Richard Jefferies, Ibrahim H.N. Sheriff, Jacob H. Matthews, Olivia Jagger, Sarah Curtis, Peter Lees, Peter C. Spurgeon, Alex Oldman, Ali Habib, Azam Saied, Jessica Court, Marilena Giannoudi, Meelad Sayma, Nicholas Ward, Nick Cork, Olamide Olatokun, Oliver Devine, Paul O'Connell, Phoebe Carr, Rafail Angelos Kotronias, Rebecca Gardiner, Rory T Buckle, Ross J Thomson, Sarah Williams, Simon J. Nicholson, Usman Goga and Daniel Mark Fountain
Although medical leadership and management (MLM) is increasingly being recognised as important to improving healthcare outcomes, little is understood about current…
Although medical leadership and management (MLM) is increasingly being recognised as important to improving healthcare outcomes, little is understood about current training of medical students in MLM skills and behaviours in the UK. The paper aims to discuss these issues.
This qualitative study used validated structured interviews with expert faculty members from medical schools across the UK to ascertain MLM framework integration, teaching methods employed, evaluation methods and barriers to improvement.
Data were collected from 25 of the 33 UK medical schools (76 per cent response rate), with 23/25 reporting that MLM content is included in their curriculum. More medical schools assessed MLM competencies on admission than at any other time of the curriculum. Only 12 schools had evaluated MLM teaching at the time of data collection. The majority of medical schools reported barriers, including overfilled curricula and reluctance of staff to teach. Whilst 88 per cent of schools planned to increase MLM content over the next two years, there was a lack of consensus on proposed teaching content and methods.
There is widespread inclusion of MLM in UK medical schools’ curricula, despite the existence of barriers. This study identified substantial heterogeneity in MLM teaching and assessment methods which does not meet students’ desired modes of delivery. Examples of national undergraduate MLM teaching exist worldwide, and lessons can be taken from these.
This is the first national evaluation of MLM in undergraduate medical school curricula in the UK, highlighting continuing challenges with executing MLM content despite numerous frameworks and international examples of successful execution.
Jacob Matthews, chief strategy officer for Career Central Corp. (CEC), was faced with the challenge of growing the client base for CEC's database of job seekers. While CEC had gained traction in signing up potential recruits, the number of employers using the site was still low, and if the trend continued, the recruits might soon start leaving the site. To grow dramatically, Matthews was exploring the possibility of partnering with executive recruiters, search firms, and other online search firms. But how could he structure such partnerships without compromising the confidentiality of his candidates? How could he minimize the risk involved in trusting a third party with the company's valuable database of employees? What was the value proposition that CEC offered its clients who currently used its competitors both online and offline? Refining the marketing message, structuring strategic partnerships, and consistently delivering on its promise were the issues that CEC had to address to grow its business.
Representatives of five prominent library integrated system vendors—M.E.L. Jacob (OCLC), Joe Matthews (Inlex), Mike Monahan (Geac), Gene Robinson (CLSI), and Steve Salmon (Carlyle)—express their views on ethics and the marketplace. The need for ethical behavior by all sectors of the marketplace—librarians, consultants, and vendors—is emphasized and illustrated. Four sidebars are included: one addresses the need for customer data rights standards; others contain the code of ethics/practice issued by three professional organizations for consultants.