Physicians Nasim Afsar, MD, SFHM, and Eric Howell, MD, SFHM, presented key leadership lessons to a standing-room-only audience at Hospital Medicine 2016, the “Year of the Hospitalist.” The value of leadership and management skills is important in every day decisions from co-management of patients to motivating your teams.
Dr. Afsar and Dr. Howell went into detailed tips for these leadership lessons:
- Decision-making bias. It is important to be aware of bias in decisions. A technique to evaluate a decision and “de-bias” is the WRAP process: Widen your options, Reality-test your assumptions, Attain distance before deciding, and Prepare to be wrong.
- Performance management. Feedback and 360 evaluations are helpful tools in appraising performance.
- Motivation can be intrinsic or extrinsic. Intrinsic motivation is essential for non-routine high level work in medicine. Understanding the motivation of a team member is very useful to the team leader.
- Groups versus teams. The composition of a team is crucial to success. It is also important to be aware of team limitations and plan for these potential limitations.
- Persuasion and influence. Six principles of persuasion are:
- Demonstrate trustworthiness and expertise.
- Social proof. Highlight existing norms or set new norms.
- Highlight similarities.
- A win-win situation with concessions shows willingness to participate.
- Reach agreement.
- An option that appears to be a rare offer is more desirable.
- Consistently using a standard decision-making process, such as WRAP, can ensure better decision making.
- Financial compensation can be detrimental to intrinsic motivation and worsen performance.
- Make a conscious decision about when you need a group to help make decisions versus a team to work towards a common goal.
- Set specific goals for performance during feedback: include timeline, particular actions, and results that are expected.
- Social proof can be a powerful tool in persuasion.
- The SHM Leadership Academy is available to hospitalists interested in expanding leadership skills. TH
Dr. Hale is a pediatric hospitalist at Floating Hospital for Children at Tufts University Medical Center in Boston, and a former member of Team Hospitalist.