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to see 35 patients a day, but a number of us
here are concerned it will only increase the
EMR documentation backlog and that will
affect the quality of care. I am curious what
your thoughts are about our concerns here,
Mr CEO?"
Do not show any emotion
In particular, do not do any of the following:
· Stand up.
· Raise your voice.
· Furrow your brow.
· Slam your fist on the table, point
fingers, slam doors, swear or throw things.
· Send any body language signals of anger,
frustration or hostility.
Instead, focus on your breathing and
asking questions.
If you do feel any of the above emotions,
name them out loud. Let people know what
you are feeling with a civil tongue ­ just
make sure you have done the work before
the meeting so everyone is aware of your
concerns and feelings.
Try saying something along the lines
of: "I must admit when I hear your answer,
what comes up for me is frustration. I am
curious about what we can come up with for
a proposal here that could address both of
our concerns."
Do not leave paper or voicemail trails
It is completely appropriate to be seriously
paranoid about documentation of any of
your concerns in a format that could be
shared. Do not send emails, text messages
or messages through your EMR, or leave
voicemails, especially if you are upset and
venting to someone you feel is a trusted
colleague. If you must vent in an email,
write it and then delete it.
If you do leave recorded or written
evidence of your concerns, you are running
an almost 100% risk of those documents or
voicemails falling into the hands of someone
who will label you as the next `disruptive
physician' on staff. This is because it will be
impossible for that person not to take your
concerns and tone out of context.
Make sure you raise your concerns only
in conversations, where the other person can
understand your energy, tone, body language
and caring for everyone involved ­ especially
patients. There is no way any of that can be
understood through a text, email or voice
message, especially by an administrator
who does not agree with or understand
your position.
THE CHOICE IS YOURS
Ultimately, if you work in an organisation
with a pattern of hostility towards physicians
and clinical staff, and a habit of bullying with
the `disruptive' label, you will have to decide
whether this is something you will tolerate
or not. You always have the option to vote
with your feet.
If you do decide to leave, it is my
intention for the `Disruptive Physician
Toolkit' to ensure that:
· Your concerns have been heard.
· You gave it your best shot at ensuring
the program made clinical sense.
· You don't have the `disruptive
physician' label hanging around your
neck and getting in the way of you
finding a more suitable position.
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