Executive MBA for Physicians Blog

Educating physician leaders in the new science of medicine and management

Tag: Entrepreneurship

EMBA Alum starts mobile breast and cervical cancer screening clinic in Southern New Jersey

Headshot of Dr. Rachel KramerDr. Rachel Kramer, a graduate of the Executive MBA for Physicians class of 2020, recently shared about her entrepreneurial start-up within her health system, a van that offers breast and cervical cancer screening to under and uninsured patients, and her recent promotion to Medical Director of Women’s Services at Virtua Medical Group (VMG). Read more about how she got her venture up and running and the details of her promotion below.

How did you come up with the idea for the Mammo Pap Mobile?

I developed the Mammo Pap Mobile project during the Entrepreneurship course in the EMBA Program. I started to think about the high number of CEEDS patients who would “no show” their appointments. CEEDS is the New Jersey Cancer Education and Early Detection Screening Program where underinsured and uninsured women had access to mammograms on a weekend in community locations such as a church and then sign up at the appointment for a Pap in our office for a later date. When I ran the numbers, 52% of these patients never showed up to our offices for their Pap smear.

How did you acquire support within your institution? Did you have this support going into your project or did you secure it later?

I met with the Oncology Nurse Manager in charge of the CEEDS program at Virtua, and we sat down together to brainstorm. My goal was to get a mobile van out with our own mammogram machine and an exam room so both a mammogram and a Pap smear exam could be done at the same time, increasing access to underinsured women. We decided that before we asked for a million-dollar investment, we would put a pilot together to show that women would want to get their Pap smears in the van. We leased a mobile mammo van from another institution and had it come to our offices on the weekend. Women could opt for a mammogram, Pap smear, or both. It was a huge success, with a line around the block. We then figured out how much money it would take to buy our own van, gas, driver, etc. and asked a foundation how to fund it with donors. The Foundation was very interested and took our proposal to senior administration and eventually the Board of the hospital. The Board granted permission to buy a van and start in 2022.

How has the mobile clinic been impacted by COVID-19?

When COVID happened a year ago, the proposal got stalled because senior administrators were busy with the emergency. However, I wrote to the CEO and said that if we had a mobile van, we could have used it to go to underserved communities that were suffering disproportionately from COVID to provide testing and vaccination. I kept pushing – calling the CMO, who is also my mentor, and not letting senior administration forget about this project.

Please tell us about your recent promotion. What are you responsible for? What are the major changes from your previous role?

Last month, I was promoted to Medical Director of Women’s Services for VMG. I am still the lead physician for VMG’s largest OBGYN group. I was promoted because last year I was successful in putting together a new OBGYN group at our flagship hospital, which didn’t previously have its own group. I was able to teach them the Virtua culture and their group is now flourishing. My new responsibilities this year are to bring a group we just acquired into the Virtua culture and to make sure all OBGYN groups are following Virtua guidelines. The leads of each group report to me. My current project is implementing direct patient appointment booking through MyChart for obstetrical appointments and to continue to drive culture development in all of the VMG employed OBGYN groups.

How has the EMBA for Physicians program helped you in your roles?

I used tools I learned in many EMBA classes to start the mobile clinic. Accounting taught me how to put together different financial statements that I needed for approval. I used the quick pitch method I learned from Entrepreneurship. I used the leadership lessons from Leadership and Organizational Behavior. Without the EMBA program, I would never have thought up this project, which saves the lives of so many underserved women. I have never felt a high so great as the first day I saw how many women showed up for Pap screening.

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.

Learning more about Strategic Management and Health Care Entrepreneurship: An Interview with Senior Lecturer Carole Carlson

Carole Carlson is the Director of the Heller School MBA Program, where she also teaches courses on Strategic Management and Entrepreneurship. Below is the transcript from a short interview, in which she provides insight about what to expect in her two courses in the EMBA for Physicians curriculum, Strategic Management and Health Care Entrepreneurship, and how the topics apply to the needs of a practicing physician.

What skills can a physician expect to gain from your classes?

For Strategic Management, you gain an ability to diagnose and understand strategic positioning, both for your organization and its competitors, and an ability to understand and align an organization behind a compelling strategy, which often involves change skills as well as strategic skills. More generally, you gain an understanding of the strategy of your current organization and what the implications are for multiple stakeholders. Strategic thinking is fun because you start to look at the world in a different way. It doesn’t matter whether you’re in a restaurant or in a bookstore or on vacation at a hotel; you’re looking around and thinking about the strategy of that organization. I find that really intriguing. It’s a great way to engage with the world.

The entrepreneurship course is little bit more nuanced. It covers how to take an idea from the idea stage to implementation and also how to stop wasting time on bad ideas.  If you asked a group of physicians, “Who wants to be an entrepreneur?” some would put their hands up. If you asked, “Who knows how to be an entrepreneur?” if people are telling the truth, almost no one would put up a hand. It makes sense to understand that process and whether it’s right or wrong for you. Another thing that I found really resonates with physicians in my classes: There’s a lot of issues around founding and cofounding. People don’t tend to become entrepreneurs solo. Thinking through the dilemmas that can arise around cofounders is actually really valuable because if people are pursuing a strictly or narrowly entrepreneurial path, they are typically not going to do it alone. They need to think through these things in order to be able to make it a successful experience.

How can an understanding of both Strategic Management and Health Care Entrepreneurship help physicians in their professional lives?

For Strategic Management, in my experience, the physicians that are attracted to our program want to have a broader impact in their organizations. To do that successfully, it is critical to be able to both understand and promote your organization’s strategy. On the entrepreneurship side, I don’t think you can be an effective leader without having some entrepreneurial skills. Even if you’re not interested in starting a venture, your ability to lead like an entrepreneur, look for new opportunities, articulate them, and help the organization see them is essential. People have different mixes of those skills, depending on their professional situation, but I think both are fundamental building blocks to be a more impactful leader in health care today.

What can you expect during your classes?

In class, you can expect a little bit of up front lecture and then a discussion using the case method, which, if you haven’t done it, is really engaging. It’s an exciting way to think about protagonists in challenging situations, often in health care organizations.  For example, this month we are discussing a company that is commercializing a blood substitute product and one that is innovating in portable ultrasound. We also discussed Netflix: their strategy and how they think about effectively managing through turbulent markets. Those are highly interactive discussions that involve the whole class. Sometimes we get a little excited during these discussions, but at the end of the class, the participants have found that they have thought deeply about how that organization might improve. That type of learning is very intense, but there is a really high level of retention and understanding and you get some fantastic insights through the debate and discussion. Finally, the third part of the class is how those insights relate to program participants in their careers and how they might apply the ideas we discussed to their organizations.

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