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Leading by Design: Physicians in Training and Leadership Awareness

Mendelsohn, Meridithe Anne

Abstract Details

2016, Ph.D., Antioch University, Leadership and Change.
Patient-centered care requires robust physician leadership in all aspects of healthcare in order to lead organizations to this ideal. Programs in Graduate Medical Education provide inconsistent and limited exposure to formal leadership development experiences for physicians in their final year of residency training. Literature addressing leadership training for residents focuses on the scarcity of effective programs that deliver adequate training and provide measurable outcomes. The purpose of this study was to explore how chief medical and surgical residents develop leadership awareness and experience training in leadership and engage chief residents, faculty mentors, and program administrators in a collaborative process, developing a leadership training model within an independent (non-academic) residency training program. To understand the residents’ and the institutional experience in this realm, focused interviews were conducted with chief residents from Family Medicine and Surgery, faculty mentors, program administrators, and regional subject matter experts. Professional identity development of the residents was investigated and related to their experiences. Action research was the framework for this study due to the iterative and participative nature of the methods. Subsequent to the interviews, outgoing and incoming chief residents engaged in collaborative sessions during which peak leadership experiences were discussed. The outcomes of the sessions and analysis of the interviews were discussed with the program directors for future consideration of curriculum change. The findings indicated a change in leadership awareness among chief residents demonstrating that stimulus and subsequent reflection prompted the residents to review their roles as leaders, seeking opportunities to apply leadership awareness to their daily work. In order to teach and role model leadership, training has to be implemented that interposes the same rigor as in clinical training. Experiential opportunities for leadership training exist that are not utilized. Conflict exists between the financial contribution of the chief residents and time allocated to training. Relationship and reflection were identified as the common threads through identity, leadership, education, and organizational behavior. A pilot program training surgical chief residents in the relational model of palliative care and leadership is underway as a catalytic effect of this study. One MP4 and three MP3 files accompany the Dissertation PDF, and are accessible as supplemental files. This Dissertation is available in Open Access at AURA: Antioch University Repository and Archive, http://aura.antioch.edu and OhioLink ETD Center, http://www.ohiolink.edu/etd
Laura Morgan Roberts, PhD (Committee Member)
Jon Wergin, PhD (Committee Member)
Dianne Shumay, PhD (Committee Member)
Lynn Wooten, PhD (Other)
184 p.

Recommended Citations

Citations

  • Mendelsohn, M. A. (2016). Leading by Design: Physicians in Training and Leadership Awareness [Doctoral dissertation, Antioch University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1469202244

    APA Style (7th edition)

  • Mendelsohn, Meridithe. Leading by Design: Physicians in Training and Leadership Awareness. 2016. Antioch University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=antioch1469202244.

    MLA Style (8th edition)

  • Mendelsohn, Meridithe. "Leading by Design: Physicians in Training and Leadership Awareness." Doctoral dissertation, Antioch University, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1469202244

    Chicago Manual of Style (17th edition)