مسیر جایگزین برای رهبری و مدیریت
Abstract
1-Introduction
2-Hospital CEO’s without administrative experience
3-The development of a physician-leader and MD-MBA graduates
4-Concept and application of a management and leadership program
5-Leadership and administration of the management program
6-Determining the accomplishments of the program
7-Occupational progression for future graduates of the program
8-Conclusions and future program growth and expansion
Acknowledgements
References
Abstract
Modern technology accounts for major changes in the field of medicine, due to this fact it is imperative that future physicianleaders transcend these qualities in clinical medicine as well as in the administrative roles of health care institutions. Many physicians have acquired these administrative responsibilities by chance and may not possess the necessary tools or managerial know-how to administrate their respective establishments. The necessity to refine these leadership roles is evident and can be done so using several methods; with the implementation of a leadership development program or a program that provides a degree which can train physicians during their residency or at different stages of their careers. These programs can be extremely beneficial not only financially, but also from a moral and ethical standpoint, not to mention the general satisfaction of patients due to the improvement of services offered. One such program has already been applied at Duke Medicine, the MLPR (Management and Leadership Pathway for Residents) is an innovative program which is targeted towards residents with a medical degree that are also interested in management training. The MLPR program was developed in 2009 with the intent to cultivate the development of a new breed of physician-leaders, by providing residents with a rotational system supervised by mentors these “physicians-in-training” will be faced with various demanding tasks in a clinical environment as well as with different prospects in management that are aimed to further develop their leadership and managerial skills in all aspects of modern medicine. By suggesting the idea of introducing such a ground-breaking program into the Romanian health care system at an early stage in any medical career will give rise to more opportunities for aspiring physician-executives to subsequently enhance the overall quality of any health care enterprise.
Introduction
For years now it has been apparent that the field of medicine is advancing in a very rapid and profound manner, further increasing the need of an administrator who is both capable and willing to adapt to these medical, ethical as well as financial complexities that surround the practice of modern medicine. Despite this ever prevalent matter, the number of physicians directing hospitals is declining exponentially rather than increasing, even when research has shown that having a physician in an administrative role is directly proportional to the overall improved patient care subsequently giving the image of a superior hospital. Leadership plays a very important part in the role of a physician-executive, due to this fact, it is imperative that gifted individuals are introduced to the managerial aspect of the health care system as soon as possible in their careers. By proposing the idea of introducing a leadership and management program into the Romanian health care system, along with dedicated mentorship, can be considered critical in developing the next step to health care management by proficient, knowledgeable and prepared physicianleaders. At present the health care system is confronted with a shortage of physician-leaders in the roles of managing directors, all the more worrying is the absence of a recognized conduit for prospective physician-executives. In the field of academic medicine where traditional methods such as research, and education along with clinical care require more comprehensive administrative abilities, is an area where this dilemma is for the most part convincing.