Physician executive
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The failure of management is largely a failure to bring our whole selves to it. What parts of your self do you bring to your work? Do you bring only the management mind, only logic, only the company guidelines? Or do you bring your passions, your values, your soul, your deepest self? Do you react? Or do you respond? Letting go of what you think you know can be the first step to a creative and powerful response. ⋯ Responding opens up possibilities and nurtures trust. This is kindness transformed into a business imperative--responsiveness.
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Are physicians going to join a union at your hospital, multi-specialty group, or HMO? Having recently lived through such an experience, the author shares the lessons that he has learned. This article outlines what physician executives need to do to prepare for the increasingly likely eventuality of physicians at their hospitals making a push for unionization. ⋯ But if a petition lands on your desk, it is crucial to understand the laws governing union campaigns and the possible outcomes. From how to respond to a petition to election campaign strategies to the negotiation phase, physician executives need to be prepared for the very real possibility of physicians at their organizations deciding to unionize.
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The United States Supreme Court recently ruled that the U. S. ⋯ This decision has broader health implications as well, since tobacco-related diseases are among many of the top ten leading causes of death. Paradoxically, this decision comes at a time where states are developing new health programs to address tobacco-related illnesses using funds from the landmark tobacco lawsuit.
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A recent report on patient safety by the Institute of Medicine's Committee on Quality of Health Care in America noted that there are at least 44,000 patient deaths from medical errors each year, placing them as the eighth leading cause of death in the United States. They occur in every aspect of the practice of medicine. Some result in adverse events that harm patients. ⋯ The IOM report argues that the medical community must do the same to ensure a higher quality of care. Both the Clinton administration and Congress have expressed concerns about the frequency of medical errors, as has organized medicine. These findings raise significant policy questions for physician executives' charges with ensuring patient safety.
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Informal mentoring allows a relationship to evolve naturally over time much like a friendship, without an official obligation or commitment to coach someone. However, some women prefer a more formal, organizationally driven approach to mentoring. In either case, both represent an opportunity to learn and grow. ⋯ It's a magical thing that happens when one person sees something in another person and wants to help that person grow." This column explores some of the barriers, as well as how to ask for help and benefit from a mentor. Whether you like the word "mentoring" or not, whether your organization has a formal program or not, always be thinking about how you can learn from others. Keep your eyes and mind open, look around to see who is doing what you want to do.