Doctors and Management


I read this article on LinkedIn by Liz Ryan and found the similarities to our job just amazing.  The title is called Seven Signs Your Manager Wants You Out and I recommend you read it but here is my summary:

When you’re working for someone who is threatened by your ideas, you’ll know it. Your boss will send you signals that your energy, intellect and creativity aren’t welcome.

First, the signals will be small. Your boss is trying to tamp down your growing flame before it gets any bigger.

If you don’t get the message “Pipe down and do what I tell you – and nothing else!” the messages will get louder. You may have been the department’s star employee, but now you’re persona non grata.

If your boss is really afraid of you, you may even find yourself being pulled into some kind of disciplinary action — a pathetic attempt to try to stomp out your flame.

1. Taking Away Perks

One of the early signs that you’ve triggered a fear reaction from your boss will be the withdrawal of perks and bennies.

2. Keeping You in the Dark

Your boss used to tell you everything, but now you’re completely in the dark. You don’t know the plan for the department. You don’t have a roadmap for your own role. What does it mean?

It means that your boss is trying to keep you trapped at a low altitude. That’s no good for your emotional well-being or your career. You need a clear line of sight into the future at any job, and you deserve it.

3. Re-Assigning Your Plum Projects

4. Ignoring You

5. Needling You to Death

A sure sign that your flame is singeing your manager is when it seems that you can do nothing right. Your boss begins to pick and criticize everything you do.

6. Criticizing You In Public

When a manager gets rattled enough, he or she will start throwing barbs in your direction. Don’t be surprised when your co-workers say “Geez, your boss said some harsh things about you in the meeting just now.”

7. Reorganizing You Out

Organizational charts are almost infinitely malleable. If your boss hates you enough, he or he can re-organize you right out the door.

Does anyone else see the similarity to what administrators are doing to doctors?  Are you in that situation?  Do you see most or all of these things happening to you?  I would say that the majority of you would say yes!

Can’t you see what is happening?  The hospitals want us out!  They don’t want doctors.  They want cheap drones who they can control.  What is the answer?  You can either fall into learned helplessness or you can join the revolution and try to get our lives and careers back before it is too late.

I did the latter.

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  3 comments for “Doctors and Management

  1. Joe Smegma
    April 17, 2015 at 7:50 pm

    The drones are those who will do the job and not question their roles or their mission. They just do as they are told. They may be D.O., M.D., P.A., N.P.. The point is they are controlled. They fear change. They are on the pole of dependence in regards to their debt and cannot break the chains that bind them. Financial obligations have committed them to subservience. Like the elephant with a string around his ankle he cannot break free because he feels he cannot.

    • Doug Farrago
      April 18, 2015 at 7:56 am


  2. Dave Mittman, PA, DFAAPA
    April 15, 2015 at 3:29 pm

    Not sure who “cheap drones” are.
    I can tell you as a PA that it is not myself nor any of my cohorts. The young people be they MDs, DOs, PAs or NPs don’t know any better-and that’s usually the case in any field.

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