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Imagine this. You're at the Hyatt Regency Chicago

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immersed in insightful discussions with the health care

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industry's top leaders.

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Welcome to Becker's 12th annual CEO

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and CFO roundtable from November 11th to 14th

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2024.

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Picture yourself networking with over a 1000 executive

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level attendees,

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collecting business cards, and forging valuable connections.

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Feel the excitement as you engage in 4

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days of sessions featuring 400

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elite health system speakers.

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Envision yourself diving deep into critical topics like

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rural health care, digital transformation,

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health equity, and c suite diversity.

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Now imagine being inspired by our celebrity keynotes,

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pro football hall of famers Troy Aikman and

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Emmett Smith, 43rd president George w Bush, and

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author and journalist Jenna Bush Hager. Their stories

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will leave you motivated

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and energized.

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Don't miss this unparalleled

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opportunity.

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Get registered today. Visit beckershospitalreview.com

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and click on the events page to find

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the conference website.

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That's the beckershospitalreview.com

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events page. See you in Chicago.

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This is Laura Dierda with the Becker's Healthcare

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Podcast. I'm thrilled today to be joined by

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Michael Thorn, who is a nurse practitioner for

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trauma, critical care, and general surgery as well

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as the chair of the NP and PA

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Innovation Committee at Mayo Clinic. Michael, it's a

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pleasure to have you on the podcast today.

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Thank you for having me. Now I'm really

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looking forward to our discussion because I know

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right now is such an interesting time in

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health care, and certainly the NP and PA

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roles are elevating and continue to evolve,

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within the broader care team. So, you know,

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I think this will be a great opportunity

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to connect and learn more about what you're

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doing at Mayo Clinic. But before we dive

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into our discussion, can you tell me a

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little bit more about yourself and your background?

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Certainly. I I'm a Vermont,

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native. I went to school in Bangor, Maine,

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where I went to nursing school,

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at Husson University. And then I had the

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opportunity to go through

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an internship at Mayo Clinic, where in 2010,

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I was offered a job to work in

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ENT and plastics to start my nursing career.

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And then in 2014,

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I then transitioned over into the advanced practice

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roles, a nurse practitioner and where I'm at

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right now in trauma critical care.

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And I kinda wanna speak more to, like,

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how my innovation journey started.

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In 2016,

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my colleague and I, Rob Hill,

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we submitted an application to our Surgical Innovation

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Accelerator program, and we added this idea to

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develop this surgical drain stripping device.

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And this is really where I started to

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have this potential with pursuing more innovation

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and seeing how clinicians can be more

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active in the actual process of innovating.

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And since that time,

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we've been able to secure

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patent protection for our device, but then go

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through several pitch competitions where we've secured funding.

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And, currently, we're in the process

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of, going through clinical trials and working on

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commercialization.

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But like I said, this is the initial

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process where I started to become

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more and more innovative and being

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more supportive for others to be innovative

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within practice.

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And since then, I've been more involved with

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working with industry partners

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through know how agreements,

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but also helping other clinicians with industry involvement.

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And throughout this journey, I've been able to

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appreciate more and more that there's an immense

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potential for health care professionals, such as advanced

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practice providers,

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to be innovative within practice.

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That's really cool to hear and, you know,

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inspiring to think about how you evolved from,

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you know, kind of your practitioner

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in the work that you were doing on

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the ground level to thinking about innovation, how

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you can make patient care even better than

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actually putting that into action.

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And I love the point you made too

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about being able to support others and being

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more innovative, because, certainly, it is,

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not easy to do sometimes and and certainly

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can be helped if you've got others who

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are cheering you along the way. Now from

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your perspective, I know innovation is important to

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health care today, but it's not always easy.

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So what roadblocks do NPs face to innovation?

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That's an excellent question. So

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as advanced practice providers, we've seen significant roadblocks,

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and this is not just within one institution,

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but across all institutions.

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The first being that there's these un uncoordinated

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efforts. So we all know that health care

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innovation is very sporadic and siloed and very

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slow.

