Executive MBA for Physicians Blog

Educating physician leaders in the new science of medicine and management

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Class of 2020: Wrapping up the EMBA for Physicians Program

Zoom meeting with students, friends, and family in small squaresThis May, the Class of 2020 finished their courses and degree requirements for the Executive MBA for Physicians program. The graduating physician-leaders presented their Executive Team Consulting Project, reflected on their leadership skill development with their executive coaches, and gathered with family for a virtual graduation party. The final 10 day residency which concludes the program provides physicians time to share what they have learned and how they have applied it, gain perspective on their growth, and celebrate their achievements.

The Executive Team Consulting Project is a 16-month capstone project where EMBA students lead a team of colleagues in their organizations in addressing a significant management issue. Typically students participate in a live poster session. Although the posters were presented virtually this year, students still shared their learning and successes with their colleagues. They used training in giving concise presentations from media expert Mike Nikitas and guidelines on creating clear, effective posters from ETCP professor Dr. Sally Ourieff. Students presented on numerous types of management and business challenges within healthcare, such as the role medical scribes can play in reducing physician burnout, ways to decrease the likelihood of readmission after heart failure, and strategies to reduce wait times between referrals at a spine center.

Participants also met with their executive coaches and their learning groups to participate in a final 360 degree leadership coaching session. With the help of the executive and peer coaches, students reflected on feedback gathered from colleagues for the second time in the 16 month program. The students also gave each other feedback and analyzed the goals they set at the beginning of the program while developing further goals for the future.

After their final intensive classes and presentations, the students gathered together with faculty, family, and friends to celebrate their graduation. They heard from graduation guest speaker Daniel Dawes, JD about health equity and the social and political determinants of health. Graduates Dr. Samaan Rafeq, a pulmonologist in New York City, and Dr. Shaneeta Johnson, a bariatric surgeon in Atlanta then gave inspiring speeches about their transformative experience within the program including the lifelong network of colleagues and friends they developed with each other. The students then toasted with champagne and moved their graduation cap tassels from the right to the left.

The Executive MBA for Physicians program is proud of everything the Class of 2020 has accomplished so far and is excited to see what they do in the future. Congratulations graduates!

EMBA Alum Transitions into Insurance Industry

Head shot of Dr. Kate McIntoshDr. Kate McIntosh was a member of the class of 2019 and is the Senior Medical Director and the Director of Quality for Blue Cross and Blue Shield of Vermont (BCBSVT). She transitioned from private practice as a pediatrician and Chief of Pediatrics at her local hospital to this role during the last semester of the Executive MBA for Physicians program. Below, Dr. McIntosh tells us more about her new role, moving into the insurance industry, and how her MBA degree has helped her in this journey.

Please tell us about your new roll. What are you responsible for?

I am the Senior Medical Director and the Director of Quality for BCBSVT. BCBSVT is one of the smallest of the independent health plans of the Blue Cross and Blue Shield Association. Working for a health plan as a physician can take many forms, and one of the advantages of working for a small health plan is that I get to do a large variety of things which might be done by separate people at a larger plan.

I am one of only two physicians employed by the plan. Dr. Joshua Plavin, the CMO, is also an alumnus from the Brandeis Executive MBA program; he graduated in 2017. The two of us are the voice of the physician within the organization. Whereas Dr. Plavin’s role is more external and strategic, mine is more internal and operational.

As Senior Medical Director, I am responsible for medical policy, coding, and supporting all of the internal departments of BCBSVT by lending a physician perspective. As part of this, I support the utilization management nurses and the appeals team and coordinate a team of contracted physicians who do medical reviews. The speed at which medicine is changing seems to be ever-accelerating, and it’s an ongoing challenge to keep up with the latest changes in technology and pharmacology.

As part of my work as the Director of Quality, I oversee our HEDIS measures, our NCQA reporting, our internal quality initiatives, and the metrics and reporting for the quality and value-based projects with our local ACO, regional hospital networks, and other provider groups. I also work closely with the quality nurse and provider contracting to review patient complaints and to provide feedback to hospitals and providers throughout Vermont. I also work with the Fraud, Waste, and Abuse department to look for red flags or concerning behaviors. Fraud is a growing area of concern in health care, estimated to cost the United States up to $68 billion annually.

