May/June 2021 Common Sense

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What Does Leadership Look Like? (Part 2)

AAEM NEWS PRESIDENT’S MESSAGE

Lisa A. Moreno, MD MS MSCR FAAEM FIFEM – President, AAEM

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elcome to Part 2 of “What Does Leadership Look Like?” Part 1 (Common Sense 28:2, March/April issue) covered the first five of the qualities of a good leader that emerged from the discussions taking place during Leadership Academy. Today, we look at the other five. 1. Great leaders learn from great leaders. 2. Great leaders surround themselves with brilliant, trusted experts. Trust means not just that they know their stuff, but that they will tell you the truth and guide you with love and wisdom to do what is best for the organization. 3. Great leaders listen to all voices. 4. Great leaders think about their legacy. 5. Great leaders recognize the responsibility to create other great leaders. 6. Great leaders make decisions, knowing that they will make enemies. 7. Great leaders know it’s about the organization first. 8. Great leaders do not engage in personal attacks. 9. Great leaders accept the ultimate responsibility for everything that happens in the organization. 10. Great leaders give responsibility for success to those around them.

 Great leaders make decisions, knowing that they will make enemies.

During a discussion, a few nights ago with Dr. Juan Nieto, Dr. Nieto commented to me that great leaders emerge in times of crisis. This reminded me of Dr. Amal Mattu’s talk, in which he told us that none of the U.S. presidents who held office during times when no war, no depression, no crisis existed have become renowned. Leadership emerges out of the need to make tough decisions. And tough decisions can make or break a leader. The famous physician, Maimonides, once said, “The risk of a wrong decision is preferable to the terror of indecision.” Yet how many people flounder in the waters of indecision, paralyzed by the need to “look good,” to not make a mistake, to please those around them. Madame C. J. Walker opened her factory to celebrate the beauty of the Black woman and to provide jobs for Black females at a salary that was four times that which they were earning as laundresses and domestic servants. Booker T. Washington told her she got it wrong; that the Black man needed to be lifted first. W. E. B. DuBois called her work magnificent. Did she make the right decision? Did Robert the Bruce make the right decision? King Edward thought not. Did President Abraham Lincoln make the right decision? Jefferson Davis thought not. Warriors coach Steve Kerr said in an interview with Sports Illustrated a few years ago that a leader needs to be prepared to be criticized. He explained that a coach needs to know each player

and what they need, what the team needs, what the owners expect, what the Association’s rules are, how the crew chief is likely to call a play, what the opposing team is likely to do, and what their coach is thinking. So, he said, you’re going to be criticized. With all those moving parts, someone is bound to call you wrong, to say you should have done better or different. “But they don’t see what we see; they’re not out there.” So you make the best decision you can, knowing what you know. You stand behind your decision, take the criticism, and keep it moving. As President Lincoln said, “You can’t please all of the people all of the time,” and if that’s what you’re trying to do, you’ll end up pleasing no one and being a mediocre leader.

 Great leaders know it’s about the organization first.

I mentioned in my last column that three generations after we leave this life, no one will remember our names, but we can leave a legacy that will endure. Even when names are remembered, in the cases where professorships and chairs, buildings and wings of buildings, endowed foundations, and awards are named after people, we don’t usually know who those people were. What endures are the principals they embodied, the causes they supported, the good work that they did. Very few people know the name of Nellie Bly, but everyone has benefitted from the work that Bly did to catalyze the reform of psychiatric hospitals.1 Wise leaders like Bly’s editor, Joseph Pulitzer, who himself is the namesake of one of those eponymous awards, know that creating an

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 The leader must weigh what is good for the indi-

vidual member (or a small group of members) against what is good for the organization and strike that elegant balance between the two.” COMMON SENSE MAY/JUNE 2021

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Articles inside

Resident Journal Review: Advances in the Use of Coronary Computed Tomographic Angiography in the Evaluation of Coronary Artery Disease in the Emergency Department

16min
pages 74-77

AAEM/RSA Editor: The “Privilege” of Working in the COVID ICU

3min
page 73

What Keeps Me Up at Night

6min
pages 71-72

AAEM/RSA President: Passing the Baton: The Next Generation of AAEM/RSA

2min
pages 67-70

Critical Care Medicine: Vents, Cardiac Events, and Aerosolized Contaminants: Performing CPR on Vented COVID-19 Patients

5min
pages 53-54

Wellness: Bringing Wellness to Your Organization: Highlights from the AAEM Leadership Academy 2021

8min
pages 50-52

Operations Management: Ops Series: Lean Six Sigma

5min
pages 48-49

International: A Lot to Learn from Our Colleagues from AAEM

3min
page 47

AAEM Chapter Division Updates: California Chapter Division Update: CAL/AAEM Golden State Symposium

2min
pages 64-66

Diversity, Equity, and Inclusion: Next Generation Leadership: A Conversation About Equity and Inclusion

9min
pages 45-46

Women in EM: Why I Decided to participate in a COVID-19 Vaccine Trial – A Reminder that Diversity in Medicine Cannot be an After-Thought

9min
pages 57-58

Young Physicians: Learning to Communicate in a Pandemic

2min
pages 59-60

Social EM & Population Health: Social EM Spotlight: Dr. Kraftin Schreyer – An Emergency Department Based Hepatitis A Vaccination Program: A Merge of Social Emergency Medicine and Emergency Medicine Operations

6min
pages 43-44

Palliative Care: A View from the Middle of My Mid-Career Fellowship

3min
page 42

Palliative Care: Hospital Associated Disability: Is Hospital Admission Really the Safest Disposition for Our Elderly Patients?

3min
page 41

Speaker Development Group

13min
pages 38-40

27th Annual Scientific Assembly (AAEM21) Feature

8min
pages 31-37

Traumatic Urinary Catheter Insertion: A Case Presentation

2min
page 30

Just Another Overnight

8min
pages 28-29

Careerealism: It’s Not Your Imagination: No Jobs Anywhere

5min
pages 26-27

2021 AAEM Board of Directors Election Candidate Statements

20min
pages 15-24

From the Editor’s Desk: Diversity of Priorities and Talents

7min
pages 6-7

President’s Message: What Does Leadership Look Like? (Part 2

13min
pages 3-5

Legislators in the News: HB 2622: An Interview with Amish M. Shah, MD MPH FAAEM

10min
pages 9-12

Letter to the Editor: COVID Reimagined

1min
page 8
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