Reformated: Resume as Executive Coach & Organizational Leadership Consultant
Thu, Aug 25 2011 02:05
| Permalink
Pieter Kark, MD
Mountain View, California
Tel: 650.380.9717 E-mail: pieterk@post.harvard.edu
CONSULTING FOR ORGANIZATIONAL DEVELOPMENT and EXECUTIVE COACHING
SUMMARY
Consultant and coach who finds consensus under conflicts to create aligned, high-performance teams; and who coaches key people to polish interpersonal skills so they can inspire others to succeed. Sees underlying nature of problems, creates constructive suggestions, and motivates alignment and success. Enabled improved state law by resolving conflict, trained 1500 professionals to train their colleagues in compassionate end-of-life care; authored 89 medical and ethical communications by coaching individuals and teams. Reputation for inspiring people of many backgrounds, cultures, and positions to tackle thorny problems and turn them around quickly and ably.
CORE COMPETENCIES
· Organizational development
· Communication in teams
· Conflict resolution
· Reconciling cultural diversity
· Executive coaching
· Tools of consciousness
· Facilitating seminars and workshops
· Editing, writing, speaking
CERTIFICATION
Certified, American Board of Psychiatry & Neurology
Trainer of Trainers (Facilitator), Education for Physicians (Professionals) in End-of-life Care
Licensed Avatar® Master
PROFESSIONAL EXPERIENCE
Consultant practice in neurology, medicine, end-of-life care, and research and teaching: Boston, Bethesda, Los Angeles, Shreveport, Syracuse, more than 15 years
Associate Professor of Neurology at UCLA and LSU; Founding Chief of Neurology Service, of Hospital Based Home Care Outpatient Program, and of Geriatric Outpatient Program, at VAMC Shreveport; Lecturer in Medical Humanities at SUNY Upstate Medical Center, Owner of Neurological Consultations
· Enabled modern State law for the terminally ill by discerning consensus underlying divisive conflict on Bioethics Committee of the Medical Society of the State of New York to create compromise that permitted a unanimous opinion of the Committee for the Legislature and Governor’s office.
· Saved 4-fold ROI annually for medical center by reducing patient re-admission rates on neurology service from 20 per month to almost none, by organizing and directing multi-disciplinary team using modern treatments.
· Authored 89 original medical/scientific communications on genetic and toxic diseases, and on medical ethics; improved quality of practice and patient advocacy by forming >30 aligned teams of physicians, guest scientists; medical, graduate, and college students; and physician extenders: teams doing clinical, educational, and research activities; and especially coaching teams and members to work effectively and humanely.
· Ensured >150 terminal patients got quality of life and treatment they preferred by resolving conflicts with families and healthcare staff over dogma, uncertainty and guilt and by coaching the participants.
· Produced modern, scientifically-based, humane, driving regulations about health in NY State by discerning consensus underlying conflicts on the DMV Medical Advisory Board and coaching Board members.
· Coached and tutored 50 medical students in groups of 10, monthly for 2 years for each group, on improving inter-personal relations and in writing and discussing divisive political and ethical topics compassionately and with respect for opposite opinions, in Medicine and Society programs.
· Inspired effectiveness and quality in more than 20 teams of physicians treating acute illnesses of artists to enable them to perform; and to teach performers to continue their profession by avoiding and reducing stresses that lead to disabling problems.
· Produced first book on pathophysiology and treatment of Inherited Ataxias by organizing International Symposium, raising funds, ensuring all aspects of Symposium ran smoothly, and coaching authors to write clearly and concisely.
and AMA/RWJohnson Foundation/Northwestern University Program in Education for Physicians (Professionals) in End-of-life Care: New York, California, Pennsylvania, New Jersey, New Mexico Trainer of Trainers (Facilitator) (1999-2006)
· Trained 1500 physicians, nurses, social workers, administrators, chaplains and other healthcare workers in effective, compassionate ways to care for dying people so as to maximize quality of remaining life, and themselves to train their own colleagues; by aligning and inspiring 20 faculties from 5 states to facilitate EPEC Program.
· Added to success of 12 NY Programs by writing and facilitating modules on Cultural and Spiritual Diversity and on Stress Reduction for the Practitioner.
Life Loan Foundation, Palo Alto, CA Medical Director 2005-2008
· Created non-profit to loan funds to dying people to improve their quality of life by inspiring team, resolving conflicts, and writing much of business plan. (Market collapse of 2008 blocked further efforts).
Star’s Edge International, Orlando FL and SF Bay Area, CA Licensed Avatar® Master 2005-2011
· Learned and used skills and tools to help others with self-discovery, self-empowerment and enlightenment, and learned to, and forged, aligned and effective teams.
· Guided several hundred people to learn skills and tools to succeed enjoyably in aspects of life which they had not found enjoyable or successful, by guiding (coaching) and working as a member of and aligning numerous groups and teams.
Enterprise Resiliency Group (ERG), Silicon Valley Senior Partner 2009-2011
· Created ERG by bringing 12 experts into cohesive emergency and disaster planning team, and finding non-profit beta-test site;
· Wrote 32-page report of prioritized suggestions to non-profit, by leading core team and 6 others through successful test in minimal time and resolving conflicts among the team so report was unanimous.
· Made the non-profit resilient – able to withstand a broad range of potential emergencies and disasters -- by guiding management and staff to implement our recommendations.
VOLUNTEER WORK IN SILICON VALLEY
Abilities United, Palo Alto, CA Board of Directors 2008-2011
· Assured agency flourished despite loss of 20% of State funding by inspiring and coaching departmental managers of silos to align, to explore viewpoints and methods outside their comfort zone, and to collaborate on social enterprises;
· Resolved 28 health and safety issues for disabled clients by investigating nature and degree of problems, clarifying priorities, and working with Board and departmental managers to create effective solutions.
· Developing living All-Hazards Disaster Plan by inspiring, coaching, and coordinating work of a team representing all silos.
American Red Cross – Silicon Valley Chapter, Santa Clara County CA 2007-2011
Coordinator for Mentoring, DAT Captain, Sheltering Supervisor and Instructor; Health and Safety Instructor.
· Engaged 10-15% more volunteers for new Chapter by organizing and leading a mentoring program: acclaimed by Executive Director and Board as major success for Chapter’s first year.
· Inspired key people to collaborate in new Chapter by resolving conflicts between people from two disparate, culturally-distinct, former chapters during merger.
· Led more than 15 focused teams to aid clients effectively and compassionately in local and national disasters, by coaching members of the team while in action.
Toastmasters District 4, SF Peninsula, CA Club President, Area Governor, Club Coach. 2005-2011
· Motivated a failing club at an IT firm to succeed by coaching and inspiring members to align purpose, mission, and activities.
· Coached and inspired officers and members of 5 individual clubs, 4 of them at IT firms, so as to lead the Area to be Distinguished.
· Used skills as a consultant for dysfunctional teams to coach a club, that had failed with an earlier coach, to achieve in five months the Select Distinguished status, the second highest club award.
ProMatch (Nova/Connect!/EDD), Sunnyvale, CA Facilitation Team; Co-Lead Problem-Solution-Results &Resumes Team; Author and Presenter, Workshops on “Breaking Free When You’re Really Stuck” 2010-2011
· Assured > 100 professionals had effective resumes by re-writing presentation and handouts for Targeting Your Resume Workshop to emphasize importance of T-charts and Result-Solution statements, and using latter to create exciting Summary statements.
· Ensured > 150 professionals created solid Problem-Solution-Result statements and effective resumes by facilitating workshops and coaching one-on-one.
· Trained >150 professionals to facilitate by co-facilitating Facilitation Skills Workshops.
· Trained >100 professionals in mental exercises to reduce stress quickly and effectively.
EDUCATION
· MD cum laude in general studies, Harvard Medical School, Boston.
· BA with Second-Class Honours and MA, Oxford University, Oxford (Medicine and Animal Physiology, largely neurophysiology and biochemistry).
· Multiple courses from American Red Cross.
· Trained to train other trainers (facilitation method), EPEC Program
· Selected to co-facilitate with National Training Team of EPEC Program.
· Facilitation Skills Workshop (ProMatch, Nova/Connect) then Facilitator/Co-Facilitator for 5 Facilitation workshops and multiple PSRR workshops
· Multiple courses in management at VAMC, Shreveport
· Courses in tools of consciousness that improve interactions, reduce stress, support creativity in others, align teams, and inspire groups and individuals to improve, Star’s Edge International, Altamonte, FL
Establishing aligned teams; coaching, mentoring, teaching and tutoring basic science, laboratory research (biochemical, genetic, toxicologic, pharmacological, monoclonal antibodies), basic clinical matters, specialized clinical matters, patient care, medical research and medical ethics for many years at several medical schools. Facilitating open, clear, honest communications to improve end-of-life care for more than 10 years in 20 EPEC programs.
