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Executive Fellowship in Physician Leadership
Program design:
Karen Swisher, MS, JD, Professor, Department of Health Administration, VCU
September 2007 – May 2008
The Williamson Institute for Healthcare Leadership has partnered with the VCU School of Medicine and the VCU Health System to develop the Executive Fellowship in Physician Leadership with the goal of offering a forum for emerging leaders within the Health System to further develop the necessary skills for future leadership roles within the Medical Center.
Program
Successful clinical leadership requires the integration and application of a variety of skills and knowledge sets that are not included in traditional medical education and training programs. The innovative structure of the VCU Physician Leadership program is designed to develop the requisite tools for successful leaders by covering a broad array of topics using a combination of classroom and distance learning experiences. The program will rely on a foundation of superb academics, training, and current research, while incorporating real-world scenarios from the Medical Center. Thus, Fellows will be able to apply newly acquired knowledge directly to emerging issues in their daily lives.
The 9-month program is based on two Modules: Leadership/Team Building/ Organizational Culture and Business Skill Development. The two Modules are divided into a total of 8 sessions.
Each session is specifically designed around VCU Medical Center needs and will kick off with half-day on campus sessions, followed by 3-4 weeks of asynchronous learning using small group sessions and online distance (Blackboard) learning, and will conclude with a web conference facilitated through a live Blackboard classroom. There are a couple of flex days after each session to work on the assigned project. Each fellow will be able to communicate directly with faculty and mentors.
Interdepartmental Project
Patient safety has emerged as one of the most visible and urgent issues in health care in the 21st century. Physician leaders are needed who are capable of communicating the need for change, building consensus, and leading collaborative approaches to solutions that will result in better and safer patient care. Patient safety will therefore serve as a core theme throughout the fellowship and each fellow will participate in a group project focused on an interdepartmental patient safety issue, the results of which will be presented at the end of the program. Suggestions for potential projects are being collected from applicants, chairs and VCU Health System leaders.
Graduation and Certification
At the end of the Program, each participant will receive a certificate, given during a graduation ceremony after a round table discussion with faculty and current and retired chairs. Requirements for the certificate are participation in all 8 sessions and the group project. The VCU School of Medicine will provide CME credits.
Accreditation Statement:
Virginia Commonwealth University (VCU) School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Physicians may claim up to 121.5 hours in Type 1 or Type 2 CME on the Virginia Board of Medicine Continued Competency and Assessment Form required for renewal of an active medical license.
VCU designates this educational activity for a maximum of 121.5 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Faculty
The program is using highly acclaimed professors and some of the brightest members of the business and legal community. Currently about half of the faculty are from the Virginia Commonwealth University and are selected because of their expertise and their deep commitment to effective distance learning techniques. Faculty is also selected from other universities and organizations with particular expertise such as the McCammon Group and the United States Air Force. Finally, and most significantly, some of the very best of our MSHA and MHA alumni/ae are asked to become faculty members incorporating their medical and clinical background. Faculty in alphabetical order:
- Randolph T. Barker, Ph.D., Professor of Management, School of Business, VCU
- Jan P. Clement, Ph.D., Professor of Health Care Finance, Department of Health Administration, VCU
- Robert Cohen, Ph.D., Professor & Vice Chair, Department of Psychiatry, VCU
- Robert F. Graboyes, MSHA, Ph.D., Adjunct Faculty, Department of Health Administration, VCU
- Healthcare Performance Improvement, Norfolk, VA
- Lt. Colonel Beth Kohsin works as the Chief of Professional Staff Management and Patient Safety at the Division of Medical Operations (SGO), Office of the Command Surgeon, Headquarters Air Force Materiel Command (AFMC), Wright-Patterson Air Force Base, Dayton, Ohio
- The McCammon Group - Specialists in Alternative Dispute Resolution, Richmond, VA
- Louis F. Rossiter, Ph.D., Research Professor and Director, Schroeder Center for Healthcare Policy, The Thomas Jefferson Program in Public Policy, College of William & Mary
- Karen N. Swisher, MS, JD, Professor of Health Law, Department of Health Administration, VCU
Online sessions taught through Blackboard
After each on-campus session, fellows will continue learning from home or work using a carefully planned array of distance learning technologies that will allow them to communicate with other fellows, faculty, and mentors asynchronously through personal computers equipped with Internet access. Thus, the course can be accessed anywhere via a local Internet provider or online service.
Despite the heavy emphasis on computer communications, only basic familiarity with the use of personal computers is necessary. Training on the Program's communications and other software is done during the initial on-campus session. Blackboard consists of course documents, discussion boards, virtual/live classrooms, e-mail facilities and other helpful information such as faculty and fellow information.
The Fellowship Program has its own separate "electronic classroom" which serves as the primary channel to conduct online sessions and discuss assignments and projects. This electronic classroom is also used to distribute announcements, hold meetings, facilitate informal communication among faculty, fellows and mentors, and facilitates the synchronous live classroom.
