BACKGROUND: New skills are needed to properly prepare the next generation of physicians and health professionals to practice in medical homes. Transforming residency training to address these new skills requires strong leadership. OBJECTIVE: We sought to increase the understanding of leadership skills useful in residency programs that plan to undertake meaningful change. METHODS: The Preparing the Personal Physician for Practice (P4) project (2007-2014) was a comparative case study of 14 family medicine residencies that engaged in innovative training redesign, including altering the scope, content, sequence, length, and location of training to align resident education with requirements of the patient-centered medical home. In 2012, each P4 residency team submitted a final summary report of innovations implemented, overall insights, and dissemination activities during the study. Six investigators conducted independent narrative analyses of these reports. A consensus meeting held in September 2012 was used to identify key leadership actions associated with successful educational redesign. RESULTS: Five leadership actions were associated with successful implementation of innovations and residency transformation: (1) manage change; (2) develop financial acumen; (3) adapt best evidence educational strategies to the local environment; (4) create and sustain a vision that engages stakeholders; and (5) demonstrate courage and resilience. CONCLUSIONS: Residency programs are expected to change to better prepare their graduates for a changing delivery system. Insights about effective leadership skills can provide guidance for faculty to develop the skills needed to face practical realities while guiding transformation.
BACKGROUND: New skills are needed to properly prepare the next generation of physicians and health professionals to practice in medical homes. Transforming residency training to address these new skills requires strong leadership. OBJECTIVE: We sought to increase the understanding of leadership skills useful in residency programs that plan to undertake meaningful change. METHODS: The Preparing the Personal Physician for Practice (P4) project (2007-2014) was a comparative case study of 14 family medicine residencies that engaged in innovative training redesign, including altering the scope, content, sequence, length, and location of training to align resident education with requirements of the patient-centered medical home. In 2012, each P4 residency team submitted a final summary report of innovations implemented, overall insights, and dissemination activities during the study. Six investigators conducted independent narrative analyses of these reports. A consensus meeting held in September 2012 was used to identify key leadership actions associated with successful educational redesign. RESULTS: Five leadership actions were associated with successful implementation of innovations and residency transformation: (1) manage change; (2) develop financial acumen; (3) adapt best evidence educational strategies to the local environment; (4) create and sustain a vision that engages stakeholders; and (5) demonstrate courage and resilience. CONCLUSIONS: Residency programs are expected to change to better prepare their graduates for a changing delivery system. Insights about effective leadership skills can provide guidance for faculty to develop the skills needed to face practical realities while guiding transformation.
Authors: M Patrice Eiff; Elaine Waller; Colleen T Fogarty; Susanne Krasovich; Erik Lindbloom; Alan B Douglass; Perry Pugno; Larry A Green; Patricia A Carney Journal: Fam Med Date: 2012-06 Impact factor: 1.756
Authors: Benjamin F Crabtree; Paul A Nutting; William L Miller; Kurt C Stange; Elizabeth E Stewart; Carlos Roberto Jaén Journal: Ann Fam Med Date: 2010 Impact factor: 5.166
Authors: Paul A Nutting; William L Miller; Benjamin F Crabtree; Carlos Roberto Jaen; Elizabeth E Stewart; Kurt C Stange Journal: Ann Fam Med Date: 2009 May-Jun Impact factor: 5.166
Authors: Carmit K McMullen; Jennifer Schneider; Alison Firemark; James Davis; Mark Spofford Journal: Ann Fam Med Date: 2013 May-Jun Impact factor: 5.166
Authors: Patricia A Carney; Elaine Waller; Larry A Green; Steven Crane; Roger D Garvin; Perry A Pugno; Stanley M Kozakowski; Alan B Douglass; Samuel Jones; M Patrice Eiff Journal: J Grad Med Educ Date: 2014-12
Authors: Patricia A Carney; M Patrice Eiff; John W Saultz; Erik Lindbloom; Elaine Waller; Samuel Jones; Jamie Osborn; Larry Green Journal: J Grad Med Educ Date: 2012-03
Authors: Tamar Ginossar; Carolyn J Heckman; Deborah Cragun; Lisa M Quintiliani; Enola K Proctor; David A Chambers; Ted Skolarus; Ross C Brownson Journal: J Med Educ Curric Dev Date: 2018-04-04
Authors: Roberta E Goldman; Joanna Brown; Patricia Stebbins; Donna R Parker; Victoria Adewale; Renee Shield; Mary B Roberts; Charles B Eaton; Jeffrey M Borkan Journal: SAGE Open Med Date: 2018-06-18