michael brennan by Tqurg9

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									   Professionalism
   and Leadership in
   Clinical Governance
Michael W. Brennan, MD

Past President, American Academy of
Ophthalmology
Member, Irish College of
Ophthalmology
    Professionalism
  and Leadership in
 Clinical Governance
       Michael W. Brennan, MD

Past President, American Academy of
           Ophthalmology
Member, Irish College of Ophthalmology
Financial Disclosure



 The speaker acknowledges no financial
  interest in the subject of this presentation
 International Medical Corps sponsorship
                   Objectives

 Responsibilities--dynamic
 Roles ---multi-dimensional
 Relationships

                                Clinical Care
                                Colleges, Councils and
                                 Commissions
                                Collegial, Collaborative;
                                 National and
                                 International
                                PROFESSIONALISM

               The basis of the Hippocratic medical contract with
                Society
                   •      competent
                   •       ethical
                   •        caring
               *And Contemporary
                   • More accessible, affordable
                   • “More accountable”
               *And Collaborative:      Leadership and Management

              
10 February 2006
                                       THE “BRITISH”
                                       ARE COMING---So
                                       is Obamacare
            • “CLINICAL GOVERNANCE”
              1995

            • NHS ACTIONS---
                   • Quality Improvement
                   • Cost Reduction
                   • Hospital (Premiership) “Tables

            • Medicine’s REACTION
                   • Royal Colleges
                   • BMA
                   • General Medical Council
10 February 2006
Clinical Governance
management Pillars
   Health Care Systems
 Complex with multiple management stakeholders
  •   Governmental
  •   External, some “global”
  •   Institutions, hospitals, clinics, universities
  •   Support systems (finance, supply, information)
  •   Allied Health (nursing, technicians, administrative)

  • Associations/Colleges; Councils
  • Commissions (Accreditation, Ethics, Audit, Risk, Guidelines)

  • “Managers”
        •     ****PATIENTS
          • PHYSICIANS     ??? LEADERS
   Leaders “and” managers


 Managers cope with
  Complexity              Leaders cope with
                           Change
  • Plan and Budget
                           • Set the “Direction”
                           • “Align” the resources
  • Organize and Staff
                           • Delegate and Motivate

  • Control and Solve
    problems
                                  LEADERSHIP
            • Fix the Direction—and the
              Values
                   • Strategy and Tactics
                   • Identify the Decision Maker(s)
                   • Identify those with Interest and
                     Influence

            • Align the Members of
              profession with Stakeholders,
              internally and externally --
              (Colleges and Associations;
              Councils and Commissions;
              Universities and Hospitals)

            • Articulate the Vision; Motivate
              the entire Profession; Convince
              Decision Makers
10 February 2006
                             Leaders align and
                             motivate MEMBERSHIP
 Unite specialties and nationally
  and globally
 Libyan Ophthalmology Society
            • Accreditation and Examination
              standards, Guidelines (EBM),
              CME/CPD
 Engage with Libyan Medical
  Council and Council of Medical
  Specialties
            • Registration, Revalidation
            • Ethics, Risk Management
 Next-generational; non- partisan
10 February 2006
                                   Leaders Forge
                                   PARTNERSHIPS
 Family of Medicine (in US
  “advocacy, the young, minority
  pediatrician has the most
  influence)---even better if female.
 “Non-medical” Alliances (media,
  civic interest groups, family,
  friends)
 **International Specialty Councils
 Global allies
            • World Health Org---thank you
            • NGOs (International Medical Corps)
            • Ministry of Health
10 February 2006
   Professionalism as an Invited
   Physician



 Be prepared and positive
 Be bold but humble
 Be aware of culture and tradition
 Be sincere, genuine and friendly
 Be ready to Return----CME/CPD

								
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