The faculty will post the session syllabus, readings, assignments, etc. in Course Documents. The file can include documents created on the computer (plain text, word processing files, presentations, spreadsheets, etc.), images, citations, links to other web sites, etc.
The Discussion Boards are where much of the interaction between fellows and faculty takes place. Participating in a discussion board is similar to sending e-mail, but all participants can view every message. Messages are submitted through standard web forms. Reading messages is as simple as clicking on the desired message. Blackboard provides facilities for fellows and faculty to send e-mail to everyone in the group or to selected members only.
Although Blackboard can be accessed from anywhere such as office, hotel, etc., we strongly recommend that you have a computer at home.
Equipment Requirements
All students admitted to the On-Line Program must have access to a modern personal computer. Detailed specifications for new and existing computers are available on the Student Computer Initiative specifications page (link opens in a new window). In addition, students must have a regular Internet connection throughout the course of the program. The Microsoft Office suite (including Word, Excel, and PowerPoint) is also required. For more information about this and other software, visit the Student Computer Initiative website (link opens in a new window). Additional software may be required during the course of the program, which will be made available to you under appropriate licensing arrangements. Please note that under some rare circumstances, required software may run only under Windows, which will require Mac users to have a copy of Virtual PC (available from the Online@VCU).
Application Process
Applicants must send a reference letter from their department chair, the completed application, a copy of their current CV, and a photo. The reference letter is required to show the support from the chair and their understanding of the time, effort and other resources to help ensure the success of the participant.
After receiving all applications, members of the program committee will review and select the first class of participants. All applicants will be notified of the committee’s decision. The acceptance letter will detail payment information and logistical details.
Application deadline: August 1, 2007
Please contact Karen Swisher, MS, JD, Associate Director, at kswisher@vcu.edu with any questions about the program or application process.
CLASS OF 2008
Curriculum
(subject to change – updated 8/14/07)
MODULE 1
LEADERSHIP, TEAM BUILDING AND ORGANIZATIONAL CULTURE
Session 1: Leadership, Management and Organizational Change
Faculty: Randolph T. Barker, Ph.D., Professor, Business, VCU
September 11, 2007 - Tuesday: 8:00 am – 5 pm
Champion speaker: Sheldon M. Retchin, MD, MSPH, Vice President for Health Sciences, CEO, VCUHS, MCV Hospitals and Physicians
Immediate to follow: RECEPTION until ~6:30 pm
September 15 – October 12, 2007: 4 weeks – Online (asynchronous)
- Discovering the leader within you from manager to leader
- Leadership through Vision, goals, objectives
- 12 essential competencies exhibited by effective physician leaders
- Leadership and teamwork
- Cultural change and leadership
- The dark side of leadership
- Best and worst practices in building and repairing relationships
- The ethics of leadership
October 12, 2007 – 10:00 am: Conclusion: 1 – 1.5 hour Live Classroom via Blackboard (synchronous) / invited guests TBA
Session 2: Negotiation, Mediation skills for departmental Effectiveness
Faculty: Barbara L. Hulburt, JD, Esquire, Director of Facilitation &Training Program, The McCammon Group, Richmond, Virginia
October 19, 2007 – Friday: 8 am – 5 pm
Problems and hypothetical cases to improve negotiation and mediation skills / Roll plays
Champion speaker: TBA
October 20 – November 17, 2007; 4 weeks – Online (asynchronous)
- Negotiating strategies & styles
- The ten stage negotiation
- The social psychology of negotiation
- Preparing and planning for negotiation
- Opening discussions: ice breaking and setting the agenda
- Information bargaining
- Exchange Crisis and outcome
- Practical uses for negotiation including medical malpractice,provider/patient conflict, ethics consults, medical staff conflicts, and more
November 16, 2007 – 10:00 am; Conclusion: 1 – 1.5 hour Live Classroom via Blackboard (synchronous)
University closed for Thanksgiving Holiday
November 22 - 25, 2007
Session 3: Communication Skills
Faculty: Robert Cohen, Ph.D., Professor, Department of Psychiatry, VCU
November 30, 2007 (Friday): 8 am – 12:30 pm
Problems and cases to enhance skill development
Champion speaker: TBA
December 1 – December 22, 2007: 3 weeks – Online (asynchronous)
- Communication styles
- Listening
- Creating effective meetings
- Communication and cultural diversity in an academic hospital
- Oral & written skill enhancement
- Clinical applications for patient safety
December 21, 2007 – 10:00 am suggested; Conclusion: 1 – 1.5 hour Live Classroom via Blackboard (synchronous)
