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Articles by Michael Silverman, MD Management Dear Director, Management Dear Director, Management Dear Dr. Silverman, Management Dear Director,
Read moreOur hospital has started enforcing a policy saying that every doctor has to participate in a hospital committee. I get paid by the patient, not to go sit at meetings. Why should I do that? Signed, A Clinician Management Dear Director, My VPMA just returned for a workshop on LEAN and wants me to use it to “fix the ED’s” problems. I’m not sure what LEAN is but I’m happy to try new things to improve our flow. Should I go along with it?
Sincerely,
Willing to try anything
Read moreManagement Dear Director, As I was performing a procedure recently, the nurse who was assisting me would not give the medication I ordered, saying it was outside her scope of practice. This was a life-or-death moment and I didn’t have time for that. After a brief argument, I kicked her out of the room. I’m now getting a lot of grief for that. Doesn’t the end result of saving the life matter more than me hurting someone’s feelings?
Read moreSigned, No Time for Hurt Feelings Management Dear Director, My chairman has started handing out data about each individual’s productivity. I have received a lot of grief from her because I see 1.5 patients per hour while our group average is 2.0 pts/hr. I told her that I see less because I’m seeing all the sickies while others cherry pick the easy cases. I’ve been told I need to pick it up but I don’t want to compromise my care of these sick people. What should I do?
Read moreSigned, Doing All the Heavy Lifting Features How Should EPs Handle the Signing of Death Certificates?
opening statement
by Michael Silverman, MD Management I’m 3 years out of residency and while I thought I was a great resident, I find that I’m only an average attending. What happened and how can I take the next step to have the respect of my ED and hospital colleagues as a great physician?
Signed,
Read moreTrying to Improve Management Dear Boss,
Read moreI have been called by a couple of PMDs recently who said they don’t like talking to our mid-level providers who are caring for their patients in the ED. We have a busy ED and our MLPs see about 40% of our patients and although their admission rate is low, they definitely admit a few patients and have interaction with numerous attendings and consultants each day. How should I handle this? |
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