What did you do before this new role?

Before I started at BCBSVT, I ran my own practice for 16 years and was the medical director for the Vermont Health Information Exchange. I was also Chief of Pediatrics at my hospital and sat on its board of directors. Coming to a health plan from owning and running a practice has allowed me to bring a useful and less common perspective about the business of medicine to the organization and to the conversation about health care in Vermont as a whole.

Why did you want to transition into the insurance industry?

I never thought that I would work for a health plan. After 22 years of practice, I wanted to do something different. Running a practice had shown me that I really liked administrative work, and I wanted to do something that let me use my administrative skills. I would not have come to BCBSVT if it hadn’t been for Dr. Plavin, who was instrumental in encouraging me to enter the Brandeis program and also in bringing me to BCBSVT. I started at BCBSVT as a contractor doing medical reviews, but quickly found that the type of systems thinking required was a good fit for me. When the Senior Medical Director position opened, I knew that I wanted to apply for it. The Director of Quality was added later as part of a divisional reorganization but has made tremendous sense for the organization as a whole and has made my position even more interesting and rewarding.

Did pursuing the EMBA for Physicians impact your ability to get this new role? If so, how?  

I think that it is fair to say that I would never have gotten this position without the EMBA program at Brandeis. Dr. Chilingerian’s teaching especially was instrumental in allowing me to enter the company as a contractor and quickly to be able to understand the needs of the organization and how best to meet them. This was a significant culture shift from where I had been before and a completely different type of organization. I think that the EMBA program helped me make the rapid pivot that was necessary to get this new role.

How has the EMBA for Physicians program helped you in your new role and which skills and tools from the EMBA program have you been using the most?

Every class that I took in the EMBA program has helped me in my new role. This new position sits at the intersection of business, health care, health reform, and politics. In addition, I use the tools we learned for strategy, finance, quality, ethics, and operations management on a daily basis. The courses have been critical to navigating the complex world of value, where quality and cost intersect. Dr. Plavin and I are both interested in encouraging providers to push forward innovative value-based projects and health reform initiatives, and we have to sell these both internally and externally, not only to health care leaders, but also to multiple stakeholders, including politicians, actuaries, and executives. In addition, I am working to optimize many of our internal processes which often involves all the diverse change management and communication tools that we learned or touched on in school, especially when working with teams from multiple departments and with multiple skill sets and priorities. The white board in my office is often a mess of flow charts and operational diagrams. Dr. Morrison would be amused!

Welcoming the Class of 2021 and an In-depth Look at the First Residency

A group of physicians sit in circles during an improv activityThis past January, the EMBA class of 2021 joined us for their first 10-day on-site residency session. This cohort includes 31 physicians, all eager to learn about the new science of medicine and management. The physicians:

  • Come from 15 states, along with Armenia and the United Arab Emirates;
  • Represent 14 specialties, including anesthesiology, obstetrics and gynecology, otolaryngology, and numerous surgical subspecialties;
  • Are 45% women and 30% US students of color;
  • Have an average age of 49 and an average of over 16 years of post-residency work experience.

During their first 10 day in-person residency session, the class of 2021 participated in EMBA orientation, attended sessions of their first semester courses, and networked with the class of 2020.

The physicians began preparing for the EMBA program in December by attending a live orientation webinar that walked them through the program and what to expect during the January residency. They also started to review course materials and completed a 360 degree leadership assessment to be reviewed during residency with the support of executive and peer coaches.

The first few residency sessions oriented students and helped build bonds among the cohort. Those sessions included a “Masterclass in Human Creativity” where students learned how to apply improvisational techniques to their professional work as well as their experience in the program. Students also took part in a session to learn more about the case method, which is the basis for many of the EMBA courses. The information gained and relationships built during these orientation sessions are important to set the tone of residency and help the class continue to work well together during the remote periods of the program.

