Incoming Faculty Orientation - Deans Welcome

Transcript

• 00:02Well, good morning.
• 00:03It's really good to see you.
• 00:05And this is one of the more important
• 00:08days that we have in the year.
• 00:10Some of you have been here already,
• 00:13as Linda said,
• 00:14and you're just changing roles.
• 00:16But we hope that you're going to
• 00:19still learn something new about the
• 00:21institution that you hadn't thought about.
• 00:23And of course, as a School of Medicine,
• 00:25we're privileged to have many missions,
• 00:28education,
• 00:29research and our clinical mission.
• 00:32And one of the things that we did
• 00:35during COVID and it turned out that
• 00:37Zoom was an excellent media for focus
• 00:40groups was revise our mission statement.
• 00:43And I think this captures
• 00:45a lot about who we are.
• 00:47We educate and nurture creative
• 00:49leaders in medicine and science,
• 00:50promoting curiosity and critical
• 00:53inquiry in an inclusive
• 00:55environment enriched by diversity.
• 00:57Those of you who have been here for
• 00:59a while know that our educational
• 01:01philosophy is summed up in
• 01:04the words the Yale system.
• 01:06It's been around for a long time,
• 01:07but we, before it was fashionable,
• 01:10did not have grades or class rank,
• 01:12and really treat our students as mature
• 01:15individuals who are responsible for our own,
• 01:18for their own and our own learning.
• 01:21And the consequence for our faculty is that
• 01:26you get to work with incredible students,
• 01:28but they will be reaching out to
• 01:30you for mentorship and engagement
• 01:32in what you're doing.
• 01:34And that's what makes this
• 01:36place a rich place.
• 01:37And those words enriched by
• 01:38diversity were not in our mission.
• 01:41There was nothing about diversity
• 01:43in our mission state previously.
• 01:45There's been a lot of conversation
• 01:47about this following the the SCOTUS
• 01:49decision this this past summer.
• 01:52I will say that our entering class
• 01:54this year is the most diverse
• 01:56class we've ever had and is also
• 01:58the most excellent class by all.
• 02:00You know MCAT grade point,
• 02:02whatever scores you choose to look
• 02:06at and we remain committed to that
• 02:09ideal of inclusive excellence.
• 02:11We advance discovery and innovation
• 02:13fostered by partnerships across
• 02:15the university,
• 02:16our local community and the world.
• 02:19We are not a silo.
• 02:22Here we sit in a community of both
• 02:24a larger university partnered with a
• 02:26health system and in a city of New Haven,
• 02:30which is a an amazing city.
• 02:34It's a scrappy city.
• 02:36It's been through a lot over the years
• 02:39and is one of the most welcoming cities.
• 02:43I I came here from the South thinking
• 02:45that you know this was going to be
• 02:46a tough place to return to and I
• 02:48was just amazed by how welcoming
• 02:51this this town is.
• 02:52And so we we learn even in our
• 02:56research from all those around us.
• 02:59And then lastly caring for our patients
• 03:02with compassion and committing to the
• 03:03improving the health of all people.
• 03:05It's not just the physician patient
• 03:07relationship or the clinician
• 03:09patient relationship,
• 03:10but it's our obligation to
• 03:12improve health across our city,
• 03:16state and and really the world.
• 03:20I would say that over the last 3 1/2 years,
• 03:24there have been some crosscutting themes
• 03:26to the work that we're doing together.
• 03:28One is about this creating an environment
• 03:32of inclusive excellence where everyone
• 03:34in our school can thrive and to which
• 03:36we continue to recruit the best talent.
• 03:38That's why you're here,
• 03:39this piece of investment.
• 03:41I'll highlight some of the
• 03:43things for you as faculty.
• 03:45You know, it's it's important that
• 03:48each of you has a mentor regardless
• 03:50of what you're doing and frankly,
• 03:52regardless of how senior you are.
• 03:54One of our emphases has been on
• 03:57mentorship and sponsorship and we
• 03:58created up a process called the Faculty
• 04:01Development Annual Questionnaire.
