Orford - Leadership Challenges in the ICU
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Transcript of Orford - Leadership Challenges in the ICU
Leadership Challenges in ICU
A/Prof Neil OrfordDivisional Director ICUUniversity Hospital Geelonghttp://barwonhealthicu.com
Why think about leadership?
• Health has changed over 15-years
• Intensivist’s role
• What I lost the most sleep over
The challenges
• Finding your own style• Collaborate vs conflict• 5-year plan• Culture
Finding your own style
What it is…
Finding your own style
• Reflect• Learn • Mentors• Feedback• Nurture vs burnout• Teach it
Collaborate vs conflict
You think a change is needed
Conflict and tension exist System is comfortable
Check your judgement
Cognitive dissonance
Collaborate / steer
Review direction
Collaborate / steer
Review direction
Trust / integrity / respect
5-year plan and annual report
• Personal and unit• Sense of purpose and forced reflection• Accountability – Report activity, quality, education,
research, consumer, financial, leadership, programs• Safety v innovation• Corporate vs clinical: 5% savings vs 10% growth• Upward change• Success and failure: celebrate, learn, share• Timelines - Week, month, quarter, year, 5-year• Adapt
Culture
• United team• Explicitly communicate• House in order• Behaviour – Respect, trust• Nurture
Skills
Domain “Case load” Quality Education Self-reflection
Clinical
Leadership
Administrative
Personal