Dear Director: During a blizzard last year 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?
Dear 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?
Dear 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?
Dear 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?
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?
How many clinical shifts does your chair need to work in the trenches in order to stay current with what’s happening in the department?
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?
Leadership 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?
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?