After a few days of adapting to the program and each other, the physicians began their academic classes. The curriculum gives students a base of knowledge in the first semester, so students start with Economics, Financial Accounting, Leadership and Organizational Behavior, and Operations Management. These classes are necessary so other classes later in the curriculum, such as Corporate Finance, Management of Healthcare Organizations, and Systems Thinking, can build off of their fundamental concepts.

Toward the end of residency, the class of 2021 participated in an evening mixer with the class of 2020, who are in their third of four semesters. Dean David Weil welcomed the new students and took the opportunity to meet the EMBA physicians in person. Participants connected throughout the room. Students developed new contacts across cohorts, and some were even delighted to find old colleagues in the other cohorts as well. There was a true networking atmosphere that the students will continue to leverage throughout the program and beyond.

EMBA Student gains new promotion in major merger

Head shot of Dr. Kim Ariyabuddhiphongs Dr. Kim Ariyabuddhiphongs, a member of the EMBA class of 2020 and a Massachusetts internist, was promoted to Associate Chief Medical Officer for the Beth Israel Lahey Health Performance Network during the recent merger between Beth Israel Deaconess and Lahey Health systems. Below, Dr. Ariyabuddhiphongs talks more about her new role, the promotion process, what it is like to work at an organization during a merger, and how pursuing an EMBA has helped her along the way.

Please tell us about your new role. What are you responsible for? I recently transitioned into being the Associate Chief Medical Officer for the Beth Israel Lahey Health Performance Network. In my role, I work with key stakeholder groups in advancing our goals to improve quality and increase efficiency. Our priorities in 2020 are to improve quality measure performance in cancer screening and diabetes process and outcomes in the ambulatory setting. In the hospital setting, we are working with our network hospitals to improve Hospital Quality Measure performance. We are also looking closely at improving efficiency for our Medicare ACO and have identified targets and programs we will launch in early 2020. I lead focused programs and initiatives and also act as a coach to facilitate success in Population Health.

What role were you promoted from? What are the differences in responsibilities? I was previously Medical Director of BIDCO, the ACO of the legacy Beth Israel Deaconess system. My prior role had a broad range but not as much depth. My new role, to a certain extent, is narrower and more focused as I’m working with fewer groups. I’m relishing the opportunity to work more closely with key leadership at the organizations within the larger system.

Tell us about the process you went through to get the promotion.  I had already been doing a very similar role previously for 1.5 years and had worked at Beth Israel Deaconess for more than 12 years. I have the advantage of having worked in this system, knowing the culture, knowing how to execute within our system, and having worked with leadership from my previous role as medical director at one of the large primary care practices. It was a natural move for me to now work closely with the Chief Medical Officer and the Chief Clinical Officer.

I know your organization has been undergoing a major merger. What has it been like to be in a position of leadership while significant changes have been happening?  I think you can’t know what it’s like to go through a merger without having experienced one yourself.  There has been a lot of transformation in our Population Health team. While there can be uncertainty, I try to maintain calm and optimism for what is ahead. Working with a larger health system gives us opportunities to question the status quo, transform and land on a new way of operating. While change can be hard, we can take a fresh look at challenges and develop a new path.

Did pursuing the EMBA for Physicians impact your ability to achieve this promotion? If so, how?  The EMBA has stimulated my growth in many ways. It’s fantastic to study amongst colleagues who also want to contribute in a different way beyond direct clinical care and are interested in leadership, health care policy, strategy, and health care finance.  That in and of itself is an inspiration.  I have learned so much about leadership styles from the professors and my classmates. The EMBA has been so valuable not only in gaining concrete knowledge but also in giving me confidence.

How has the EMBA for Physicians program helped you in your new role?  I love reading the leadership and strategy articles and cases, amongst others, and almost all of them have given me a pearl I can apply the very next day in interacting with others in my new role.

