Leadership and the Many Faces of Pediatric Academic Generalism Peter G. Szilagyi MD MPH President: Academic Pediatric Association (APA) Dept. Pediatrics: University of Rochester School of Medicine

Outline Developmental stages of leadership Self  Group  Discipline Importance of vision in development of leadership Strategic goals for the 7 pediatric generalist disciplines

Development Early Childhood Mid Adolescence Late Maturity Erik Erikson Trust, Autonomy Identity, Intimacy Generativity, Ego integrity KohlbergPreconventional Punishment & obedience Conventional Law and Order Postconventional Universal moral principles PiagetPre-operationalConcrete Operational Formal operational

Professional Focus Early Self

Professional Focus Mid Self

Professional Focus Late Self

Progression of Professional Development toward Leadership Increasing focus on others –Colleagues (junior, peer, senior) –Divisions or programs –Disciplines Changing external metrics –Productivity of others, of groups –Impact on profession, on the discipline Changing internal metrics –Lasting impact on professionals, on children

Challenges in Leadership Progressing successfully through our own stages of professional development Helping our group (division) become successful Making an impact on our discipline, on children Self  Division  Discipline

The most important part of leadership in this developmental progression is: To inspire a shared vision

Inspire a Shared Vision “I have a dream”

Inspire a Shared Vision Envision the future –Be positive –Follow core values –Focus on the needs of children Enlist others in your vision

Enlist Others Focus collective energy –Discover a common purpose, passion Build commitment (tipping point) –Communicate expressively, appeal to vision of others Impart responsibility- people’s stake in vision –Encourage people to own the collective vision Show your passion Outline your strategic plan –Bridge vision with reality

The APA’s New Vision The APA will be a leader among child health professional organizations in optimizing the health of all children, adolescents, and young adults through: Education of a diverse group of child health professionals Research and dissemination of new knowledge Patient care, with measurable improvements in quality and health outcomes Advocacy for an equitable children's health agenda Strategic Plan

Outline Developmental stages of leadership Self  Group  Discipline Importance of vision in development of leadership Strategic goals for the 7 pediatric generalist disciplines

Your Discipline As leaders we should think about our discipline, connect with others, and try to make a difference.

Pediatric Generalist Disciplines The 7 Disciplines –Academic general pediatrics –Adolescent medicine –Child abuse –Developmental/behavioral pediatrics –Pediatric emergency medicine –Pediatric hospital medicine –Pediatric environmental health Health Services Research is included in above list

Pediatric Generalist Disciplines Commonalities –Origins:APA –Clinical: Focus on the whole child –Scientific: Emerging disciplines –Research:Health services, clinical, others –Education:Becoming core part of departments –Financial:Mixed –Leadership:Some giants among founders Next generation emerging

Pediatric Generalist Disciplines Shaping the Future: A Survey of Leaders Informal Survey of leaders of all 7 disciplines – survey of 3 leaders from each discipline –Structured questions Questions for each discipline leader : –Strategic issues, challenges

Survey Questions 1.Most important strategic goals for discipline 2.Major challenges nationally, locally 3.Words of advice for new leaders

Common Themes

Strategic Goals Gen Peds Adol Med Child Abuse Dev Behav Emerg Med Hosp Med Env Med Professional Development Research, Teaching Leadership √√√√√√√ Defining the Science √√√ Legitimacy & Certification √√√√ Best Practices & Quality of Care √√√√√√√ Interdisciplinary Collaborations √√√√ “Early” More Recent Emerging

Challenges - National Gen Peds Adol Med Child Abuse Dev Behav Emerg Med Hosp Med Env Med Funding -Research - Education √√√√√√ √√√√√√ Recognition/ Legitimacy Certification Promotion √√√√√ √√√√√ √ Pipeline Fellowships √√√√√√√ Local challenges mirrored the challenges at the national level “Early” More Recent Emerging

Words of Advice From Leaders of the 7 Disciplines Recognize and celebrate the joy of your discipline Set high standards, promote excellence in your field Step up to leadership, take opportunities Advocate for your population Join and work in teams, make alliances Remain creative and enthusiastic

Summary Leadership and Academic Generalism Actively work on leadership transitions self  division/group  discipline Actively work on a shared vision Envision the future & enlist others Remember the lessons from the 7 disciplines Strategic goals, challenges, words of advice

My final word of advice Go forth, lead, build your disciplines, and multiply Remember, it is all about children