H.B. Ward is a resident, Department of Psychiatry, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, and leadership fellow, American Psychiatric Association/American Psychiatric Association Foundation, Washington, DC; ORCID: https://orcid.org/0000-0003-2901-8004.
Acad Med. 2020 Oct;95(10):1521-1523. doi: 10.1097/ACM.0000000000003558.
The COVID-19 pandemic is a public health emergency that demands leadership throughout the health care system. Leadership is the ability to guide a team or organization toward a stated goal or objective. In addition to hospital-wide leadership, there is need for leadership at the level of medical teams. Resident leadership is essential to ensure team function and patient care, yet residents are often overlooked as valuable leaders. This Perspective argues that residents can demonstrate leadership during a public health crisis by creating a culture of emotional intelligence in their medical teams. Emotional intelligence has been identified as a critical aspect of leadership and consists of self-awareness, self-management, social awareness, and relationship management. In psychiatry, patient interactions depend upon psychiatrists demonstrating a high level of attention to their own thoughts, feelings, and behaviors as well as those of the patient to communicate in a way that demonstrates both understanding and empathy. In this Perspective, a psychiatry resident uses expertise in emotional intelligence to recommend residents (1) be mindful, (2) ask and listen, (3) establish safety, and (4) unite around a common goal. These practical recommendations can be immediately implemented to increase emotional intelligence on medical teams to improve team function and patient care. Emotional intelligence is valuable at all levels of leadership, so hospital leadership and program directors should also heed these suggestions. While these recommendations are not unique to COVID-19, they are of paramount importance during the pandemic.
COVID-19 大流行是一场公共卫生紧急事件，需要整个医疗保健系统的领导力。领导力是指导团队或组织实现既定目标的能力。除了医院层面的领导力外，医疗团队也需要领导力。住院医师领导力对于确保团队运作和患者护理至关重要，但住院医师往往被忽视为有价值的领导者。本观点认为，住院医师可以通过在医疗团队中营造情商文化来展示领导力，从而在公共卫生危机期间发挥领导作用。情商已被确定为领导力的一个关键方面，它包括自我意识、自我管理、社会意识和关系管理。在精神病学中，医患互动取决于精神科医生高度关注自己的想法、感受和行为，以及患者的想法、感受和行为，以一种既能体现理解又能体现同理心的方式进行沟通。在本观点中，一名精神病学住院医师利用情商方面的专业知识，建议住院医师 (1) 保持正念，(2) 提问和倾听，(3) 建立安全感，(4) 围绕共同目标团结起来。这些切实可行的建议可以立即实施，以提高医疗团队的情商，从而改善团队运作和患者护理。情商在领导力的各个层面都很有价值，因此医院领导和项目主任也应该关注这些建议。虽然这些建议并非 COVID-19 所特有，但在大流行期间至关重要。