EMBA Alum advocates at State House

Head shot of Heidi Larson, M.D.Dr. Heidi Larson, an alumna of the class of 2017, a Maine family physician, and a primary care consultant, recently shared how she has gotten more involved in state politics as a result of her time in the Executive MBA for Physicians program. She has been focused on addressing the opioid crisis, funding the Maine Diversion Alert Program, and working on the Death with Dignity Act. The latter, which allows terminally ill patients to make their own end of life decisions, was signed into law in June of this year. Below, Dr. Larson explains what it is like to get involved in the legislative process as a physician and why it is important.

How did you get involved with these particular issues?

While I was an EMBA student, I took State Health Policy with Dr. Michael Doonan. As part of his class, I wrote an op ed, reached out to state lawmakers, and prepared and presented a mock legislative testimony. I became passionate about these topics while researching these projects.

Have you testified? Please tell us more about the process of preparing testimony and actually speaking on the floor. What about the larger process of advocating for and get a bill passed?

Yes, I testified as part of my class project assignment.  I went to the legislature with my colleagues and each of us presented a slightly different spin on why we supported the Death with Dignity Act. This was in 2017; it took a change in administration in our great State to get this passed!

My testimony in support of funding for the Maine Diversion Alert Program was in writing, so I did not attend a hearing. The grant money ran out, so we asked for $50,000 to continue to provide primary care doctors access to criminal records related to prescription drug abuse. We were successful.

I was able to use the process we were taught in the program, including using brief talking points and quick sound bites. There is power in numbers, so I recommend getting colleagues to help you. We lobbied Senator Susan Collins very hard to expand Medicaid under the ACA. We formed a group, Maine Providers Standing Up for Healthcare, and met with her personally on several occasions.

Why is it important for physicians to be part of the legislative process?

It is our civic responsibility. We must advocate for our communities and our patients. We have credibility, and we have the smarts and can organize. It is part of giving back.

How has the EMBA for Physicians program helped you in this journey?

The State Health Policy class was instrumental in helping me find my voice.  I learned to be succinct and ORGANIZE. Having to present my mock testimony to the class in 7 minutes or less was daunting but a very valuable experience!

How has it otherwise helped you professionally or personally?

I work to support organizations in building strong foundations in primary care as a way to serve our communities more effectively and set ourselves up for success in value-based payment models (like Medicare Advantage).  I would not have been able to do this work without assimilating all the knowledge, experience, and collegial support I gained from this MBA program.

EMBA Alum receives funding to expand his Executive Team Consulting Project

Recently, we chatted with Dr. Michael Tang, an alumnus of the class of 2019, to learn more about his successful Executive Team Consulting Project (ETCP). Dr. Tang is a psychiatrist and pediatrician who works at Dimock Community Health Center in Boston. He worked with his organization to focus his ETCP on behavioral health integration through a management approach. He has received funding to expand this project to additional health centers throughout Massachusetts.

The ETCP is a capstone activity that supports each student as they launch, lead, and work with a team of their colleagues to complete a change initiative that impacts an aspect of their own work in healthcare. Keep reading to learn about the process of creating and implementing a successful project.

What was the subject of your ETCP?

My ETCP built upon existing work within my organization, Dimock Community Health Center. It highlighted the importance of a management approach to Behavioral Health Integration. For nearly ten years, Dimock has found that fully merging primary care medical and outpatient behavioral health clinics enable operational efficiencies and financial sustainability that directly lead to improved patient care. My ETCP sought to model this integration, including through a linear program, dashboard of metrics, and workflow changes to reduce wait times. The project further aimed to disseminate this model, contributing to a peer-review publication and a multi-year grant to create a Leadership Learning Network for C-suite leaders in ten Massachusetts Community Health Centers to learn about these management strategies.  

This project is significant for our organization as it helped our health center share innovations with colleagues from across the Commonwealth. Integration is particularly important for the new Massachusetts Medicaid Accountable Care Organizations (ACOs), and other value-based models that reward improved patient outcomes, population health, and provider satisfaction, and lower health care costs. We believe this Behavioral Health Integration approach helps providers better achieve this Quadruple Aim.

How did you decide on the topic?