Comments
CONSULTING FOR ORGANIZATIONAL DEVELOPMENT and EXECUTIVE COACHING
Wed, Aug 10 2011 08:28
| Permalink
Pieter Kark, MD
Mountain View, California
Tel: 650.380.9717 E-mail: pieterk@post.harvard.edu
CONSULTING FOR ORGANIZATIONAL DEVELOPMENT and EXECUTIVE COACHING
SUMMARY
Consultant and coach who finds consensus under conflicts to create aligned, high-performance teams; and who coaches key people to polish interpersonal skills so they can inspire others to succeed. Sees underlying nature of problems, creates constructive suggestions, and motivates alignment and success. Enabled improved state law by resolving conflict, trained 1500 professionals to train their colleagues in compassionate end-of-life care; authored 89 medical and ethical communications by coaching individuals and teams. Reputation for inspiring people of many backgrounds, cultures, and positions to tackle thorny problems and turn them around quickly and ably.
CORE COMPETENCIES
· Organizational development
· Communication in teams
· Conflict resolution
· Reconciling cultural diversity
· Executive coaching
· Tools of consciousness
· Facilitating seminars and workshops
· Editing, writing, speaking
CERTIFICATION
Certified, American Board of Psychiatry & Neurology
Trainer of Trainers (Facilitator), Education for Physicians (Professionals) in End-of-life Care
Licensed Avatar® Master
PROFESSIONAL EXPERIENCE
Consultant practice in neurology, medicine, end-of-life care, and research and teaching: Boston, Bethesda, Los Angeles, Shreveport, Syracuse, more than 15 years
Associate Professor of Neurology at UCLA and LSU; Founding Chief of Neurology Service, of Hospital Based Home Care Outpatient Program, and of Geriatric Outpatient Program, at VAMC Shreveport; Lecturer in Medical Humanities at SUNY Upstate Medical Center, Owner of Neurological Consultations
· Enabled modern State law for the terminally ill by discerning consensus underlying divisive conflict on Bioethics Committee of the Medical Society of the State of New York to create compromise that permitted a unanimous opinion of the Committee for the Legislature and Governor’s office.
· Saved 4-fold ROI annually for medical center by reducing patient re-admission rates on neurology service from 20 per month to almost none, by organizing and directing multi-disciplinary team using modern treatments.
· Authored 89 original medical/scientific communications on genetic and toxic diseases, and on medical ethics; improved quality of practice and patient advocacy by forming >30 aligned teams of physicians, guest scientists; medical, graduate, and college students; and physician extenders: teams doing clinical, educational, and research activities; and especially coaching teams and members to work effectively and humanely.
· Ensured >150 terminal patients got quality of life and treatment they preferred by resolving conflicts with families and healthcare staff over dogma, uncertainty and guilt and by coaching the participants.
· Produced modern, scientifically-based, humane, driving regulations about health in NY State by discerning consensus underlying conflicts on the DMV Medical Advisory Board and coaching Board members.
· Coached and tutored 50 medical students in groups of 10, monthly for 2 years for each group, on improving inter-personal relations and in writing and discussing divisive political and ethical topics compassionately and with respect for opposite opinions, in Medicine and Society programs.
· Inspired effectiveness and quality in more than 20 teams of physicians treating acute illnesses of artists to enable them to perform; and to teach performers to continue their profession by avoiding and reducing stresses that lead to disabling problems.
· Produced first book on pathophysiology and treatment of Inherited Ataxias by organizing International Symposium, raising funds, ensuring all aspects of Symposium ran smoothly, and coaching authors to write clearly and concisely.
and AMA/RWJohnson Foundation/Northwestern University Program in Education for Physicians (Professionals) in End-of-life Care: New York, California, Pennsylvania, New Jersey, New Mexico Trainer of Trainers (Facilitator) (1999-2006)
· Trained 1500 physicians, nurses, social workers, administrators, chaplains and other healthcare workers in effective, compassionate ways to care for dying people so as to maximize quality of remaining life, and themselves to train their own colleagues; by aligning and inspiring 20 faculties from 5 states to facilitate EPEC Program.
· Added to success of 12 NY Programs by writing and facilitating modules on Cultural and Spiritual Diversity and on Stress Reduction for the Practitioner.
Life Loan Foundation, Palo Alto, CA Medical Director 2005-2008
· Created non-profit to loan funds to dying people to improve their quality of life by inspiring team, resolving conflicts, and writing much of business plan. (Market collapse of 2008 blocked further efforts).
Star’s Edge International, Orlando FL and SF Bay Area, CA Licensed Avatar® Master 2005-2011
· Learned and used skills and tools to help others with self-discovery, self-empowerment and enlightenment, and learned to, and forged, aligned and effective teams.
· Guided several hundred people to learn skills and tools to succeed enjoyably in aspects of life which they had not found enjoyable or successful, by guiding (coaching) and working as a member of and aligning numerous groups and teams.
Enterprise Resiliency Group (ERG), Silicon Valley Senior Partner 2009-2011
· Created ERG by bringing 12 experts into cohesive emergency and disaster planning team, and finding non-profit beta-test site;
· Wrote 32-page report of prioritized suggestions to non-profit, by leading core team and 6 others through successful test in minimal time and resolving conflicts among the team so report was unanimous.
· Made the non-profit resilient – able to withstand a broad range of potential emergencies and disasters -- by guiding management and staff to implement our recommendations.
VOLUNTEER WORK IN SILICON VALLEY
Abilities United, Palo Alto, CA Board of Directors 2008-2011
· Assured agency flourished despite loss of 20% of State funding by inspiring and coaching departmental managers of silos to align, to explore viewpoints and methods outside their comfort zone, and to collaborate on social enterprises;
· Resolved 28 health and safety issues for disabled clients by investigating nature and degree of problems, clarifying priorities, and working with Board and departmental managers to create effective solutions.
· Developing living All-Hazards Disaster Plan by inspiring, coaching, and coordinating work of a team representing all silos.
American Red Cross – Silicon Valley Chapter, Santa Clara County CA 2007-2011
Coordinator for Mentoring, DAT Captain, Sheltering Supervisor and Instructor; Health and Safety Instructor.
· Engaged 10-15% more volunteers for new Chapter by organizing and leading a mentoring program: acclaimed by Executive Director and Board as major success for Chapter’s first year.
· Inspired key people to collaborate in new Chapter by resolving conflicts between people from two disparate, culturally-distinct, former chapters during merger.
· Led more than 15 focused teams to aid clients effectively and compassionately in local and national disasters, by coaching members of the team while in action.
Toastmasters District 4, SF Peninsula, CA Club President, Area Governor, Club Coach. 2005-2011
· Motivated a failing club at an IT firm to succeed by coaching and inspiring members to align purpose, mission, and activities.
· Coached and inspired officers and members of 5 individual clubs, 4 of them at IT firms, so as to lead the Area to be Distinguished.
· Used skills as a consultant for dysfunctional teams to coach a club, that had failed with an earlier coach, to achieve in five months the Select Distinguished status, the second highest club award.
ProMatch (Nova/Connect!/EDD), Sunnyvale, CA Facilitation Team; Co-Lead Problem-Solution-Results &Resumes Team; Author and Presenter, Workshops on “Breaking Free When You’re Really Stuck” 2010-2011
· Assured > 100 professionals had effective resumes by re-writing presentation and handouts for Targeting Your Resume Workshop to emphasize importance of T-charts and Result-Solution statements, and using latter to create exciting Summary statements.
· Ensured > 150 professionals created solid Problem-Solution-Result statements and effective resumes by facilitating workshops and coaching one-on-one.
· Trained >150 professionals to facilitate by co-facilitating Facilitation Skills Workshops.
· Trained >100 professionals in mental exercises to reduce stress quickly and effectively.
EDUCATION
· MD cum laude in general studies, Harvard Medical School, Boston.
· BA with Second-Class Honours and MA, Oxford University, Oxford (Medicine and Animal Physiology, largely neurophysiology and biochemistry).
· Multiple courses from American Red Cross.
· Trained to train other trainers (facilitation method), EPEC Program
· Selected to co-facilitate with National Training Team of EPEC Program.
· Facilitation Skills Workshop (ProMatch, Nova/Connect) then Facilitator/Co-Facilitator for 5 Facilitation workshops and multiple PSRR workshops
· Multiple courses in management at VAMC, Shreveport
· Courses in tools of consciousness that improve interactions, reduce stress, support creativity in others, align teams, and inspire groups and individuals to improve, Star’s Edge International, Altamonte, FL
Establishing aligned teams; coaching, mentoring, teaching and tutoring basic science, laboratory research (biochemical, genetic, toxicologic, pharmacological, monoclonal antibodies), basic clinical matters, specialized clinical matters, patient care, medical research and medical ethics for many years at several medical schools. Facilitating open, clear, honest communications to improve end-of-life care for more than 10 years in 20 EPEC programs.
Discerning Consensus Under Conflicts to Create Aligned, High-Performance Teams
Sat, Jul 16 2011 10:35
| Permalink
Pieter Kark, MD
Mountain View, California
Tel: 650.380.9717 E-mail: pieterk@post.harvard.edu
DISCERNING CONSENSUS UNDER CONFLICTS TO CREATE ALIGNED HIGH-PERFORMANCE TEAMS
SUMMARY
Experienced consultant who discerns the consensus underneath internal organizational conflicts to create aligned, high-performance teams. Improved state law on dying patients by descrying what underlay conflict in state medical society; resolved conflicts between key people in merging of two Red Cross Chapters; aligned managers in non-profit to team so as to generate income to replace major cuts in state funding. Reputation for inspiring people of many backgrounds, cultures, and positions to tackle thorny problems and to align to solve them quickly and effectively.
