1. How to become a Leader in the Field: “The European Perspective”
Eberhard Grube, MD, FACC, FSCAI, FAPSIC
CRT 2015, Washington DC, February 23rd, 2015

2. Eberhard Grube, MD Physician Name Company/Relationship
Eberhard Grube, MD Medtronic, CoreValve: C, SB, AB, OF
Direct Flow: C, SB, AB
Mitralign: AB, SB, E
Boston Scientific: C, SB, AB
Biosensors: E, SB, C, AB
Kona: AB, E
Abbott Vascular: AB
InSeal Medical: AB, E, Valtech: E, SB,
Claret: SB
Keystone: AB
Shockwave: E, AB
Key
G – Grant and or Research Support E – Equity Interests S – Salary, AB – Advisory Board
C – Consulting fees, Honoraria R – Royalty Income I – Intellectual Property Rights
SB – Speaker’s Bureau O – Ownership OF – Other Financial Benefits‘ 2

3. How one could have become a leader in old Europe?
Born to be a king
Win a war
Join the Mafia

4. But Europe has changed since those days:
The kings lost their power
The generals lost the wars
The Mafia is (mostly) in jail

5. And Leadership was given to the common people

6. And Leadership was given to the common people

7. (Warren Bennis, a leadership guru)
What is leadership?
“Leadership is like beauty. It is hard to define, but you know it when you see it.”
(Warren Bennis, a leadership guru)

8. What are the main components of Leadership?

9. Can you acquire leadership skills?
Core skills are in the genes and in the way you were brought up as a child.
Training can only formulate the leadership skills.
Leadership is a combination of a number of characteristics, strengths and abilities:
Confidence Resilience
Vision Honesty
Commitment Generosity
Ability to communicate Sense of humor
Ability to delegate Generosity
Ability to inspire Risk taking

10. What makes a good leader?

11. Good vs. Great Leader

12. Leadership and Entrepreneurship
These are two different skills that are often being confused as one: “Innovation and entrepreneurship” thrive on chaos and out of the box thinking, usually by individuals “Leadership” results in better organization of group activities We need both to advance medicine

13. Leadership and Management
Leadership is not Management
Leadership involves vision and then motivating others to follow the vision; dealing with changes from the original plan.
Management is charged with keeping the plan on course within a complex organization.
We need both to advance medicine

14. How to Become a Leader in the Field
Find a passion
Be an innovator or partner with an innovator
Ride that first horse and commit to it
Once it has hit a significant milestone, consider using competitive technologies…… need to become a general expert in the area
Be willing to travel…. A lot.
Make sure you have a great team of people at home who can cover for you while you are on the road

15. How to Become a Leader in the Field
Leadership must be balanced with entrepreneurship
What has not been accomplished before?
How important is the innovation to the medical specialty and to the patient?
Am I an entrepreneur inventor?
Or can I be an entrepreneur by aligning and facilitating the inventions of others?
Maybe they invent the device, but I invent the procedure?
Maybe they invent the device and procedure, but I prove to the world that it works
There are a number of avenues from which one can lead
Take an honest inventory of your strengths and then apply them with zeal!

16. How to Become a Leader in the Field
Leadership must be balanced with management
True leadership is not possible without good management
You need to secure your base before you can innovate and reach for the stars
Have I established a team at home that can cover the slack while I’m traveling?
Am I satisfying the core commitments of my clinical position prior to reaching?
Can I find an environment that allows me to reconcile both?
Proper management of your base will allow room to innovate and reach for the stars
When your innovative side is reconciled with your base….. This is when you can develop the power to be a leader in your field.

17. Leadership in Medicine: a Void
By its nature, medicine is one-on-one profession, physician vs. patient.
However, we as physicians have additional responsibilities beyond our immediate practice where there is a call for leadership:
Influence public policies
Handle community relations
Focus on prevention
Lead professional associations
Accelerate innovations in ever increasing regulatory barriers
Address the Globalization of medicine
Lobby the politicians on resources priorities

18. Both Europe and the US medical system require major overhaul
Europe vs. the US
Europe is still more fragmented than the US, despite the EU
Europe, like the US, is suffering from a void of medical leaders
Both Europe and the US medical system require major overhaul
Medical leadership

19. So the leadership void in Europe is no different than the void in the US. The World becomes flat and the medical leadership problem becomes global, crossing boarders and nationalities