Ask the expert: How do you outline a behavioral contract?
Medical Staff Leader Connection, December 15, 2011
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If a physician runs into an imposing hurdle that causes angry and/or disruptive behavior, deals can be struck. Striking a deal with the medical staff leader is one way to clear that hurdle, if the physician is willing to control his/her anger.
Drawing up a behavioral contract is one way to quantify expectations as it relates to anger management on a specific issue. A discussion on the matter should take place first. If both parties agree to the contract, it should include:
· The reason for the discussion
· The agreement both parties arrive at after a thorough discussion
· Each person’s obligation to fulfill the agreement in a measureable way
· Positive consequences of meeting mutual obligations
· Negative consequences of failing to meet mutual obligations
Make sure both parties sign the agreement to provide the basis for future management.
This week’s question and answer are from A Practical Guide to Managing Disruptive and Impaired Physicians, Second Edition by R. Dean White, DDS, MS and Jonathan H. Burroughs, MD, MBA, FACPE, CMSL.
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