Leading Change and Negotiation Strategies for Division Leaders in Clinical Medicine.

Autor:	Nguyen HB; Division of Pulmonary, Critical Care, Hyperbaric, Allergy and Sleep Medicine, Department of Medicine, Loma Linda University, Loma Linda, CA. Electronic address: hbnguyen@llu.edu., Thomson C; Harvard Medical School, Boston, MA; Division of Pulmonary and Critical Care, Department of Medicine, Mount Auburn Hospital, Cambridge, MA., Jarjour NN; Division of Allergy, Pulmonary and Critical Care, University of Wisconsin, Madison, WI., Dixon AE; Division of Pulmonary and Critical Care Medicine, University of Vermont, Burlington, VT., Liesching TN; Tufts University School of Medicine, Boston, MA; Division of Pulmonary and Critical Care Medicine, Lahey Hospital and Medical Center, Burlington, MA., Schnapp LM; Division of Pulmonary, Critical Care, Allergy and Sleep Medicine, Medical University of South Carolina, Charleston, SC., Madison JM; Division of Pulmonary, Allergy and Critical Care Medicine, University of Massachusetts Medical School, Worcester, MA., Murin S; Division of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, University of California Davis, Sacramento, CA., Glenny R; Division of Pulmonary, Critical Care and Sleep Medicine, University of Washington, Seattle, WA., Kaminski N; Section of Pulmonary, Critical Care and Sleep Medicine, Yale University, New Haven, CT.
Jazyk:	angličtina
Zdroj:	Chest [Chest] 2019 Dec; Vol. 156 (6), pp. 1246-1253. Date of Electronic Publication: 2019 Jul 09.
DOI:	10.1016/j.chest.2019.06.019
Abstrakt:	Most physician leaders assume their administrative role based on past achievements but with very little leadership training. In this article, leaders of the Association of Pulmonary, Critical Care, and Sleep Division Directors describe two leadership skills that are often required to effectively lead in a clinical division at an academic or community hospital setting: leading change and negotiation strategy. We adopted our discussion from the business sector and refined the approaches through our own experiences to help division leaders in leading a successful team, whether as a division chief, residency or fellowship program director, or a clinical service director. Leading any change project may include an eight-step process, starting with creating a sense of urgency and completing with anchoring the change to the organizational culture. We then review negotiation strategies, comparing positional bargaining vs principled negotiation, to create more changes and continuing growth for the division. Finally, we discuss the importance of emotional intelligence, exemplary leadership practices, and self-development that the division leader should embrace. (Copyright © 2019 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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