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And MPs might develop great ideas, but without

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a coordinated system to help them capture, develop,

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or implement these ideas,

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they often just remain just that, just ideas.

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So there needs to be a more streamlined

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approach

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from concept to implementation.

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And secondly,

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there's the knowledge gaps.

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While MPs are experts in patient care and

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they're at the frontline with patients, they often

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lack a lot of the knowledge that

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is crucial be to be innovative within practice,

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such as design thinking,

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understanding end user involvement and discovery,

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and just learning the actual business process of

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being innovative.

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So there's definitely this knowledge gap that's difficult

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for MPs and PAs to be innovative.

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And thirdly, I would say there's a cultural

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resistance.

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MPs and PAs might

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face skepticism or push back with their new

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ideas because they're kinda challenging the status quo

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as we know with all innovation.

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And advanced practice providers are not typically seen

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as innovators, but they're more and more just

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seen as the end users of the innovative

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output from others within health care.

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Well, that's really fascinating to hear and definitely

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appreciate how the their additional context,

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you know, in some of those roadblocks because

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I can imagine,

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there are a lot of NPs and PAs

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out there who, you know, have the ability

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to be innovative and really make a difference

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within the care team and care process. But,

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you know, having some of those,

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different cultural challenges as well as,

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not having necessarily the right push in the

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right direction,

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you know, might leave a lot on the

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table.

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So I understand at Mayo, you've developed a

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unique committee based approach to boost innovation and

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engagement. Could you tell me about that? What

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did you do initially, and what were the

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results?

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Certainly.

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So

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throughout my 1st few years being innovate being

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in the innovation ecosystem, I started realizing that

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why are there not more MPs and PAs

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being innovative within practice. And

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this actually kinda started out with

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a clinical innovation questionnaire I put together called

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the CIQ.

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And

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within this questionnaire, there was about 20 questions,

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which I sent out to all the, nurse

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practitioners and physician assistants

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within the department of surgery.

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And that CIQ,

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that questionnaire,

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was really eye opening. What we found was

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that

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80% were calling for more resources to be

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supportive with potential efforts and innovation.

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There's about 63%

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did ex, express desire,

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for being involved in education and training based

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off of creativity and innovation,

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topics.

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But more more interestingly was that 70% of

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the respondents on that survey showed that they're

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willing to be participants in a committee specifically

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for MPs and PAs.

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So I went to the Department of Surgery

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Leadership

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who then gave us a 100% support to

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move forward with our efforts to develop a

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innovation committee.

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And this leadership was really,

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instrumental in our our success because it gave

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us the road map and the institutional support

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to move forward.

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And as we established the MDPA

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Innovation Committee,

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we decided to you know, we wanted to

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have a very diverse group of

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MPs and PAs from different surgical subspecialties.

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So this made up about 8,

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individuals

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going forward.

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And what we did within this committee was

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we had several key initiatives.

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We wanted to provide ongoing monthly meetings with

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educational sessions. So what that entailed was

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within our 60 minute,

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committee meeting on a monthly basis, we did

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provide 30 minute educational sessions for

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not just committee members, but we also included

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those who were not on the committee to

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come and listen at the endpoint of our

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committee

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meetings.

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And this educational session on a monthly basis

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would include

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how to secure your intellectual property, how to

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be involved with prototyping,

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how to pitch your idea and, secure

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stakeholder buy in going forward.

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And then secondly, we also put together a

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monthly newsletter, which allowed us to disseminate a

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lot of the information that we wanted to

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share with a lot of those within our

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department.

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And this included

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updates on funding opportunities,

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networking events, educational sessions, but also,

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project achievements from what MPs and PAs were

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working on. Then,

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thirdly, I put together in, an internal website,

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essentially a central hub,

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for for all the resources that could help

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guide MPs and PAs with innovation. This included

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a wide array of different tools, guidelines,

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podcasts,

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educational resources,

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but also a way to, submit

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a request

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for assistance with their innovative idea.

