One Thing Leads to Another

1. One Thing Leads to Another Sonya Erickson, MD Robert Flora MD, MBA Annamarie Connolly, MD

2. The Challenge One Head Wearing Multiple Hats • Clinician • Researcher • Educator • Scholar • Other Not to Mention Our Non-Professional Roles . . .

3. Session Goals Pragmatic Approach for Converting Problems into Opportunities While Building Bridges Between & Among: Roles Projects & People

4. Session Structure Introduction (10 mins) Interactive Problem Solving Session (45 mins) Report Back (15 mins) Wrap-Up (5 mins)

5. Building Bridges Between & Among Roles Projects People Other

6. This Approach Requires Deliberate Planning Creativity Openness

7. This Approach Requires Deliberate Planning Time to think Creativity Openness

8. This Approach Requires Deliberate Planning Time to think Creativity Time to think Openness

9. This Approach Requires Deliberate Planning Time to think Creativity Time to think Openness Time to reflect & adapt

10. This Approach Requires Deliberate Planning Time to think Creativity Time to think Openness Time to reflect & adapt Did we mention time?

11. Setting the Process in Motion Facing a Specific Task or Problem Short Term: Regular Responsibilities Addressing Something Unique Long Term: Major Research Goal Obtaining Promotion

12. Setting the Process in Motion Being cast into a group such as a: Pre-existing Committee (Curriculum Committee) Existing, But Loosely Structured Network (Clinical partners, APGO Colleagues, FF Grant) Group Created De Novo

13. Example - Summa Health System/NEOUCOM The Challenge: How to improve the clinical experience of the Family Medicine residents?

14. The Problem • FP rotation on Ob/Gyn most disliked rotation • Ob/Gyn residents did not enjoy having FP interns on service

15. Getting To Yes • Separate the people from the problem • Focus on interest, not positions • Invent options for mutual gain • Insist on using objective criteria Roger Fisher and William Ury - 2nd ed 1991

16. Co-opetition • A revolutionary mindset that combines competition and cooperation • The Game Theory strategy that’s changing the game of business Brandenburger and Nalebuff 1996

18. Steps • Separate people from problem • Removed emotions • Defined issues from both departments • Focus on interest, not positions • Focused on needs for both departments • Used objective criteria - RRC requirements, current shortfalls in Ob experience requirements

19. Steps • Invent options for mutual gain • Insist on objective criteria

20. FP Not meeting their RRC requirements Competing with ER and medical students No direction or goals Unfriendly environment Ob/Gyn FP residents have variable interest Cannot depend on them for call Do not know what they need Have to do work for FP residents on their continuity OB patients Rotation not contiguous Issues

21. Options for Mutual Gain • FP rotation is now 2 month block • Place on call schedule as additional resident • Decrease ED and medical students on L&D • FP residents have to see their own continuity patients. Only consult OB residents if needed

22. Use Objective Criteria • Specific goals and objectives • Required reading • Specific numbers of procedures identified • Log to be signed by OB senior residents • Go to health department prenatal clinic with OB residents

23. Results • FP • Meets RRC requirements • Positive experience • Increase in Ob in-service scores • More residents doing 2nd year elective • More congenial atmosphere • OB • Residents have accountability and ownership for their education • Look forward to having them on call (extra person) • ALSO course started in 2000

24. Obstetrics and Gynecology

25. Example: NEOUCOM Wrap-upBuilding Bridges Among & Between Roles Projects People Departments

26. Group Activities Creating a List of Problems / Issues (10 minutes) Work in Small Groups to Convert Challenges into Opportunities While Building Bridges (3 sites, 10 minutes each)

27. Group Activity The Problem / Issue: Primary Role in This Context: Create a Project Plan or Map which Bridges: Roles - Projects - People - Other -

28. Group Activity The Problem / Issue: Have to Give Grand Rounds Primary Role in This Context: Junior Faculty Create a Project Plan or Map which Bridges: Roles - Projects - People - Other -

29. Group Activity The Problem / Issue: Primary Role in This Context: Create a Project Plan or Map which Bridges: Roles - Projects - People - Other -

30. Group Activity: Wrap Up Report The Problem / Issue: Primary Role in This Context: Create a Project Plan or Map which Bridges: Roles - Projects - People - Other -

31. Group Activity Wrap-Up: Product & Process • First Round • Second Round • Third Round

32. Group Activity: Wrap Up Report The Problem / Issue: Primary Role in This Context: Create a Project Plan or Map which Bridges: Roles - Projects - People - Other -

33. Learn to Delegate

34. Develop Yourself and Others

35. Be Effective

36. Embracing & Applying Technology Skype.com Unyte.net

39. Conference Call

46. References Fisher, et al. Getting to Yes. (1991). Brandenburger & Nalebuff. Co-opetition. (1996). Johnson & Blanchard. Who Moved My Cheese? (1998). Johnson & Blanchard. The One Minute Manager (1983). Covey. 7 Habits of Highly Effective People. (2004). Avolio. Full Leadership Development. (1999).