Physician Leadership Program Attendee Information Question Title * 1. Full Name Question Title * 2. Email Address Question Title * 3. Short Bio: Include your current role, your professional background, and any relevant career highlights that you feel represent your journey as a family physician and leader. Question Title * 4. Leadership Approach: Identify three leadership attributes that describe your style or philosophy. Select all that apply. Visionary - is someone who creates and communicates a clear, compelling long-term vision of what the future could be. They inspire others to work toward that vision by articulating a shared sense of purpose and direction, often motivating teams to go beyond their usual boundaries and to imagine new possibilities. Empathetic - possesses the ability to understand and share the feelings of others. This attribute involves active listening, putting oneself in others' shoes, and recognizing team members' emotional needs and concerns. Empathic leaders create environments where people feel valued, respected, and understood, often leading to higher engagement and morale. Decisive - are those who can make timely and well-considered decisions, even in uncertain or high-stakes situations. They weigh available information, consult others as necessary, and confidently choose a course of action, understanding that indecision can hinder progress and morale. Collaborative - encourage and foster teamwork by creating an inclusive environment where everyone’s contributions are valued. They emphasize open communication, seek input from diverse perspectives, and work alongside team members to achieve common goals. This approach often results in a stronger, more cohesive team dynamic. Innovative - embrace creativity and are open to new ideas, often challenging the status quo to find better solutions. They foster an environment that encourages experimentation and risk-taking, pushing the team to think outside the box. Such leaders are focused on continual improvement and adapting to changing environments. Strategic - is focused on the big picture, aligning resources and efforts to long-term organizational goals. They analyze trends, anticipate future challenges, and devise plans that guide the team toward sustainable success. Strategic leaders balance current needs with future ambitions, positioning their organizations for growth and resilience. Transformational - inspire and motivate their teams to exceed ordinary expectations by creating a shared vision and empowering individuals to achieve their full potential. They foster a culture of change and innovation, focusing on personal and professional growth to drive the team and organization toward higher levels of achievement. Servant Leadership - prioritize the needs of their team members and seek to empower and support them rather than command them. They focus on helping others grow and succeed, putting the welfare of the group before personal gain. This leadership style emphasizes humility, active listening, and a genuine commitment to the well-being of others. Charismatic - possess a magnetic personality that naturally attracts people and inspires enthusiasm. They are skilled communicators who connect on a personal level, often instilling confidence and motivating others through their energy and optimism. Charismatic leaders rely on their personal charm and persuasiveness to rally support and build loyalty. Democratic - prioritize team involvement and collective decision-making, encouraging input and feedback from all members. They foster a sense of equality, inviting collaboration and considering diverse perspectives before making decisions. This approach can lead to higher morale and greater team cohesion, as team members feel their voices are heard and respected. Other specify: Question Title * 5. Leadership Experience: Briefly outline any leadership roles you’ve held. Please highlight specific projects or initiatives where you’ve led a team or organization, particularly those that involved collaboration with administrative staff. Question Title * 6. Goals for the Program: What are you hoping to gain from this leadership program? Are there specific skills or insights you aim to develop to better engage with administrators on your ideas and projects? Done