Leadership

Making the Implicit Explicit

Last month, I wrote about some interesting workplace trends, in particular about how the implied compact between U.S. workers and their employers is evolving rapidly. Few of us in the workforce today can conceive of an employment relationship in which we are guaranteed lifelong employment and a generous benefits package including full healthcare and retirement in exchange for hard work and loyalty to a single employer. Since then, I’ve had several conversations about the term “compact” as I used it in that post. At its most fundamental, a compact is an agreement between two or more parties. In my recent post, I used the term to refer to the generally accepted but rarely articulated set of expectations that workers and their employers have of each other. There is an implied compact between physicians and the hospitals where they practice as well. Historically that compact assumed that doctors would refer lots…

Cultivating Women Leaders in Healthcare #WIMmonth #ThisIsWhatADoctorLooksLike

On my way home from Scotland, I had a moment to watch a movie while my daughter was caught up in the encore adventures of Moana. I stumbled upon Hidden Figures, the story of the African American women at NASA who helped launch John Glenn into space, relaunching the nation’s space program. These women were true heroes and patriots – they lived in a man’s world and a white world, and they still managed to overcome and lead when needed. Yet, their story was “hidden” from the public until years later when popularized into this screenplay. On the plane, I realized I needed a fresh take to start my women in medicine webinar for this month’s American Medical Association Women in Medicine webinar. Instead of exploring the ‘leaky pipeline’ resulting in 1 in 5 professors who are female, I wondered whether were there hidden figures – women leaders among us…

When It Comes to Healthcare Violence, Silence Isn’t an Option

Editor’s note: As the topic of violence in healthcare has become a hot topic, The Hospital Leader is offering perspectives from two of our expert bloggers. This piece is the second of two; to view the first blog post from Tracy Cardin, click here.  Our health system recently started reporting the number of workplace violence occurrences on our daily safety call. Before now, most of us had no idea how incredibly common these events were within our walls! It reminded me of an event I experienced a few years ago, while rounding on a young male patient who had significant issues with chronic pain and opioid abuse. While discussing his pain regimen in his room one day on rounds, he became extremely agitated with physically aggressive mannerisms. I quickly realized that not only was I alone in the room, but he was between me and the door. Thankfully, a nurse in the…

How Do We Keep Our Providers Safe?

Editor's note: As the topic of violence in healthcare has become a hot topic, The Hospital Leader is offering perspectives from two of our expert bloggers. This piece authored by Tracy Cardin is the first of two. The second from Danielle Scheurer will publish next Thursday, August 31. In the last three weeks while on clinical service, the police had to be called twice for incidents involving my patients. One involved a patient threatening me and a nurse with physical violence outside of the hospital, and the second included a patient hitting a nurse in the face. She was saved from more serious injury, simply because she fell backwards just as the punch landed. This was just in my panel of patients. Lest you think maybe I need some training on interacting with patients, another patient threw a full cup of coffee, then the cup, at an attending physician. Another patient had…

We Have a Voice. It’s Time We Use It. #DoctorsSpeakOut

Recently, there have been many times when you may have gotten a news alert on your phone or checked the latest Twitter hashtag and wanted to scream. Or you were too busy to even check until later that day and did not know what to say other than to lurk and watch a trainwreck in progress. You may have thought about saying something, but paused and wondered, “Is this professional? What will this say about me as a doctor? What would my colleagues/supervisors think? What would my patients think?” You are not alone. I get stopped, emailed, and messaged frequently by others wondering if they should enter the fray. Something interesting happened with the recent Repeal and Replace or Repeal and Delay or Repeal and whatever roller coaster: Doctors did speak up! One group that was truly impressive was the pediatricians on Twitter, known as “tweetiatricians” who all recorded short…
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