Emotional Intelligence: An Important Attribute for the Physician Leader
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WUN FUNG HUI AND KAM LUN HON* Department of Paediatrics and Adolescent Medicine, The Hong Kong Children’s Hospital, Hong Kong SAR. *[email protected] REFERENCES 1. Alkan Y, Haefeli WE, Burhenne J, Stein J, Yaniv I, Shalit I. Voriconazole-induced QT interval prolongation and ventricular tachycardia: A non-concentration-dependent adverse event. Clin Infect Dis. 2004;39:e49-52. 2. Dewan P, Gomber S, Arora V. Ventricular tachycardia: A rare side effect of voriconazole. Indian J Pediatr. 2017;842:152-3. 3. Cubeddu LX. Drug-induced Inhibition and trafficking disruption of ion channels: Pathogenesis of QT abnormalities and drug-induced fatal arrhythmias. Curr Cardiol Rev. 2016;12:141-54. 4. Craven PC, Gremillion DH. Risk factors of ventricular fibrillation during rapid amphotericin B infusion. Antimicrob Agents Chemother. 1985;27:868-71. 5. Chongtham DS, Singh MM, Ram T. Amphotericin B induced ventricular arrhythmia and its relation to central venous line. J Postgrad Med. 2001;47:282.
Although, there is no drug interaction between voriconazole and amphotericin B, the arrhythmogenic properties of both agents increase the risk of developing cardiac arrhythmia, if co-administered. A rapid infusion rate, the presence of acute kidney injury with low glomerular filtration rate, electrolyte disturbances and administration through a central catheter near the SVC-RA junction – all appeared to have increased the risk of cardiac toxicity in this child. Our experience suggests that amphotericin B-associated ventricular arrhythmias may be managed with a slower infusion rate and avoidance of co-infusion with other antifungal agents.
Emotional Intelligence: An Important Attribute for the Physician Leader
leadership. Two decades of research and study in this area has resulted in a paradigm shift, not only are these skills essential, they are the hallmark of great leadership. A systematic review in 2014 [2] showed that there are more than 80 articles highlighting the connection between physician leadership and emotional intelligence. Many authors have identified the need for emotional intelligence in physician leadership development, mentoring and advancement within academic medicine, and developing effective social networks within the healthcare field [2].
Over the last two decades, emotional intelligence has been heralded as an indispensable component of success. Ever since renowned psychologist Daniel Goleman published his book titled ‘Emotional Intelligence’ in 1995 [1], there is a growing body of evidence on how great leadership and emotional intelligence are interlinked. So what exactly is emotional intelligence? In Goleman’s own words, “emotional intelligence is the capacity for recognizing our own feelings and those of others, for motivating ourselves, and for managing emotions well in us and in our relationships [1].” Emotional intelligence describes abilities distinct from, but complementary to, academic intelligence or purely cognitive capacities measured by the intelligence quotient [1].
Emotional intelligence is something
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