PDF(Pubmed)
Abstract：
BACKGROUND: Team leadership skills of physicians working in high-performing medical teams are directly related to outcome. It is currently unclear how these skills can best be developed. Therefore, in this multi-national cross-sectional prospective study, we explored the development of these skills in relation to physician-, organization- and training characteristics of Helicopter Emergency Medicine Service (HEMS) physicians from services in Europe, the United States of America and Australia.
METHODS: Physicians were asked to complete a survey regarding their HEMS service, training, and background as well as a full Leader Behavior Description Questionnaire (LBDQ). Primary outcomes were the 12 leadership subdomain scores as described in the LBDQ. Secondary outcome measures were the association of LBDQ subdomain scores with specific physician-, organization- or training characteristics and self-reported ways to improve leadership skills in HEMS physicians.
RESULTS: In total, 120 HEMS physicians completed the questionnaire. Overall, leadership LBDQ subdomain scores were high (10 out of 12 subdomains exceeded 70% of the maximum score). Whereas physician characteristics such as experience or base-specialty were unrelated to leadership qualities, both organization- and training characteristics were important determinants of leadership skill development. Attention to leadership skills during service induction, ongoing leadership training, having standards in place to ensure (regular) scenario training and holding structured mission debriefs each correlated with multiple LBDQ subdomain scores.
CONCLUSIONS: Ongoing training of leadership skills should be stimulated and facilitated by organizations as it contributes to higher levels of proficiency, which may translate into a positive effect on patient outcomes.
BACKGROUND: Not applicable.
METHODS: Physicians were asked to complete a survey regarding their HEMS service, training, and background as well as a full Leader Behavior Description Questionnaire (LBDQ). Primary outcomes were the 12 leadership subdomain scores as described in the LBDQ. Secondary outcome measures were the association of LBDQ subdomain scores with specific physician-, organization- or training characteristics and self-reported ways to improve leadership skills in HEMS physicians.
RESULTS: In total, 120 HEMS physicians completed the questionnaire. Overall, leadership LBDQ subdomain scores were high (10 out of 12 subdomains exceeded 70% of the maximum score). Whereas physician characteristics such as experience or base-specialty were unrelated to leadership qualities, both organization- and training characteristics were important determinants of leadership skill development. Attention to leadership skills during service induction, ongoing leadership training, having standards in place to ensure (regular) scenario training and holding structured mission debriefs each correlated with multiple LBDQ subdomain scores.
CONCLUSIONS: Ongoing training of leadership skills should be stimulated and facilitated by organizations as it contributes to higher levels of proficiency, which may translate into a positive effect on patient outcomes.
BACKGROUND: Not applicable.
摘要：
背景：在高绩效医疗团队中工作的医生的团队领导技能与结果直接相关。目前尚不清楚如何最好地开发这些技能。因此,在这项跨国横断面前瞻性研究中，我们探索了这些技能的发展与物理学家的关系-，来自欧洲服务的直升机急诊医学服务（HEMS）医生的组织和培训特征，美国和澳大利亚。
方法：要求医生完成一项关于HEMS服务的调查，培训,和背景以及完整的领导者行为描述问卷(LBDQ)。主要结果是LBDQ中描述的12个领导子域得分。次要结果指标是LBDQ子域评分与特定医师的关联-，组织或培训特点和自我报告的方法，以提高HEMS医师的领导技能。
结果：总计，120名HEMS医生完成了问卷。总的来说,领导力LBDQ子领域得分较高(12个子领域中有10个超过了最高得分的70%).而医生的特征，如经验或基础专业与领导素质无关，组织和培训特征都是领导技能发展的重要决定因素。在服务入职期间注意领导技能，正在进行的领导力培训，制定标准以确保（定期）情景培训，并进行与多个LBDQ子域分数相关的结构化任务汇报。
结论：组织应鼓励和促进领导技能的持续培训，因为这有助于提高熟练程度，这可能会转化为对患者预后的积极影响。
背景：不适用。
方法：要求医生完成一项关于HEMS服务的调查，培训,和背景以及完整的领导者行为描述问卷(LBDQ)。主要结果是LBDQ中描述的12个领导子域得分。次要结果指标是LBDQ子域评分与特定医师的关联-，组织或培训特点和自我报告的方法，以提高HEMS医师的领导技能。
结果：总计，120名HEMS医生完成了问卷。总的来说,领导力LBDQ子领域得分较高(12个子领域中有10个超过了最高得分的70%).而医生的特征，如经验或基础专业与领导素质无关，组织和培训特征都是领导技能发展的重要决定因素。在服务入职期间注意领导技能，正在进行的领导力培训，制定标准以确保（定期）情景培训，并进行与多个LBDQ子域分数相关的结构化任务汇报。
结论：组织应鼓励和促进领导技能的持续培训，因为这有助于提高熟练程度，这可能会转化为对患者预后的积极影响。
背景：不适用。
