altDear Director,
As a graduating resident, I’m wondering how much I need to worry about my internet image before I start applying for jobs. Will employers be concerned if they see potentially compromising pictures of me from when I was younger? If so, is there anything I can do to clean up my online reputation?
-Regretting the Keg Stands

Dear Director,
One of our doctors has had issues with
attendance and weight loss. Now, he just got a DUI. I’m sure there is a substance abuse problem. What are my responsibilities in this situation? Any suggested resources?

altDear Director,
I’m trying to take a real vacation this summer and get away from the office, but I have a hard time disconnecting from my cell phone and email.  Is it OK for me to fully disconnect, and how can I go about doing it responsibly?

Dear Director,
We’ve tried LEAN techniques and “thin slicing” but our average productivity still lags behind other EDs in our hospital’s network. What are some ways we can get docs to work more efficiently?

Dear Director,
I recently had my annual evaluation and it left me confused. It was entirely based on numbers and metrics, yet I feel I need to define my career success by more than that.

Dear Director,
I heard some colleagues in another institution talking about the pressure they’re under to reduce CT utilization. Should I start looking into this now, before I get the pressure, or can I afford to keep things business as usual?

Dear Director,
I’ve started taking care of the physician-related complaints for my department. How do I decide if and when to adjust a patient’s bill?

Dear Director,
I took your advice and met with my hospital CEO. Now he has asked me to evaluate my performance and the ED’s performance last year and give goals for this year. We hadn’t set up any formal goals and while I think I do a great job, I suspect he’ll want more than that. What should I be measuring?

Dear Director,
I’ve been a chairman for several years and had a great relationship with our former hospital president who left last year. I’ve had a hard time getting to know and communicating with his replacement, and I think this has hurt the progress our department has made. What recommendations do you have for getting my message heard?

Dear Director,
I recently received a complaint from a patient saying that I violated their privacy by asking questions when their family members were in the room. I thought if they let their visitor walk back with them before I saw them, they were allowed to hear our conversation. Am I in trouble?

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