A Physician Management & Leadership Program (PMLP) in Newfoundland and Labrador

Transcription

1 A Physician Management & Leadership Program (PMLP) in Newfoundland and Labrador Presented by: Victor Maddalena, PhD Associate Professor, Division of Community Health and Humanities Faculty of Medicine, Memorial University Award Applicants: Ford Bursey, MD, FRCPC Fran Kirby, MEd September 2014

2 Faculty/Presenter Disclosure Faculty: Victor Maddalena, PhD Relationships with commercial interests: Grants/Research Support: None Speakers Bureau/Honoraria: None Consulting Fees: None Other: None

3 Disclosure of Commercial Support This program has received NO COMMERCIAL financial support. This program has received NO COMMERCIAL inkind support

4 Steering Committee Member Role/Organization Fran Kirby, MEd Director, Professional Development & Conferencing Services (PDCS), Faculty of Medicine, MUN Robert Glynn, MEd Senior Instructional Designer, PDCS, Faculty of Medicine, MUN Lisa Fleet, MA Manager, Research Programs, PDCS, Faculty of Medicine, MUN Victor Maddalena, Associate Professor, Community Health, Faculty of Medicine, MUN PhD Brian Hurley, MBA Director, The Gardiner Centre, Faculty of Business Administration, MUN Bill Morrissey, Associate Director, The Gardiner Centre, Faculty of Business PMP Administration, MUN Larry Alteen, MD Director of Physician Services, Department of Health & Community Services, Government of NL Dan Fitzgerald Policy Planning & Research Analyst, Department of Health & Community Services, Government of NL Oscar Howell, MD VP Medical Services & Diagnostics, Eastern Regional Health Authority

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6 Why Innovative Participants are local/regional colleagues Provides context for discussion Fosters collegiality/community of learners Encourages problem-solving/collaboration across the RHAs Content tailored to local needs Localized cases Faculty with experience in NL system Adaptable to other jurisdictions Provides Fellows CPD which addresses several CanMEDS roles Blended delivery formats Extensive evaluation/dissemination Cost-savings to regions and leaders in terms of program fees and travel

7 Interviews: Physician leaders (N=5) Program Development Needs Assessment Online Survey (N=423): Physicians (n=215) Non-physicians (n=208)

8 Key Program Features Web portal Modular Blended Learning Diverse faculty perspectives Content reflects local context, challenges Reflection and application Accredited Automatic upload of credits to Colleges University Certificate

9 Web Portal

10 Portal Features 10 modules Pre-readings/resources Pre/post-assessments & satisfaction survey My Account personal tracking for each participant Asynchronous discussion forum: In modules Part of My Community (to facilitate ongoing discussion related to leadership) My Journal : For participants personal use to reflect on modules, knowledge/skills and practical application

11 10 Modules/Blended Formats Module A Self-Discovery Approach to Leadership Strategic Planning Managing Competing Priorities Project & Change Management Patient Safety Public Relations & Communications Organizational Structures Evaluation Methods Leading vs. Managing Recruiting & Performance Development Delivery Format Blended (pre/post online; live training) Online Blended (pre/post online; live training) Blended (pre/post online; live training) Blended (pre/post online; live training) Blended (pre/post online; live training) Online Online Blended (pre/post online; live training) Blended (pre/post online; live training)

12 Participants Cohorts Physicians Non-Physicians Totals (Pilot) * *As of September 2014 confirmations still underway

13 Evaluation Module: Pre/post knowledge & confidence, satisfaction Program Pre/post use of leadership skills Applied learning report Post-program (6 months):* Use of leadership skills Application of learning in the workplace *6 months after delivery of final module.

14 Post-Program Outcomes at 6 months Methods Response Cohort Response Rate Applied learning reports % Use of leadership skills assessment % Participant self-evaluation - online survey Peers, middle management and staff - online survey Senior management - focus group % 7 NA 8 NA *Post-program outcomes data for cohort only.

15 Applied Learning Report ALR required to receive university certificate Report addressing: What have you learned in each of the modules? How have you applied the learning at work? What, if any, barriers have you experienced in trying to implement the learning at work?

16 Use of Leadership Skills Participant respondents report using new skills in their work Significant increases: Assess my own strengths and weaknesses as a leader (p=.010) Establish priorities and communicate them to others (p=.035)

17 Post-Program Outcomes Participant Respondents 95% report feeling more prepared for their leadership responsibilities 95% agree it enhanced their interest in a leadership position Opportunity to network and collaborate with other leaders one of the most valuable aspects

18 Post-Program Outcomes Participant Respondents In general, participant respondents also report: More effective communication with staff/managers/peers Creation/enhancement of a team environment Creation/enhancement of a respectful workplace Development of new policies & procedures Increased involvement at regional &/or provincial levels More effective conflict resolution Altered approaches to various projects, personnel, & workplace issues Increased awareness of potentially valuable partnerships

19 Post-Program Outcomes Stakeholder Respondents Report observing changes in how program participants applied information and skills from PMLP in the workplace: More effective communication with staff/managers/peers Creation/enhancement of a team environment Creation/enhancement of a respectful workplace Development of new policies & procedures I have seen increased attention to detail. He/she seemed to have more confidence in dealing with difficult situations.

20 Adaptability of Innovation CPD providers, in collaboration with Memorial University, could: Utilize their local cases/faculty to adapt modules to region/ province Follow the defined process of program development & evaluation Utilize the existing infrastructure and resource capabilities of Memorial University to deliver the program

21 What s Next Continued engagement of current/future physician leaders: MD Program (2013) Special projects course All modules to be covered Physician Leadership Certificate integrated into MUN undergraduate MD program cohort begins program Sept Post-program evaluation cohort Health Care Leadership Forum Nov. 1/14