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And then on my own time, I would,

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on a monthly basis, provide ongoing open office

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hours where

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I would allocate 3 to 4 days a

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month where I would allow MPs and PAs

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to schedule a meeting with me, and I

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would help them go through the process of

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what they were working on with their idea

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and get them to fruition and get them

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to the next step steps in their process.

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What we found was these results were quite

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remarkable from the,

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studies that we did.

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Our primary measure of success with this committee,

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was to

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determine

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how well it improved an MP or PA's

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ability to,

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engage in innovation. And this was measured by

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our annual all staff survey.

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In 2022,

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we found that 66%

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of MPs and PAs within our department

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felt encouraged to innovate. And then after implementing

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this committee with all the initiatives that we

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had,

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this number had jumped to 82%,

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which was a significant increase over 15 points.

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But the impact from this was not just

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a statistical increase. It was we found that

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there was a lot of tangible outcomes that

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came from this committee. And this included

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structuring of new know how agreements,

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multiple people had,

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developed, medical prototypes,

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and, working with industry through other routes as

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well too. So we found that, you know,

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MPs and PAs were engaging more and more

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in the innovation process based off of this

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committee.

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And going forward, we found that, also, is

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that 80% of the

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participants in our survey

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found that, being involved

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in innovation processes would actually positively

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impact their job satisfaction,

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but also their work life balance,

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which is this finding is quite significant

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because it because it suggests that innovation

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efforts could potentially

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improve staff retention, but also job satisfaction.

298
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That's amazing to hear. You know? And and

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certainly, what a great idea to have the

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committee be put together and and be able

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to support the different,

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clinicians at different levels so that they can

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really realize their visions and dreams and be

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pushed into a space where they can be

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more creative and innovative thinking. And you're right.

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I mean, the results speak for themselves to

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really see how,

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you know, that engagement,

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can make a big difference,

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is just really cool. Now, you know, from

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your perspective, I'm wondering if you could talk

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a little bit about some of the lessons

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that you've learned since establishing the committee.

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Certainly.

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So one was that we found that, you

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know, NPs and PAs

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really are an untapped potential for innovation within

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health care.

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Our professions, we can come to the table

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with unique insights

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just based off our daily patient interactions, but

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also,

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really understanding the boots on the ground, what

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needs to work to make health care better.

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We also found that there is a high

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importance when it comes to education.

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A lot of MPs and PAs

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and as well as nurses do not receive

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a lot of this

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entrepreneurship, entrepreneurship,

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innovation education. And what I found was there's

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a lot of, medical programs that are starting

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to integrate a lot of that education into

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their actual medical training.

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And it's kind of it it's a pitfall

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when it comes to

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advanced practice providers,

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education base.

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So with our ongoing monthly education sessions, we're

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trying to, you know, fill that gap where

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they don't actually get that education starting off

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in their career.

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But now we're gonna try to provide that

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ongoing.

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And then we also find that time and

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resources are critical. And we know

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all hospitals are short staffed, and we're kinda

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running at higher acuity and census levels.

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And we understand that we can't always get

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allocated time and resources. But, you know, we've

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learned that if we could have a little

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bit of dedicated time and some resources, we

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could have a lot more impactful outcomes from

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our efforts within the innovation ecosystem.

355
00:13:21,954 --> 00:13:23,315
Because a lot of this is all being

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done just on everybody's time,

357
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1 point o kinda FTE approach.

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Everybody's doing it on their own time, and

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we're being able to show that you can

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still have a considerable amount of outcomes

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without actually having dedicated time, but what could

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it be if you actually gave everybody a

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little bit more time?

364
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And then also learning is that, you know,

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leadership support is vital. You know, the support

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from our department

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has been crucial in our success, and

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we we applaud and thank them, for providing

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us with the ongoing support.

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So as we know with all innovation processes,

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we really need to have key stakeholders when

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it comes to, you know, going through with

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a project or an idea. And with this

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00:14:03,875 --> 00:14:06,054
committee, we've had that vital support.