CORE COMPETENCIES
· Descries underlying issues in conflicts
· Aligns people into high-performance teams
· Organizational development/leadership
· Communication in teams
· Executive coaching
· Editing, writing, speaking
· Tools of consciousness
PROFESSIONAL EXPERIENCE
Consultant practice in neurology, medicine, end-of-life care, and research and teaching: Boston, Bethesda, Los Angeles, Shreveport, Syracuse, San Francisco Peninsula more than 15 years
Associate Professor of Neurology at UCLA and LSU; Founding Chief of Neurology Service at VAMC Shreveport, Lecturer in Medical Humanities at SUNY Upstate Medical Center, Owner of Neurological Consultations.
· Improved a state law about dying patients by descrying what underlay a conflict in the state medical society so as to present unanimous testimony to the legislature and Governor’s office.
· Saved several-fold ROI annually at medical center by organizing and aligning high-performance multi-disciplinary team to reduce neurology re-admission rates from 20 per month to almost none.
· Co-authored 89 original medical/scientific communications, improved quality of practice and patient advocacy by forming over 30 aligned teams of students, physician extenders, guest scientists, and physicians: teams doing clinical, educational, and research activities; and coaching them to align for high-performance and to communicate effectively.
· Ensured more than 150 terminal patients got preferred quality of life and treatment they by resolving conflicts with families and healthcare staff over dogma, uncertainty and guilt; aligning them, and writing clear recommendations.
· Produced scientifically-based, humane, modern driving regulations about health in NY State by determining underlying causes of conflicts in DMV Medical Advisory Board for aligned, unanimous, timely reports.
Program in Education for Physicians (Professionals) in End-of-life Care Trainer of Trainers 1999-2006
· Trained 1500 physicians, nurses, social workers, administrators, chaplains and other healthcare workers in effective, compassionate ways to care for dying people so as to maximize quality of life, and training their colleagues; by aligning and inspiring 20 faculties for the EPEC Program into high-performance teams.
· Trained participants of 12 NY Programs to discern common causes of conflicts by writing and presenting modules on Cultural and Spiritual Diversity.
Life Loan Foundation, Palo Alto, CA Medical Director 2005-2008
· Created non-profit to loan funds to dying people to improve their quality of life, by aligning and leading team, resolving conflicts, and writing much of business plan. (Market collapse of 2008 blocked further efforts).
Star’s Edge International, Orlando FL and SF Bay Area, CA Licensed Avatar® Master. 2005-2011
· Learned skills and tools to forge aligned high-performance teams.
· Guided several hundred people to learn to succeed happily in aspects of life where they had not succeeded and were unhappy, by working as a member of and aligning numerous groups and teams.
Enterprise Resiliency Group (ERG), Silicon Valley Senior Partner. 2009-2011
· Created ERG by bringing 12 experts into aligned, high-performance emergency and disaster-mitigating team, and finding non-profit beta-test site;
· Wrote 32-page report of prioritized suggestions to non-profit, by emphasizing consensus behind conflicts in team and aligning it, so as to produce unanimous report in minimal time.
· Made non-profit resilient – able to withstand a broad range of potential emergencies and disasters -- by guiding management and staff through conflicts to implement recommendations.
VOLUNTEER WORK IN SILICON VALLEY
Work with all volunteer groups has involved people in high tech from staff level to CEO and Board level.
Abilities United, Palo Alto, CA Board of Directors 2008-2011
· Assured agency would flourished despite loss of 20% of State funding by aligning managers of silos, inspiring them to explore viewpoints and methods outside their comfort zones, and become high-performance teams for social enterprises.
· Developing living All-Hazards Disaster Plan by aligning a high-performance team representing all silos.
· Directing and inspiring task force to develop agency into a Center of Excellence
American Red Cross – Silicon Valley Chapter, Santa Clara County CA 2007-2011
Coordinator for Mentoring, DAT Captain, Sheltering Supervisor and Instructor; Health and Safety Instructor.
· Engaged 10-15% more volunteers for Chapter by organizing and leading program of aligned, high-performance team of mentors: recognized by Executive Director and Board as major success for new Chapter’s first year.
· Discerned causes of conflicts between key people from two disparate former chapters, thereby showing a consensus that aligned them into high-performance teams in a merger.
· Aligned and led more than 15 focused high-performance teams to aid clients compassionately in local and national disasters.
Toastmasters District 4, SF Peninsula, CA Club President, Area Governor, Club Coach. 2005-2011
· Inspired members of failing club at IT firm to succeed by aligning purpose, mission, and activities.
· Led Area to be Distinguished by aligning and inspiring officers and members of 5 individual clubs, 4 of them at IT firms.
· Discerned underlying causes of conflict, as appointed club coach, and used the consensus to align a club (that had failed with an earlier coach) to achieve in only five months Select Distinguished status, the second highest club award.
EDUCATION
· MD cum laude in general studies, Harvard Medical School, Boston.
· BA with Second-Class Honours and MA, Oxford University, Oxford (Medicine and Animal Physiology).
· Multiple courses from American Red Cross.
· Courses in tools of consciousness that improve interactions, reduce stress, support creativity in others, align teams, and inspire groups to improve, Star’s Edge International, Altamonte, FL
· Certified, American Board of Psychiatry and Neurology
Descrying underlying issues of conflicts, establishing aligned high-performance teams; coaching, mentoring and teaching basic science, laboratory research, basic clinical matters, specialized clinical materials, patient care, and medical research for more than 15 years at several medical schools. Mentoring open, clear, honest communications to improve end-of-life care for more than 10 years in 20 EPEC programs.
Resume 5 3 11
Tue, May 3 2011 11:01
| Permalink
Pieter Kark
Mountain View, California
Tel: 650.380.9717 E-mail: pieterk@post.harvard.edu
CONSULTING FOR ORGANIZATIONAL DEVELOPMENT & COMMUNICATION and EXECUTIVE COACHING
SUMMARY
Consultant and coach who resolves difficulties including conflicts and team’s dysfunctions, who mentors teams to communicate well, and who coaches key people to improve interpersonal skills. Determines underlying nature of problems, creates constructive suggestions, and motivates alignment and success; seasoned writer and editor. Enabled improved state law by resolving conflict, trained 1500 professionals to communicate persuasively; authored 89 original communications by coaching individuals and teams, increased volunteer engagement 10-15% by creating mentoring program. Reputation for inspiring people of many backgrounds, cultures, and levels within organizations to tackle thorny problems and turn them around quickly and effectively.
CORE COMPETENCIES
· Organizational development
· Communication in teams
· Conflict resolution
· Executive coaching
· tools of consciousness
· Editing, writing, speaking
CERTIFICATION
Certified, American Board of Psychiatry & Neurology
PROFESSIONAL EXPERIENCE
Consultant practice in neurology, medicine, end-of-life care, and research and teaching: Boston, Bethesda, Los Angeles, Shreveport, Syracuse, San Francisco Peninsula more than 15 years
Associate Professor of Neurology at UCLA and LSU; Founding Chief of Neurology Service at VAMC Shreveport, Lecturer in Medical Humanities at SUNY Upstate Medical Center, Owner of Neurological Consultations.
· Enabled modern State laws for the terminally ill by resolving divisive conflicts on Bioethics Committee of the Medical Society of the State of New York to create compromises that permitted me to present a unanimous opinion of the Committee to the Legislature and Governor’s office.
· Saved several $100K annually for medical center by reducing patient re-admission rates on neurology service from 20 per month to almost none, by organizing and directing multi-disciplinary team using modern treatments.
· Authored 89 original medical/scientific communications, improved quality of practice and patient advocacy by forming over 30 aligned teams of college, graduate and medical students; physician extenders, guest scientists, and physicians: teams doing clinical, educational, and research activities; and especially coaching them to work effectively and speak and write clearly.
· Ensured more than 150 terminal patients got the quality of life and treatment they preferred by resolving conflicts with families and healthcare staff over dogma, uncertainty and guilt; and by writing clear reports and recommendations.
· Produced scientifically-based, humane, modern driving regulations about health in NY State by resolving conflicts on the DMV Medical Advisory Board so that I could prepare unanimous, timely, written reports.
· Inspired effectiveness and quality in more than 20 teams of physicians to treat acute illnesses of artists so they could perform; and to teach performers to continue their profession by avoiding and reducing stresses that lead to disabling problems.
Program in Education for Physicians in End-of-life Care Trainer of Trainers 1999-2006
· Trained 1500 physicians, nurses, social workers, administrators, chaplains and other healthcare workers in effective, compassionate ways to care for dying people so as to maximize quality of life, and training their colleagues; by aligning and inspiring 20 faculties for EPEC Program.
· Added to success of 12 NY Programs by writing modules on Stress Reduction for the Practitioner and on Cultural and Spiritual Diversity.
