How do we train leaders in Vascular Surgery? Bhagwan Satiani MD, MBA, FACS, FACHE Professor of Clinical Surgery, Division of Vascular Diseases & Surgery, Department of Surgery, Associate Director FAME; Director Faculty Leadership Institute Medical Director Vascular Labs
No conflicts of interest to disclose
Discussion today Why do we need them & is there a shortage of leaders? Can we lead our specialty with business as usual? What sort of training should we provide? Do we provide training in-house? What may the future look like?
Anglo-Saxon concept dating to Carlyle s Great Man Theory in the 19th century. Translated to business executives until late in the 20th century. Now leadership term ubiquitous 1935: 6500 hospitals, 2300 directed by physicians 2008: 3% of < 5000 hospitals CEO s physicians
Shortage of leaders in healthcare The American College of Healthcare Executives, which has a membership of around 40,000 senior executives, representing approximately 60 percent of all U.S. hospitals, says that 46.3 percent of its members are over the age of 50. Critical Needs: Succession planning, leadership and talent development & innovation initiatives
a 2012 survey by PwC of global CEOs found that "there will be a 15 percent decline in 35-44 year olds over the next 15 years.
Discussion today Why do we need them & is there a shortage of leaders? Can we lead our specialty with business as usual? What sort of training should we provide? Do we provide training in-house? What may the future look like?
WHY? What Got You Here Won't Get You There
What is leadership? Management is doing things right; leadership is doing the right things. -- Peter Drucker, Austrian-American writer and management consultant
Right kind of leaders
Discussion today Why do we need them & is there a shortage of leaders? Can we lead our specialty with business as usual? What sort of training should we provide? Do we provide training in-house? What may the future look like?
No man was ever wise by chance." - Seneca, Roman philosopher
56% difficulty filling positions 59% poorly defined roles/responsibilities 78% do not evaluate performance against established goals AB Poll
How? Customized Physician Leadership Development Programs Enroll in national organizations devoted to programs (ACPE, ACHE etc) Specialty oriented programs Formal degree/certification programs Experience
Goyal et al Survey of MD/MBA programs
< 10 years 11-20 years
The Faculty Leadership Institute Faculty Advancement March Mentoring 20, & Engagement 2013 (FAME) MANAGING CHANGE
70 60 50 40 30 MD/MBA Programs Column1 20 10 0 1993 2009 2012
Discussion today Why do we need them & is there a shortage of leaders? Can we lead our specialty with business as usual? What sort of training should we provide? Do we provide training in-house? What may the future look like?
Impact on my professional life Credibility with administrators (MBA/FACHE) Greater appreciation of the dark side Publications : Books/articles Teaching; Leadership/practice management Personal satisfaction from Physician development
Discussion today Why do we need them & is there a shortage of leaders? Can we lead our specialty with business as usual? What sort of training should we provide? Do we provide training in-house? What may the future look like?
Conclusions Professional degree: MBA Experience Certification: CPE, MMM, FACHE Organizations: ACHE, ACPL, ACS, Alternative careers: Pharma, Wall Street, Research, Academic
Conclusions Not for everyone No accidental leaders anymore Plan ahead Invest in training/ mentors Predict significant increase in physician leaders taking charge of health systems Health System Leadership: Respect skills, maybe not trust yet
Conclusions Increase in health system CEO s Leadership of healthcare companies, pharmaceuticals, businesses? Separate track after medical school as a specialty