Please check out this new post I have written for Athenahealth's Leadership Forum. It's called "Advocating through Inquiry" and relates some intriguing ideas from Gerald Hickson and his colleagues from Vanderbilt. St. Francis makes an appearance, too.
Please let me know what you think about it, either here or there. Thanks.
Please let me know what you think about it, either here or there. Thanks.
I think it is worth trying, since every doctor I was ever involved with disciplining (via our Med Exec committee) was defensive and resisted to the max. Just another challenge to their authority and they reacted accordingly. A lot of it has to do with zero tolerance by their M.D. peers, too - immediate feedback, right at the moment of offense. It can be quiet but firm. I have seen many peers clear their throats and look away, silent.
ReplyDeletenonlocal MD
Correction to my previous comment: I should have said s/he. A surprising number are women.
ReplyDeletenonlocal
I love it. Key points it touches on are the challenges in dealing with a problem behaviour in a person who is also good at many things and a friend.
ReplyDeleteAlso see the recent article regarding the effectiveness of using peer messengers to promote accountability.
ReplyDeletePichert JW, Moore IN, Karrass J, Jay JS, Westlake MW, Catron TF, Hickson GB. An intervention that promotes accountability: Peer messengers and patient/family complaints. Jt Comm J Qual Patient Saf. October 2013;39(10) :435-446.