Two years ago, Saura Fortin Erazo, MD, MBA’18, knew she was making a difference as a family medicine physician. She worked hard, maintaining a busy practice and working full time to support her family. She created value for her patients on an individual level, but she recognized the lost opportunities for better care that result from inefficiencies in our healthcare system. She knew she could do more.

“If I were in a leadership position, I could provide change on a larger scale and affect more lives,” said Dr. Fortin. “As a practicing physician, even a highly productive one, I lack the power to be an effective change agent. It’s difficult to make the overall requisite changes to improve the healthcare system.”

Dr. Fortin wondered: How do you move from being a regular, working physician to a leader who drives change? She recognized she needed leadership skills and a better understanding of the business of medicine. She felt an MBA would provide her with the tools to acquire both, and she began to research programs.

“The curriculum in the Kelley Business of Medicine Physician MBA Program is unique because it’s defined by a clear understanding of the physician’s base knowledge. A typical MBA student already has a basic understanding of finance or accounting,” she said. “As physicians, we are smart and hard-working people, but we don’t have that basic business training. Initially, I was intimidated to enter an MBA because I didn’t know how I’d catch up. But Kelley helped me get there. All physicians in the program start on the same level. That was key for me.”

It was important to Dr. Fortin that the Kelley program is for physicians only. It caters to the needs and schedules of busy physicians; something that would have otherwise made earning an MBA impossible because Dr. Fortin needed to keep working full time.

“When you look at the Kelley Physician MBA and the way it is designed, you realize it’s perfectly created for a physician who works full time,” she said.

Not only was the curriculum created for her profession, Dr. Fortin says the program began with a critical lesson: What is U.S. healthcare? It may seem obvious to a group of physicians, but Dr. Fortin says that both she—a physician immigrant from Honduras—and her American classmates found that they understood healthcare, but not the business of healthcare.

"It’s not something that you’re taught in medical school. You’re taught medicine. Understanding of the origins of U.S. healthcare and how it has evolved to where we are today is mind-blowing,” she said. “Once you understand where we come from, where we are and where we might go, you are empowered.

“The Anatomy and Physiology of the U.S. Healthcare System with Professor Nir Menachemi is one of the first classes in the program. What I learned in those first six weeks about the healthcare system was more than I did in seven years in medical training.”

As she moved through the coursework, Dr. Fortin found the lessons that had the greatest impact on her were those that required self-reflection. A class on leadership requires deep reflection into who physicians are and how they relate to others.

“It was eye-opening to realize that at nearly 40 years old I still didn’t know myself all that well. I thought I did, but I hadn’t gone that deep,” she said. “As a leader, you can have all the business knowledge available, but if you’re not self-aware, you won’t create sustainable, substantial change. Understanding yourself—your weaknesses and strengths —is the basis of becoming a successful leader.”

Part of the leadership self-discovery is executive coaching, which begins in the second year of the Physician MBA Program. Dr. Fortin was partnered with an executive coach to work on identifying leadership and interpersonal strengths she could leverage in meeting her professional goals. As physicians start thinking like an executive, they form a customized plan to overcome any barriers between them and their goals.

“The executive coaching class completes that path toward leadership. When I started the MBA, I was a primary care provider without any committee positions or leadership roles,” said Dr. Fortin. “After realizing who I am as a leader, empowered by the executive coaching, I joined committees at work. One year into the program, I applied to be a member of the board of directors for the Eskenazi Medical Group. To my surprise, I got the position.”

In fact, Dr. Fortin is now vice chair of the Eskenazi Medical Group Board of Directors. She says the process was certainly a step out of her comfort zone, but she felt supported.

“At the beginning, it was a little scary because I am a young provider with one year of MBA training under my belt,” she said. “Having the executive coach next to me was extremely helpful because I could ask the questions that I couldn’t ask anyone else. It gave me the confidence to speak up and share my opinions and ideas.”

True to her initial goal, Dr. Fortin was expanding her reach of influence to improve healthcare beyond her clinic walls. But she knew she could do more. A year into her board appointment, she felt ready for a leadership position. Working with her executive coach, she researched the opportunities available that met her interests and skills.

“I knew I wanted a leadership role, and when the opportunity became available, I worked with my executive coach and applied for the position,” she said. “I trained with her on potential interview questions and responses, and she encouraged me to network toward the position. It was through the Kelley Physician MBA and executive coaching that I was able to earn the role of chief physician executive for the Center of Excellence in Women’s Health at Eskenazi Health.”