director-90Dear Director,

My chairman tells me I need to see more patients. I’ve been doing this for a long time, and, believe me, I really am working as fast as I can. Now, I’m being told that if I don’t speed up, I could lose my job. Are there any tricks to being faster?

Dear Director, I keep hearing that the federal government is getting into the Patient Satisfaction business through something called ED-CAHPS. Is this like Press Ganey? I just want to focus on clinical excellence and patient safety - satisfaction seems to be all about fluffing pillows. Is ED CAHPS real and if so, how can we prepare?

Dear Director, I want all of my docs to sit on some hospital committees, but I hesitate with some, not knowing if I can trust them. What makes a physician good at representing the department? Is it a quality that I can teach?

Dear Director, I’m an experienced physician who is thinking of switching to a fixed overnight schedule.  I’m wondering your thoughts on the benefits to this and any potential risks to my career.

Dear Director,

I recently got sued for a missed appy case. Although my expert witness was supportive of my care (which did not include a CT), my attorney tells me we’ll need to settle.  Now I feel like I need to CT everyone with abdominal pain. What should I do?

Dear Director,
I’m hiring a new physician and I really like a certain senior resident but their residency director told me they failed their in-service exam. Everything else about this candidate seems perfect. Am I setting myself up for trouble if I bring someone on who may be academically challenged?

Dear Director,
My hospital is making me undergo mandatory EMR training and I think I should get paid for my time. I also think I should get paid for attending our monthly staff meeting and a committee meeting. Don’t nurses get paid for these kinds of things?
-Frustrated Hourly Worker

Dear Director,
I received a complaint from an ED triage nurse that one of our emergency physicians yelled at her for getting an ECG on a patient that he didn’t think needed one. She told me she’s now afraid to order ECGs on anyone but a straight forward chest pain patient. How can I improve the communication in my department between the physicians and the nurses?

altDear Director,
I was just asked to take over as medical director of another ED in our hospital’s system. While I want to be a chairman one day, my kids are young and the timing just doesn’t seem good right now. Am I shooting myself in the foot for other jobs down the line if I say no now?

altThe warm weather has finally arrived, and the heat and humidity has just enrolled half your city into the Guns and Knives club.  It seems like all the local news is reporting on the horrific violence and alarmingly increasing rates of crime.  Everyone is talking about it, including the staff, physicians, and EMS who work in the ED...

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