becoming leaders: presentation for amsa-nmsc 2015

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BECOMING LEADERS Bien Eli Nillos, MD, MHSS Director Zuellig Family Foundation

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BECOMING LEADERSBien Eli Nillos, MD, MHSSDirectorZuellig Family Foundation

BIEN ELI NILLOS, MD, MHSS• Masters in Health Social Science, De La Salle University Manila,

2014• Doctor of Medicine, University of Saint La Salle College of

Medicine, 2006• Doctor to the Barrios, Batch 23, 2007-2010• Associate Professor, Family and Community Medicine, University

of Saint La Salle College of Medicine• Faculty in Charge, Social Determinants of Health, Development

Academy of the Philippines Masters in Public Management – Health Systems and Development, DTTBs, 2015.

• Director, Community Health Partnership Program, Zuellig Family Foundation

“Are Leaders Born or Made?”• The Debate is still unresolved (selection vs.

developmental)• How you answer this question (perspective) describe

how you see leadership to be.• How you see what leaders “should be” influence your

own leadership style.

Defining Leadership

• “The critical difference between management and leadership is reflected in the root meanings of the two words - the difference between what it means to handle things and what it means to go places. The unique role of leaders is to take us to places we’ve never been before” (Kouzes and Posner, 1995)

• Etymology: Old English, proto-Indo-Celtic language: “to travel” “to go” “to be first in place” “to flow” “to guide”

“To go from where to where?”

• Look around you: What do you see?• What do you think with what you are seeing?• What does this make you feel?• Would you like to change what you are seeing?• What do you prefer to see?

In Health and Development

We need both LEADERS and MANAGERS• Leading = doing the right things• Managing = doing things right

“Failing organizations are usually over-managed and under-led” – Warren Bennis

“Hugot” Leadership

• Saan nanggagaling ang pagiging leader mo?• Leadership “CORE”– C – competency (skills)– O – objective obsession (“purpose”)– R – “regard” (values, principles)– E – experiences (“life stories”)

“WHY DO YOU WANT TO BECOME A DOCTOR?”

Health Change Model©

Leadership and Governance

Innovative Solutions

Institutional Arrangements

Better Health Outcomes

The Bridging Leadership

ResponsivePrograms

and Services/

Social Innovations

Collaborative Response

EngagementMechanisms

SharedVision &Mission

New Relationships

AmongStakeholders

EmpoweredCitizenry

TransformedInstitutions

New Institutional

Arrangements

Health Equity

BridgingLeader

HealthInequity/Divide

andStakeholders

Personal

Vision &Mission

Personal Response

Multi-Stakeholder Processes/

Convening and Trust-Building

Dialogue

OWNERSHIP CO-OWNERSHIP CO-CREATION

Source: AIM-TeaM Energy Center

Influence

• Community

Voice &

participation

• Leadership

•Government

•Civil Society

Organizations

• Private

Sector

• Traditional

Institutions &

Institutional Arrange-ments that

provide access to

• Economic

• Social/

Health

• Political

Oppor-tunities & Programs Available

to the People

Human Condition

MMR

IMR

Malnutrition

HIV, TB, Malaria

• Economic

• Social/

Health

• Political

Oppor-tunities & Programs

for the People

•Government

•Civil Society Organizations

•Private Sector

•Traditional

Institutions &

Institutional Arrange-ments that

provide access to

Influence

•Community

Voice &

participation

• Leadership

Human Condition

MMR

HIV, TB, Malaria

Malnutrition

IMR

Weak or Absent Strong

Source: Sen, as modified

What are you called to do as “future doctors?”

• Formation – strengthening of skills and clarification of values

“People don’t care how much you know until they know how much you care”-John Maxwell

What are you called to do as “future doctors?”

• Involvement – desensitizing and sensing

“The physicians are the natural attorneys of the poor, and social problems fall to a large extent within their jurisdiction.” – Rudolph Virchow

What are you called to do as “future doctors?”

• Transformation – “Presencing” and reframing of perspectives (doctors ≠ clinicians)

“The choice of working in Public Health should not be an alternative option but rather the norm.”

END

“Medicine is a social science, and politics is nothing else but medicine on a large scale. Medicine, as a social science, as the science of human beings, has the obligation to point out problems and to attempt their theoretical solution; the politician, the practical anthropologist, must find their means for their actual solution.” – Rudolph Virchow