developing leadership skills in residents and program ... · development. •utilize two pharmacy...
TRANSCRIPT
![Page 1: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/1.jpg)
Annual Meeting & ExpositionSeattle, Washington | March 22‐25
Developing Leadership Skills in Residents and Program PersonnelNancy A. Alvarez, PharmD, BCPS, FAPhA
![Page 2: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/2.jpg)
• Summarize the benefits of a “whole person approach” to leader development.
• Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development
• Analyze and apply coaching techniques to ‘lead from behind’ • Discuss elements of conversation strategies for performance and beyond
2
Learning Objectives
![Page 3: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/3.jpg)
“Leadership is one of the most observed and least understood phenomena on earth”~ James MacGregor Burns
“In the knowledge worker age, you manage things and lead people”~ Steven R. Covey
3
![Page 4: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/4.jpg)
“Leadership is one of the most observed and least understood phenomena on earth”~ James MacGregor Burns
“In the knowledge worker age, you manage things and lead people”~ Steven R. Covey
…So what are the risks of managing and (controlling) residents and program staff?
4
![Page 5: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/5.jpg)
• Insulting• Disconnecting• Depersonalized work• Create low‐trust• Disempowering/fearful of making mistakes• Dissatisfied with experience• Untapped creativity, talent, resourcefulness
5
Risks of Not Leading Residents/Program Staff
![Page 6: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/6.jpg)
Whole People – Residents & Program Staff
SPIRIT
HEART
MIND
BODY
VALUES
INTERESTS
STRENGTHS
NEEDS
PLEI Operating System, 2017
![Page 7: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/7.jpg)
• Who are we being• Not what are we doing
7
Help Leadership Work ‐ Ways of BEing
PLEI Operating System, 2017 PLEI Operating System, 2017
PLEI Operating System, 2017
![Page 8: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/8.jpg)
8
Orientation
PLEI Operating System, 2017
![Page 9: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/9.jpg)
Orientation Cont’d
9PLEI Operating System, 2017
![Page 10: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/10.jpg)
10
Orientation Cont’d
PLEI Operating System, 2017
![Page 11: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/11.jpg)
11
Orientation Cont’d
![Page 12: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/12.jpg)
12
Orientation Cont’d
PLEI Operating System, 2017
![Page 13: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/13.jpg)
13
Orientation Complete
![Page 14: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/14.jpg)
14
Thematic Focus
PLEI Operating System, 2017
![Page 15: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/15.jpg)
15
Leading from…
Within Behind In Front
PLEI Operating System, 2017
![Page 16: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/16.jpg)
16
The Hard Work of Residency Directors is…
Within Behind In Front
PLEI Operating System, 2017
![Page 17: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/17.jpg)
17PLEI Operating System, 2017
![Page 18: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/18.jpg)
• Speed meeting sessions• Design a question and capture responses• Use for group assimilation
• Encourage others to develop VISN charts• Dive deep to help others• Look to create alignment • Use as guide for coaching• Inspire use for discovery sessions
18
Make space/time for VISN
VALUES
INTERESTS
STRENGTHS
NEEDS
PLEI Operating System, 2017
![Page 19: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/19.jpg)
• Gallup StrengthsFinders 2.0 + other self‐ID• To what degree do you leverage each strength in your life (home, organizations, etc.)
• In what activities do you engage where your strengths are absent?
• What aren’t you doing now and could to engage your strengths?
• How well do your strengths align with what you know of this residency?
• Where do you spend time thinking and impact?• Strengths or weaknesses
19
VISN Example #1 ‐ Strengths
PLEI Operating System, 2017
![Page 20: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/20.jpg)
• Identify top joy/fun themes and list• Dive deeper to enhance understanding
• What is enjoyable and fun and why? • Focus on activities you actually like doing
• Example: I love to travel (what)• Learn about new cultures (Why #1)• Learn about history (Why #2)• Adventure/exciting (Why #3)
• Example: I love to watch Dancing With the Stars• Exposed to individuals unknown to me• Learn about growth path taken by others
20
VISN Example #2 ‐ Interests
PLEI Operating System, 2017
![Page 21: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/21.jpg)
21
Coaching…EIE (IO)
Education Inspiration
Empowerment
![Page 22: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/22.jpg)
Annual Meeting & ExpositionSeattle, Washington | March 22‐25
What are the challenges associated with using coaching techniques? ?
