1. The UCSF Double Helix Curriculum:
Facilitator Guide
Time: 30 minutes Audience: All Objective(s): Describe their own leadership/collaboration style, strengths, and areas for improvement, and reflect on how they can best interact with team members who have variable needs as collaborators, leaders, and followers.
Transformation of High-Performing Primary Care in Educationv
The UCSF Double Helix Curriculum:

2. The UCSF Double Helix Curriculum:
Managing Change
Transformation of High-Performing Primary Care in Education
The UCSF Double Helix Curriculum:

3. Change is not just about ideas
Transformation of High-Performing Primary Care in Education
The UCSF Double Helix Curriculum:
It is also about people

4. Technology Adoption Curve Everett Rogers—Diffusion of Innovations 1962
Transformation of High-Performing Primary Care in Education
The UCSF Double Helix Curriculum:
We are all sometimes laggards and sometimes innovators.
And we also each have tendencies in one direction.

5. The UCSF Double Helix Curriculum:
Exercise:
Think about a time when you were an early adopter and a time when you were a laggard
What was different for you about the two situations?
Using the chat function, tell us what made you an early adopter
Did you believe in the problem? The solution? The leaders? Your own role?
Transformation of High-Performing Primary Care in Education
The UCSF Double Helix Curriculum:

6. Technology Adoption Curve Everett Rogers—Diffusion of Innovations 1962
Tipping point
Transformation of High-Performing Primary Care in Education
The UCSF Double Helix Curriculum:
Ease, simplicity,
Good ideas
Desire to be a leader/champion
Value/usefulness
Mandate/
consequences
Incentives/costs

7. The UCSF Double Helix Curriculum:
Thought leaders
The rest of the organization listens to thought leaders.
They may be thought leaders because they are
In leadership positions
Compelling and charismatic
Demonstrated success
Smart and thoughtful
Willing to speak up
Angry
Transformation of High-Performing Primary Care in Education
The UCSF Double Helix Curriculum:

8. Identify the thought leaders in your organization
Work closely with the early adopter thought leaders.
They are the engine for change
Transformation of High-Performing Primary Care in Education
The UCSF Double Helix Curriculum:

9. Cultivate your early adopters
Transformation of High-Performing Primary Care in Education
The UCSF Double Helix Curriculum:

10. Identify the thought leaders in your organization
Work closely with the early adopter thought leaders.
They are the engine for change
Bring laggard thought leaders on board
Before group meetings
Give them an opportunity to vent, discuss their concerns with you 1:1
Give them ownership over something
Transformation of High-Performing Primary Care in Education
The UCSF Double Helix Curriculum:

11. The UCSF Double Helix Curriculum:
Exercise:
Have you had success bringing an important stakeholder on board?
Above you in the chain of command
Below you
In the chat section, tell us what you did to get buy-in from someone whose support you needed.
Transformation of High-Performing Primary Care in Education
The UCSF Double Helix Curriculum:

12. The UCSF Double Helix Curriculum:
The burning platform
Everyone is more motivated when they believe the problem is real.
Make a case for the importance and urgency of the problem with key stakeholders
Transformation of High-Performing Primary Care in Education
The UCSF Double Helix Curriculum:

13. The UCSF Double Helix Curriculum:
Exercise
Can you articulate the burning platform that you are trying to address around chronic pain?
Articulate the problem you hope to address in your clinic in a way that will engage front line staff
Now articulate the problem in a way that will engage hospital or clinic leadership
Transformation of High-Performing Primary Care in Education
The UCSF Double Helix Curriculum:

14. Technology Adoption Curve Everett Rogers—Diffusion of Innovations 1962
Transformation of High-Performing Primary Care in Education
The UCSF Double Helix Curriculum:

15. Communicating about change
People are busy
Residents and doctors are beyond busy
They may not read your carefully crafted
Transformation of High-Performing Primary Care in Education
The UCSF Double Helix Curriculum:

16. The UCSF Double Helix Curriculum:
Overcommunicate
Communicate 10 times as much as you think you need to
Use 10 different formats and media
Transformation of High-Performing Primary Care in Education
The UCSF Double Helix Curriculum:

17. The UCSF Double Helix Curriculum:
Exercise
What are some creative ways you have shared messages within your organization?
Transformation of High-Performing Primary Care in Education
The UCSF Double Helix Curriculum:

18. Communication media (use multiple)
Snail mail flyers
Posters
Meetings
Teaching conference, grand rounds, lunch talks
Pre-clinic huddles or pre-clinic teaching
Videos
Provide metrics by mail, , or post on the wall
Checklists
Transformation of High-Performing Primary Care in Education
The UCSF Double Helix Curriculum:

19. The UCSF Double Helix Curriculum:
Transformation of High-Performing Primary Care in Education
The UCSF Double Helix Curriculum:
Questions?

20. The UCSF Double Helix Curriculum:
Evaluation
Transformation of High-Performing Primary Care in Education
The UCSF Double Helix Curriculum:
See evaluation sheet for thread objective