ASPIRE Global Leaders Program


Background:
The World Organization of Family Doctors (WONCA) recently published that “leadership training has a direct impact on the ability of physicians to make continual system improvements.” This literature goes on to call for “new programs are needed to develop … leadership and management” by “working through the fundamentals.”

With this goal in mind, the ASPIRE Global Leaders Program has been developed to augment medical student, resident, and junior GP/FP staff all-around skills while simultaneously increasing their involvement within their national organizations and WONCA. The name ASPIRE is a mnemonic with the letters representing its foundation: Academics, Students, Pre-conferences, International Collaboration, Research/Residents, Exchanges. After completing all steps, qualified individuals will have accomplished a groundwork that will help them guide and lead others in multiple aspects of family medicine in the global setting.

Program: This program aims to improve each participant’s individual capabilities and then use these newly forged skills to help others. The goal is that each participant becomes personally invested in the program for the improvement of junior WONCA members and beyond. We propose a tiered program, with ASPIRE levels 1-3, as well as an ASPIRE-Instructor level available to any participant meeting the proposed criteria. This step-wise progression serves to guide participants through achievement of desired goals of the program, the creation of a more enriched experience, and the potential to progress to the next tier.

We additionally propose an incentive for more senior staff and other mentors to assist with the program, with recognition of those invited by the ASPIRE team and who have completed the necessary requirements with an ASPIRE-Instructor Qualification.

The ASPIRE team will consist of 1 ASPIRE World Chair, separate from WONCA Junior Physician Executive, and 7 Chairs representing each regional level. Each position will serve up to a 3 years for a single term. In addition to approving projects and guiding participants up the ASPIRE tiers, the chairs will continually evaluate and make adjustments in order to improve the overall experience. At present, we anticipate that these positions will not include monetary benefits.

Roles and Expectations

ASPIRE Global Leader: Kyle Hoedebecke (Polaris@wonca.net)
1) Provide guidance to the regional coordinators
2) communicate successes and issues with ASPIRE team
3) ensure participation information in excel file is update for each region is up-to-date
4) prepare yearly report ASPIRE statistics

YDM Regional Leaders:
AfriWon: Joy Mugambi.
Al Razi: Marwa Mohasseb.
Polaris: Maria Colon.
Rajakumar: Maha Obedoza.
Spice Route: Sanam Shah.
Vasco da Gama Movement: Candan Kendir. Contacts: website, Facebook and email.
Waynakay: Lisdamys Morera Gonzalez.

1) 1st line of contact for their regions
2) Prepare statistics their region yearly
3) serve as conduit between ASPIRE Global Leader and participants
4) Update regional participant info in ASPIRE excel file monthly

Family Medicine Mentor: 
1) To offer guidance and suggestions to ASPIRE participants. These individuals are not responsible for fulfilling the ASPIRE requirements themselves. 
2) They also serve as points of contacts as needed (to ensure participants’ good standing, etc).

Requirements
ASPIRE-1
- Choose a Family Medicine Mentor willing to help guide participant through the ASPIRE requirements.
- Meet YDM definition upon starting. Participant should be involved within his/her regional Young Doctor Movement (YDM) and specify the involvement.
- Sign up as SoMe Ambassadohere.
Attend 1 WONCA, pre-approved national, or pre-approved international-level conference (preferably with preconference) and submit a 1 page summary to ASPIRE team about the learning experience. A list of pre-approved non-WONCA conferences are found here.    
- Submit a research or scholarly activity (SA)* proposal with at least 1 international co-author to the ASPIRE team with the goal of future presentations and publication.
-Plan details to participate in an exchange in the next year (host or visit). Must provide specific details (host/guest, site, dates, goals) to ASPIRE team
- Upon completion of all requirements, participant to receive ASPIRE Level 1 Qualification

ASPIRE-2
- Have achieved ASPIRE-1 Qualification
- Participant should be involved within regional YDM. At a minimum, the participant must actively participate in at least 1 YDM activity (a different short term activity or continued prolong active participation) as approved by that YDM’s leadership**
- Participate in an international exchange (host or visit) for at least 2 weeks. Submit a 1 page summary to ASPIRE team about the learning experience. The ASPIRE team may post noteworthy exchanges on the ASPIRE webpage.
- Present abovementioned SA (work-in-progress is acceptable) at a WONCA regional/world conference or national/international level pre-approved conference. Poster or podium presentations qualify. There must be at least 1 international co-author.
- Upon completion of all requirements, participant to receive ASPIRE Level 2 Qualification

ASPIRE-3
- Have achieved ASPIRE-2 Qualification
- Participant should be involved within his/her regional Young Doctor Movement (YDM). At a minimum, the participant must actively participate in at least 1 additional YDM activity (or a continuous prolonged activity) as approved by that YDM’s leadership**.
- Participate in a second international exchange (host or visit) for at least 2 weeks. Of note, 1 of the 2 exchange experiences required must be a hosting experience as hosting requires skills such as planning and teaching that a leader should possess. Submit 1 page summary to ASPIRE team about the learning experience.
- Present a SA of the participant’s choosing (may be second presentation of the initial project or a second project with an international author). This time the site must be a WONCA regional/world conference. As this is a WONCA-related initiative, a secondary goal is also to increase participation within WONCA itself. Poster or podium presentations qualify. There must be at least 1 international co-author.
- Upon completion of all requirements, participant to receive ASPIRE Level 3 Qualification and ASPIRE completion certificate .pdf

ASPIRE-I (Instructor)
- This qualification is for those who do not meet the student, resident, or junior staff definitions but still participate and serve as a mentor through the ASPIRE program
- Invited by ASPIRE team.
- Serve on ASPIRE national/regional/world team OR assist 3 participants achieve ASPIRE-3 OR 6 participants achieve ASPIRE-2 OR 12 achieve ASPIRE-1. For this requirement 1 ASPIRE-3 = 2 ASPIRE-2 = 4 ASPIRE-1.
- Upon completion of all requirements, participant to receive ASPIRE Instructor Qualification
- Annual feedback at available levels (program, site, mentor, student – recommendations for automated responses?)

Of note:
- Participants achieving ASPIRE-3, and ASPIRE-I Qualifications to be listed on YDM #SoMe Ambassador site
- Recognize ASPIRE participant-of-the-month for outstanding achievements on YDM #SoMe Ambassador site.
- Individuals may set up their own exchanges; however, we plan to direct those requesting more information to FM360 in order to facilitate exchange experiences.
- Certificates in PDF format will be sent via email to each participant at the completion of program. 

*SA is intentionally a broad term to allow participants to explore enhancements in family medicine practice, teaching, leadership, technology application, and systems. Individuals are encouraged to find co-authors by participating in YDM social media platforms, talking with their mentor, or by contacting their regional ASPIRE representative.

**Examples include helping with a YDM talk, aiding at a YDM conference booth, giving a lecture on YDMs to Family Medicine Residencies or Interest Groups, represent YDM in WONCA Working Parties or SIGs.


Reference: “How to Develop Leadership.” (July 4, 2014), Wonca Daily, p6.


Kyle Hoedebecke, MD
Raman Kumar, MD