PT  - JOURNAL ARTICLE
AU  - Albert Do
AU  - Luming Li
AU  - Danielle R Heller
AU  - Maen D Abou Ziki
AU  - Daniel H Glaser
AU  - Sumit P Kumar
AU  - Stephen J Huot
TI  - Collaborative leadership: organisational structure and institutional investment to multiply innovative educational efforts among trainees
AID  - 10.1136/leader-2020-000233
DP  - 2021 Mar 01
TA  - BMJ Leader
PG  - 55--58
VI  - 5
IP  - 1
4099  - http://bmjleader.bmj.com/content/5/1/55.short
4100  - http://bmjleader.bmj.com/content/5/1/55.full
SO  - BMJ Leader2021 Mar 01; 5
AB  - Background Trainees comprise a substantial employee population worldwide and there is increasing perspective of leadership as a foundational skill of physician development. In the USA, the Accreditation Council for Graduate Medical Education mandates a ‘Resident/Fellow Forum’ to facilitate cross-institutional engagement and communication with the Graduate Medical Education Committee.Interventions To increase effectiveness, we conceived a ‘Senate’ in place of a forum, incorporating broader housestaff representation and partnerships with faculty and hospital executive leadership. The ‘Yale-New Haven Hospital Resident and Fellow Senate’ was supported by hospital financial resources and faculty mentorship. It provided leadership development, enhanced interdepartmental, connected multiple medical specialties, and improved housestaff engagement with institutional leaders. The Senate comprised an elected Executive Board and five councils in areas of common interest with appointed Chairs and members at large.Conclusions We summarise the Senate’s conception, structure, election process, lessons learnt and associated impact. We conclude that the creation of an institutionally supported Senate with interest-specific councils and faculty mentorship leads to qualitatively positive downstream effects on housestaff social interactions, institutional engagement and leadership opportunities.