Life Loan Foundation, Palo Alto, CA Medical Director 2005-2008
· Created non-profit to loan funds to dying people to improve their quality of life, by inspired and leading team, resolving conflicts, and writing much of business plan. (Market collapse of 2008 blocked further efforts).
Star’s Edge International, Orlando FL and SF Bay Area, CA Licensed Avatar® Master. 2005-2011
· Learned and used skills and tools to forge aligned and effective teams.
· Guided several hundred people to learn skills and tools to succeed happily in aspects of life where they had not succeeded and were unhappy, by working as a member of and aligning numerous groups and teams.
Enterprise Resiliency Group (ERG), Silicon Valley Senior Partner. 2009-2011
· Created ERG by bringing 6 experts into cohesive emergency and disaster planning team, and finding non-profit beta-test site;
· Wrote 32-page report of prioritized suggestions to non-profit, by leading core team and 6 others through successful test in minimal time and resolving conflicts among the team so report was unanimous.
· Made the non-profit resilient – able to withstand a broad range of potential emergencies and disasters -- by guiding management and staff to implement recommendations.
VOLUNTEER WORK IN SILICON VALLEY
Work with all volunteer groups has involved people in high tech from staff level to CEO and Board level.
Abilities United, Palo Alto, CA Board of Directors 2008-2011
· Assured agency would flourished despite loss of 20% of State funding by inspiring managers of silos to align, to explore viewpoints and methods outside their comfort zone, and to collaborate on social enterprises;
· Resolved 28 health and safety issues for disabled clients by investigating nature and degree of problems, clarifying priorities, and working with Board and managers to create effective solutions.
· Improving financial accountability and receipts by providing business expertise to each department, by convincing Board to hire a Volunteer Coordinator;
· Developing living All-Hazards Disaster Plan by inspiring, teaching, and coordinating work of a team representing all silos.
American Red Cross – Silicon Valley Chapter, Santa Clara County CA 2007-2011
Coordinator for Mentoring, DAT Captain, Sheltering Supervisor and Instructor; Health and Safety Instructor.
· Engaged 10-15% more volunteers for Chapter by organizing and leading program of team of mentors: recognized by Executive Director and Board as major success for new Chapter’s first year.
· Inspired key people to collaborate in new Chapter by resolving conflicts between people from two disparate former chapters during merger.
· Led more than 15 focused teams to aid clients effectively and compassionately in local and national disasters.
Toastmasters District 4, SF Peninsula, CA Club President, Area Governor, Club Coach. 2005-2011
· Motivated failing club at IT firm to succeed by inspiring members to align purpose, mission, and activities.
· Inspired officers and members of 5 individual clubs, 4 of them at IT firms, so as to lead Area to be Distinguished.
· Used skills as a consultant for dysfunctional teams to coach a club that had failed with an earlier coach to achieve in five months the Select Distinguished status, the second highest club award.
ProMatch (Nova/Connect!/EDD), Sunnyvale, CA Facilitation Team; Co-Lead PSRR Team 2010-2011
· Assured 25 professionals would have effective resumes by re-writing presentation and handouts for Targeting Your Resume workshop to emphasize importance of T-charts and R-S statements, and using latter to create exciting Summary statements.
· Trained 75 professionals to facilitate by co-facilitating Facilitation Workshops.
· Ensured more than 100 professionals created solid PSR statements and effective resumes by facilitating workshops and giving one-on-one assistance at drop-in sessions.
EDUCATION
· MD cum laude in general studies, Harvard Medical School, Boston.
· BA with Second-Class Honours and MA, Oxford University, Oxford (Medicine and Animal Physiology).
· Multiple courses from American Red Cross.
· Courses in tools of consciousness that improve interactions, reduce stress, support creativity in others, and inspire groups to improve, Star’s Edge International, Altamonte, FL
Establishing aligned teams; coaching, mentoring and teaching basic science, laboratory research, basic clinical matters, specialized clinical materials, patient care, and medical research for more than 15 years at several medical schools. Mentoring open, clear, honest communications to improve end-of-life care for more than 10 years in 20 EPEC programs.
Getting Employees and Teams to Succeed. A White Paper
Sun, Mar 6 2011 05:09
| Permalink
Getting Employees and Teams to Succeed. A Neurologist’s View
What is the best way to get employees and teams to succeed? Some executives and managers praise, encourage, let people work at their own pace and time, let them work in their own ways, and from time to time make gentle suggestions for improvement.
Others say this is “soft,” “touchy-feely”. They direct people firmly, ride them, tell them exactly what to do, chastise or punish errors or falling behind, compare people unfavorably with colleagues, or use favoritism as carrot-and-stick. Some use these techniques without realizing they are doing it.
Is the first approach soft? Does the second one work?
What we now know about the brain tells us a lot about both approaches. The brain is hard-wired to turn off creativity and intuition if the brain senses danger of any kind. Scientific studies tell us the firm, chastising, criticizing management approach signals danger. Just a hint of disapproval turns off most of the brain. Only a small sliver still thinks. That sliver can only function in a tight box of linear thoughts (a àbàc). It’s not very productive.
Scientific studies show the first method is highly effective. Praise, encouragement, freedom to work how you wish, and gentle suggestions actually work. They work well. This approach turns on nerve cells and circuits in the brain that inspire individuals and teams to do their best.
Why? Dr. David Rock reviewed the science in The Neuroleadership Journal 1 (2008). He summed up influences on traits he calls “SCARF”: Status, Certainty, Autonomy, Relatedness, and Fairness. Increasing these five traits increases productivity by increasing comfort, creativity, and intuition. Going against one of the traits, just one, any one, shuts down effectiveness and productivity. They shut down in a fraction of a second; and it takes hard work over a long time to get effectiveness and productivity back.
Status for Rock means social status, intellectual status, or a personal sense of honor and worth within a group, a department, an organization, or a company.
Certainty means the ability to know from moment to moment how actions will influence efforts. The efforts may be to get a effect one wants or to avoid errors. It is a subconscious state the brain is in when planning or carrying out complex tasks.
Autonomy means being free to choose between possibilities. It gives a person or a group a sense of being in control.
Relatedness means feeling part of a group of friends. Lack of relatedness is what someone feels when (s)he is outside a clique or has to face an enemy.
Fairness means feeling that authorities are treating you just as they are treating others: no prejudices, no insiders, no favoritism.
All of us feel these traits. Reports feel these traits. They feel when the traits aren’t there. You as a report or subordinate feel these traits and their absence. You as a manager probably don’t. A manager who is abrupt or uses a carrot-and-stick may not intend to undercut the SCARF traits. (S)he may not recognize (s)he is undercutting anything. What counts is how the reports feel. How reports feel determines their effectiveness and productivity.
What is going on in the brain? Most of the brain deals with subconscious, reflex actions. A critical part of the brain are the nerve cells and connections that trigger reflexes to keep us out of danger. They make sure we avoid enemies or threats. This is survival. It is a basic need. It is much stronger than a second, opposite, reflex action. The latter deals with gratification. Gratification is wanting to be with people we love and things we love, wanting to stay with a supportive group, enjoying what we are doing, getting rewards.
The parts of the brain that deal with survival are largely toward the front surface of the brain, low down on the front sides, and deep the front of the brain.
Reflexes act and work in a few thousands of a second. The subconscious brain treats anything that threatens a SCARF trait as a danger or a threat. Danger threatens survival. Our need to survive is much stronger than our wish to be gratified with pleasant things or rewards. Threats of all kinds signal a nucleus, or collection of nerve cells, deep in the brain. When these cells perceive a threat, they act instantly to put the rest of the brain into “fight-or-flight” mode. Emotions switch to fear and anger. Bad memories come up, memories of fearful events and things that made us angry. Another part of the brain sends signals of disgust and nausea. The intuitive functions of the brain shut down. The only thinking part of the brain that is active is a thin layer of the outer surface up in front. This layer works only with learned, linear, logical behaviors; nothing else. All of this is the survival mode.
You can’t avoid the survival mode. When we are trying to survive we cannot deal with non-linear problems. We cannot be creative. We cannot think out of the box. We cannot be kind to others, we cannot work out new ways of doing things, and we cannot use intuition. Survival is every man for himself. Teamwork and social abilities disappear. Managers and executives beware: the more often people perceive threats to survival at their workplace, the worse the consequences. Behavior gets worse. Efficiency and productivity go down. It takes longer and longer to restore people’s brains to a neutral state, let alone an aligned, creative state.
You may want to point out exceptions, like firefighters, soldiers, emergency room doctors and nurses: people trained to deal with emergencies and disasters. These highly-trained people are actually hyper-focused when they are in survival mode that concerns their expertise. In this survival mode, they use linear logic instead of creativity. They are not exceptions. They’ve just been trained in a lot of specific linear processes the rest of us don’t know.
I only know one protection from automatic fright-or-flight. It is to get trained in technologies of consciousness that include skills to block negative emotional responses and to discreate the unpleasant emotions that are stirred up. How to do it is beyond the scope of this white paper.
