leadership development for psychiatry chairs

Daniel K. Winstead, M.D.

Tulane University School of Medicine

October 19th, 2013

Dedicated to James H. Shore, M.D.

LEADERSHIP DEVELOPMENT FOR PSYCHIATRY CHAIRS

DISCLOSURE OF FINANCIAL RELATIONSHIPS

DR. DANIEL K. WINSTEAD

Has no relationships with any entity producing, marketing, re-selling, or distribution health care goods or services consumed by, or used on patients.

How is Leadership defined?

Do you know it when you see it?

“Leadership is the art of getting someone else to do something you want done because he

wants to do it.”

Dwight D. Eisenhower

“Management is doing things right; leadership is doing the right things.”

Peter Drucker

“Leadership is practiced not so much in words as in attitude and in actions.”

Harold S. Geneen

“Leadership is the capacity to translate vision into reality.”

Warren G. Bennis

“Leadership is an opportunity to serve. It is not a trumpet call to self-importance.”

J. Donald Walters

“The growth and development of people is the highest calling of leadership.”

Harvey S. Firestone

Are Leaders autocratic?

Are Leaders democratic?

When should Leaders be autocratic?

When should Leaders be democratic?

Participatory Management

vs.

Crisis Management

I. Few “natural born” leaders

II. Various pathways to leadership positions

A. Mentorship

1. Key route

B. Course work, seminars, etc. Professional

meetings and associations, e.g.

Association of Physician Executives.)

C. Formal degrees (MBA, Executive MBA,

MPH, MHA, etc.)

D. Networking

E. Create liaison activities with other national organizations

F. Use conflict resolution to build your reputation as a “peacemaker”

1. Search for “common ground”

2. Help people stay within priorities of the organization

“Success is not final, failure is not fatal: it is the courage to continue that counts”

Winston Churchill

“Failure is the condiment that gives success its flavor”

Truman Capote

“Do not follow the ideas of others, but learn to listen to the voice within yourself. Your body

and mind will become clear and you will realize the unity of all things”

Dogen

III. Key ingredients of leadership (from Dr. Ronald M. Davis, American Medical News, February 18, 2008.)

1. Filling the vacuum

2. Pursuing noble causes

3. Recruiting a good team

4. Inspiring the team and the masses

5. Being bold

III. Key ingredients of leadership (cont’d.)

7. Taking risks

8. Aiming high and pushing the envelope

9. Challenging the odds

10.Rolling up their sleeves

11.Leading the way in times of crisis

Time Management

1.Select committees for impact and time

sensitivity

2. Just say “no” (carefully) or negotiate

Fostering Professional Development

1.Mentors

2.Good bosses

3.Advantageous academic environment

4.Support autonomy yet structure

5.Opportunities for growth and new challenges/positions

Take Courses

1.Organizational Behavioral

2.Hospital Management

3.Leadership

A. Warren Bennis

B. Stephen Covey

C. Others (?)

4. The finances of medicine, GME, etc.

Keep Your Options Open

1.Other universities

2.Other settings

A. Academic Medical Center

B. HMO

C. Private Practice

“We must combine the toughness of the serpent with the softness of the dove, a tough mind

and a tender heart”

Martin Luther King, Jr.