It advanced the work I was already doing at my job on integrating primary care, behavioral health, and substance use disorder services.

Tell us about how you acquired support (financial support, leadership buy-in, etc.) within your institution.

There was great synergy between my ETCP and my job. The project advanced my thinking and generated content, which I could then take back to my job to build support from my leadership, assist my colleagues, and increase financial backing.

What was the process of forming your team like?

It went smoothly, since we were already a well aligned organization and the project helped move our team forward.

How is the project evolving now that you have graduated?

The ETCP continues to strengthen and expand even after graduation. We are continuing to strengthen our behavioral health integration within the health center, using skills and techniques developed in the ETCP. We were funded by Boston Children’s Hospital to spread our Behavioral Health Integration model to 10 additional health centers across the Commonwealth, disseminating these best practices.

How did the Brandeis EMBA for Physicians program help you along the way?

The Brandeis EMBA  for Physicians program helped this project in all regards. Accounting helped me understand the finances and return on investment. Leadership helped me think about the strategy and change management. Operations helped design a linear program and manage wait lists. The Health Care Entrepreneurship class shaped this start-up project. Relational Coordination helped me understand team dynamics. Marketing helped think about messaging and population segmentation. Systems Thinking introduced a clear approach to problem solving. Each class added a new element that the ETCP pulled together.

The program overall helped me become a better manager and leader.

Putting the Degree into Action: EMBA for Physicians Students present their Executive Team Consulting Projects

Earlier this month the EMBA Class of 2019 participated in the Executive Team Consulting Project (ETCP) interactive poster session. This session was the culmination of the 16-month capstone project where EMBA students led a team of colleagues in their organizations in addressing a significant management issue. All 41 students presented their posters in a series of rotations throughout the morning. ETCP Professor Dr. Sally Ourieff, and EMBA Program Director Dr. Jon Chilingerian joined the students in circulating to all of the posters and learning about each others’ projects. It was a great opportunity for the physicians to support their fellow classmates and gather ideas to address their own organizational challenges in the future.

The ETCP curriculum is designed to be a practical application of the learning physicians do throughout the course of the program. EMBA physicians are able to take their new understanding of the science of medicine and management to their own organizations. Many have seen a significant result from their project be it negotiating successfully with stakeholders, reaching consensus on tough decisions, or achieving notable improvement in various metrics (including quality and performance measures, operations, and the bottom line).

One physician analyzed and implemented the closing of a major service line to strengthen and focus his hospital’s service delivery and financial health. His region has multiple hospitals but still lacked beds. The line he chose to close was offered at other locations regionally and had low utilization (42% occupancy rate), thus freeing up beds for other high-need areas (an average of 10 people were held waiting for beds daily in another part of the hospital). In the first quarter after project implementation, there has been a revenue increase of 18%. The hospital is still waiting to complete the implementation, and they expect this percentage to increase even further at that time.

Another physician instituted a new financially beneficial imaging service line at his organization. This new line resulted in high patient satisfaction and financial benefit. It also improved employee morale due to a breakdown in silos between two departments and other byproducts of the project, such as improved scheduling.

Multiple physicians addressed various aspects of the opioid epidemic resulting in significant changes in prescribing patterns and access to care. One physician created a Pain Management Committee at a safety net institution, which resulted in a total decrease in narcotic utilization of 20% during a narcotic shortage. After the shortage was over, there was some recidivism, but decreases have continued. Another physician implemented a multifaceted response to reduce the overprescription of opioids in her medical center. As a result, prescriptions in the emergency department decreased by 20%.

Throughout the past 16 months, 41 organizations were touched by the students’ learning. Projects ranged from new entrepreneurial ventures to new service lines, to closed service lines. They have garnered significant organizational support, including one $300,000 grant for implementation. We are excited to see how these projects continue to evolve and what doors they are able to open for these physicians, their organizations, and their patients.

