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Rural Physician Leadership Curriculum

Rural Physician Leadership Curriculum. West Virginia University Rural Family Medicine Residency Program. Rural Physician Leadership Curriculum. Module 8 Physician Advocacy. Rural Physician Leadership Curriculum. Description. Funded by HRSA Grant D22HP00306 Objective 1

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Rural Physician Leadership Curriculum

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  1. Rural Physician Leadership Curriculum West Virginia University Rural Family Medicine Residency Program

  2. Rural Physician Leadership Curriculum Module 8 Physician Advocacy

  3. Rural Physician Leadership Curriculum Description • Funded by HRSA Grant D22HP00306 • Objective 1 • Develop a competency based longitudinal curriculum in Rural Physician Leadership Konrad C. Nau, MD Principle Investigator Chair, Dept of Family Medicine-Eastern Division WVU Rural Family Medicine Residency Program

  4. Rural Physician Leadership Curriculum Learning Objectives : Module 8 • Understand the principles of influence and advocacy • Review the legislative process • Understand how to communicate effectively with legislators • Review the types of ineffective communications with legislators WVU Rural Family Medicine Residency Program

  5. Influence • Influence Activities all • Involve an individual • Engaged in some behavior • Designed to effect the behavior • Of another individual • Ultimately, your behavior forms the perception others make of you WVU Rural Family Medicine Residency Program

  6. Influence • What people use to get what they want from others • Knowledge • Experience • Authority • Position/status • Question: Are these behaviors ? WVU Rural Family Medicine Residency Program

  7. Influence & Knowledge • Beware of the Power of a Good Idea • “Right does not make Might” • Scientific Method = Medical World • Political Method = Legislative World

  8. Scientific Method “apply Scientific Method” What is the best choice ? Scientific Truth “Evidence-based decision” WVU Rural Family Medicine Residency Program

  9. Political Method “sample data/opinion poll” What is the best choice ? Perceptions of Options “Perception-based consensus” WVU Rural Family Medicine Residency Program

  10. Influence • What people use to get what they want from others • What we say • How,when, where we say it • Our gestures, timing, tone • Using various modes of communication • Question: Are these behaviors ?

  11. Influence & Language • “Words ,the fragile vessels of our meanings, easily lose their way in the channels of other’s minds” Charles Dwyer, PhD Increasing Your Influence , 2002, Tampa, Florida : ACPE, Interact Physician in Management Seminar.

  12. Influence & Language • Keep it simple : no medical jargon • Package your message in the words of the person you are trying to influence • In their Pet phrases • Insider/key words

  13. Influence & Language • Paraphrase what you want to say • Several times • Several ways • Tell a personal story • Flood kills 1,000 vs flood killed my neighbor • Stimulates the warmth of a personal relationship

  14. Influence & Negative Language • Danger : negativism causes you to limit your behavior repertoire in attempting to influence • Avoid “He doesn’t get it “ • Maybe he does indeed get your message and he doesn’t like it ! • Consider • Accepting responsibility for your influence • Try another behavior technique

  15. Advocacy • “ADVOCATE” - to plead in favor of; urge; support (v) - one who pleads the cause of another (n) - a lawyer practicing before certain courts (n)

  16. Advocacy • “ADVOCATE” Great leaders are historically PROACTIVE Legislative process creates REACTIVE legislators If constituents don’t weight in on a bill , they - don’t care - don’t matter

  17. Civics 101 : A Bill Becomes Law • Bill introduced by a member House of Delegates example: #100 in WV one per district State Senate example: # 34 in WV one per county

  18. Civics 101 : A Bill Becomes Law • Chamber leadership assigns bill to a Committee House of Delegates Speaker of House State Senate Senate President

  19. Civics 101 : A Bill Becomes Law • Committee considers the Bill Discusses,Amends and Passes Bill OR Bill discussed but never reported to chamber members

  20. Civics 101 : A Bill Becomes Law • Bill has three readings to the entire Chamber Discuss,Amend and Pass Bill

  21. Civics 101 : A Bill Becomes Law • Bill sent to the other Chamber……where

  22. Civics 101 : A Bill Becomes Law • The Process is Repeated……

  23. Civics 101 : A Bill Becomes Law • Conference Committee sometimes needed if Bills have differences House Senate

  24. Civics 101 : A Bill Becomes Law • Unified Bill Passes both Chambers and goes to Governor Signs Bill Into Law

  25. Civics 101 : A Bill Becomes Law • If Governor Vetoes Bill – Legislature can…. • Override the Veto and Bill becomes law without Governor’s signature

  26. Leadership : Where ? Doctor Organization Employee Patient Michael S. Woods, MD Applying Personal Leadership Principles to Health Care: The DEPO Principle , 2001, Tampa, Florida : ACPE, page 18.

