The Chief Resident as Manager - USAFP Home Page住院总医师作为经理usafp主页.pptVIP

The Chief Resident as Manager D.C. Krulak, MD, MPH CDR MC USN As interpreted by TJ Lindsay, MD Lt Col MC USAF Leadership Leadership Leadership Leadership A Leader Motivates People to Accomplish a Goal Leadership Leadership The Chief as Manager Management vs. Leadership Ideal: to “lead” not “manage” others You may already be a leader You may have other leaders in your program Reality: you’ll have to “manage” at least occasionally Use of informal and formal networks No “best” management strategy Direct comparison from Covey Management Left brain Day to Day running Bottom-line driven Putting first things first Discipline Doing things right Climbing the success ladder “The Middle Manager” Chief and other senior residents are the connections between faculty “managers” and resident “labor” Similar stresses, roles and conflicts of all residents Both groups usually insist on allegiance during conflict Leading to “Chief Tug of War” Getting started as a “manager” Get a job description Coordinate with co-chiefs, program director Determine scope of responsibilities Scheduling Rules Chain of Command Admin Getting started as a “manager” Establish level of authority Sources of authority and influence Congruence between level of authority and level of responsibility Getting started as a “manager” Set goals and objectives for program Consider all stakeholders Program director and faculty Residents Other staff (administrators, nurses, etc.) Sponsoring institution or service Learn to delegate effectively Critical time management skill Challenging task for many managers Sources of resistance to delegation Inexperience “What if someone else can do this better than me?” “I can do this better than anyone” Belief that it would take more time than doing it yourself Principles of effective delegation You cannot delegate accountability You must provide authority to carry out the task The task recipient must have a sense of responsibility for the task Be wary about delegating anything for wh