Category: Initiatives

In the final year of my previous degree, my graduating report for the subject of Information Systems and Organisational Development was titled “Gods and Monsters”. Inspired by the body of work (1984-1991) of INSEAD’s Clinical Professor Manfred Kets de Vries’ in leadership development and organisational design, the essay looked at how the personality and the idiosyncrasies of those at the top (the organisations’ leaders) shape the behaviour, culture, processes, and ultimately the outcomes, of the organisation and its people.

When decisions and leadership are called for I find that a course of action usually comes to mind. However it has taken me my whole life to try to work out an answer to the question: what should I then do next? If I act, or make a suggestion, the outcome may be good. However a corollary may be that other people will not feel that they have had their views accepted or their desires met. Others, who might be less self confident or less assertive, may not have a chance to advance their views. Valuable ideas may be lost.

In an environment that continually demands more from doctors, it is even more important to practise good medicine and to still be a friend, daughter, son, wife, husband, mother, or father. Maintaining a balance between responsibilities at work and at home is important in continuing our personal health, growth and development.

We are all over-achievers.  No-one is in medicine because they couldn’t really be bothered or weren’t a little bit consumed by being the best.  And more than likely we continue to be a bit consumed by being the best at several things.  So it is natural that there will be many facets of our lives that we want to do well in and are competing for our attention.  We cannot stop ourselves from having busy lives.  If we make the decision to work part time it will inevitably be so that we can fill that time with sporting commitments, artistic pursuits, hobbies, research projects or motherhood.  When we retire we will find countless ways to fill our days with new hobbies, skills we never learned and always wanted to, volunteer positions, social and family commitments.  It is not in our nature to sit back and watch others – as soon as we have free time we are excited by the prospect of being able to fill it with a new activity.  What we can do is learn to manage our time so that we can be relaxed enough to enjoy all of the commitments we have.

This year, as I entered my first year of the clinical part of my medical degree, I was excited about the opportunities and experiences that awaited me. Along with this excitement, though, came apprehension about how I would be able to make the most out of clinical placement and getting the best learning experiences possible. I knew that this would need active effort on my part, seeking out the best opportunities, experiences and answers.

Throughout my time as a medical student, there have been many incidences where I was put in a position of leadership willingly or unwittingly. Whether it be through student clubs and societies, volunteer projects or in a tutorial group situation. These valuable experiences allowed me to observe different styles of organisational hierarchy and opened my eyes to a variety of methods of managing a team. Though I didn’t know the theory at the time and wish that I did, I have later learnt about the Situational Leadership “theory”. Or as how the inventor of the theory – Paul Hersey would describe it – the Situational Leadership “model”, as it is something that “you can take out and replicate, something practical and applicable and use in a variety of different settings”

Junior doctors in Australia are experiencing high levels of stress affecting their physical and mental health and ultimately placing patients at much greater risk than previously (Bruce, Thomas & Yates 2003). Sources of stress for junior doctors involve interplay of external pressures in the workplace and personal coping mechanisms. Managing stress among junior doctors involve a combination of support systems in the workplace and appropriate training of young doctors.

Leadership is an evolving social construct. The term has been used interchangeably with control in the past, but, in our society, it has come to have a greater significance if it comes in the form of guidance and management. Ancient history remembers great individuals who, apparently single handed, commanded armies, countries or even empires in the direction that the leader determined. Modern society has changed and developed in structure to the point that no longer is any individual seen to be singularly responsible for decisions, regardless of what they may be heading.