Making Doctors Effective Managers and Leaders: A Matter of Health and Well-Being

Rotenstein, Lisa S; Huckman, Robert S.; Cassel, Christine K.

doi:10.1097/acm.0000000000003887

Cited by 12 publications

(12 citation statements)

References 12 publications

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“…The competencies identified supports existing research emphasizing interpersonal management, systems management, collaboration and communication in the leadership development of doctors (Eubank et al , 2012; Rotenstein et al , 2021; Standiford et al , 2020). Providing direction was identified as the most important adaptive competency.…”

Section: Discussionsupporting

confidence: 69%

“…Thus, adaptive leadership in health-care research primarily focuses on interpreting the doctor-patient dynamics. But COVID-19 calls for a wider understanding of doctors’ leadership in coping with multiple unprecedented challenges beyond clinical boundaries (Rotenstein et al , 2021). Also, adaptive leadership theory in health care, along with physician crisis leadership, has limited research, with a lack of clarity on the meaning of some of the specified behaviors (Northouse, 2018; Standiford et al , 2020).…”

Section: Introductionmentioning

confidence: 99%

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Adaptive leadership of doctors during COVID-19

Santra¹,

Alat

2021

LHS

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Purpose This study aims to examine the adaptive leadership of doctors during COVID-19 to understand the leadership competencies required for adaptive events. Design/methodology/approach Phenomenology-based qualitative design was used. Data were collected from six doctors from the state of Kerala, India using semi-structured interviews. Findings Five themes were identified. The first theme, core leadership shows that doctors perceive leaders as educators, learners and social beings. The second theme, adaptive challenges, describes the ambiguous pandemic-related challenges that doctors are facing including, unusual occupational demands, information overload, sociocultural issues and personal intricacies. The third theme reflects that for doctors, adaptive work during the pandemic included – new learning to address unique issues, changing perspectives and establishing and maintaining a safe and engaging workplace environment. The fourth theme describes the adaptive leadership competencies such as regulating distress, providing direction, maintaining disciplined action, fostering collaboration, empowering, understanding organizational linkages, strategic vision and communication skills. The fifth theme elucidates the lacunae in leadership training as perceived by the doctors. Research limitations/implications The findings can help in developing and enhancing competency frameworks for doctors’ adaptive leadership. Originality/value This is one of the earliest studies to systematically examine components of adaptive leadership for doctors during COVID-19 and identify associated competencies.

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Section: Discussionsupporting

confidence: 69%

Section: Introductionmentioning

confidence: 99%

Adaptive leadership of doctors during COVID-19

Santra¹,

Alat

2021

LHS

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“…The onset of the COVID-19 pandemic threatened all aspects of academic family medicine (FM), 1 constituting a crisis. 2 It prompted multiple research articles on leadership, 1,3 FM management, [4][5][6][7][8][9] academic pivots, [10][11][12] and lessons learned, [13][14][15][16][17][18][19] but few have examined how these responses arose. 20 Our objective was to gain insight into the context and nature of FM leaders' discussions to address a crisis.…”

Section: Introductionmentioning

confidence: 99%

COVID-19: A Qualitative Analysis of Academic Family Physician Leaders’ Crisis Response

White

O’Brien

Cornacchi

et al. 2023

Fam Med

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Background and Objectives: The onset of the COVID-19 pandemic severely threatened all aspects of academic family medicine, constituting a crisis. Multiple publications have identified recommendations and documented the creative responses of primary care and academic organizations to address these challenges, but there is little research on how decisions came about. Our objective was to gain insight into the context, process, and nature of family medicine leaders’ discussions in pivoting to address a crisis. Methods: We used a qualitative descriptive design to explore new dimensions of existing concepts. The setting was the academic family medicine department at the University of Toronto. To identify leadership themes, we used the constant comparative method to analyze transcripts of monthly meetings of the departmental executive: three meetings immediately before and three following the declaration of a state emergency in Ontario. Results: Six themes were evident before and after the onset of the pandemic: building capacity in academic family medicine; developing leadership; advancing equity, diversity, and inclusion; learner safety and wellness; striving for excellence; and promoting a supportive and collegial environment. Five themes emerged as specific responses to the crisis: situational awareness; increased multidirectional communication; emotional awareness; innovation in education and patient care; and proactive planning for extended adaptation to the pandemic. Conclusion: Existing cultural and organizational approaches formed the foundation for the crisis response, while crisis-specific themes reflected skills and attitudes that are essential in clinical family medicine, including adapting to community needs, communication, and emotional awareness.

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“…Varying levels of health care infrastructure over time [ 16 ]; social awareness of minority groups [ 17 ]; and occasional health care challenges, such as global pandemics [ 18 ], emphasize certain specific physician competencies. Physicians’ competency, initially discussed within the scope of their social accountability, includes changes in their roles from the perspective of patients, health care, and self-management [ 19 ] of their health and wellness [ 20 ]. Thus, physicians’ abilities reflect their social situation and demands.…”

Section: Introductionmentioning

confidence: 99%

Data Analysis of Physician Competence Research Trend: Social Network Analysis and Topic Modeling Approach

Yune¹,

Kim²,

Lee³

2023

JMIR Med Inform

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Background Studies on competency in medical education often explore the acquisition, performance, and evaluation of particular skills, knowledge, or behaviors that constitute physician competency. As physician competency reflects social demands according to changes in the medical environment, analyzing the research trends of physician competency by period is necessary to derive major research topics for future studies. Therefore, a more macroscopic method is required to analyze the core competencies of physicians in this era. Objective This study aimed to analyze research trends related to physicians’ competency in reflecting social needs according to changes in the medical environment. Methods We used topic modeling to identify potential research topics by analyzing data from studies related to physician competency published between 2011 and 2020. We preprocessed 1354 articles and extracted 272 keywords. Results The terms that appeared most frequently in the research related to physician competency since 2010 were knowledge, hospital, family, job, guidelines, management, and communication. The terms that appeared in most studies were education, model, knowledge, and hospital. Topic modeling revealed that the main topics about physician competency included Evidence-based clinical practice, Community-based healthcare, Patient care, Career and self-management, Continuous professional development, and Communication and cooperation. We divided the studies into 4 periods (2011-2013, 2014-2016, 2017-2019, and 2020-2021) and performed a linear regression analysis. The results showed a change in topics by period. The hot topics that have shown increased interest among scholars over time include Community-based healthcare, Career and self-management, and Continuous professional development. Conclusions On the basis of the analysis of research trends, it is predicted that physician professionalism and community-based medicine will continue to be studied in future studies on physician competency.

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Making Doctors Effective Managers and Leaders: A Matter of Health and Well-Being

Cited by 12 publications

References 12 publications

Adaptive leadership of doctors during COVID-19

Adaptive leadership of doctors during COVID-19

COVID-19: A Qualitative Analysis of Academic Family Physician Leaders’ Crisis Response

Data Analysis of Physician Competence Research Trend: Social Network Analysis and Topic Modeling Approach

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