Program for Chiefs of Clinical Services
January 18–30, 2009
Boston, Massachusetts
Apply for 2009
Download the 2008 Brochure
Purpose
Chairs of clinical departments traditionally have faced complex responsibilities because of their multiple tasks – patient care, teaching, research, and administration. In recent decades, this complexity has increased as many departments have expanded.
As a result of the effects of environmental and financial pressures and resource constraints, many chiefs are being asked by their institutions to become more extensively involved in institutional decision-making with regard to programs, staffing, operating and capital budgets, and other issues. These responsibilities are in addition to their traditional concerns within their own departments. At the same time, chiefs have to consider to a greater degree the relationship between institutional priorities, departmental decisions, and collaboration with other services. These new tasks call for new leadership and managerial skills.
The Program for Chiefs of Clinical Services brings together chiefs of major clinical departments in teaching hospitals and health systems and an experienced interdisciplinary faculty for two weeks of intensive and systematic study of some of the critical leadership and management issues facing chiefs, their departments, and teaching hospitals.
Objectives
The Program’s overall objective is to enhance and develop participants’ leadership abilities and effectiveness. This is accomplished by providing: broader understanding of their responsibilities as leaders; perspective on some of the critical leadership and management issues they face; and understanding and awareness of concepts and techniques relevant to management.
Participants
The Program is designed for chairs of major clinical departments in teaching hospitals, whose responsibilities require them to allocate resources, develop policies, and provide leadership. Potential participants include heads of departments of medicine, surgery, obstetrics-gynecology, pediatrics, family medicine, psychiatry, neurology, anesthesiology, pathology, and radiology. Chairs of other major departments with residency programs are also eligible. Participants will be selected with a view to ensuring an appropriate mix and balance in the class.
Curriculum
The curriculum of the Program is organized around the following interrelated courses taught by a faculty experienced in executive education for physicians and other key decision-makers in the health system:
- Institutional Policy and Strategy
- Health Economics
- Financial Analysis and Control
- Management of Operations
- Organizational Issues
- Legal Issues
The overriding purpose for learning concepts, techniques, and skills in any of the management disciplines in this Program is to understand their managerial use and limitations. For example, the course in financial analysis and control does not aim to develop expert accountants or to provide accounting skills, per se. The purpose in learning to analyze the cost and financial implications of program decisions, for instance, is: (a) to better understand the fundamental methodological issues involved, the driving factors behind any particular analysis, the limits of such analysis, and the need to blend this with clinical, strategic, and other non-financial judgements; and (b) to improve the ability of a participant both to manage staff and to interact more effectively with the fiscal affairs personnel in their hospital, health system, or medical school.
Upon completion of the program, participants will have gained
- Increased understanding of their responsibilities and tasks as leaders of clinical departments and members of the leadership group of their institution
- A broader appreciation of and insight into: the external challenges facing, and changes occurring in, academic medical centers; the range of options and responses available; and the implications for their own institution, clinical service, and academic program
- New perspectives on issues they face currently and on those which arise in the future
- Knowledge of relevant concepts and techniques in several key management disciplines
- New methods to analyze problems and an enhanced capacity to identify the critical questions
- Greater effectiveness as departmental and institutional leaders in formulating and implementing new initiatives and managing change.
Teaching Methods
The principal method of instruction in the Program is the case method, a technique pioneered and refined at the Harvard Business School. Most of the cases present actual problem situations familiar to chairs of clinical departments. Special case materials based on field studies of specific issues faced by service chiefs have been and continue to be prepared by the faculty.
The case method confronts the participant with an actual management problem, halted at a point where
decisions must be made, and forces the participant to choose a course of action. Participants go through a three-step study process. First, participants study each case independently. Participants then meet in small discussion groups to test their individual analyses against those of their peers. Finally, the entire class discusses the case, with the professor as catalyst and guide. The professor points out considerations the class has overlooked; elicits from participants the lessons of experience; pursues each line of investigation to its conclusion; and finally, summarizes the discussion and draws out the major lessons it has taught.
Assigned readings and guest lecturers supplement and augment the use of cases. In addition, an important part of the learning process occurs during the informal exchange of insights and experience among participants and faculty.
