Tip of the week: Medical staff leaders should practice interventions
Medical Staff Leader Connection, August 5, 2009
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If you have a problematic doctor on staff who requires an intervention, don’t approach him or her without preparing first. Practice with a colleague before approaching the physician in question. Here are some practice tips:
- Begin by referencing your medical staff leadership role
- Identify the problematic behavior or incident
- Refer to previously agreed on expectations or the approved policy
- Invite the physician to provide another side of the story (not appropriate for third or fourth interventions)
- Deflect excuses and justifications
- Constantly refer to data
- Focus on the behavior, not the person
- Clarify the nonretaliation policy
- Be persistent
- Keep the intervention time limited
- Close with the physician’s commitment and next steps
- Inform the physician how the meeting will be documented
This week’s tip is adapted from A Practical Guide to Preventing and Solving Disruptive Physician Behavior by Richard A. Sheff, MD, CMSL, and Todd Sagin, MD, JD.
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