One of our group members recently came back from maternity leave. We are
all very happy for her and her family. The problem is that due to the
fact that she is currently breastfeeding, she has to “go in the back to
pump” 2-3 times per shift. While she is gone, the charts pile up, her
residents have no direction, and throughput stops for her patients.
As a senior resident, I was hoping to make a final decision about my
future job by the end of the year. The problem I’ve found is that all
the offers I’ve gotten look similar. What intangibles do I need to
consider to be sure I make the best choice?
I was recently asked to resign from a job I had been at for years. My
director told me he had been giving me hints for months that I needed to
find a new job but I guess I didn’t pick up on it. What did I miss?
Want to save the healthcare system time and money? Forget the
follow-up and make the emergency department the last stop for a range of
simple injuries. First up: broken toes.
Delivering a top quality patient experience is “a mountain without a top.”
Is it time for your EM group to take the first step up?
Being an ED chairman requires a skill set that you may never appreciate until you step into the role. Clinically, there are few surprises; it’s the little things that make being the boss a unique challenge, like dealing with a troubled provider, learning how leaders get treated differently, and feeling the responsible of running a 24/7 business.
Part II: Democratic groups must define their core values, clarify
the owner’s obligations to the group, and put in place a system of
I’m Facebook friends with a bunch of the nurses I work with and when
this came up in a conversation with my chairman, he told me that I’m
setting myself up for disaster and that I shouldn’t be social network
“friends” with the people I work with. Is he right?
I have a new CEO who has decided he wants to replace our group, even
though we’ve been here forever and have been very successful. Can he do
this? Could we have prevented this?
We recently changed our coverage pattern from three 12-hour shifts per
day to five eight-hour shifts. While this increases our daily coverage,
we’re all working more shifts, despite hiring more docs. And now it
seems like some of us get stuck doing more of the nights and weekends
than others. What’s the appropriate length of shift? How do we divide
them up evenly?