22
![Page 23: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/23.jpg)
Annual Meeting & ExpositionSeattle, Washington | March 22‐25
What are the challenges associated with using coaching techniques?
23
![Page 24: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/24.jpg)
Annual Meeting & ExpositionSeattle, Washington | March 22‐25
What are the challenges associated with using coaching techniques?
24
![Page 25: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/25.jpg)
• Easier to give advice and difficult to refrain• Desire to fix the problem – take over• Lack of control over the situation• Discomfort with feeling vulnerable• Discomfort with feeling less useful/helpful
25
Challenges with Coaching
![Page 26: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/26.jpg)
• Kickstart: “What is on your mind (right now)?”• AWE: “And what else?”• Focus: “What is the real challenge for you here?”• Foundation: “What do you want?”• Lazy: “How can I help?”• Strategic: “If you are saying YES to this; to what are you saying NO? • Learning: “What was most useful for you?”
26
The Coaching Habit: Seven Essential Questions
Stanier MB. The Coaching Habit: Say Less, Ask More, & Change the Way You Lead Forever. Toronto ON Canada: Box of Crayons Press [2016].
![Page 27: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/27.jpg)
• Kickstart: “What is on your mind (right now)?”• AWE: “And what else?”• Focus: “What is the real challenge for you here?”• Foundation: “What do you want?”• Lazy: “How can I help?”• Strategic: “If you are saying YES to this; to what are you saying NO? • Learning: “What was most useful for you?”
27
The Coaching Habit: Seven Essential Questions
Stanier MB. The Coaching Habit: Say Less, Ask More, & Change the Way You Lead Forever. Toronto ON Canada: Box of Crayons Press [2016].
![Page 28: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/28.jpg)
• Kickstart: “What is on your mind (right now)?”• AWE: “And what else?”• Focus: “What is the real challenge for you here?”• Foundation: “What do you want?”• Lazy: “How can I help?”• Strategic: “If you are saying YES to this; to what are you saying NO? • Learning: “What was most useful for you?”
28
The Coaching Habit: Seven Essential Questions
Stanier MB. The Coaching Habit: Say Less, Ask More, & Change the Way You Lead Forever. Toronto ON Canada: Box of Crayons Press [2016].
![Page 29: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/29.jpg)
29
![Page 30: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/30.jpg)
30
“Broken Escalator” Illustration
https://youtu.be/47rQkTPWW2I
![Page 31: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/31.jpg)
VictimsExternal
circumstance beyond their
controlWhy?
31
Responsibility
Players“Owns” the problem (or at least an aspect they can control)
Why?
![Page 32: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/32.jpg)
VictimsExternal
circumstance beyond their
control
Free of faultFree of judgment
Avoid vulnerability
32
Response ‐ Ability
Players“Owns” the problem (or at least an aspect they can control)
![Page 33: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/33.jpg)
VictimsExternal
circumstance beyond their
control
Free of faultFree of judgment
Avoid vulnerability
33
Response ‐ Ability
Players“Owns” the problem (or at least an aspect they can control)
See rolePower to fix
![Page 34: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/34.jpg)
VictimsExternal
circumstance beyond their
control
Free of faultFree of judgment
Avoid vulnerability
34
Response ‐ Ability
Players“Owns” the problem (or at least an aspect they can control)
See rolePower to fix
![Page 35: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/35.jpg)
35
Spotting Opportunities to be Response ‐ Able
Clues “Victim” Statements
• Focus on external source• Centered on ‘blaming’ or ‘judging’• Cyclic patterns
This room is too hot/cold
I am late because the meeting ran long
One person in my group won’t shut up
This session is boring because I already know the topic
The facilitator is not giving me enough time to take notes or reflect
I was late because there was a line at the bathroom
![Page 36: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/36.jpg)
Annual Meeting & ExpositionSeattle, Washington | March 22‐25
What can you do when presented with victim behavior?
