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Green ML, Winkler M, Mink R, et al. Defining leadership competencies for pediatric critical care fellows: Results of a national needs assessment. Med Teach. 2017;39(5):486-493doi: 10.1080/0142159X.2017.1297527.
Green, M. L., Winkler, M., Mink, R., Brannen, M. L., Bone, M., Maa, T., Arteaga, G. M., McCabe, M. E., Marcdante, K., Schneider, J., & Turner, D. A. (2017). Defining leadership competencies for pediatric critical care fellows: Results of a national needs assessment. Medical teacher, 39(5), 486-493. https://doi.org/10.1080/0142159X.2017.1297527
Green, Michael L, et al. "Defining leadership competencies for pediatric critical care fellows: Results of a national needs assessment." Medical teacher vol. 39,5 (2017): 486-493. doi: https://doi.org/10.1080/0142159X.2017.1297527
Green ML, Winkler M, Mink R, Brannen ML, Bone M, Maa T, Arteaga GM, McCabe ME, Marcdante K, Schneider J, Turner DA. Defining leadership competencies for pediatric critical care fellows: Results of a national needs assessment. Med Teach. 2017 May;39(5):486-493. doi: 10.1080/0142159X.2017.1297527. Epub 2017 Mar 10. PMID: 28281362.
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Med Teach. 2017 May;39(5):486-493. doi: 10.1080/0142159X.2017.1297527. Epub 2017 Mar 10.

Defining leadership competencies for pediatric critical care fellows: Results of a national needs assessment.

Medical teacher

Michael L Green, Margaret Winkler, Richard Mink, Melissa L Brannen, Meredith Bone, Tensing Maa, Grace M Arteaga, Megan E McCabe, Karen Marcdante, James Schneider, David A Turner

Affiliations

  1. a Department of Pediatrics, Division of Critical Care Medicine , University of Texas Southwestern Medical Center , Dallas , TX , USA.
  2. b Department of Pediatrics, Division of Critical Care Medicine , University of Alabama at Birmingham , Birmingham , AL , USA.
  3. c Division of Pediatric Critical Care Medicine , Harbor-UCLA Medical Center , Torrance , CA , USA.
  4. d David Geffen School of Medicine at UCLA , Los Angeles , CA , USA.
  5. e Lehigh Valley Health Network , Allentown , PA , USA.
  6. f Division of Pediatric Critical Care , Northwestern University Feinberg School of Medicine , Chicago , IL , USA.
  7. g Division of Critical Care Medicine at Nationwide Children's Hospital , The Ohio State University College of Medicine , Columbus , OH , USA.
  8. h Division of Pediatric Critical Care Medicine , Mayo Clinic , Rochester , MN , USA.
  9. i Department of Pediatrics Division of Critical Care Medicine , Albert Einstein School of Medicine/Children's Hospital at Montefiore , Bronx , NY , USA.
  10. j Department of Pediatrics , Medical College of Wisconsin , Milwaukee , WI , USA.
  11. k Department of Pediatrics Division of Critical Care Medicine, Hofstra-Northwell School of Medicine , Cohen Children's Medical Center , New Hyde Park , NY , USA.
  12. l Duke University Hospital and Health System , Division of Pediatric Critical Care Medicine, Department of Pediatrics, Duke Children's Hospital , Durham , NC , USA.

PMID: 28281362 DOI: 10.1080/0142159X.2017.1297527

Abstract

INTRODUCTION: Physicians in training, including those in Pediatric Critical Care Medicine, must develop clinical leadership skills in preparation to lead multidisciplinary teams during their careers. This study seeks to identify multidisciplinary perceptions of leadership skills important for Pediatric Critical Care Medicine fellows to attain prior to fellowship completion.

METHODS: We performed a multi-institutional survey of Pediatric Critical Care Medicine attendings, fellows, and nurses. Subjects were asked to rate importance of 59 leadership skills, behaviors, and attitudes for Pediatric Critical Care practitioners and to identify whether these skills should be achieved before completing fellowship. Skills with the highest ratings by respondents were deemed essential.

RESULTS: Five hundred and eighteen subjects completed the survey. Of 59 items, only one item ("displays honesty and integrity") was considered essential by all respondents. When analyzed by discipline, nurses identified 21 behaviors essential, fellows 3, and attendings 1 (p < 0.05). Nurses differed (p < 0.05) from attendings in their opinion of importance in 64% (38/59) of skills.

CONCLUSIONS: Despite significant variability among Pediatric Critical Care attendings, fellows, and nurses in identifying which clinical leadership competencies are important for graduating Pediatric Critical Care fellows, they place the highest importance on skills in self-management and self-awareness. Leadership skills identified as most important may guide the development of interventions to improve trainee education and interprofessional care.

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