• 04:03That is not That is intended primarily
• 04:06to be a forcing function for you with
• 04:09your chair or your section chief,
• 04:12to pose questions that make you reflect
• 04:14every year about where you're going,
• 04:16what your aspirations are,
• 04:17and to give you the opportunity to
• 04:20share that with your leaders so that
• 04:22when they're thinking about who to
• 04:24nominate for something or what you need,
• 04:26you will come to mind and you will
• 04:29have those rich conversations.
• 04:31If you're a physician scientist,
• 04:33it includes the creation of the Janeway
• 04:35Society for for those of you who
• 04:37are in the career development stage,
• 04:39that also creates a network of
• 04:42peers across departments and serves
• 04:44to break down silos.
• 04:46If you're a clinician, educator,
• 04:49scholar, and academic clinician,
• 04:51the workshops on you know how to find
• 04:55mentorship in the clinical arena,
• 04:57how to develop your educational talents,
• 05:00how to prepare your for promotion,
• 05:03and those kinds of things.
• 05:04Please,
• 05:05please sample those things
• 05:07and take advantage of them.
• 05:09So related to breaking down silos,
• 05:12you know we have incredible excellence
• 05:15here and if it sits in silos whether
• 05:18that be in basic science departments and
• 05:21clinical departments and the clinical arena,
• 05:24we will under achieve.
• 05:25We have to get everybody in the
• 05:28room because when you do that,
• 05:30there's a an energy and a new
• 05:33way of seeing problems.
• 05:34And so a lot of the work that
• 05:36we're doing is about gathering
• 05:38groups together in new ways,
• 05:40promoting multidisciplinary grants,
• 05:41the Office of Team Science.
• 05:44So again,
• 05:46please sample those things,
• 05:49building and stewarding resources necessary
• 05:52for you to to make the discoveries
• 05:56and and observe what you're what
• 05:59translate observations into discovery.
• 06:02So that includes everything from
• 06:05beefing up our core so that
• 06:07they're more user friendly.
• 06:08A lot of work going on right now
• 06:10in the Yale Center for Clinical
• 06:12Investigation to make sure that
• 06:14you have access to the resources.
• 06:16I'll talk about alignment but
• 06:18the notion that every patient we
• 06:21see in the clinic or the hospital
• 06:23really should be participating in
• 06:25research and education and how do
• 06:28we make that that possible.
• 06:29So building resources there.
• 06:32And then lastly alignment that
• 06:35is realizing the full potential
• 06:38of our relationship with you on
• 06:40the Haven health system.
• 06:41And we've had a 200 year relationship
• 06:43I I would like in it sometimes
• 06:46in the past to a sibling
• 06:47rivalry you know or parallel play where
• 06:50we're not always haven't always been
• 06:52talking to each other and we're in
• 06:54a period of time I think coming out
• 06:56of COVID when we really had to work
• 06:59together and we discovered what that
• 07:01looks like and we are making significant
• 07:04changes that I think you will benefit
• 07:06from over the next several years.
• 07:08So one of the things that we're doing
• 07:11is a an aligned strategic plan.
• 07:14So we have, we've done strategic
• 07:16planning university wide for research,
• 07:18we've done it for education for diversity.
• 07:20We've never sat with the hospital
• 07:22and said how do we work together
• 07:24and that's ongoing right now.
• 07:26And these five pillars of that
• 07:28strategic plan came from and exercise
• 07:31where leaders across the school and
• 07:32the health system were asked to say
• 07:35you know what differentiates us,
• 07:36what's the most important thing
• 07:38for us to continue to develop.
• 07:40And I'm always happy to point
• 07:42out that at the two ends of these
• 07:45pillars leading edge clinical and
• 07:48translational research and continuous
• 07:50learning and innovation are there.
• 07:52And so this is not just a strategic
• 07:55plan about how we provide better
• 07:57clinical care and how we what,
• 08:01what service lines we grow
• 08:03in those kinds of things.
• 08:05But it's the essence of being an
• 08:08academic health system and why you're
• 08:10here and not at HCA, the others.
• 08:13The second thing that we've done
• 08:15as part of alignment is create
• 08:18this aligned physician enterprise.
• 08:20So again,
• 08:22for those of you who've been here
• 08:23a long time,
• 08:24you know that Yale Medicine has
• 08:25been is our faculty practice plan,
• 08:27the employed faculty.
• 08:29And then there's Northeast Medical Group,
• 08:31which are who are wonderful physicians,
• 08:34often are alumni.