36
![Page 37: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/37.jpg)
• Move problem source inward• Position yourself at the center of the problem• Refrain from blame• Snatch back power allocated externally• Start with “I”• Empower others
37
Transform Player Statements
![Page 38: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/38.jpg)
38
Transformation to “Player” Statement
“Victim” Statements
This room is too hot/cold
I am late because the meeting ran long
One person in my group won’t shut up
This session is boring because I already know the topic
The facilitator is not giving me enough time to take notes or reflect
I was late because there was a line at the bathroom
![Page 39: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/39.jpg)
39
Victim Statements Revisited…as a Player
“Victim” Statements “Player” Statement
This room is too hot/cold I can ask to have the thermostat adjusted
I am late because the meeting ran long I will excuse myself on time next time so I can get to the next engagement on time.
One person in my group won’t shut up I will let the person know respectfully how I am impacted by the constant talking
This session is boring because I already know the topic
I can focus on deepening my understanding of the topic
The facilitator is not giving me enough time to take notes or reflect
I can let the facilitator know I need more time to reflect
I was late because there was a line at the bathroom
I can walk to another floor to use the bathroom
![Page 40: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/40.jpg)
40
Transforming Resident/Program Staff Statements
“Victim” Statements “Player” Statement
![Page 41: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/41.jpg)
41
Transforming Resident/Program Staff Statements
“Victim” Statements “Player” Statement
![Page 42: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/42.jpg)
Goal: achieve a specific request/promise• What will be done• When results are reported/delivered
Set resident/staff up for success• Ensure understanding of
• Why it is important & How it will be done
• Facilitate identifying and access to: • Who agrees to get it done & Where needed resources are located
42
Performance Conversation – Delegate Tasks
ManagementMicro
PC
Ford J, Ford, L. The Four Conversations. San Francisco, CA: Berrett‐Koehler Publishers, Inc. [2009].
![Page 43: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/43.jpg)
• Failing to dialogue with resident (i.e., demand instead)• Not ending them with a clear “yes” or “no”• Asking the wrong person• Overlooking WHY task is important• Lack of clarity/specificity re: WHEN• Insufficient coverage of HOW, WHERE, WHO components
• HOW do you think you might accomplish? HOW did you plan?• WHERE can you turn to get all you need to accomplish?• WHO else might need to be involved?
• Lack full commitment to use them – takes effort43
Performance Conversations – Common Mistakes
Ford J, Ford, L. The Four Conversations. San Francisco, CA: Berrett‐Koehler Publishers, Inc. [2009].
![Page 44: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/44.jpg)
Mistakes
Failure to listen InsincerityForgotten purposeWHAT WHY WHEN
Fail to acknowledge
What covered
Acknowledge issues/impact Apologize for mistakes misunderstanding Amend broken agreements Appreciate others
When to Use
Closure to open/unresolved issues Unfulfilled promises Restart action that is bogged
downCelebrate & acknowledge
accomplishment
44
Closure Conversation
Ford J, Ford, L. The Four Conversations. San Francisco, CA: Berrett‐Koehler Publishers, Inc. [2009].
![Page 45: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/45.jpg)
45
Program Director Role: Learner and Player
CHOOSE• Mindset to enable growth• Position in the game
INTEGRITY• Not right or wrong • Whole & complete
ACCOUNTABLE • Life happens• Commitment clarity & honor• Strengthen all links
![Page 46: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/46.jpg)
46
Program Director Role: Learner and Player
![Page 47: Developing Leadership Skills in Residents and Program ... · development. •Utilize two Pharmacy Leadership and Education Institute themes to enhance resident/program staff development](https://reader034.vdocuments.net/reader034/viewer/2022050420/5f8f52d37144906db35874b7/html5/thumbnails/47.jpg)
• Leading others is hard work especially from behind• Enhanced self‐assessment requirements by including VISN to promote greater satisfaction
• Utilizing coaching skills empowers others and requires less work resulting in greater impact
• Performance conversations lead to mutually agreed upon promises • Closure conversations repair broken promise(s) or celebrate ones kept
47
Closing remarks/conclusion