Welcoming the Class of 2020 and the EMBA for Physicians Orientation Process

Program Director Dr. Jon Chilingerian participates with the class of 2020 during the Masterclass in Human Creativity

This past January, the Brandeis Executive MBA for Physicians program welcomed the class of 2020. The 29 physicians in the cohort join the program from 16 states (from every U.S. region) and India. The cohort also represents 14 specialties, including surgery, cardiology, pathology, and internal medicine. They are 41% women, and about one third are U.S. students of color. Their average age is 48 with over 15 years on average of post-residency work experience. During their first 10 day in-person residency session, they participated in EMBA orientation, developed their network by meeting and working with each other and the class of 2019, and began their first semester courses.

The class of 2020 began their EMBA preparation in December by attending one of two live orientation webinars that walked them through aspects of the program and what to expect during the January residency. They also purchased their course textbooks and started to review the tasks and deliverables ahead of time. Further preparation included completing a self-assessment and inviting colleagues of all organizational levels (supervisors, peers, and direct reports) to complete assessments to build a 360 degree report on the physicians’ leadership styles which was then reviewed during residency with the support of executive and peer coaches.

Once they arrived on site in January, they participated in sessions designed to orient students to what it is to be an EMBA participant and to allow the cohort to get to know each other and build strong bonds. In one such session, the students participated in a “Masterclass in Human Creativity and Collaboration” led by Program Director Dr. Jon Chilingerian and a Fortune magazine featured keynote speaker and workshop instructor who brings his perspective as an improviser, actor, writer & director to corporate and business education environments. In another session, students were able to practice how to engage as a class in a case discussion – a specific classroom tool used by many faculty to facilitate learning.

This January marked the first time that the program has welcomed students from two different cohorts for overlapping residencies. The class of 2019 returned for their third residency as the class of 2020 wrapped up their first residency. Members of the two cohorts were able to meet and network with fellow physicians from their regions and specialties. The program sponsored a cocktail hour mixer to facilitate the building of those relationships. Students have already seen the positive results of the networking. One student from the class of 2020 met with a group of 5 other physicians from her specialty to discuss a difficult work situation. This new structure will strengthen inter-cohort bonds and foster similar connections.

By the end of the residency session, the class of 2020 had multiple meetings of each of their first semester courses – Financial Accounting, Healthcare Economics, Leadership and Organizational Behavior, and Operations Management. Those courses now continue through live, virtual webinar sessions through mid-April. The Program staff and faculty are excited to see the class of 2020 when they return in May to start their second semester.

An EMBA Alum’s experience with a successful Executive Team Consulting Project

The Executive Team Consulting Project within the Brandeis Executive MBA for Physicians Program (EMBA) is a capstone activity for each student to launch, lead, and work with a team of their colleagues to complete a change initiative that impacts an aspect of their own work in health care.

Dr. Evan Lipsitz is an alumnus of the EMBA class of 2017.  Currently, he is the Chief of the Division of Vascular and Endovascular Surgery and Medical Director of the Noninvasive Vascular Laboratories at the Montefiore Medical Center at the Albert Einstein College of Medicine. During his EMBA, he focused his Executive Team Consulting Project on acquiring and implementing a new system at the vascular laboratory for image management reporting and data storage to replace an outdated system that was used across several of the organization’s inpatient hospital and outpatient sites. The medical center recently finished the implementation of the project, and he joins us to reflect on the experience.

How did you choose this specific project? 

We recognized the need for an enhanced, integrated system more than 10 years ago. About 5 years ago, we went through one complete cycle of product evaluations and replaced the old legacy system with another that was essentially a beta version, and not up to date, didn’t meet our needs, and was not really sustainable. As this became apparent, I chose it as my project with the hope that some of the skills and information I had gotten through the EMBA would help me and the team to make a better business case for the project. It wasn’t that people didn’t recognize the need, it was just that there are so many projects in so many areas that require attention at a large medical center like ours. It became apparent early on in the EMBA that we would cover a variety of subjects each of which would be valuable for approaching this problem. We could then make a case based on business sense and medical necessity, from the point of view of all stakeholders.

How has the project evolved since graduation?