What we know about the brain gives a clear message to executives, managers, organizations and companies. Encourage the SCARF traits. 1) Treat employees, staff, colleagues, and teams so they feel they are valued. 2) Treat them so they are certain that whatever they try will be appreciated whether it succeeds or fails. 3) Treat them so they know they can make their own decisions about what to do, how to do it, and when to do it. 4) Make them feel they are regarded as valuable members of an organization in which superiors, peers, and people who report to them are friends not rivals. 5) Make sure no-one supervising them plays favorites.
Success in executive coaching and success in organizational development follow these rules. For example, in his book, “What Got You Here Won’t Get You There”, executive coach Marshall Goldsmith considers 20 types of flaws in interpersonal behavior that damage relations in a company. Let me assign the flaws to SCARF categories. I don’t want to minimize the deep and broad analysis Goldsmith gives. I merely want to show that there are links between Goldsmith’s approach and Rock’s.
Problems with status seem to underlie Goldsmith’s flaws of needing to win too much, needing to add too much value, needing to tell the world how smart we are, needing to make excuses, needing to cling to the past to deflect blame, refusing to express regret, and an excessive need to be “me”. Undermining certainty is likely when a sentence begins with “no,” “but,” or “however”; when you “explain why that won’t work”, when you withhold information, and when you “speak when angry: using emotional volatility as a management tool.” Being unwilling to let people have autonomy underlies making destructive comments, sarcasm, cutting remarks; withholding information, and claiming credit we don’t deserve. Several flaws destroy the sense of relatedness: passing judgments, making destructive comments, speaking when angry, failing to give proper recognition, claiming credit we don’t deserve, making excuses, clinging to the past to deflect blame, refusing to express regret, failing to express gratitude, and passing the buck. Fairness is damaged by failing to give proper recognition, withholding information, claiming credit we don’t deserve, playing favorites, and punishing the messenger.
Patrick Lencioni’s “The Five Dysfunctions of a Team” is an example about management consulting, “organizational development”. Again, my intent is merely to show links. I’m not trying to simplify Lencioni’s work.
· Absence of Trust is the bottom of Lencioni’s pyramid of dysfunctions. Absence of trust includes a lack of a sense of relatedness. The members of a team may be assigned together, but they are suspicious and even afraid of each other. They do not feel they are a group of aligned friends. Often, they may be juggling for a sense of status. The absence of trust and its underlying issues is the first problem that needs to be solved when using Lencioni’s paradigm.
· Fear of Conflict is the second layer of the pyramid. Fear of conflict is a fear of an open, free-flowing discussion. Why? Because people on the team don’t trust each other. Fear of conflict is an issue of relatedness. Fear of conflict also means that the members of the team don’t feel autonomous and lack certainty about their actions in a discussion.
· Lack of Commitment implies a lack of certainty and relatedness. Lack of commitment also means the teams’ members fear they don’t have autonomy and that their status is threatened.
· Avoidance of Accountability can come from problems with certainty, autonomy and relatedness. Avoidance of accountability is made worse if the team’s members have a sense of unfairness.
· Inattention to Results comes from the sum of these problems. The sum can be stated in Lencioni’s paradigm or in David Rock’s. It is the same: people on a dysfunctional team don’t pay attention to the results they get or to the results they should be getting.
The message is clear. Pay careful attention to the SCARF traits and needs. Are you reinforcing the traits with your colleagues, reports, and subordinates, letting them their work gratify them? Are you mistakenly undermining the traits, consciously or unconsciously, putting your colleagues and subordinates immediately into flight-or-fright mode with its long term consequences that prevent effectiveness and productivity?
If you want to see the areas of the brain that are involved, look at the pictures in my earlier blog post, Getting Teams to Succeed. None of the originals are mine. They are from excellent British and German books of neuroanatomy and from images on the Internet. In a few, I have added colors myself.
Brochure about Full Circle Consulting SSS
Sun, Mar 6 2011 05:07
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Brochure
How are things in your company or organization? Do teams sometimes spend more time infighting than succeeding? Are there problems with communication? Do some conflicts fester? Do you or some other executives or senior managers have areas of interpersonal skills that might be improved to give more success? Are some of the problems thorny or do they even seem intractable?
Full Circle Consulting motivates teams to align and succeed rapidly (operational development, operational leadership); enables people and teams to communicate well among themselves and with other teams and silos, both orally and in writing; and dissolves conflicts. We have many years’ experience successfully consulting in, and doing, all of these. We enjoy dealing with thorny, even “intractable” problems.
Full Circle Consulting also coaches senior managers and executives to improve so as to perform their jobs better, to be prepared for promotion, and to influence and inspire others effectively. Weaknesses become strengths. We been successful in this for many years with people of many backgrounds, many cultures, and many levels in organizations.
We use whatever methods and tools are appropriate for the task. We start with whatever seems the best approach for the issue and move to other approaches as needed. We are not tied to one formula, one rigid method, or one fixed approach. We are eclectic.
How do we go about the work? We meet with a person or a small group in your organization, sign a mutual non-disclosure agreement, and ask you to choose a particular senior person to whom we will report: your and our contact person.
We explore the problem with you or your contact person. We feel out underlying issues that need to be addressed. We meet with the person or people involved in the problem to be sure there is mutual interest, a good chemistry. Sometimes we are able to make a proposal for the first phase of work at this stage. Sometimes more conversations and exploration are needed.
Usually, with you or your contact person, we discuss whom else we will need to talk with or interview during the ongoing consultation, what meetings we will need to attend, how we will proceed, and other parameters of the project. With mutual agreement, we write a proposal and then undertake the consultation.
The written proposal contains the plan for the first phase of work, the time-line for the first phase, and the phase’s cost. It also gives you estimates of other phases and rough estimates of their time-lines and likely costs. We explore each of these with you before writing the proposal. The proposal is a key piece of our contractual agreement. The proposal includes what confidences we will keep with the people you want us to work with, what we will discuss with the contact person, how often we will provide interim reports and to whom, and when we anticipate a final report.
We negotiate details and costs of each subsequent phase with you as we proceed.
Each problem is unique. If it can be measured, we will make measurements before intervening and at intervals while intervening to test whether we are going in the right direction.
Motivating teams.
Generally, we meet with the team, get to know the members, and talk with them as a team and also individually. If the mutual chemistry is good, we write a proposal and once it is accepted, we sit in on meetings to discern the interactions and particularly the difficulties.
What we do to motivate alignment and success depends on the difficulties. We may largely work with the team as a whole, perhaps exploring goals and tasks, or opening discussions of the team members’ interactions. This may be done at regular meetings. It may require specific, additional meetings, even off site. We may discuss specific personality issues with individuals on the team, with the team, and with your contact person. We may need to do all of these.
These steps give us information on how to work. They provide everyone who is involved a basis for further steps to motivate the team. Our intent is to encourage, nudge, suggest; to have the team be responsible to make decisions, accept or modify suggestions, to align and to succeed.
When the team has succeeded, we return at intervals, as negotiated with the team and your contact person, to encourage the team to remain aligned and targeted to goals and success. This follow-up may take weeks or occasionally, months.
Communication within and between teams and silos.
What we do depends on the kinds of communication needed, the problems in communication before we get involved, and the number of people. We listen to oral communications and read written ones. We discuss communications with the team and its members. With that information, we provide a written proposal as above.
Our work depends on encouraging, correcting gently but insistently, praising, and inspiring. Improvement is an evolving process. Once communication has improved, we discuss with your contact person whether further observations would be valuable, at what intervals, and for how long. The goal is to be sure improvements last.
Dissolving conflicts.
Each conflict is unique. What needs to be done depends on the conflict and its underlying causes.
In general, we meet with each party separately to get to know them and to ensure they feel we are the right ones to work with them and their counterparts. If everyone agrees, we write a proposal as above.
Usually the first task is to explore the conflict and seek its causes. This means observing and talking with people both alone and together. It may involve conversations with others who are affected by the conflict, or who are outside the conflict but who know the people involved.
How we proceed to the active phase depends on the personalities and the problems. We may mediate, discuss matters in order to seek compromises or an effective resolution; or use various tools to explore the conflict in detail, to help each party grasp the perspective of their opponent, or to examine whether parties are working in good faith. We may work with the parties separately, together, or both.
Executive coaching.
Once you and our contact person are agreed, we begin by meeting the individual, discussing coaching, seeing if there is good chemistry between us and seeing if we are likely to be helpful. If this seems the case, we write a proposal as above.
We generally work with the individual and your contact person, separately, to explore whom else we should talk to, or interview formally, and the topics. Often there are additional talks both with others in the organization and in the individual’s outside life. The topics concern the matters you, your contact person, and the individual want to improve. The conversations are all confidential. We discuss their gist with the individual we are coaching, but at most give only a general summary to the contact person.
The individual needs to decide on a couple of matters or behaviors he or she would like to change, a time line, and ways to communicate with others who can help the change and who can give feedback about it.
At first, we meet with the individual fairly often to discuss problems, methods, and progress, feedback, wins and losses, solutions and strategies. At intervals, we find out from those we have already talked with how they perceive changes. As things improve, the intervals for all of this get longer, eventually perhaps four weeks apart. The overall time varies with individuals and their pace of improvement. As a general rule, observation at intervals is needed for a year.
Please write to us at pieter@pkark.com or call 650-380-9717.
