performance reviews rmDear Director: It’s a new year and although I’ve been in my chairman job several years, I’ve never done any kind of evaluation on the docs in my group. I give them annual bonuses but have started to wonder if they need more feedback. Do chairman typically do annual evaluations on their docs? 

AQ Blizzard rmDear Director: During a recent snow storm I couldn’t get in for a shift and I caught a lot of grief from my medical director about it. What’s my responsibility and what should I do if it happens again?

5 habits rmDear Director: As part of my New Year’s resolution, I want to focus on being a more successful emergency physician. But I’m a little stuck. How do you define success in emergency medicine, and how do I move in that direction?

check rmDear Director: My hospital CEO told me to make sure my group is donating to the hospital foundation this year. Don’t I give enough to the hospital every time I take care of an uninsured patient? Why should I be doing this?

fight rmDear Director: I recently had a nurse yell at me in front of everyone at the nursing station because I didn’t clean up after repairing a lac. It was an incredibly busy shift; I threw out the sharps but wanted to get back to work quickly so I left everything else for her to clean up. It had already taken her an hour to get everything out of the locked supplies closet so I could do my work. I think her behavior is inappropriate. What should I do?

72-Hour-RMDear Director, 
My CEO is concerned about our ED’s quality because we’ve experienced a recent increase in our 72-hour returns for admission. As an ED chairman, I know that quality is about more than one metric, so how seriously should I take this? 

UpstairsDownstairs RMHow many clinical shifts does your chair need to work in the trenches in order to stay current with what’s happening in the department?

open-book-prevDear Director,

I get paid based on my productivity, but I don't trust that my company is paying me accurately. How can I check? Do I have the right to look at the books?

comm-prev1Leadership is about having a vision and implementing a plan. Communication is the integral ingredient that links your vision to action. In order to provide the best and most efficient healthcare, particularly in a growing environment, everyone must be on the same page and I suspect you feel a constant need to update your team about the changes that are occurring. So the question becomes how do we get our colleagues to listen and retain the pertinent info?

Dear Director, I’m finishing residency and starting my first job. I’m pretty good but want to make a good impression and not screw up. What advice can you offer about getting started on the right foot?

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