When I presented my progress on the project at the end of the EMBA program, it had been presented to my organization, but it had not been approved yet. The approval came after graduation. From there, we had to purchase the product, plan the implementation, and work out some of the kinks after the go live. There was still a lot of work to be done around implementation itself and how it was going to work with IT. Much of that work was up front but there were still a lot of things on the backend that we needed to work on. We finished the EMBA in May of 2017, and it was about a year and a half until the system was actually up and running. I consider it done only now that the health system is using it.

What was the process of forming your team like?

I think we knew who most of the players were, and we involved a lot of people. As with a lot of these projects, it involved IT heavily, as well the people who manage the labs that do the studies. It also involves physicians because we actually have to read the studies. Finally, it involves hospital administration. We needed a comprehensive and invested group of stakeholders to build a strong business case. With this project, the medical need was obvious. It was the business case that was most crucial and which required refinement.

What do you think made your project successful?

I think the most important thing was making the case from an accounting perspective. I used all the skills from the managerial accounting course. We are able to frame the conversation in new way. Another was using the relational coordination tools we got in the program to build strong teams. Also, working with the team and engaging and encouraging all stakeholders to get some outside the box thinking was helpful. A big stumbling block, at least early on, was that we were going to host the entire system on our servers as the organization was understandably worried about privacy, which would have been a huge expense. Another option was to host the system remotely. After much discussion, everybody came to realize that to make this work, and in anticipation of other upcoming projects, we would need to look to host remotely. It was also apparent that many other hospitals were moving that way as well for similar reasons. So luck and timing played a role as well. The project might not have happened three years ago. The institution deserves a lot of credit for their willingness to move in this direction. As a result, similar projects might have an even easier time looking forward three years from now.

How did Brandeis’s EMBA for Physicians program help you along the way?

The program was invaluable. I don’t think I could have done it without it. It allowed me to focus on all the important areas other than just medical need.  The medical needs were important, and while they seemed obvious, they were not enough. I tried to choose a project that would let me use skills from almost every single class that we had. In some ways, this is not a particularly ingenious project, but I think that the skills and tools needed allowed for really good practical application of all the things that we learned. Practicing these skills will help me do similar projects if needed in the future.

What advice would you give to a physician who is considering pursuing an EMBA?

This program was great. In this day and age, it gives you a skill set and a perspective that you don’t otherwise get. I think to do it at a time when you have work experience under your belt is very meaningful. No matter what you decide to do with it or how you decide to apply it, it’s knowledge that makes you a better physician in the system where we are subject to so many systematic constraints. Understanding those are really important. Also it’s important in moving forward for physicians to be involved in policy and business because they have boots on the ground. Also, I would add that the program is really a great journey. It’s a lot of fun. It is a lot of work. It’s a big commitment. But I think well worth it.

Entrepreneurial EMBA Physician Brings Quality Medical Care to Campers

Dr. Jill Baren is a member of the Executive MBA for Physicians class of 2019 and an emergency physician who has been practicing for 25 years. She was also one of the first physicians to subspecialize in pediatric emergency medicine. She has practiced in both urban academic hospitals and freestanding children’s hospital emergency departments. Currently, she is Professor of Emergency Medicine, Pediatrics, and Medical Ethics at the Perelman School of Medicine at the University of Pennsylvania. She is also President-Elect of the American Board of Emergency Medicine. Below, we discussed Dr. Baren’s new venture, Camp Health Consulting, which helps camps achieve exceptional standards of healthcare by providing education, operational advice, and recruitment of qualified nurses and doctors to work in the unique setting of a camp . We discussed the venture, how it came to be, and how the EMBA for Physicians program has been helpful so far.

Can you tell us about your venture?