Winter University Closing December 21, 2007 thru January 1, 2008
Session 4: Team Management & Group Dynamics
Faculty: Lt. Col. Beth Y. Kohsin, MS, RN, CPHQ, USAF, NC, Chief of Professional Staff Management and Patient Safety at the Division of Medical Operations (SGO), Office of the Command Surgeon, Headquarters Air Force Materiel Command (AFMC), Wright-Patterson Air Force Base, Dayton Ohio
January 4, 2008 (Friday): 8 am – 12:30 pm
Problems and cases to enhance skill development in team management and group dynamics
Champion speaker: TBA
January 5 – January 26, 2008: 3 weeks – Online (asynchronous)
- Leadership and teamwork
- Consensus building & breaking down resistance
- Individual and team contributions
- Self-directed teams, team charters and norms
- 360 feedback
January 25 or 26, 2008 TBA; Conclusion: 1 – 1.5 hour Live Classroom via Blackboard (synchronous)
MODULE 2
BUSINESS SKILL DEVELOPMENT
Session 1: Financial Management & Accounting
Faculty: Jan P. Clement, Ph.D., Professor, Department of Health Administration, VCU
February 1, 2008 (Friday): 8 am – 12:30 pm
Problem solving and real examples for financial skill development Champion speaker: TBA
February 2 – February 23, 2008: 3 weeks – Online (asynchronous)
- Basic accounting principles
- Budgeting and budget planning and evaluation
- Financial and operating ratios
- Compensation and related matters
- Capital and risk
February 22 or 23, 2008 TBA; Conclusion: 1 – 1.5 hour Live Classroom via Blackboard (synchronous)
Session 2: Anticipating the financial Impact of Change: From Department Finances to University Finances
Faculty: Louis F. Rossiter, Ph.D., Research Professor & Director, The Thomas Jefferson Program in Public Policy, College of William & Mary
University closed for Spring Break March 9 - 16, 2008
February 29, 2008 (Friday): 8 am – 12:30 pm
Problems and cases from the academic university as they apply to financial performance within the medical departments
Champion speaker: TBA
March 1 – March 8 and March 17 – 29, 2008: 3 weeks – Online (asynchronous)
- Anticipating the Financial Impact of Change
- How financial impact rolls up to the profit and loss statement
- Modeling full financial impact locally, upstream and downstream
- Mapping alternate outcomes, their probability, and anticipated financial impacts
- The connection between profitability, liquidity. Leverage, and borrowing costs
- Essential financial metrics used in capital decision making
- Prioritizing alternative investments based on financial return
March 28, 2008 – 8:30 am; Conclusion: 1 – 1.5 hour Live Classroom via Blackboard (synchronous)
Session 3: Strategic Analysis and Physician Service Imperatives
Faculty: Robert F. Graboyes, MSHA, Ph.D., Adjunct Professor, Department of Health Administration, VCU
April 5, 2008 (Saturday): 8 am – 12:30 pm
Orientation to strategic planning and analysis including programs and cases to improve skill development
Champion speaker: TBA
April 6 – April 26, 2008: 3 weeks – Online (asynchronous)
- Strategic positioning in the 21st century
- New challenges for academic medicine
- Structure and strategy in health professions
- Achieving and maintaining legitimacy
- Internal organization and management
- Planning for future physician utilization
- Using data for faculty physician and clinical support for the future
- The shocking reality of service failures
- Shifting perspective on service performance
- Transforming physician culture in the name of patient safety and exceptional service
- The cost of process failure and inefficiency
April 26, 2008 - 10:00 am: Conclusion: 1 – 1.5 hour Live Classroom via Blackboard (synchronous)
Session 4: Quality Assessment, Risk Management & Patient Safety
Faculty: Healthcare Performance Improvement, Norfolk, VA – TBA
Karen Swisher, MS, JD, Professor, Department of Health Administration, VCU
May 2, 2008 (Friday): 8 am – 12:30 pm
Introducing cases, hypothetical’s, and practical applications
Champion speaker: TBA
May 3 – May 23, 2008: 3 weeks – Online (asynchronous)
- Imperial evidence of assessing quality in health care
- The many using of evidence based guidelines in determining academic quality
- Using www.guideline.gov
- Cultural and system barriers that stand in the way of quality improvement
- Building consensus for improving quality based on evidenced based data
- Expanding the credentialing and re-credentialing processes to improve quality in academic physicians
- Understanding the relationship between risk management and patient safety
- Practical applications – dealing with the disruptive physician
- Practical applications – “I’m sorry works”
- Practical applications – “Patient Safety Leadership WalkRounds”
- Practical applications – “Crew Management in Clinical Communication”
May 23, 2008 – 10:00 am: Conclusion: 1 – 1.5 hour Live Classroom via Blackboard (synchronous)
May 30, 2008 or May 31, 2008: TBA
On-campus final Roundtable discussion, project presentation, and Graduation
Please mark your calendar: May 21 or May 28, 2008: Virginians Improving Patient Care & Safety Conference, Richmond, VA http://www.vipcs.org/conf.htm
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