Faculty
Program Leader:
Eoin W. Trevelyan, DBA
Lecturer in Management
Harvard School of Public Health
Faculty Members
Robert J. Blendon, ScD
Professor of Health Policy & Political Analysis
Harvard School of Public Health
Martin P. Charns, DBA
Director, Center for Organization, Leadership, and Management Research
U.S. Department of Veterans Affairs
Michelle Mello, JD, PhD
Associate Professor of Health Policy and Law
Harvard School of Public Health
Marc J. Roberts, PhD
Professor of Political Economy
Harvard School of Public Health
Vinod K. Sahney, PhD
Senior Vice President and Chief Strategy Officer
Blue Cross Blue Shield of Massachusetts
Adjunct Professor of Health Policy and Management
Harvard School of Public Health
David W. Young, DBA
Professor of Management, Emeritus
Boston University School of Management
Program Advisory Committee
Harvey J. Cohen, MD, PhD
Chair Emeritus
Department of Pediatrics
Stanford University Medical Center
Victor J. Dzau, MD
Chancellor for Health Affairs
Duke University
Paul R. Lawrence, DCS
Wallace Brett Donham Professor of Organizational Behavior, Emeritus
Harvard Business School
Lynne M. Reid, MD
Chief Emeritus
Department of Pathology
The Children's Hospital, Boston
Miles F. Shore, MD
Bullard Professor of Psychiatry
Harvard Medical School
Andrew L. Warshaw, MD
Chairman
Department of Surgery
Massachusetts General Hospital
Warren M. Zapol, MD
Anesthetist-in-Chief
Massachusetts General Hospital
Elias A. Zerhouni, MD
Director
National Institutes of Health
Past participants have attended from these institutions (partial list)
Albert Einstein College of Medicine, Bronx, NY
Baylor College of Medicine, Houston, TX
Brigham and Women's Hospital, Boston, MA
Case Western Reserve University, Cleveland, OH
Children's Hospital Medical Center, Boston, MA
Children's Hospital Medical Center, Cincinnati, OH
Children's Hospital of Los Angeles, CA
Creighton University Medical Center, Omaha, NE
Dartmouth Medical school, NH
Duke University Medical Center, NC
George Washington University Medical Center, DC
Houston VA Medical Center, Houston, TX
Howard University Hospital, Washington, DC
Johns Hopkins Medical Institutions, MD
Loyola University Medical Center, IL
Massachusetts General Hospital, Boston, MA
Mayo Medical School, Rochester, MN
McGill University Health Center, Montreal, Canada
Medical College of Georgia, Augusta, GA
Medical University of South Carolina, SC
Meharry Medical College, Nashville, TN
Memorial Sloan-Kettering Cancer Center, NY
Morehouse School of Medicine, Atlanta, GA
Mount Sinai School of Medicine, New York, NY
National Institutes of Health, Bethesda, MD
New York University Medical Center, NY
Northwestern University Medical Center, IL
Ohio State University Medical Center, OH
Oregon Health Sciences University, Portland, OR
Penn State University College of Medicine, PA
Robert Wood Johnson Medical School, NJ
Roswell Park Cancer Institute, Buffalo, NY
Royal Prince Alfred Hospital, Sydney, Australia
Saint Louis University School of Medicine, MO
San Francisco General Hospital, CA
Stanford University Medical Center, CA
SUNY at Stony Brook, NY
SUNY at Buffalo, NY
The Children's Hospital of Philadelphia, PA
The New York Hospital, New York, NY
The Toronto Hospital, Ontario, Canada
UMass Medical School, Worcester, MA
University Children's Hospital of Zurich, Switzerland
University of Alabama at Birmingham, AL
University of Alberta, Edmonton, Alberta, Canada
University of British Columbia, Vancouver
University of California, Davis, CA
University of California, Irvine, CA
University of California, San Diego, CA
University of California, San Francisco, CA
University of Cincinnati, OH
University of Connecticut School of Medicine, CT
University of Florida, Gainesville, FL
University of Hawaii, Honolulu, HI
University of Iowa Hospitals and Clinics, IA
University of Kansas Medical Center, Kansas City, KS
University of Kentucky College of Medicine, KY
University of Maastricht, The Netherlands
University of Maryland, Baltimore, MD
University of Missouri, Columbia, MO
University of North Carolina, Chapel Hill, NC
University of Pennsylvania Health System, PA
University of Pittsburgh School of Medicine, PA
University of Rochester Medical Center, NY
University of Utah School of Medicine, UT
University of Vermont College of Medicine, VT
University of Virginia Health System, Charlottesville, VA
University of Washington, Seattle, WA
University of Wisconsin Medical School, WI
UT Southwestern Medical Center at Dallas, TX
VA Medical Center, New Orleans, LA
VA Medical Center, Seattle, WA
Vanderbilt University Medical Center, Nashville, TN
Wake Forest University Medical School, NC
Walter Reed Army Medical Center, Washington, DC
Washington University School of Medicine, St. Louis, MO
Weill Medical College of Cornell University, CT
Yale University School of Medicine, CT
Application & Admission
Completed applications should be submitted by August 20th, 2008. Applications received after that date will only be considered subject to space availability. No payment is due at the time of application. Applicants who are admitted to the program are required to pay the program fee to reserve their place. You may apply either by mail or online.
Course Organization
Classes and discussion groups are scheduled six days a week. Preparation for classes averages six hours a day. Sunday, January 25th is free except for cases to be prepared for Monday’s classes. Registration is scheduled for 3:00 - 4:00 pm on Sunday, January 18th. The program concludes on Friday, January 30th at 2:00 pm. Participants should free themselves of professional and family responsibilities for the period of the program so that full attention can be devoted to the educational experience.
Continuing Education Credit
The Harvard School of Public Health is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The Harvard School of Public Health designates this educational activity for a maximum of 55 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Accommodations
Upon acceptance to the Program, the Center for Continuing Professional Education will arrange accommodations for participants at the Taj Hotel in Boston, at the rate of $215 (plus 12.45% tax). Accommodations include daily continental breakfasts, use of a private lounge, and evening refreshments. All classes will be held at Harvard School of Public Health.
Fees and Cancellation Policy
The program fee of $5,400 covers tuition, lunches, coffee breaks, teaching materials, and dinner on January 18th, 23rd, and 29th. For budgeting purposes, approximately $300 of this fee covers teaching materials.
Cancellations must be made in writing. An administrative fee of $150 will be charged for cancellations received by December 4, 2008. Cancellations received between December 5, 2008 and December 18, 2008 will result in forfeiture of 50 percent of the program fee. Cancellations received after December 18, 2008 will result in forfeiture of 100 percent of the program fee. In the unlikely case of course cancellation by the Harvard School of Public Health, the School is not responsible for non-refundable travel arrangements.