Brochure about Full Circle Consulting SSS
Wed, Mar 2 2011 10:41
| Permalink
Brochure
Full Circle Consulting motivates teams to align and succeed rapidly (operational development); enables teams to communicate well among themselves and with other teams and silos, both orally and in writing; and dissolves conflicts. We have many years’ experience successfully consulting in and doing all of these.
Full Circle Consulting also coaches senior managers and executives to improve so as to perform their jobs better, to be prepared for promotion, and to influence and inspire others effectively. Weaknesses become strengths. We also been successful in this for many years with people of many backgrounds and cultures.
We use whatever methods and tools are appropriate for the task. When it is best, we start with one approach and move to other approaches as progress dictates. We are not tied to a single formula, a rigid method, or a fixed approach. We are eclectic.
How do we proceed? We meet with a person or a small group in your organization, sign a mutual non-disclosure agreement, and ask you to choose a particular senior person to whom we will report: our contact person.
We explore the problem with you or the contact person. We feel out underlying issues that need to be addressed. We meet with the person or people involved in the problem to be sure there is mutual interest, a good chemistry. Sometimes we are able to make a proposal for the first phase of work at this stage. Sometimes more conversations and exploration are needed.
We usually discuss, with our contact and the people involved, whom else we should talk with or interview, what meetings we should attend, how we will proceed, other parameters of the project; and with mutual agreement, write a proposal and then undertake the consultation.
The written proposal is the plan for the work to be done in the first phase, the time-line for the first phase, and the cost for that phase. It also gives you estimates of the other phases, rough estimates of their time-lines and of what seem likely to be their costs. We explore each of these with you before the we write the proposal. The proposal is a key piece of our contractual agreement with you. The proposal includes what confidences we will keep with the people in the problematic area, what we will discuss with the contact person, how often we will provide interim reports and to whom, and when we anticipate a final report.
We negotiate details and costs of each subsequent phase with you as we proceed.
Each problem is unique. If it can be measured, we will make measurements before intervening and at intervals while intervening to test whether we are going in the right direction.
Motivating teams.
Generally, we meet with the team, get to know the members, and talk with them both as a team and individually. If the chemistry is good, we sit in on meetings to discern the interactions and particularly the difficulties.
What we do to motivate alignment and success depends on the difficulties. We may largely work with the team as a whole, perhaps exploring goals and tasks, or opening discussions of the team members’ interactions. This may be done at regular meetings or it may require specific, additional meetings, even off site. We may discuss specific personality issues with individuals on the team and the person to whom we report. It may be best to do all of these.
These steps provide us with information on how to proceed and provides all involved a basis for further steps to motivate the team. Our intent is to encourage, nudge, suggest; to put the responsibility on the team to make decisions, accept or modify suggestions, to align and succeed.
When the team has succeeded, we return at intervals as negotiated with the team and with you to encourage the team to remain aligned and targeted to goals and success. This follow-up may take weeks or months.
Communication within and between teams and silos.
What we do depends on the kinds of communication, the quality of communication before we get involved, and the number of people. We will listen to oral communications and read written ones. We discuss communications with the team and its members. With that information, we provide a written proposal as above.
Our work depends on encouraging, correcting gently with praise, and inspiring. Improvement is an evolving process. Once communication has improved, we discuss with the contact person whether further observations would be valuable, at what intervals, and for how long. The goal is to be sure improvements last.
Dissolving conflicts.
Each conflict is unique. What needs to be done depends on the conflict and its underlying causes.
In general, we meet with each party separately to get to know them and to ensure they feel we are the right ones to work with them and their counterparts. If everyone agrees, we write a proposal as above.
Usually the first task is to explore the conflict and seek its causes. This involves observing and talking with people both alone and together. It may involve conversations with others who are affected by the conflict, or who are outside the conflict but know the people involved.
How we proceed to the active phase depends on the personalities and the problems. We may mediate, discuss matters to look for compromises or an effective resolution; or use tools to explore the conflict in detail, to help each party grasp the perspective of their opponent, or to examine whether parties are working in good faith. We may work with the parties separately, together, or both.
Executive coaching.
Once you and our contact person are comfortable with our undertaking the coaching, we begin by meeting the individual, discussing coaching, and seeing if there is good chemistry between us and if we are likely to be of help. If this seems the case, we write a proposal as above.
We generally work with the individual and our contact person, separately, to explore whom else we should talk with, or formally interview, and the topics. Often the additional talks are both with others in the organization and in the individual’s outside life. The topics concern the matters you, the contact person, and the individual want to improve. The conversations are all confidential. We discuss their gist with the individual we are coaching, but at most give only a general summary to the contact person.
The individual needs to decide a couple of matters or behaviors he or she would like to change, a time line, and ways to communicate with others who can help and who can give feedback.
At first, we meet with the individual fairly often to discuss problems, methods, and progress, feedback, wins and losses, solutions and strategies. At intervals, we find out from those we have already talked with how they perceive changes. As things improve, intervals for all of this get longer, eventually perhaps four weeks apart. The overall time varies with individuals and their pace of improvement. As a general rule, observation at intervals is needed for a year.
GETTING TEAMS TO SUCCEED: A NEUROLOGIST’S VIEWPOINT: 1) Survival versus Gratification
Sat, Feb 26 2011 01:24
| Permalink
GETTING TEAMS TO SUCCEED: A NEUROLOGIST’S VIEWPOINT
1) Survival versus Gratification
Pieter Kark, MD
[Fig. 1 Picture Of Brain From Left]
Fig. 1 The mass on top is the hemisphere of the forebrain, motor systems largely in front (frontal lobe); memory, emotions, smell, sense of equilibrium and hearing, and conscious vision in the temporal lobe of the lower side; occipital lobe low and at the back. The cerebellum is just below the hemisphere. The lower brain stem extends downwards.
Some executives and managers realize that the most effective way to get employees and teams to succeed is to praise, encourage, let people work at their own pace and time, let them work in their own ways, and from time to time make gentle suggestions for improvement.
Others think this is “soft” or “touchy-feely”. Their way to get work out of people is to ride them firmly, direct them concisely, or ride them hard; tell them exactly what to do, chastise or punish errors or falling behind, compare them unfavorably with colleagues, or use favoritism as carrot-and-stick. Some use these techniques without realizing they are doing it.
How do these management styles compare with what we know about how the brain works? Do they reflect what doctors and scientists have learned about how the brain affects the ways people and teams work? Yes. We know enough about the brain to realize that there is nothing soft or touchy-feely about the first approach. It turns on circuits in the brain that inspire individuals and teams to do their best. On the other hand, the abrupt or carrot-and-stick style is like taking a wooden ship towards a rocky shore in a gale.
Why? In a review in The Neuroleadership Journal 1 (2008) Dr. David Rock described groups of traits he calls “SCARF”. SCARF is the acronym for Status, Certainty, Autonomy, Relatedness, and Fairness. Scientific studies have shown that increasing these five traits increases productivity by increasing comfort, creativity, and intuition. Going against any one of the traits has been shown to decrease effectiveness and productivity. Effectiveness and productivity drop in a fraction of a second; they drop a lot, and it takes hard work over a long time to get effectiveness and productivity back.
Status is social status, intellectual status, or personal sense of honor and worth within a group, a department, an organization, or a company. Certainty means the ability to know from moment to moment how an action or a series of actions will influence efforts to get the effect one wants and to avoid or reduce errors. It is a subconscious state of the brain when planning or carrying out complex tasks. Autonomy means being free to choose between possibilities. It is what gives a person or a group a sense of being in control. Relatedness means feeling part of a group of friends. Lack of relatedness is what someone feels when (s)he is outside a clique or is forced to be face-to-face with an enemy. Fairness means feeling that authorities are treating you the same way that they are treating others: no prejudices, no insiders, no favoritism.
Workers and “reports” feel these traits or their absence. Their managers may not. A manager who is abrupt or uses a carrot-and-stick may not intend to undercut the SCARF traits. (S)he may not recognize (s)he is undercutting. What counts is how the people feel who are being managed.
There is a basis in the brain for the effect these traits have on work. Yes, these traits are also principles one can reach from studying consciousness, or from many spiritual pathways. Since there is a basis in the brain, each of these approaches, scientific, consciousness, spiritual, reflects real truth about human beings. What is the basis in the brain?
Most of our brain deals with subconscious, reflex actions. Two big areas of reflex actions are those that keep us out of danger, making sure we avoid potential enemies or threats. This is survival. This is a basic need. It is much stronger than the second, opposite reflex actions of gratification. Gratification is wanting to be with people we love and things we love, wanting to stay with a supportive family or group, enjoying life, getting rewards.
The parts of the brain that deal with survival are largely toward the front surface of the forebrain, low down on the front sides, and deep within the front part of the brain.