• 08:36You are employed by the health
• 08:38system and we didn't,
• 08:41we didn't interact and that meant
• 08:44that sometimes we were even competing
• 08:46for bringing new, you know,
• 08:48should this faculty member be a
• 08:50faculty member or be a member of any
• 08:53MG we had parallel access systems,
• 08:55billing systems, you name it.
• 08:58So very inefficient and really
• 09:01frustrating to our patients.
• 09:03So this is now structured where
• 09:05we haven't changed the employment
• 09:07agreements or anything about where the,
• 09:10where the physicians sit,
• 09:11but it all rolls up to a chief
• 09:14physician executive who is Peggy McGovern,
• 09:16our CEO of Yale Medicine.
• 09:19And Peggy is not able to be here
• 09:21this morning,
• 09:22but you'll hear from her right hand leader,
• 09:27Bob our Coker Senior Vice President
• 09:29there right now is Richard Goldstein
• 09:31who has led an EMG in the past.
• 09:33So this is a work in progress.
• 09:35It just started in January,
• 09:37but this is from Peggy.
• 09:39The aspirations as to what we can
• 09:41do with this structure.
• 09:43So obviously you can provide better
• 09:45quality care to your patients
• 09:47if you're talking to each other.
• 09:50You can start to get into things
• 09:52like standing up
• 09:55SINS integrated networks so that
• 09:58you can provide better value care.
• 10:02We have tremendous opportunities
• 10:04in IT and digital health.
• 10:07We have an aligned electronic
• 10:11health record and Lee Schwam who
• 10:13may be here this morning is now
• 10:16leading our digital health efforts.
• 10:18I mentioned just the simple
• 10:20things of you know,
• 10:22aligning compliance and finance and
• 10:23things that may seem a little bit boring,
• 10:26but that really improve your life because
• 10:28they also will eliminate some of the
• 10:30duplicate work that you have to do.
• 10:33So those are a few things and it
• 10:35will take time and I hope that
• 10:37you will be engaged in that work
• 10:39with Peggy and and bobber.
• 10:42So I'll end with two slides.
• 10:46Underlying everything that
• 10:48we do are our values.
• 10:52And if you hear nothing else from me,
• 10:55I hope it's that you understand that
• 10:57we are a valuedriven institution.
• 11:01These,
• 11:02this particular wheel came from a
• 11:05group of leaders who gathered together
• 11:07actually shortly before I arrived.
• 11:10But I think it speaks to what we're about.
• 11:14So, you know,
• 11:15I don't know that we need to say
• 11:17that we should have integrity,
• 11:19but reflection and communication is,
• 11:23is really hard.
• 11:24I can tell you and I'll apologize
• 11:26ahead of time,
• 11:27I will under communicate about
• 11:30something that we're doing because
• 11:32it's just impossible to reach
• 11:34everybody in every possible way.
• 11:36Communication takes many forms and
• 11:38it's not just outward communication,
• 11:40it's inward listening and that's
• 11:43the reflection piece.
• 11:44And I think that's particularly
• 11:46important while we're in a fairly
• 11:48stormy time in this country with
• 11:51a lot of polarization that we
• 11:53sit and listen to each other and
• 11:56and hear the nuances, discovery,
• 12:00innovation and scholarship.
• 12:02Again,
• 12:02that's why we're all here building
• 12:06and engaged and productive community.
• 12:08I think we've spoken to that generativity
• 12:10is this notion of giving back, right.
• 12:13You will.
• 12:13You will have had mentors and sponsors,
• 12:16and you will be the you will have the
• 12:18opportunity to be mentors and sponsors.
• 12:20So when that student calls you up
• 12:23and you're snowed with work and you
• 12:25just can't take another thing on,
• 12:28take a deep breath.
• 12:29And if you can't take on that student,
• 12:31at least spend a moment with them
• 12:33and at that time to think with them
• 12:35about who the right fit would be
• 12:37and and and how you can help them.
• 12:39And then diversity and inclusion
• 12:41again because when we have
• 12:43different viewpoints in the room,
• 12:44we we emerge with a with a better construct.
• 12:49So this is my own personal thing
• 12:51that I shared with the leaders.
• 12:52I think in the first week that
• 12:54I was here it's it's my rules
• 12:56of engagement for the leaders.