  27. Advocacy Rules of Effective Organizations • Norman Schwarzkopf Rule • Make your friends your heroes and they will fight for you like heroes • Ronald Regan Rule • Why a good story always beats the facts Joe Gagen Legislative Grassroots Training January 13, 2002 WVSMA Presentation, Charleston, WV

  28. Advocacy Rules of Effective Organizations • Animal Farm Rule • All legislators are equal ; it’s just that some are more equal than others. • Bebe Rebozo Rule • Always make your friends before you need • them Joe Gagen Legislative Grassroots Training January 13, 2002 WVSMA Presentation, Charleston, WV

  29. Advocacy Rules of Effective Organizations • LBJ Rule • When you have them by the b----, their hearts and minds soon follow. • Prince Machiavelli Rule • Don’t burn a bridge that you may need to • cross again. Joe Gagen Adapted from Legislative Grassroots Training January 13, 2002 WVSMA Presentation, Charleston, WV

  30. Advocacy Rules of Effective Organizations • It’s Their Game Rule • Legislators get to choose who they listen to. • They can interrupt you, but you cannot interrupt them. Joe Gagen Adapted from Legislative Grassroots Training January 13, 2002 WVSMA Presentation, Charleston, WV

  31. Advocacy Rules of Effective Organizations • The Long Memory Rule • Legislators often have long memories for rudeness ,arrogance, and ignoring their rules of decorum. • Lack of respect will hurt your cause more than a bad testimony. Joe Gagen Adapted from Legislative Grassroots Training January 13, 2002 WVSMA Presentation, Charleston, WV

  32. Most Effective Methods of Legislative Contact • Face to Face Individual visit • Poll of the District • Face to Face Group Visit • Telephone Call • Personal Letter Dr. Charles U. Larson Professor of Communication Studies Northern Illinois University, 1983

  33. Most Effective Methods of Legislative Contact • Resolution Passed by an Organization • Petition • News Report of Group/Individual Position • Form Letter Dr. Charles U. Larson Professor of Communication Studies Northern Illinois University, 1983

  34. Legislator’s Order of Returning Letters • Campaign volunteers who recruited other volunteers • Donor who recruited other donors • Volunteer • Donor Joe Gagen Adapted from Legislative Grassroots Training January 13, 2002 WVSMA Presentation, Charleston, WV

  35. Advocacy Rules • Note: • All of these tried and true advocacy rules deal with your BEHAVIOR • Not your KNOWLEDGE or IDEAS

  36. Advocacy Avoidance Rules • Avoid forcing legislator to make a “hard vote”. • Avoid surprises. • Avoid making assumptions. • Avoiding “hard votes” is done by legislators use of calenders and committees

  37. West Virginia PhysiciansApply Advocacy Rules • Avoid forcing legislator to make a “hard vote”. • Care Coalition created • Avoided confusing legislators with each health care group offering their own/competing medical liability insurance bills

  38. West Virginia PhysiciansApply Advocacy Rules • Ronald Regan Rule • White Coat Day • Physicians and patients meet with legislators to tell their story of how the medico-legal climate was effecting them

  39. West Virginia PhysiciansApply Advocacy Rules • Prince Machiavelli Rule • State medical association avoided insulting and focusing on legislators unfriendly to physician view of liability reform

  40. West Virginia PhysiciansApply Advocacy Rules • It’s Their Game Rule • State medical association leaders told that tort reform was a multiple year process • First bills won’t get out of committee • First bills voted on by entire chamber won’t have everything physicians want • Legislative leadership would have to change to remove traditional road blocks • Physicians need a broader voice

  41. West Virginia PhysiciansApply Advocacy Rules • Norman Schwarzkopf Rule • WESPAC increased contributions available for nearly every House of Delegate and State Senate race

  42. 2001-2002 Legislature Teacher 26 Trial Lawyer 21 Defense Lawyer 4 Physician 0 2002-2003 Legislature Teacher 24 Trial Lawyer 10 Defense Lawyer 11 Physician 2 West Virginia &Rural Physician Advocacy

  43. Finances & Advocacy 2001-2002 2002-2003 W.Va. Legislature • Teacher 26/24 • Trial Lawyer 21/10 • Defense Lawyer 4/11 • Physician 0/2 PAC Contributions 2002 Election Cycle

  44. Physician Advocacy: SUMMARY • INFLUENCE = What people use to get what they want from others • INFLUENCE = your behavior • What you say • How,when, where you say it • Your gestures, timing, tone • Your use of various modes of communication • ADVOCACY = applying your influence in the political process WVU Rural Family Medicine Residency Program

  45. Physician Advocacy: SUMMARY • Scientific Method • Seeks a central scientific truth • Valid in Medicine • Not usually applicable to Political Processes • Political Method • Seeks perception-based consensus • Scientific right does not make political might • Review Lessons of Civics 101 when physicians must enter advocacy arena WVU Rural Family Medicine Residency Program

  46. Physician Advocacy: SUMMARY • Legislative Advocacy • Has rules of engagement and decorum • Personal communication is the most powerful advocacy tool • Financial contributions are required to gain access for physician issues • Build as broad a base of coalition members as possible for your cause. WVU Rural Family Medicine Residency Program

  47. Physician Advocacy: SUMMARY • Legislative Advocacy • You may feel like a drug rep at times in the process • But • If physicians don’t enter the political process, we surrender the outcomes to the influence of those that do. WVU Rural Family Medicine Residency Program

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