Physician Leadership

Physician Leadership
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You know how to practice medicine. Now learn how to lead with this insightful resource from one of medicine’s most accomplished leaders. In  Physician Leadership , renowned medical leader Dr. Karen J. Nichols delivers a concise guide for busy physicians doing their best to successfully lead people and organizations. The book covers foundational leadership essentials that every physician needs to master to transform themselves from a highly motivated novice leader into an effective, skilled, and productive leader. Each chapter offers readers a summary of the crucial points found within, sample questions, exercises, and a bibliography of the relevant academic literature for further study. Ideal for doctors who don’t have the time to peruse an unwieldy collection of the latest research and thought on organizational leadership, or to take a multi-day course on effective leadership,  Physician Leadership  distills the author’s extensive research and personal experience into a short and practical handbook. Physician Leadership  provides actionable, real-world advice for practicing and aspiring physicians: A thorough introduction to personal approach and style when interacting with patients, managers, boards, and committees An exploration of how to employ the principles of effective communication to achieve desired results and practical techniques for implementing those principles Practical discussions of the role that perspectives play in shaping an organization’s culture and how those perspectives affect leadership efficacy In-depth examinations of approaches to decision-making that get buy-in from others and achieve results Perfect for doctors stepping into a leadership role for the first time,  Physician Leadership  also belongs on the bookshelves of experienced physician leaders seeking to improve their leadership abilities and improve the results of their organizations.

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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

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“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

.....

—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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