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00:14:07,220 --> 00:14:09,139
And, lastly, I'd like to speak to, you

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00:14:09,139 --> 00:14:10,840
know, the innovation culture is

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00:14:11,220 --> 00:14:14,820
really self reinforcing. And perhaps more important importantly,

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00:14:14,820 --> 00:14:16,899
we just need to learn that once you

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00:14:16,899 --> 00:14:19,059
started to foster a culture of innovation, it

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00:14:19,059 --> 00:14:21,620
tends to snowball. And, you know, as MPs

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00:14:21,620 --> 00:14:22,279
and PAs,

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00:14:22,975 --> 00:14:25,014
we see our colleagues to see succeeding and,

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00:14:25,014 --> 00:14:27,375
you know, bringing ideas to life. So it

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00:14:27,375 --> 00:14:30,014
inspires them to do the same. So creating

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00:14:30,014 --> 00:14:32,415
this, you know, virtuous cycle of innovation is

386
00:14:32,415 --> 00:14:35,134
really crucial going forward. We've seen that through

387
00:14:35,134 --> 00:14:36,434
our efforts with this committee.

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00:14:38,059 --> 00:14:40,220
That's really helpful to understand and, you know,

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00:14:40,220 --> 00:14:40,720
really,

390
00:14:41,100 --> 00:14:43,419
see the evolution of how you worked within

391
00:14:43,419 --> 00:14:44,159
the committee

392
00:14:44,460 --> 00:14:46,940
creating it and then, you know, learned, got

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00:14:46,940 --> 00:14:49,179
feedback, and continued to, I can imagine, iterate

394
00:14:49,179 --> 00:14:50,559
and improve on the process.

395
00:14:51,245 --> 00:14:53,664
Now before we wrap up here, I'm wondering,

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00:14:53,725 --> 00:14:55,485
how will you keep up momentum? What are

397
00:14:55,485 --> 00:14:57,084
you going to do to make sure that

398
00:14:57,084 --> 00:14:59,424
as time goes on, the energy and passion

399
00:14:59,485 --> 00:15:00,705
doesn't wane from,

400
00:15:01,164 --> 00:15:02,304
the innovation committee?

401
00:15:03,500 --> 00:15:04,000
Certainly.

402
00:15:04,379 --> 00:15:05,980
I think the first thing we need to

403
00:15:05,980 --> 00:15:08,139
focus on to kinda keep momentum with this

404
00:15:08,139 --> 00:15:11,580
is really continuing to provide ongoing education and

405
00:15:11,580 --> 00:15:12,320
skill development

406
00:15:12,940 --> 00:15:15,904
within the committee, but also disseminating that across

407
00:15:15,904 --> 00:15:16,565
to others.

408
00:15:17,264 --> 00:15:19,445
You know, we're we're committed to ongoing education

409
00:15:19,585 --> 00:15:21,904
through our monthly sessions, and I'm finding more

410
00:15:21,904 --> 00:15:23,845
and more topics to bring to the table.

411
00:15:24,625 --> 00:15:26,785
And, you know, most recently, we've we've had

412
00:15:26,785 --> 00:15:29,529
conversations with our office of engineering on how

413
00:15:29,529 --> 00:15:31,230
to submit an idea for a prototype.

414
00:15:31,769 --> 00:15:33,769
I've done a couple talks on how to

415
00:15:33,769 --> 00:15:36,330
keep an idea notebook ongoing and just keeping

416
00:15:36,330 --> 00:15:37,950
that at hand. So

417
00:15:38,330 --> 00:15:41,210
providing those little educational sessions through, like, a

418
00:15:41,210 --> 00:15:43,149
microlearning approach is very important.

419
00:15:44,075 --> 00:15:46,235
Otherwise, on top of that, we would, you

420
00:15:46,235 --> 00:15:48,475
know, look at expanding our reach. So we're

421
00:15:48,475 --> 00:15:51,355
looking to expand our community's influence beyond just

422
00:15:51,355 --> 00:15:53,274
our current scope and then the department of

423
00:15:53,274 --> 00:15:55,595
surgery, and we're hoping to expand it to

424
00:15:55,595 --> 00:15:58,654
a institutional level outside of our department.

