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Assessing Leadership Development in Obstetric Anesthesia Fellowship Programs
Abstract Number: T-35
Abstract Type: Original Research
Introduction: Clinical leadership has been shown to directly correlate with overall improved healthcare delivery and outcomes and reduction in preventable mortality.1 Therefore, leadership training may be warranted to both improve patient outcomes and prepare trainees for their future roles. Graduates of Obstetric Anesthesiology Fellowship programs may assume various leadership roles in their future careers. It is unknown whether current obstetric anesthesiology fellowship programs provide training in leadership competencies. This study was designed to examine the leadership training being offered to current obstetric anesthesiology fellows
Methods: As no known standardized leadership competencies exist for medical education, the authors synthesized a list of 8 common competencies regarding leadership from current literature. A survey to assess the current leadership curricula, both formal and informal, offered by obstetric fellowships in the United States was generated and beta tested with resident volunteers at the University of Illinois at Chicago to ensure understandability. After IRB approval, an electronic survey was distributed (via SurveyMonkey) to current obstetric anesthesiology fellows via the SOAP fellowship directory over the period of one month with weekly reminders. Descriptive statistics were used to categorize survey responses.
Results: The survey was administered to 84 fellows, of which 28 participants responded (33.3%). Only 28.57% of respondents had any prior leadership training. Of the 8 leadership competencies surveyed, only two competencies, Managerial Skills and Systems Based Practice, demonstrated greater than 50% prevalence of any form of training with the majority of training being in an informal setting
Discussion: With the rapidly changing landscape of medicine, it is vitally important for physicians to be positioned to take key leadership roles to guide change. Our data indicate that the majority of respondents were not receiving leadership training, either formal or informal, during their fellowship. However the majority of respondents (64.29%) reported that they did feel prepared to take on a leadership role in their future career. Future efforts may be needed to create a formal leadership curriculum to target the skills obstetric fellows may require for their future careers.
1. Blumenthal DM. Acad Med. 2012;87(4):513-522.