Physician Leadership
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Karen J. Nichols. Physician Leadership
Table of Contents
List of Illustrations
Guide
Pages
Praise for Physician Leadership
PHYSICIAN LEADERSHIP
Foreword
Introduction: Best Practice in Medicine and Leadership Are Not Always the Same
Chapter Overview
Resources
Chapter ONE Know Yourself ! Why Does That Matter?
Takeaways for the Wise Physician Leader
Questions
Appendix: Reflection Exercise
Resources
Chapter TWO Communication
Principles of Communication
Know the Definitions
Ask Questions
Use the Ladder of Inference
Understand Person and Persona
Appreciative Inquiry
Takeaways for the Wise Physician Leader
Scenarios
Questions
Resources
Chapter THREE Techniques of Communication
Three Techniques of Communication. Listen
Read the Body Language
Know When to Interrupt
Words and Word Pairs: What to Use, What to Avoid
I or You
And or But
With All Due Respect
Transparency and Other Power‐Packed Words
Takeaways for the Wise Physician Leader
Scenarios and Questions
Resources
Chapter FOUR Perspective
Myths and Biases, Heuristics, and Assumptions/Fallacies
Myths
Biases
Heuristics
Fallacies: What We Know That Just Ain't So
Round Rainbows
Culture and Perspective
Back to My Patient
Takeaways for the Wise Physician Leader
Scenarios and Questions
Resources
Chapter FIVE Decision‐Making That Works
Decision‐Making Steps
Categorize the Type of Problem
Define the Problem
Set Goals
Make an Action Plan
Get Feedback
Process and Content
Decision‐Making Process Structure
How I Used This Analysis Approach to Make a Major Life Decision
Decision Analysis Matrix
Burn Rate
The Problem You Dread – Or, Never Let a Crisis Go to Waste
The Crisis Approaches!
Takeaways for the Wise Physician Leader
Scenarios and Questions
Resources
Chapter SIX Decision‐Making That Doesn't Work, and Why
Unintended Consequences
Sunk Costs
Opportunity Costs
Infraction Inertia
Weak Ties and Weak Signals
One View Is No View
Smart People See Patterns That Aren't There
Hyper‐collaboration
Misaligned Incentives
Mistakes
Takeaways for the Wise Physician Leader
Scenarios and Questions
Resources
Chapter SEVEN Character andEthics
Right vs. Right
Truth vs. Loyalty: Honesty/Integrity vs. Commitment/Promise‐Keeping
Individual vs. Community: Us vs. Them
Short‐Term vs. Long‐Term: Now vs. Then and Consequences for Each
Justice vs. Mercy: Fairness/Equity vs. Love/Compassion
The Platinum Rule: Expressing Integrity
An Ethics Perspective on Giving Advice
A Difficult Ethical Dilemma
The Importance of Loving What You Do
Takeaways for the Wise Physician Leader
Scenarios and Questions
Resources
Chapter EIGHT Relationships and Team Building
Approach to Building Relationships
Emotional Intelligence
Self‐Awareness
Self‐Management
Social Awareness
Relationship Management
Team‐Building Approach
Emotional Proprioception
Special Relationships You Need to Cultivate
Mentor
Coach
Sponsor
Takeaways for the Wise Physician Leader
Scenarios and Questions
Resources
Chapter NINE Principles of Negotiations
Amygdala Hijack
Negotiation Steps
1. Separate People from Problem
2. Focus on Interests, Not Positions
3. Clarify the Interests
4. Several Positions May Satisfy the Interests
5. How Do We Identify the Interests?
6. Invent Multiple Options with Mutual Gains Before Picking One Option
7. Insist That the Result Be Based on an Objective Standard
8. What Is the Next Step?
BATNA
Takeaways for the Wise Physician Leader
Scenarios and Questions
Resources
Chapter TEN Conflict Management
Twenty Techniques for Managing Conflict
Utilize Clear Communication
Maintain a Positive Outlook
Admit Your Own Mistakes
Let Them Save Face
Look Forward, Not Backward
Express Emotion
Respect Yours and Others' Fears
Attitude Can Alter Relationships
Don't Acquiesce
Never Attribute to Malice What Can Be Explained by Incompetence
Differentiate between Helping and Being Used
Reframe the Image
Set the Agenda
Assume They Agree
Make Their Decision Easy
Ask Questions and Pause
Recognize When They Have Already Said Yes
Employ Precision Thinking
Ad Hominem vs. Ab Hominem
Stop Pushing
Difficult People and Difficult Conversations
Rules: Yours or Mine?
Takeaways for the Wise Physician Leader
Scenarios and Questions
Resources
Chapter ELEVEN Persuasion
Principles of Persuasion
Reciprocity, Friends, and Expectancy
Contrast and Association
Scarcity
Consistency and Conformity
Power
Techniques of Persuasion
Enthusiasm and Passion
Compassion
Attitude
Persistence
Consider How You Are Presenting Your Perspective
Takeaways for the Wise Physician Leader
Scenarios and Questions
Resources
Chapter TWELVE Managing Change
When You Are the One Who Wants to Implement the Change
Eight Steps to Making Change Happen
Step 1 Establish a Sense of Urgency
Step 2 Form a Guiding Coalition
Step 3 Create a Vision
Step 4 Communicate the Vision
Step 5 Empower Others to Act on the Vision by Getting Rid of Obstacles to the Desired Change
Step 6 Plan and Create Short‐Term Wins
Step 7 Consolidate the Improvements Made
Step 8 Institute More New Approaches
Presentism
When You Are Dealing with Changes That Are Occurring Around You
Takeaways for the Wise Physician Leader
Scenarios and Questions
Resources
Chapter THIRTEEN Meeting Dynamics
How to Dress for Meetings
Before the Meeting
Where to Sit
When Should You Speak?
What Do You Need to Say?
How to Speak
Speak Slowly
Gestures and Stance
Addressing People in Meetings
Wrapping Up the Meeting
The Meeting Is Over
Takeaways for the Wise Physician Leader
Scenarios and Questions
Resources
Chapter FOURTEEN The Physician Leader as the Whole Person: Facing Discrimination
What Is Happening?
Why Is It Happening?
What Can We Do About It?
Takeaways for the Wise Physician Leader
Scenarios and Questions
References:
Chapter FIFTEEN The Big Picture in Summary
General Resources
Acknowledgments
About the Author
Index
WILEY END USER LICENSE AGREEMENT
Отрывок из книги
“Leadership in healthcare is not a ‘lifetime achievement award,’ but is, in truth, the set of learned knowledge and applied skills with which a leader inspires others to achieve what they believe is beyond their reach, and in many cases, to inspire the future leaders of our professions. We are constantly acquiring new knowledge and building new shills. Physician Leadership is well organized and thoughtfully annotated and will provide a useful framework to build a practical leadership foundation for those on a lifelong leadership journey, as related by one of the most respected leaders in our field.”
—Jeffrey P. Gold, MD, Chancellor, University of Nebraska Medical Center
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—Richard S. Dobrusin, D.O., MS(Ost) FACOFP, President, Arizona Osteopathic Medical Association
“Dr. Nichols, your book is WONDERFUL! Wow! The lessons and insight you provide readers is INVALUABLE, and you do this in a personal and practical way. The examples you use in the book are personal and relatable, and the style in which you deliver information is clear and usable. Readers will gain so much from your knowledge and experiences through this step‐by‐step manual on how to be an effective physician‐leader! Brava!
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