Take the Call

September 13, 2017

"Take the Call"How do you respond when calling another physician to discuss a patient and the office staff asks, “Do you want me to interrupt him/her?” 

How do you feel when someone does request to have you interrupted and when you get to the phone the caller’s office staff says, “Oh, let me get him,” while you now wait for the caller to begin the call?

Each of these situations makes me frustrated and contributes to my sense of depersonalization in medicine. Communication is key to professional behavior.

Missed Opportunities

ice creamAugust 30, 2017

The worst day of the summer arrived last Friday night. The Dover Delite ice cream stand closed for the season. Every day I ride my bike past the stand and think “I should stop soon to treat myself.” I always say - “tomorrow I'll think about it”, “ice cream makes my stomach hurt”, and “it's not necessary” to talk myself out of it. But seeing the place actually closed, made me want it more. I missed my opportunity. 

Survey on Physician Leadership

August 16, 2017

In early August and early this morning, you should have received an email with yet another survey on physician leadership. It came from us here at NHMS. We are designing our Physician Leadership Program and need your input to help build a New Hampshire specific curriculum and system.

Even if you do not have aspirations to be an administrator, being a physician is a natural leadership role that has minimal formal training in medical school and residency for most physicians. But many people look to you to help solve problems that may be related to your practice, issues at the hospital, or for the community. It would be good to have some exposure and education on leadership skills like managing a difficult conversation, understanding a balance sheet, and changing management, right?

Leadership and Advocacy

July 31, 2017

Last week was an exciting week for me. Not only did my son go away to summer camp, but I also gained clarity in my plans for my job at the hospital. The best part of the week was the kickoff meeting for our new NH Physician Leadership Development Advisory Council. We have several leaders from across the state participating on the advisory council. As part of our program development, we are planning to survey New Hampshire physicians to better assess their needs in leadership training. We have developed and reviewed a survey tool that will be sent this week. Please complete it, even if you feel you would not want to participate or feel you wouldn't get anything from a program.

Cannabis changes are coming

Therapeutic cannabisJuly 12, 2017

There were many bills signed by Governor Sununu over the last few weeks. A website that I enjoy using to review is Legiscan. It offers a top 50 trending topics from around the country that details issues other states are grappling with.

Professionalism

June 28, 2017

Challenges to Professionalism in a Time of ChangeI enjoyed attending the professionalism conference coordinated by the  Maine Medical Association and sponsored by VT, ME and NH professional societies on June 17. There were approximately 100 attendees discussing and learning about the challenges to professionalism in our current environment including EHRs, ethics of quality measures, and physician burnout.

Pushing Back on MOC at the AMA Meeting

June 14, 2017

AMA Meeting June 2017I serve my hospital as the Chair of the Credentials Committee. Many of my colleagues have expressed both angst regarding the Maintenance of Certification (MOC) process and interest in alternative pathways to demonstrate remaining current in their knowledge. Without guidance from other organizations, board certification status remains the primary method to re-credential our medical staff.

As one of the opportunities during this presidential year, I attended the AMA House of Delegates meeting this week, which provided me with education on both the policy process for the AMA and the leadership elections.

Waste

May 31, 2017

EHRI'm at a user-group conference for the EHR that my hospital recently implemented. I came to speak about the implementation from the physician perspective. The implementation has had its ups and downs, but we were able to return to our pre-implementation volume about three months after go-live. This is similar to what I have heard from others who have changed systems. The most unfortunate part of our change was that a large part of the work landed on the staff at the front lines - the medical assistants and primary care providers who needed to make sure the data from the old system was manually entered into the new system. This continues to be a heavy burden.

Physician Leadership

May 17, 2017The Physicians Foundation

How would you describe physician leadership? Is it a set of personal attributes that make someone a leader? Is it a position with a job description? Is it someone who makes a difference for an organization? There are many different aspects of physician leadership to consider.

Did You Know?

Did you know?May 3, 2017

Did you know?

During our last Council meeting in April, it occurred to me that there may be a lot of information that needs to be passed along.

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