Educational Deficiencies of Medical Training

• Principal focus is on critical medical knowledge
  • Little attention to building interpersonal skills
  • Little attention to awareness of organizational dynamics
• Sustained intense training limits outside experience

Shift to the Information Age

• Careers changing radically
• We must abandon old assumptions
• We must embrace change

Change

• Organizations and professions will be in a state of constant restructuring
• Change is often unpleasant
• Take personal responsibility for adapting to change
• Commit fully to your job

Speed Up

• Do not resist change initiatives
• Develop a reputation as one who promotes change processes
• Help your organization become more responsive

Behave like you are in business for yourself

• Increasingly physicians are employees of large organizations
• Organizations manage themselves today using CQI processes
• "Empowered" employees need to take actions as if they own the organization
• You will be best served by thinking of yourself as self-employed

Stay in school

• Lifelong learning is the only way to remain competitive
• Invest in your own growth and development
• Keep options open through diversification of skills

See yourself as a service center

• Your job security depends on your value to customers
• Know your customers
• Customers are your only source of job security

Attitude is Everything

Practice continuous improvement

• Kaizen-continuous improvement is the relentless quest for a better way, for higher quality craftsmanship
• In medicine, organizational CQI, practice standards, national clinical pathways, and clinician "report cards" will be the path to success