In our primary healthcare leadership fellowship that's been running for 2 years now, we've only used self-assessment by fellows as a measure of impact till now.
While self-assessment is the easiest to perform and also gives a good sense of subjective measures like confidence and readiness, bringing objectivity to the measurement of impact is important for academic rigor.
The subject of measurement here is leadership. How do we objectively measure leadership and/or growth in leadership?
For that, it becomes necessary to define leadership in some way. Fortunately, there's an article that RK keeps showing everyone which details 6 roles of a family physician.
The roles are
- Care provider
- Consultant
- Capacity builder
- Clinical trainer
- Clinical governance leader
- Champion of community orientated primary care
We can define primary healthcare leadership as excellence in all these roles. It is easier to develop objective measures for some of these at least.
Here are some examples:
Capacity builder - How many practitioners are being or have been mentored/supported by the practitioner?
Clinical trainer - How many workplace trainings have the practitioner conducted in the past 3 months?
Champion of community orientated services - Has the practitioner worked with the community to develop/promote any community based service?
It is important to evaluate these at the baseline, incorporate growth in these dimensions as an expectation during the onboarding process, and re-evaluate these at the end of the fellowship to get an objective metric of leadership growth.
