Moving Beyond Accidental Leadership: A Graduate Medical Education Leadership Curriculum Needs Assessment
| Autor: | Ramey L. Wilson, M.R. Nelson, Clifton E. Yu, Joshua D. Hartzell, Brian M. Cohee |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Best practice education 0211 other engineering and technologies Graduate medical education 02 engineering and technology InformationSystems_GENERAL 03 medical and health sciences 0302 clinical medicine Educational leadership Nursing Surveys and Questionnaires ComputingMilieux_COMPUTERSANDEDUCATION Humans Medicine 030212 general & internal medicine Cognitive interview Curriculum health care economics and organizations 021110 strategic defence & security studies Medical education ComputingMilieux_THECOMPUTINGPROFESSION Leadership development business.industry Public Health Environmental and Occupational Health General Medicine Middle Aged Leadership Subject-matter expert Military Personnel Education Medical Graduate Needs assessment Female business Needs Assessment |
| Zdroj: | Military Medicine. 182:e1815-e1822 |
| ISSN: | 1930-613X 0026-4075 |
| DOI: | 10.7205/milmed-d-16-00365 |
| Popis: | Despite calls for greater physician leadership, few medical schools, and graduate medical education programs provide explicit training on the knowledge, skills, and attitudes necessary to be an effective physician leader. Rather, most leaders develop through what has been labeled "accidental leadership." A survey was conducted at Walter Reed to define the current status of leadership development and determine what learners and faculty perceived as key components of a leadership curriculum.A branching survey was developed for residents and faculty to assess the perceived need for a graduate medical education leadership curriculum. The questionnaire was designed using survey best practices and established validity through subject matter expert reviews and cognitive interviewing. The survey instrument assessed the presence of a current leadership curriculum being conducted by each department, the perceived need for a leadership curriculum for physician leaders, the topics that needed to be included, and the format and timing of the curriculum. Administered using an online/web-based survey format, all 2,041 house staff and educators at Walter Reed were invited to participate in the survey. Descriptive statistics were conducted using SPSS (version 22).The survey response rate was 20.6% (421/2,041). Only 17% (63/266) of respondents stated that their program had a formal leadership curriculum. Trainees ranked their current leadership abilities as slightly better than moderately effective (3.22 on a 5-point effectiveness scale). Trainee and faculty availability were ranked as the most likely barrier to implementation. Topics considered significantly important (on a 5-point effectiveness scale) were conflict resolution (4.1), how to motivate a subordinate (4.0), and how to implement change (4.0). Respondents ranked the following strategies highest in perceived effectiveness on a 5-point scale (with 3 representing moderate effectiveness): leadership case studies (3.3) and small group exercises (3.2). Online power points were reported as only slightly effective (1.9). Free text comments suggest that incorporating current duties, a mentoring and coaching component, and project based would be valuable to the curriculum.Few training programs at Walter Reed have a dedicated leadership curriculum. The survey data provide important information for programs considering implementing a leadership development curriculum in terms of content and delivery. |
| Databáze: | OpenAIRE |
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