Jaffe Gregory A, Pradarelli Jason C, Lemak Christy Harris, Mulholland Michael W, Dimick Justin B
Center for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor, Michigan; University of Michigan Medical School, Ann Arbor, Michigan.
Center for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor, Michigan; University of Michigan Medical School, Ann Arbor, Michigan.
J Surg Res. 2016 Jan;200(1):53-8. doi: 10.1016/j.jss.2015.08.002. Epub 2015 Aug 12.
Although numerous leadership development programs (LDPs) exist in health care, no programs have been specifically designed to meet the needs of surgeons. This study aimed to elicit practicing surgeons' motivations and desired goals for leadership training to design an evidence-based LDP in surgery.
At a large academic health center, we conducted semistructured interviews with 24 surgical faculty members who voluntarily applied and were selected for participation in a newly created LDP. Transcriptions of the interviews were analyzed using analyst triangulation and thematic coding to extract major themes regarding surgeons' motivations and perceived needs for leadership knowledge and skills. Themes from interview responses were then used to design the program curriculum specifically to meet the leadership needs of surgical faculty.
Three major themes emerged regarding surgeons' motivations for seeking leadership training: (1) Recognizing key gaps in their formal preparation for leadership roles; (2) Exhibiting an appetite for personal self-improvement; and (3) Seeking leadership guidance for career advancement. Participants' interviews revealed four specific domains of knowledge and skills that they indicated as desired takeaways from a LDP: (1) leadership and communication; (2) team building; (3) business acumen/finance; and (4) greater understanding of the health care context.
Interviews with surgical faculty members identified gaps in prior leadership training and demonstrated concrete motivations and specific goals for participating in a formal leadership program. A LDP that is specifically tailored to address the needs of surgical faculty may benefit surgeons at a personal and institutional level.
尽管医疗保健领域存在众多领导力发展项目（LDP），但尚无专门为满足外科医生需求而设计的项目。本研究旨在了解执业外科医生参加领导力培训的动机和期望目标，以设计一个基于证据的外科领导力发展项目。
在一家大型学术医疗中心，我们对24名外科教员进行了半结构化访谈，这些教员自愿申请并被选中参加一个新设立的领导力发展项目。访谈记录采用分析三角互证法和主题编码进行分析，以提取有关外科医生动机以及对领导力知识和技能的认知需求的主要主题。然后，根据访谈回复中的主题来设计项目课程，以专门满足外科教员的领导力需求。
关于外科医生寻求领导力培训的动机出现了三个主要主题：（1）认识到他们在领导力角色的正式准备方面存在关键差距；（2）表现出个人自我提升的意愿；（3）寻求领导力指导以促进职业发展。参与者的访谈揭示了他们表示希望从领导力发展项目中学到的四个特定知识和技能领域：（1）领导力与沟通；（2）团队建设；（3）商业头脑/财务；（4）对医疗保健环境有更深入的了解。
对外科教员的访谈确定了先前领导力培训中的差距，并展示了他们参加正式领导力项目的具体动机和特定目标。一个专门为满足外科教员需求而量身定制的领导力发展项目可能会在个人和机构层面使外科医生受益。