• 12:58But it will there may be some clues in
• 13:01here that you might want to take to heart.
• 13:04So set the bar high.
• 13:07There is not a conflict between
• 13:10kindness and excellence, Okay.
• 13:12So set that bar high.
• 13:15This is probably the hardest one for people,
• 13:18which is share problems.
• 13:20You should feel comfortable
• 13:21bringing problems,
• 13:22but I would encourage you to think
• 13:24through the solutions first a little bit.
• 13:27So when you come to somebody,
• 13:29you come to your chair and you say,
• 13:31this really sucks, don't stop there,
• 13:35say, and I have a couple of ideas
• 13:37about how we might fix it right,
• 13:39And that makes a huge difference to people
• 13:42adhering to the doctrine of no surprises.
• 13:45I think you know something will happen.
• 13:47They'll be an adverse event.
• 13:52Something will happen in your lab.
• 13:54And I think sometimes in those
• 13:57moments we we feel shame.
• 13:59And I would like this to be an
• 14:01environment where we don't feel shame,
• 14:02where we feel like we can go to somebody
• 14:05we trust and say this happened,
• 14:07I need to tell you about it,
• 14:08But that's important for a lot of reasons.
• 14:10You know, it's often not the first
• 14:12event that happens but how we
• 14:13respond to it that matters most.
• 14:15And so sharing things don't
• 14:18try to do this alone.
• 14:20I think anyone who is a brand new
• 14:23attending has the sense that everything
• 14:25stops with them and and it's that's
• 14:29a pretty lonely way to view it.
• 14:31You'll learn pretty quickly that the
• 14:33people in this room who have Gray hair know,
• 14:35have learned the hard way that
• 14:37you have to consult others.
• 14:41This is about emails
• 14:47and I can't tell you how often
• 14:49I now get an e-mail that says
• 14:51I'm sorry for the long e-mail,
• 14:52but 10 paragraphs later there's so much
• 14:58opportunity for things to get lost.
• 14:59And man, you know, particularly when
• 15:01people are reading this stuff on their
• 15:03on their cell phone and just having the
• 15:05conversation can be really, really useful.
• 15:08So think about that.
• 15:10Avoid triangles and end runs, you know,
• 15:12So you were section chief didn't
• 15:14give you the answer that you wanted.
• 15:15So you go to the chair and the chair
• 15:17didn't give you the answer that you wanted,
• 15:18so you go to the Dean's office.
• 15:22That's a great way to to
• 15:26annoy a lot of people and lose trust.
• 15:29And so I think you know
• 15:31if if you're not getting,
• 15:33if you believe somebody's wrong,
• 15:36then getting people together in a room
• 15:39together so that you're everybody's hearing
• 15:42the same conversation can be useful.
• 15:45I think we have to view debate as healthy.
• 15:47I also think we have to be very honest
• 15:49in looking at our performance, you know,
• 15:52whether it's how we're doing clinically
• 15:54or how we're doing in you know,
• 15:56educational metrics or whatever it is,
• 15:59again without shame.
• 16:00And then we have to have
• 16:02difficult conversations.
• 16:04So some of you may serve on the faculty
• 16:07advisory committee which is truly
• 16:09a very important group in terms of
• 16:12anything that we any new policy that
• 16:14we look at in the executive group which
• 16:16is the deputy Deans and the chairs we
• 16:19take to faculty advisory committee to
• 16:21say here's what we're thinking about
• 16:22what are your what are your thoughts.
• 16:24We just did that with one on Monday.
• 16:27And and it's important to be very
• 16:30honest and have that open debate.
• 16:32At the end of the day,
• 16:33we have to come to a decision about
• 16:34how we're going to go forward and not
• 16:36everyone will agree with that decision.
• 16:38And at that point we all have to say okay,
• 16:40we've had the discussion and
• 16:41we're going to go forward.
• 16:42And then my last one is,
• 16:46you know, please,
• 16:48it's a good way to remain
• 16:50retain your perspective,
• 16:51which is just don't forget to laugh
• 16:53every once in a while because this
• 16:55sometimes things can be pretty absurd.
• 16:57So that is what I have and I don't
• 17:02know if you want to do go straight
• 17:04to Baba or any quick questions
• 17:13okay, great.