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Specialist MD wants great care for his patient, and tells the care group they are failing him.
The infectious disease MD specialist is really angry over how his patient is being treated in the ICU. Everyone ignores his orders.
An MD colleague passing by takes the specialist aside. He suggests his behavior was disrespectful. It prevents him from hearing information about his patient.
The specialist says,
“I’ve got this. They did it wrong.”
He walks off in a huff.
What would the specialist like to happen here? To create the best care possible for his patients
The specialist deeply cares about being an excellent doctor. So he cares about getting it right.
Extraordinary workloads and soaring uncertainty, complexity and turmoil make it impossible for any one person to do everything. The specialist depends on the care group to bring their smartest, most attentive and most generous selves to his patients.
<what might the specialist do now?> It’s time to care: Steps toward better quality patient care
1. PERSPECTIVE-TAKING: What was that situation like for that nurse?
2. BUILD better relationships. They’re critical to your patients’ welfare.
a. The next time one of your care group says something to you:
TIP: Do this every time you want to tell those in the care group something this week.
b. The next time you want to say something to one of them – particularly if it’s criticism - ask if they have a moment to talk.
TIP: Do this often so people come to expect that you want to know their perspective. It will take a while before they believe this.
c. Call a care group huddle before the next patient care shift. A meeting is a powerful way to change expectations of a group.
What does this do for the specialist?
Nance Goldstein, MDc, ACC, PhD, partners with physicians as a leadership coach to find ways through today’s tough times and enjoy medicine more.