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 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
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Outline

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

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Development
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Professional FocusEarly
Self
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Professional FocusMid
Self
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Professional FocusLate
Self
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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

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

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Inspire a Shared Vision
I have a dream
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Inspire a Shared Vision

• Envision the future
• Be positive
• Follow core values
• Focus on the needs of children
• Enlist others in your vision

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Enlist Others

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

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The APAs 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
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Outline

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

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Your Discipline

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

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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
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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

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Pediatric Generalist DisciplinesShaping the
Future A Survey of Leaders

• Informal Survey of leaders of all 7 disciplines
• Email survey of 3 leaders from each discipline
• Structured questions
• Questions for each discipline leader
• Strategic issues, challenges

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Survey Questions

• Most important strategic goals for discipline
• Major challenges nationally, locally
• Words of advice for new leaders

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Common Themes
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Strategic Goals
Early More Recent
Emerging
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Challenges - National
Early More Recent
Emerging
Local challenges mirrored the challenges at the
national level
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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

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SummaryLeadership 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

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My final word of advice

• Go forth, lead, build your disciplines, and
  multiply
• Remember, it is all about children