I founded Camp Health Consulting with my business partner who is also an emergency physician. Both of us are passionate about working as physicians in residential camp settings, or “sleepaway camps”, as some people call them. Camps provide a great atmosphere for kids and offer various activities such as sports, science, outdoor adventure, and plenty of social interaction away from the internet! Camps are often located in more remote environments, in mountainous or lake areas, so the proximity to medical care can be relatively limited. My partner and I have a very long tenure as camp physicians (over 25 years between us) and both of us attended summer camps when we were growing up. We noticed that there were gaps in the standard of care that’s delivered at camp and in the skills of the providers that are typically recruited to work in camp settings. Many camps use nurses, not doctors. Nurses are trained on a treatment rather than a diagnostic paradigm so it’s harder for them to figure out undifferentiated complaints or perplexing problems without physician backup. Sometimes that can result in unnecessary trips to a hospital. In a typical camp health center you will see a combination of infectious diseases, dermatology, orthopedic, and mental health complaints, among other things. We think the best skillset for camp doctoring is emergency medicine, but other physicians with proper training and experience can be taught to fill in the gaps. We work with camp directors and owners to address deficiencies. Some camp health centers are starting from ground zero. They have no idea how to set up a health center and want advice about how many people should staff it, what their qualifications should be, and how they should deal with parent communication issues. We’re actively building our recruitment arm of the company. As clinicians, we have greater accessibility to clinicians and knowledge of the industry. Camp directors are busy recruiting everyone else needed to run a camp and find it difficult to recruit their health center staff each summer. When a camp decides to hire us to assist with recruitment, we will deliver an educated nurse or doctor – one that meets our standards and has gone through a series of educational modules that focus on the unique healthcare needs of kids at camp.

What sparked this idea?

It was nothing more than my own clinical experience working as a camp doctor at a summer camp that my sons attended many years ago. The director of this camp was invested in providing an injury free, healthy camp environment for nearly 300 campers and 100 staff, but didn’t always have the optimal tools to do so. For example, we had a medication distribution system that needed to be improved from a safety and efficiency standpoint and we worked together to accomplish that. There were other challenges I observed that made me think, “Wow, this is a business waiting to happen.” A few years ago, I met my business partner. A colleague connected us, and we instantly clicked as we had noticed the same exact issues at our respective camps and both had a love of camping. We agreed to build a business to improve healthcare at camps.  We spent another year ironing out the business concept and then established the company. Now we’ve got a number of people involved. We have independent contractors, equity partners, and advisory board members, and we’re pretty excited about how quickly it has developed. We will be launching our products and services in the summer of 2019.

How has the EMBA for Physicians been helpful in growing your venture?

The EMBA program has been incredibly helpful. Most importantly, my classmates are so excited for me. They are interested in my business and have supported me, reaffirming my ideas. It’s like having a bunch of cheerleaders. There have been a number of classes that have been directly related to my work. Just this week, I went over my monthly financial statements with my bookkeeper and knew how to ask the right questions and easily follow the balance sheet. I learned how to do cash flow projections for the business. The program has provided me with real world knowledge that I can apply right away. The entrepreneurship course has also been a great help. I pitched my business in a slide deck for the class project and got pages of comments back from the professor. I’ve never had a professor take that much time to give such detailed feedback and I was really appreciative. Having the EMBA side by side, paralleling the development of the company, has been fantastic for me.

What advice would you give to a physician who is thinking about pursuing an entrepreneurial venture?

There are so many things you can do as a physician. The jobs are limitless. You just have to think outside of the box. I created this company but have no immediate plans to leave my position as a leader in academic medicine and a leader in my specialty nationally. Physicians should be empowered to believe that there are lots of jobs accessible to them and that many doors can be opened with additional skill sets. If you have an idea or if you are willing to partner with non-physicians or with other physicians who are interested in expanding their own skill sets, it’s totally doable. Physicians are lifelong learners. If you are a person with passion, who cares about improving health, there are plenty of areas that need work. You can do it.

What advice would you give to a physician who is starting our program?

People come into the program with lots of different goals. Whatever your goal is upon entering, don’t be rigid. Allow yourself to see what your classmates are doing and feel your way through the program. The connections you make as a part of the program with colleagues and faculty are invaluable.  In our class, people are starting to grow into and envision themselves as productive in different roles than their current ones. Don’t box yourself in. Go with an open attitude because you never know what could happen.

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