Here is a technical paragraph: The neurological terms for these parts are the temporal lobe (the lower lateral lobe of the forebrain): a circular area going through the middle and deep parts of the frontal and temporal lobes known as the limbic system (Fig 3 a &b), and the deep, frontal extreme of the basal ganglia called the amygdala (Figs 3 a, 4 & 5). The parts also include a nearby portion of the surface of the brain called the insula (Fig 6). The amygdala and cingulate gyrus (Fig. 2 b and 5) are part of the limbic system. The insula is anatomically and physiologically close to them. The insula handles taste (disgust) and nausea. In Fig 6, a cross section of temporal lobe can be seen as the portion of the brain in outside and below the insula. The temporal lobe handles memory, emotions, and the awareness of smell, equilibrium, hearing and vision. On the cortex or outer layer of the forebrain, the very far front is called the pre-frontal cortex (Fig 7).
Fig 2. Functional map of the left hemisphere of the forebrain (cf. Fig 1)
Fig. 3 a. The limbic system within the brain.
Fig. 3 b. The mesial surface of the brain (the brain cut in half down the middle, front to back): the purple area is the part of the limbic system visible from the mesial surface. The brown is pre-frontal cortex of the frontal lobe.
Fig. 4. Amygdala and the Rest of the Basal Ganglia within the Brain. Note that the tail of the caudate and the amygdala lie deep in the temporal lobe.
Fig. 5. Diagram of the Amygdala and the Rest of the Basal Ganglia and Thalamus. The thalamus is a key sensory way-station and a way-station for setting the awake, conscious state.
Fig. 6 Coronal Section of Brain (side to side) Showing Amygdala, Cingulate Cortex, and Insula.
Fig. 7. Brain from Below. Top = front (Frontal Lobe). The prefrontal cortex concerned with logical, linear thinking is part of the area in brown (here and in Fig 2 b), extending to the side (laterally) on the under surface or ventral surface of the frontal lobe. The temporal lobe extends from the level of the light green outline to the curved rim of the blue dots (which indicate the regions coding for smell).
Now we are back to less technical material: The subconscious brain acts in a few thousands of a second, in 5 to 10 milliseconds. The subconscious brain treats anything that threatens any one SCARF trait (status, certainty, autonomy, relatedness, or fairness) as a danger or a threat. Danger threatens survival. The need to survive is much stronger than the need to gratify with pleasant things or rewards. When the amygdala perceives a threat, it acts in milliseconds to send the rest of the brain into a “fight-or-flight” mode. The limbic system changes emotions to fear and anger. The limbic system also brings up memories of fearful events and things that made the person angry. The insula sends signals of disgust and nausea. The major intuitive functions of the brain shut down, leaving only the thin layer of the pre-frontal cortex active. The pre-frontal cortex produces learned, linear, logical behaviors and nothing else. All of this is the survival mode.
There is no way to avoid the survival mode. The person who is trying to survive cannot deal with non-linear problems. The person cannot be creative. (S)he cannot think out of the box. (S)he cannot be kind to others, cannot work out new ways of doing things, and cannot use intuition. Intense survival is every man for himself. Teamwork and social abilities disappear. Managers and executives beware: the more often people perceive threats to survival at their workplace, the worse the consequences. Behavior gets worse. Efficiency and productivity go down.
There are exceptions, for example people trained to deal with emergencies and disasters. These include firefighters, the military, rescue workers, or emergency room nurses and physicians. Even these highly-trained people are hyper-focused when they are in survival mode. In survival mode, they use linear logic instead of creativity.
The only protection from this automatic fright-or-flight is if a person has learned technologies of consciousness that include skills to block negative emotional responses or to discreate the unpleasant emotions that are stirred up.
The realities of the brain have a clear message for executives, managers, organizations and companies. Encourage the SCARF traits. 1) Treat employees, staff, colleagues, and teams so they feel they are valued. 2) Treat them so they are certain whatever they try will be appreciated whether it succeeds or fails. 3) Treat them so they know they make their own decisions about what to do, how to do it, and when to do it. 4) Make them feel they are regarded as valuable members of an organization in which superiors, peers, and people under them are friends not rivals. 5) Make sure no-one supervising them plays favorites.
Success in consulting about organizational development and success in executive coaching follow these rules. The rules aren’t new. The same points were made by great writers and statesmen throughout the ages and by the originators of many spiritual practices. What is new is that there is now hard data from studies of the human brain that show the neurological reasons why these rules are true.
To give an example about executive coaching: In his book, “What Got You Here Won’t Get You There”, the executive coach Marshall Goldsmith gives 20 types of flaws in interpersonal behavior that damage relations in a company. Let me assign the flaws to SCARF categories. I don’t want to minimize the deep and broad analysis Goldsmith gives. I merely want to show that there are links between Goldsmith’s approach and Rock’s.
As I read Goldsmith’s list of flaws, problems with status seem to underlie the need to win too much, the need to add too much value, the need to tell the world how smart we are, the need to make excuses, the need to cling to the past to deflect blame, the refusal to express regret, and an excessive need to be “me”. Undermining certainty seems to involve starting a sentence with “no,” “but,” or “however”; with “explaining why that won’t work”, with withholding information, and perhaps with “speaking when angry: using emotional volatility as a management tool.” Being unwilling to let people have autonomy seems to underlie making destructive comments, sarcasm, cutting remarks; withholding information, and claiming credit we don’t deserve. Several of these flaws destroy the sense of relatedness: passing judgments, making destructive comments, speaking when angry, failing to give proper recognition, claiming credit we don’t deserve, making excuses and clinging to the past to deflect blame, refusing to express regret, failing to express gratitude, and passing the buck. Fairness is damaged by failing to give proper recognition, withholding information, claiming credit we don’t deserve, playing favorites, and punishing the messenger.
An example about management consulting is Patrick Lencioni’s “The Five Dysfunctions of a Team”. Again, my intent is merely to show links. I’m not trying to simplify Lencioni’s work.
· Absence of Trust is the bottom of Lencioni’s pyramid of dysfunctions. Absence of trust includes a lack of a sense of relatedness. The members of a team may be assigned together, but they are suspicious and even afraid of each other. They do not feel they are a group of aligned friends. Often, they may be juggling for a sense of status. The absence of trust and its underlying issues is the first problem that needs to be solved when using Lencioni’s paradigm.
· Fear of Conflict is the second layer of the pyramid. Fear of conflict is a fear of an open, free-flowing discussion. Why? Because people on the team don’t trust each other. Fear of conflict is an issue of relatedness. Fear of conflict also means that the members of the team don’t feel autonomous and lack certainty about their actions in a discussion.
· Lack of Commitment implies a lack of certainty and relatedness. Lack of commitment also means the teams’ members fear they don’t have autonomy and that their status is threatened.
· Avoidance of Accountability can come from problems with certainty, autonomy and relatedness. Avoidance of accountability is made worse if the team’s members have a sense of unfairness.
· Inattention to Results comes from the sum of these problems. The sum can be stated in Lencioni’s paradigm or in David Rock’s. It is the same: people on a dysfunctional team don’t pay attention to the results they get or to the results they should be getting.
The message is clear. Pay careful attention to the SCARF traits and needs. Are you reinforcing them with your colleagues and subordinates, letting them attain gratification in their work? Are you mistakenly undermining them, consciously or unconsciously, putting your colleagues and subordinates immediately into flight-or-fright mode with its long term consequences that prevent effectiveness and productivity?
Consulting for Teams, Conflicts, and Communication; and Executive Coaching
Sun, Jan 30 2011 12:31
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Pieter Kark
Mountain View, California
Tel: 650.380.9717 E-mail: pieterk@post.harvard.edu
CONSULTING FOR ORGANIZATIONAL DEVELOPMENT & COMMUNICATION and EXECUTIVE COACHING
An experienced consultant who inspires teams to align and succeed rapidly and who dissolves conflicts; and coaches executives to turn weaknesses into strengths so they can influence and inspire others.
CORE COMPETENCIES
· Organizational development
· Communication in teams
· Conflict resolution
· Executive coaching
· tools of consciousness
· Stress reduction
CERTIFICATION
Certified, American Board of Psychiatry & Neurology; Licensed by Star’s Edge International as an Avatar® Master (technology of working in consciousness).
PROFESSIONAL EXPERIENCE
Neurology, medicine end-of-life care, research and teaching, Boston, Bethesda, Los Angeles, Shreveport, Syracuse, San Francisco Peninsula more than 20 years
Associate Professor of Neurology at UCLA and LSU; Founding Chief of Neurology Service at VAMC Shreveport, Lecturer in Medical Humanities at SUNY Upstate Medical Center, Owner of Neurological Consultations.
· Increased medical knowledge, quality of practice, and advocacy for patients by forming, inspiring, and keeping aligned more than 30 teams whose members included college students, medical students, physician extenders, graduate students, guest scientists, and physicians, teams doing clinical and research activities, and especially writing clearly and effectively throughout my career.
· Saved VA medical center hundreds of thousands of dollars annually by reducing patient re-admission rates on neurology service from 20 per month to almost none, by organizing effective 10-member team using modern treatments.
· Enabled improvements in State laws for the terminally ill by resolving divisive conflicts on Bioethics Committee of the Medical Society of the State of New York so as to create compromises that permitted me to present a unanimous opinion of the Committee to the Legislature and Governor’s office.
· Ensured terminal patients got quality of life and treatment they preferred by resolving conflicts with families and healthcare staff over dogma, uncertainty and guilt and writing clear reports and recommendations.
