Tomorrow’s leaders – the role of leadership in medical ­education and training

Hayden, Jacky

doi:10.7861/futurehosp.4-1-49

Cited by 7 publications

(4 citation statements)

References 2 publications

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“…She felt that they looked down at her for having an interest in management or leadership and felt the need to make excuses for having done the programme. Bryn (C1) concurred that the attitude of going over to the "dark side" (Hayden, 2017;Loh et al, 2016) still prevailed among some senior staff in spite of an increase in medical leadership posts and involvement in quality improvement. However, he felt that the creation of more medical leadership programmes and posts in the UK had improved the attitude of seniors somewhat.…”

Section: Barriers To Impactmentioning

confidence: 99%

Longitudinal impact of Welsh clinical leadership fellowship

Phillips

Bullock

2020

LHS

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Purpose This paper aims to evaluate the longer-term impact of the 12-month Welsh clinical leadership fellowship. Design/methodology/approach Semi-structured interviews with 10 out of 14 trainee doctors who were fellows between 2013-2016, exploring how leadership knowledge and skills were used in clinical practice, impact on patient care and influence on careers. Data, gathered in 2017 when participants had completed the fellowship between 1-3 years, were analysed thematically. Findings All found the fellowship rewarding. The experience was felt to advantage them in consultant interviews. They gained insight into the wider influence on organisations and the complexity of issues facing senior clinicians. Although subtle, the impact was significant, equipping fellows with negotiation skills, enabling them to better influence change. Indirect impact on clinical practice was evidenced by enhanced confidence, teamworking skills and progression of improvement projects. However, the use of skills was limited by lack of seniority within teams, demands of medical training and examinations. The negativity of others towards management and leadership was also noted by some. Research limitations/implications Small participant numbers limit generalisability. Practical implications The fellowship is designed to equip participants with skills to lead improvements in healthcare delivery. Those more advanced in their medical training had greater opportunity and seniority to lead change and were better placed to apply the learning. This has implications for whom the training should be targeted. Originality/value A rare study exploring the longer-term impact of a leadership programme on later clinical practice, which adds to the body of knowledge of impact and efficacy of leadership training programmes in healthcare environments.

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Section: Barriers To Impactmentioning

confidence: 99%

Longitudinal impact of Welsh clinical leadership fellowship

Phillips

Bullock

2020

LHS

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“…Ji et al (2012) stated that employee training has a direct and positive impact on a company's performance in sustainable business development. From the perspective of medical businesses, functional training reflects the improvement of employees' interactions at work, their problem-solving abilities, and their openness to the concept of sustainable business development, which can incorporate a positive learning attitude into the work process (Hayden 2017).…”

Section: Literature Reviewmentioning

confidence: 99%

The Criteria of Optimal Training Cost Allocation for Sustainable Value in Aesthetic Medicine Industry

Lin

Yen

2020

JRFM

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Medical disputes that result in medical compensation and losses affect the financial management and sustainable operational risks of enterprises. Employee training plays an important role in the sustainable growth of human resource management and also can help avoid any potential risks to enterprises’ operating revenue. Based on data of a company, this study’s model aims to establish a mathematical model to find the most suitable decision variables in order to provide decision-making analysis and judgment of a company’s individual economic behaviors. From the second-order differential modeling method, where the functional training time of the aesthetic medicine industry (including medical errors/dispute incidences, functional training costs, and medical benefits) links to a specific functional relationship, the optimal decision-making model and evaluation criteria for the proportion of this training time under the concept of sustainable management can be constructed. The method proposed herein reduces medical errors or disputes, strengthens risk and financial management, provides customers with the best service quality, and serves as the basis for decision-making evaluation of the maximum benefits of sustainable operations.

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“…Some senior clinicians have cynically described trainees aspiring to leadership and management roles as "moving to the dark side" (Hayden, 2017). A few of the fellows reported that they had encountered such an attitude and had to justify why they had undertaken the Fellowship.…”

Section: Participants' Motives and Expectationsmentioning

confidence: 99%

“…I think maybe the things that I have learnt most from have been the things that, to be honest, haven't worked. (GwenC1, tel int) LHS 31,2 Some senior clinicians have cynically described trainees aspiring to leadership and management roles as "moving to the dark side" (Hayden, 2017). A few of the fellows reported that they had encountered such an attitude and had to justify why they had undertaken the Fellowship.…”

Section: His Supervisor Concurredmentioning

confidence: 99%

Clinical leadership training: an evaluation of the Welsh Fellowship programme

Phillips

Bullock

2018

LHS

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Purpose UK fellowship schemes have been set up to address low-level engagement of doctors with leadership roles. Established in 2013, the Welsh Clinical Leadership Fellowship (WCLF) programme aims to recruit aspiring future clinical leaders and equip them with knowledge and skills to lead improvements in healthcare delivery. This paper aims to evaluate the 12-month WCLF programme in its first two years of operation. Design/methodology/approach Focused on the participants ( n = 8), the authors explored expectations of the programme, reactions to academic components (provided by Academi Wales) and learning from workplace projects and other opportunities. The authors adopted a qualitative approach, collecting data from four focus groups, 20 individual face-to-face or telephone interviews with fellows and project supervisors and observation of Academi Wales training days. Findings Although from diverse specialties and stages in training, all participants reported that the Fellowship met expectations. Fellows learned leadership theory, developing understanding of leadership and teamwork in complex organisations. Through workplace projects, they applied their knowledge, learning from both success and failure. The quality of communication with fellows distinguished the better supervisors and impacted on project success. Research limitations/implications Small participant numbers limit generalisability. The authors did not evaluate longer-term impact. Practical implications Doctors are required to be both clinically proficient and influence service delivery and improve patient care. The WCLF programme addresses both the need for leadership theory (through the Academi Wales training) and the application of learning through the performance of leadership roles in the projects. Originality/value This work represents an evaluation of the only leadership programme in Wales, and outcomes have led to improvements.

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Tomorrow’s leaders – the role of leadership in medical education and training

Cited by 7 publications

References 2 publications

Longitudinal impact of Welsh clinical leadership fellowship

Longitudinal impact of Welsh clinical leadership fellowship

The Criteria of Optimal Training Cost Allocation for Sustainable Value in Aesthetic Medicine Industry

Clinical leadership training: an evaluation of the Welsh Fellowship programme

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Tomorrow’s leaders – the role of leadership in medical ­education and training

Cited by 7 publications

References 2 publications

Longitudinal impact of Welsh clinical leadership fellowship

Longitudinal impact of Welsh clinical leadership fellowship

The Criteria of Optimal Training Cost Allocation for Sustainable Value in Aesthetic Medicine Industry

Clinical leadership training: an evaluation of the Welsh Fellowship programme

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Tomorrow’s leaders – the role of leadership in medical education and training