Leadership Lessons: Learning from Crossing Borders...• Discuss a leadership journey and the...
Transcript of Leadership Lessons: Learning from Crossing Borders...• Discuss a leadership journey and the...
Leadership Lessons: Learning from Crossing BordersCarrie L. Byington, MDTexas A&M University and SystemVice Chancellor | Health ServicesJean and Thomas McMullin Professor and Dean | College of Medicine
Disclosure
Carrie L. Byington, MD has • Intellectual property and receives royalties
from BioFire Diagnostics• A relationship as a scientific advisor for
IDbyDNA
Objectives
• Discuss a leadership journey and the lessons learned from crossing borders
• Discuss examples of crossing borders for the academic healthcare missions including clinical care, education, mentorship, translational science
A blank wall of social and professional antagonism
Marion Spencer Fay, PhDDean and President Women’s Medical College of Pennsylvania1946-1963
“greatest satisfaction [was] to see girls with a burning desire for education in medicine grow into mature, skilled women who go out and make splendid records in hospitals, in public agency work, in private practice all over the world,”
By far, the greatest predictors of the occurrence of sexual harassment areorganizational.
Medicine is so broad a field, so closely interwoven with general interests, dealing as it does with all ages,sexes and classes, and yet of so personal a character in its individual appreciations, that it must be regarded as one of those great departments of work in which the cooperation of men and women is needed to fulfill all its requirements.
Elizabeth Blackwell, MD1850
• Where do I Come From?• Respect• Excellence• Leadership• Loyalty• Integrity• Selfless Service
Carmen Lomas Garza
Acceleration
Medical knowledgewill double
every 73 daysby 2020
TIME TO DOUBLE MEDICAL KNOWLEDGE IS DECREASINGENMED
CONVERGENCE
CONVERGENCEThe Third Paradigm Shift
Paradigm Shifts: Molecular Biology and Genomics
Convergence: The Future of Health
Convergence is the integration of historically distinct disciplines and technologies into a unified whole that creates fundamentally new opportunities for life science andmedical practice
Phillip Sharp, Tyler Jacks, and Susan Hockfield editors
MIT 2016
Interprofessional Team-Based Practice: Addressing Big Issues
Byington , C Pediatrics July 2012
Measure Baseline Implementation P-Value
Core Labs 60% 80% <0.001
HR 68% 74% <0.001
Viral Testing 76% 84% <0.001
Antibiotic Formulary
77% 92% <0.001
D/C Antibiotics 47% 63% <0.001
D/C Home 48% 75% <0.001
Quality Measures-Decreased Variation
Outcome P-Value
Diagnosis of UTI (29%) <0.001 Diagnosis of Viral Illness (40%) <0.001 Antibiotics in LR Infants (26%) 0.002 Length of Stay (27%) <0.001
= Readmission (< 1%) 0.70
Admission of Bacteremia or Meningitis at First Encounter
91% vs. 99% (p=0.06)
Infant Outcomes
Disparities PRE-EBCPMWhite URM P-Value
Identification of HR
47.2% 43.8% 0.01OR 0.87
(0.79-0.97)HR discharged home for care
9.3% 12.1% 0.004OR 1.35
(1.15-1.60)Unscheduled Admission
5.3% 9.1% < 0.001OR 1.80
(1.31-2.45)
POST EB-CPM
White URM P-ValueIdentification of HR
46.5% 47.8% > 0.05
HR discharged home for care
10.5% 9.3% > 0.05
Unscheduled Admission
4.1% 4.1% > 0.05
Medical Education
AAMC Building Bridges and Spanning Boundaries Award: Innovations in Research and Research Education--2014
128 Graduates109 with BS25 in Graduate Programs24 in Medical School33 Employed in Biomedical Research
“My parents taught me: your education is not just for yourself. And if you think it’s just for yourself, you’re wrong. You need to
clear the path for others on your way up the mountain top.”Monique Tulley-Bahe (Navajo-Dine)
Courtney Welsch, MS IVInaugural Alonzo and Margot Byington Endowed Scholar for Rural Physicians in Training
Cadet to Medicine, Military Academies,And Veteran Early Assurance Programs
ENGINEERING MEDICINE
Developing physicianeers to create the futureof health care through innovation
Research and Mentorship
Courtesy of University of Arkansas TRI
Translation is Hard-Be Persistent
PCR will never be used in clinical labs
Growth in PCR Testing at a Single Large US Laboratory (ARUP)
Wittwer,C Clinical Chemistry 2015
Senior Scientific
Staff Peer
Self
Matrix Mentoring Model
Byington et al Academic Med 2016
AAMC Building Bridges and Spanning Boundaries Award: Innovations in Research and Research Education2019
Accountability through Policy Making
• Promotion and Tenure• Salary Equity
• Start-up Equity
• Parental Leave
• Available to all faculty, Followed, Transparent
Priorities
Lessons Learned
• Hold onto your values• Step up—advocate for others—patients,
students, and trainees come first• Be fearless--cross borders and to learn
from others• Be persistent--see opportunities in
challenges• Be bold—invent the future• Let your life experiences and skills shape
your unique leadership contributions
14 million patients280,000 students227,00 faculty and staffMedicine, Dentistry, Nursing, Pharmacy, Optometry, Public Health, Veterinary Med
Women admitted into medical school in 1874