· Produced scientifically-based, humane, modern NY driving regulations about health by resolving conflicts on the DMV Medical Advisory Board so that I could prepare effective, timely, unanimous written reports.
· Inspired effective quality in more than 20 teams of physicians to treat acute illnesses of artists so they could perform; and to teach performers to continue their profession by avoiding and reducing stresses that lead to disabling problems.
Program in Education for Physicians in End-of-life Care Trainer of Trainers 1999-2006
· Aligned and inspired 20 faculties for EPEC Program to train 1500 physicians, nurses, social workers, administrators, chaplains and other healthcare workers in effective, compassionate ways to care for dying people so as to maximize quality of life, and to be comfortable training their colleagues to do the same.
· Added to success of NY Program by writing modules on Stress Reduction for the Practitioner and on Cultural and Spiritual Diversity.
Star’s Edge International, Orlando FL and SF Bay Area, CA Licensed Avatar® Master. 2003-2010
· Learned and used skills and tools to forge aligned and effective teams.
· Working as a member of, and aligning, numerous groups and teams, guided several hundred people to learn skills and tools to succeed happily in aspects of life where they had not succeeded and were unhappy.
Life Loan Foundation, Palo Alto, CA Medical Director 2005-2008
· Inspired team, resolved conflicts, wrote much of business plan and led team to create non-profit to loan funds for improved quality of life to dying people. (Market collapse of 2008 blocked further efforts).
JTS Strategic Partners’ Enterprise Resiliency Group (ERG), Silicon Valley Senior Partner. 2009-2010
· Created ERG by bringing 6 experts into cohesive emergency and disaster planning team, and finding non-profit beta-test site;
· Reported prioritized suggestions to non-profit by leading team through successful test in minimal time; resolving conflicts so reports I wrote were unanimous;
· Made non-profit resilient by guiding management and staff to implement recommendations.
VOLUNTEER WORK IN SILICON VALLEY
Work in all volunteer areas has involved people in high tech from staff level to CEO and Board level.
Abilities United, Palo Alto, CA Board of Directors 2008-2010
· Resolved health and safety issues for disabled clients by investigating nature and degree of problems, clarifying priorities, and working with Board and managers to create effective solutions.
· Assured agency would flourished despite loss of 20% of State funding by inspiring managers of silos align, to explore viewpoints and methods outside their comfort zone, and to collaborate on social enterprises;
· Improving financial accountability and receipts by providing business expertise to each department through convincing Board to hire a Volunteer Coordinator;
· Developing living All-Hazards Disaster Plan by inspiring, teaching, and coordinating work of a team representing all silos.
American Red Cross – Silicon Valley Chapter, Santa Clara County CA 2007-2010
Coordinator for Mentoring, DAT Captain, Sheltering Supervisor and Instructor; Health and Safety Instructor.
· Aided clients effectively and compassionately in local and national disasters by leading more than 15 focused teams.
· Inspired key people to collaborate in new Chapter by resolving conflicts between people from two disparate former chapters during merger.
· Engaged 10-15% more volunteers for Chapter by organizing and leading program of team of mentors: recognized as major success for new Chapter’s first year.
Toastmasters District 4, SF Peninsula, CA 2005-2010
Club President, Area Governor, Club Coach.
· Motivated failing club to succeed by inspiring members to align purpose, mission, and activities.
· Inspired officers and members of individual clubs so as to lead Area to be Distinguished.
· Used skills as a consultant for dysfunctional teams to coach a club that had failed with an earlier coach to achieve in five months Select Distinguished status, the second highest club award.
Education
· MD cum laude in general studies, Harvard Medical School, Boston.
· BA with Second-Class Honours and MA, Oxford University, Oxford.
· Multiple courses from American Red Cross.
· Courses in tools of consciousness that improve interactions, reduce stress, support creativity in others, and inspire groups to improve, Star’s Edge International, Altamonte, FL
Establishing aligned teams, coaching, mentoring and teaching basic science, laboratory research, basic clinical matters, specialized clinical materials, patient care, and medical research for more than 20 years at four medical schools. Mentoring open, clear, honest communications to improve end-of-life care for more than 10 years in 20 EPEC programs.
Executive Coach & Organizational Development Consultant
Wed, Nov 10 2010 01:35
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Pieter Kark
Mountain View, California
Tel: 650.380.9717 E-mail: pieterk@post.harvard.edu
EXECUTIVE COACHING and ORGANIZATIONAL DEVELOPMENT
An experienced adviser who helps people turn weaknesses into strengths, to influence and inspire others, and to resolve conflicts; and who inspires teams to high performance and success.
CORE COMPETENCIES
· Organizational development
· Cultural diversity
· Executive coaching
· Conflict resolution
· Stress reduction
· Medicine, neurology/psychiatry, end-of-life care
· Teaching tools of consciousness for living deliberately
PROFESSIONAL EXPERIENCE
Veracord, San Jose, CA 2010
Chief Medical Officer.
· Organized and stimulated development of automated system to validate biotech manufacturing by writing executive summaries and white papers, creating PowerPoint presentations, and drafting business plan.
JTS Strategic Partners’ Enterprise Resiliency Group (ERG), Silicon Valley 2009-2010
Senior Partner.
· Created ERG by bringing 6 experts into cohesive emergency and disaster planning team, and finding non-profit beta-test site;
· Reported prioritized suggestions to non-profit by leading team through successful test in minimal time; writing report;
· Made non-profit resilient by guiding management and staff to implement recommendations.
Abilities United, Palo Alto, CA 2008-2010
Board of Directors.
· Resolved health and safety issues for disabled clients by working with Board and management;
· Assured agency would flourished despite loss of 20% of State funding by getting managers of silos to collaborate on social enterprises;
· Providing business experience for each department by convincing Board to hire Volunteer Coordinator;
· Developing living All-Hazards Disaster Plan by coordinating work by a team representing all silos.
American Red Cross – Silicon Valley Chapter, Santa Clara County CA 2007-2010
Coordinator for Mentoring, DAT Captain, Sheltering Supervisor and Instructor; Health and Safety Instructor.
· Led numerous teams to help clients effectively and compassionately in local and national disasters.
· Inspired key people to collaborate in merged Chapter by resolving conflicts between people from two former chapters during merger.
· Engaged 10-15% more volunteers by starting mentoring program: recognized as major success for new Chapter’s first year.
Toastmasters District 4, SF Peninsula, CA 2005-2010
Club President, Area Governor, Club Coach.
· Kept own club intact by convincing key member that someone else deserved honor he had demanded, and that he remain in club.
· Motivated failing club succeed by inspiring members to align purpose, mission, and activities.
· Led Area to be Distinguished by working with and inspiring officers and members of each club.
· Coached a club that had failed with an earlier coach to achieve Select Distinguished status, the second highest club award.
Life Loan Foundation, Palo Alto, CA 2005-2008
Medical Director.
· Developed medical basis for non-profit to loan funds for improved quality of life to dying people. (Market collapse of 2008 blocked further efforts).
Star’s Edge International, Orlando FL and SF Bay Area, CA 2003-2010
Licensed Avatar® Master.
· Guided several hundred people to learn skills and tools to succeed happily in aspects of life where they had not succeeded and were unhappy;
· Learned and used skills and tools to forge aligned and effective teams.
Program in Education for Physicians in End-of-life Care 1999-2006
Trainer of Trainers.
· Taught 1500 physicians, nurses, social workers, administrators, chaplains and other healthcare workers effective, compassionate ways to care for dying people so as to maximize quality of life, and to be comfortable training others to do the same, by being on 20 faculties for Program.
· Added to success of NY Program by writing module on Stress Reduction for the Practitioner and on Cultural and Spiritual Diversity.
Neurology, medicine and its ethics, end-of-life care, research and teaching, Boston, Bethesda, Los Angeles, Shreveport, Syracuse (retired, 2004)
Associate Professor of Neurology, Founding Chief VA Neurology Service, Owner of Neurological Consultations.
· Increased medical knowledge, quality of practice, and advocacy for patients by mentoring (coaching) college students, medical students, physician extenders, graduate students, guest scientists, and physicians throughout my career.
· Saved VA medical center hundreds of thousands of dollars annually by reducing patient re-admission rates on neurology service from 20 per month to almost none, by organizing effective 10-member team using modern treatments.
· Ensured terminal patients got quality of life and treatment they preferred by resolving issues with families and healthcare staff over dogma, uncertainty and guilt.
· Enabled improvements in State laws for the terminally ill by creating compromises for numerous divisive disputes on Bioethics Committee of the Medical Society of the State of New York and testifying to the Legislature.
· Improved NY driving regulations about health by resolving bitter conflicts on Medical Advisory Board to DMV so as to produce effective, timely reports.
· Treated acute illnesses of performers so they could perform and taught them to continue their profession by showing them how to avoid and to manage stress that would lead to disabling problems.
Education
· MD cum laude in general studies, Harvard Medical School, Boston.
· BA with Second-Class Honours and MA, Oxford University, Oxford.
· Multiple courses from American Red Cross.
· Courses in tools of consciousness to improve social interactions and reduce stress, Star’s Edge International, Altamonte, FL










