How to Motivate Them Docs


I got tipped off to this nugget in an email from a loyal reader:

Hey Dr Doug,
I thought you might enjoy learning some more about how the Badministrators are “training” physicians to be “more motivated.”

Steve R Deputy, MD, FAAP

First, here, for your enjoyment, is the title of the piece:

Executive Leaders Key to Physician Engagement with New Healthcare Structures

If you have been reading this blog you just know how I love the newest buzz word “engagement”. Well, there it is again.  Let me highlight the rest of the article for you.  My comments are in parenthesis:

  • In a recent article published by the Harvard Business Review, Thomas H. Lee and Toby Cosgrove examine the new challenges confronting healthcare leaders when faced with motivating physicians to react positively to newly emerging innovations in healthcare.  (We are like children and should be motivated as such.  In fact, there should be an animated movie called “How to Train Your Doctor”)
  • Many organizations attempt to appease their doctors by giving them leadership positions and creating financial incentives based on performance. To get physicians on board with new processes and procedures, however, hospital systems must focus on providing a solid foundation on which their teams can build. “Just employing physicians and providing them with a compensation package with bonus incentives will not achieve the level of quality outcomes as a high-performing organization,” says Robert Kuramoto, MD, a managing partner at Quick Leonard Kieffer. “A culture of collaborative patient-centric care must be developed and continuously grown to face healthcare’s challenges. The appropriate executive leadership and experience is needed to make this transformation, and many hospital-owned physician groups will not be successful because this culture of shared purpose and teamwork has not been realized.” (I have no idea what any of that means, do you?)
  • According to “Engaging Doctors in the Health Care Revolution,” there are four motivations that drive social action: shared purpose, self-interest, respect and tradition. These motivations will be paramount in creating a positive atmosphere in which new systems in healthcare can be implemented. (You see, Dr. Pavlov and his peers would be proud.  But let’s make sure they give us some free cheese as a reward as well.)
  • …administration used these levers to help their doctors adjust to a new “full disclosure” policy, while clinicians at Brigham and Women’s Hospital used the motivational tools to improve the care patients receive in the emergency departments. Although these initiatives were met with resistance by staff at first, both hospitals were able to get their physicians to comply and attained successful outcomes. (levers? tools? comply?  What the hell is going on here.  Are we not human?)

I hope you enjoy what we doctors have now become.  Experimental rats. We are in a huge maze created and rearranged continuously by administrators.  They feel they can train us, change us and motivate us.  If we don’t like it, then they will replace us.  It’s time for us to rebel.

55540cookie-checkHow to Motivate Them Docs