Leadership Development Program

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Michigan College of Emergency Physicians Leadership Development Program 2017 This program, developed by the Michigan College of Emergency Physicians, will combine elements of mentoring, organizational education, skills training and guided experiences to selected participants. Between 6-12 participants will be selected for the 2017 program year. This is a competitive process and the Leadership Development Task Force will carefully review each application that is received by the December 31, 2016 deadline. Enclosed is a program overview, along with a nomination form to be completed by the nominee. We are looking for individuals who have demonstrated a commitment to emergency medicine and who wish to explore their leadership potential.

Michigan College of Emergency Physicians 2017 Leadership Development Program OVERVIEW The purpose of the Leadership Development Program is to provide both orientation and skill development to future leaders of the MCEP. PROGRAM GOALS a) Identify individuals with the potential to become leaders in emergency medicine b) Provide orientation and skill development to allow potential leaders to promote emergency medicine both locally and nationally c) Facilitate the promotion of program graduates into leadership positions both locally and nationally GUIDELINES FOR PARTICIPATION a) Nominee must be a current member in good standing of MCEP b) Nominee must have a minimum of three years membership in ACEP or EMRA c) Nominee must agree to participate in all elements of the Leadership Development Program as noted in the program outline (i.e., attend all designated meetings, etc.) d) Cost for participation will be shared by MCEP and the individual participant (see Cost Sharing information below) PARTICIPANT SELECTION a) The Leadership Development Task Force will review all nominations and select participants based on completed nomination forms postmarked by December 31, 2016 (incomplete forms or forms postmarked after December 31, 2016 will not be eligible for review) b) Selected participants will be notified by the Task Force immediately following their decision c) Nominees not selected for the 2017 class may be renominated in future years PROGRAM OUTLINE (Dates and Speakers Tentative) The 2017 Leadership Development Program participants will attend the following sessions: Session One: March 1, 2017 MCEP Committee & Board Meetings MCEP Headquarters, Lansing, MI Welcome Orientation/Introductions Tour of MCEP Headquarters History of MCEP Larisa Traill, MD, FACEP, MCEP President Diane Kay Bollman, CEO Robert T. Malinowski, MD, FACEP Chair, MCEP Leadership Development Program

Get Yourself Organized What does Leadership mean? Robert T. Malinowski, MD, FACEP Accepting leadership responsibility Readying spouse and practice for your leadership roles Get Your Team Together: Team Building A briefing on several key health care organizations American College of Emergency Physicians Michigan Health & Hospital Association Michigan State Medical Society TBD, MCEP Staff TBD, MHA Staff TBD, MSMS Staff Participate in MCEP Board of Directors Meeting Session Two: March 12-15, 2017 ACEP Leadership & Advocacy Conference Washington, DC Get Your Message Across - Advocacy in Washington Participation in ACEP programming, including media training Leadership role in meeting with MCEP House and Senate delegation, including leading discussion and follow-up Session Three: April TBD, 2017 Legislative Day at the Capitol Lansing, Michigan Get Politically Active 9:30 am Tour of State Capitol and participation in legislative hearings 12 noon Lunch with briefing on legislative process Bret Marr Muchmore, Harrington, Smalley & Associates MCEP Lobbyist 2 pm Meet with Select Key Legislators & Committee Chairs 4 pm Adjourn

Session Four: July 30-August 2, 2017 MCEP Scientific Assembly Grand Hotel, Mackinac Island, MI Get Your Act Together Professionalism Participation in MCEP Scientific Assembly lectures and exhibits Attend MCEP Annual Meeting and Board Meeting Introduction and recognition during President s Banquet Session Five: September 6, 2017 ABEM Site Visit East Lansing, MI Get Boarded Professionalism Continued Brief Introduction History of ABEM Earl Reisdorff, DO, FACEP Executive Director Site Tour Following the ABEM site visit you will meet back at the MCEP Headquarters for a Committee Meeting from 11:00-12:00 noon. Lunch will take place at noon as usual with the Board meeting following at 12:30 pm Session Six: October 28-29, 2017 ACEP Council Meeting Washington, DC Get the Job Done Effective Alliances Attend MCEP Councillor Meeting (October 10, 2017 - Lansing) Attend ACEP New Councillor Orientation (Washington, DC) Participate as an Alternate Councillor at the ACEP Council Meeting Participate in discussions with chapter leaders on Council resolutions/acep elections Elective participation in ACEP national committee meetings

Session Six: November TBD, 2017 MCEP Straight Talk Conference Howell, Michigan Get Paid -Reimbursement Concepts Participate in the MCEP Straight Talk Conference which reviews the unique aspects of coding, documentation, and financial performance Session Seven: December 6, 2017 MCEP Committee & Board Meetings MCEP Headquarters, Lansing, MI Closing/Evaluation of the Program Participate in an informal and candid discussion of the program, including methods to improve the program Formal recognition of Leadership Development Program participants Calendar of Events Requiring Attendance: (These include dates listed above) 03/01/17 MCEP Committee & BOD Meetings 03/12/17 03/15/17 ACEP Leadership & Advocacy Conference 04/TBD/17 Legislative Day at the Capitol 05/03/17 MCEP Committee & BOD Meetings 07/30/17 08/02/17 MCEP Scientific Assembly 09/06/17 ABEM Site Visit, MCEP Committee & BOD Meetings 10/10/17 MCEP Councillor & BOD Meetings 10/28/17 10/29/17 ACEP Council Meeting 10/30/17 11/02/17 ACEP Scientific Assembly (optional) 11/TBD/17 MCEP Straight Talk Conference 12/06/17 MCEP Committee & BOD Meetings

COST SHARING Attendee is responsible for. Travel to/from all meetings, including Washington, DC; hotel and fee associated with attendance at the ACEP Leadership & Advocacy Conference (March, 2017) and ACEP Scientific Assembly (October, 2017). MCEP is responsible for. Registration fees for MCEP Scientific Assembly, MCEP Straight Talk Conference, Legislative Day at the Capitol; speakers and program materials; social events (i.e., reception and selected dinners).

Michigan College of Emergency Physicians LEADERSHIP DEVELOPMENT PROGRAM NOMINATION FORM Instructions: Please print legibly or type the information requested. Attach additional sheet(s) of paper if necessary to supplement your answers. Please do not write see attached C.V. Nominee Profile Name of Nominee: Mailing Address: Phone: Fax: Email: Hospital/Physician Group Affiliation: Description of Practice: Number of years as a member of ACEP/EMRA Please list the state or national activities in which you have participated (leadership positions, committee or task force involvement, etc.): Please list any past or present leadership positions in organized medicine: Please list your membership in other medical associations:

Please describe your interest in the Leadership Development Program, including why you should be selected by the Task Force to participate: Please describe how your participation in the Leadership Development Program might benefit your state, physician group, and/or hospital: If selected, I agree to participate in all designated elements of the Leadership Development Program. I understand that any absence from a required meeting may result in dismissal from the program. Signature of Nominee Date Please include your CV and any supplementary material you would like the Task Force to review concerning this nomination. Please return completed nomination form by December 31, 2016, to: Diane Kay Bollman Chief Executive Officer Michigan College of Emergency Physicians 6647 West St. Joseph Highway Lansing, Michigan 48917