion for the Public/Patients The Solution:

9. Zimbabwe Medical Association August 2014 9 Percent 155 Members Do Not See Membership Value 243 Lack Of Funding For Core Association Staff 338 Lack Business Plan For Association Revenues 434 Weak Relationship With Ministry Of Health 534 Weak Communications With Members 630 Lack Research Capabilities To Advance Knowledge 721 Weak Licensure Standards And Processes 812 Lack Advocacy Voice For Fair Compensation 910 Weak Education On Practice Management 10 9 Weak Education On Clinical programming Health Professional Associations 2020 It is Not Easy: Obstacles to Strong Medical Associations

10. Zimbabwe Medical Association August 2014 10 1.Embrace Professionalism  Evidence Based Knowledge  Ethical Behavior  Continuous Learning

11. Zimbabwe Medical Association August 2014 11 2. Listen to Members  Modern Governance Structures  Quarterly Focus Groups/Polling  Engaged in Strategic Planning

12. Zimbabwe Medical Association August 2014 12 3. Champion for the Public/Patients  Do Well by Doing Good  Care About Their Opinions  Visible in Your Support

13. Zimbabwe Medical Association August 2014 13 Invest in Strong Professional Association with three attributes: 1.Embrace Professionalism 2.Listen to Members 3.Champion for the Public/Patients Economic Vitality of ZIMA. A Means to These Ends. The Solution:

14. Zimbabwe Medical Association August 2014 14 http://www.akdn.org/publications/akf_toolkit_manual.pdf

15. Zimbabwe Medical Association August 2014 15

16. Zimbabwe Medical Association August 2014 16 1.Where is your Association Now? 2.What are 3 actions to make you better? 3.Do members own your strategic plan? 4.What are tangible benefits from membership? 5.What is your income generation plan?