Chief

Academy
JOSE J DIAZ, MD

Intern
Chief Resident/Fellow
Outline
Leadership and Managers
◦ Tips
◦ Myths

Management
 Leadership

"The greatest leader is not necessarily the one who does the greatest things. He is the one that gets
the people to do the greatest things." --Ronald Reagan
Five key points to Strong Leadership
Develop trust and credibility
Share the vision with absolute clarity
Be there to help them succeed - Coaching, mentoring,
communicating, and listening.
Make the decisions and be held accountable.
Keep it all under control and headed in the right direction.
Develop trust and credibility
Honesty
Integrity
Compassion
Fairness
Good relationships
Share the vision with absolute clarity
To get others to see and understand your vision, you need to motivate and
inspire with the same enthusiasm and positivity you have inside you.
Be there to help them succeed - Coaching,
mentoring, communicating, and listening.
Coaching. Try and help them improve their skills to do their job better. Give them feedback on
their performance with observations and give good advice. Use specific statements rather than
general comments, whether good or bad.

Mentoring. Help them understand what you are all about, guide them for a better chance of
promotion, and have them learn about other aspects and functions of the business.

Communicating. Clearly share your visions and goals, encourage individuals and groups, praise
when praise is due, and take the time for one-on-one meetings.

Listening. Let them share ideas, concerns, and know you are approachable and caring.
Make the decisions and be held
accountable
Sift the data for facts and relevance.
Look closely at the issue at hand while never losing sight of the big picture.
Talk to subject experts if needed.
Don’t make a decision too quickly unless necessary.
Think about the cost-benefit for both short-term and long-term.
Once a decision is made, do not be wishy-washy or unsure about yourself. You
will be seen as a person who can be easily persuaded with little confidence.
Keep it all under control and headed in
the right direction.
Everyone needs to have the same focus and direction you have.

A sense of community within the team, with a common goal, is key.

If you waver and change your mind and direction continually, you will lose trust.

Consistency is key to maintaining control and keep things going in the right
direction.
Leadership

"People buy into the leader before they buy into the vision."
--John C. Maxwell
Leadership and Management
What is leadership, and what is the difference between leadership and management?
Leadership is setting a new direction or vision for a group
◦ i.e. a leader is the spearhead for that new direction

Management controls or directs people/resources in a group according to principles or values

that have already been established.

The difference between leadership and management can be illustrated by considering

what happens when you have one without the other.
Leadership without management
Leaders (Attendings)...sets a direction or vision that others follow, without
considering too much how the new direction is going to be achieved.

Other people then have to work hard in the trail making it work.
Management without leadership
Managers(chief resident)...controls resources to maintain the status quo or
ensure things happen according to already-established plans.
◦ a referee manages a sports game, but does not usually provide "leadership" because
there is no new change, no new direction - the referee is controlling resources to
ensure that the laws of the game are followed and status quo is maintained.
Leadership combined with management
...does both - it both sets a new direction and manages the resources to achieve
it.
◦ a newly elected president or prime minister.
Tips

Leadership and management must go hand in hand.

Workers need their managers not just to assign tasks but to define
purpose.
Managers must organize workers, not just to maximize efficiency,
but to nurture skills, develop talent and inspire results.
What do Managers
(Chief Residents) do?
Set objectives.
◦ The manager sets goals for the group, and decides what work needs to be done to meet
those goals.

Organize
◦ The manager divides the work into manageable activities, and selects people to accomplish
the tasks that need to be done.

Motivate and communicate

◦ The manager creates a team out of his people, through decisions on pay (OR time),
placement, promotion, and through his communications with the team.
◦ the “integrating” function of the manager
What do Managers do?
Measure.
◦ The manager establishes appropriate targets and yardsticks, and analyzes,
appraises and interprets performance.

Develop people.
◦ With the rise of the knowledge worker, this task has taken on added
importance. In a knowledge economy, people are the company’s most
important asset, and it is up to the manager to develop that asset.
Managers
Demonstrate to subordinates (junior residents)
your ability to get things done.

Nurture a strong sense of common commitment to

shared goals.

Focus on building a team, not on friendship.

Myths - managers
Myth 1: Managers wield significant authority.

Myth 2: Authority flows from the manager’s position.

Myth 3: Managers must control their direct reports.

Myth 4: Managers must focus on forging good individual

relationships

Myth 5: The manager’s job is to ensure things run smoothly.

New Manager
“New managers (chief residents) also need to realize they are responsible for
recommending and initiating changes that will enhance their groups’
performance,”

“Often – and it comes as a surprise to most – this means challenging

organizational processes or structures that exist above and beyond their area of
formal authority.

Only when they understand this part of the job will they begin to address
seriously their leadership responsibilities.”
Conclusion
Trusted into leadership position?

Where do you plan to leaded from?

How do you plan to lead?