425
00:15:59,500 --> 00:16:02,539
And then thirdly is the the mentorship program

426
00:16:02,539 --> 00:16:04,299
that we're trying to put together. We're in

427
00:16:04,299 --> 00:16:06,799
the process of developing this mentorship program

428
00:16:07,339 --> 00:16:08,959
to help connect experienced

429
00:16:09,259 --> 00:16:12,379
innovators with those who are kinda newcomers to

430
00:16:12,379 --> 00:16:13,600
the innovation ecosystem

431
00:16:14,154 --> 00:16:15,855
to help kind of provide some nurturing,

432
00:16:16,235 --> 00:16:18,254
and guidance through this process.

433
00:16:19,355 --> 00:16:22,414
Fourthly is working on strengthening our industry partnerships.

434
00:16:22,634 --> 00:16:25,034
You know, we're we're actively working on building

435
00:16:25,034 --> 00:16:26,414
more and more stronger relationships

436
00:16:26,820 --> 00:16:27,799
with industry

437
00:16:28,259 --> 00:16:31,220
and, multiple different start ups. And this not

438
00:16:31,220 --> 00:16:34,360
only includes, you know, potential pathways for commercialization,

439
00:16:34,660 --> 00:16:38,100
but also providing ongoing strategic support for us

440
00:16:38,100 --> 00:16:38,840
going forward.

441
00:16:39,220 --> 00:16:41,080
And we really also need to continue

442
00:16:41,625 --> 00:16:43,245
looking at leadership engagement.

443
00:16:43,865 --> 00:16:46,585
We're maintaining strong connections within our department, but

444
00:16:46,585 --> 00:16:48,524
now we're looking at more of our institutional

445
00:16:48,664 --> 00:16:49,884
level as well too.

446
00:16:50,264 --> 00:16:52,924
And, you know, the ongoing engagement and

447
00:16:53,465 --> 00:16:56,789
conversations will really help us strengthen our committee

448
00:16:56,789 --> 00:16:58,490
and hopefully expand it further.

449
00:16:59,269 --> 00:17:01,269
And then lastly is, you know, I think

450
00:17:01,269 --> 00:17:03,590
it's very important to keep a way to

451
00:17:03,590 --> 00:17:06,329
keep the momentum going is really linking innovation

452
00:17:06,390 --> 00:17:08,950
to career development. And this hasn't been something

453
00:17:08,950 --> 00:17:11,195
that's been really talked about in the in

454
00:17:11,195 --> 00:17:13,355
the past, and I'm hoping we can kinda

455
00:17:13,355 --> 00:17:14,815
continue this forward, is that

456
00:17:15,434 --> 00:17:18,075
looking at ways to more formally recognize that

457
00:17:18,075 --> 00:17:19,934
innovation activities can be

458
00:17:20,235 --> 00:17:23,130
a way of career development and advancing your

459
00:17:23,289 --> 00:17:25,150
career with as a MP and PA.

460
00:17:25,769 --> 00:17:27,289
And this will need to be more and

461
00:17:27,289 --> 00:17:30,009
more incorporated into our professional development programs as

462
00:17:30,009 --> 00:17:32,730
we go forward as, you know, leadership programs

463
00:17:32,730 --> 00:17:34,970
and all are great, but really focusing on

464
00:17:34,970 --> 00:17:38,605
innovation as a possible gateway to professional growth

465
00:17:38,605 --> 00:17:39,424
going forward.

466
00:17:40,205 --> 00:17:42,205
That's amazing to hear. Michael, thank you so

467
00:17:42,205 --> 00:17:43,725
much for joining us on the podcast today.

468
00:17:43,725 --> 00:17:45,725
This has been such an inspiring conversation, and

469
00:17:45,725 --> 00:17:47,404
I look forward to connecting with you again

470
00:17:47,404 --> 00:17:49,985
soon. Thank you. It was great. Thank you.