Living, Leading & Medicine: A two-tiered leadership development programme for family medicine residents

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-04-16 DOI:10.1111/tct.13765

Jeffrey S. Cook, Briana Money, Daniel Dyer, Georgianna Whiteley, Mark K. Huntington

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引用次数: 0

Abstract

Background

There is increasing awareness of the necessity and importance for physician leadership in health care. Despite this, formal leadership training is not widespread in medical education.

Approach

We describe the structure, curriculum and development of a robust two-tiered leadership development programme within a community-based family medicine residency programme. Living, Leading & Medicine (LLM, tier 1) consists of nine 2.5-h discussion-based training sessions occurring thrice annually. The Advanced Leadership Track (ALT, tier 2) includes mentoring, additional readings, personal evaluations and leadership projects.

Evaluation

We used post-session surveys and exit surveys for LLM and ALT, respectively. We utilised the modified Kirkpatrick framework for programme evaluation to present outcomes from the first 3 years for each tier. Over three quarters (40 out of 53) of residents participated in LLM sessions. The post-session survey response rate for LLM was 95% (124 out of 130 participants). Eighteen out of 33 residents (54.5%) completed the ALT. Of these, 72% (13 of 18) returned exit surveys. Residents found the programme valuable and relevant (Kirkpatrick level 1). Residents demonstrated improvements in leadership knowledge and skills (3.85 v. 3.11, p < 0.0001; Kirkpatrick level 2) compared with an internal, historic control group. We noted changes in resident behaviour and attitudes towards leadership (Kirkpatrick level 3). Finally, the completion of leadership projects demonstrates Kirkpatrick level 4 outcomes.

Implications

We have created a longitudinal, two-tiered leadership development programme that has improved the leadership capabilities of our family medicine residents.

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生活、领导与医学：针对家庭医学住院医生的双层领导力发展计划。

背景人们越来越意识到医生在医疗保健中发挥领导作用的必要性和重要性。尽管如此，正规的领导力培训在医学教育中并不普遍。方法我们介绍了在社区家庭医学住院医师培训项目中开展的双层领导力发展项目的结构、课程和发展情况。生活、领导与医学（LLM，第一阶段）包括九节 2.5 小时的讨论式培训课程，每年举行三次。高级领导力培训（ALT，第二阶段）包括辅导、额外阅读、个人评估和领导力项目。我们利用修改后的 Kirkpatrick 计划评估框架，介绍了每个级别前三年的成果。超过四分之三的居民（53 人中有 40 人）参加了法律硕士课程。法律硕士课程的课后调查回复率为 95%（130 名参与者中有 124 人）。33 名住院医师中有 18 人（54.5%）完成了 ALT。其中 72%（18 人中有 13 人）交回了退出调查表。住院医师认为该课程很有价值和相关性（Kirkpatrick 1 级）。与内部历史对照组相比，住院医师在领导力知识和技能方面有所提高（3.85 v. 3.11，p < 0.0001；Kirkpatrick 2 级）。我们注意到住院医师的行为和对领导力的态度发生了变化（Kirkpatrick 3 级）。最后，领导力项目的完成展示了 Kirkpatrick 4 级成果。意义我们创建了一个纵向、双层的领导力发展计划，提高了家庭医学住院医生的领导能力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.