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Dealing with Difficult Faculty Members

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<strong>Dealing</strong> <strong>with</strong> <strong>Difficult</strong><br />

<strong>Faculty</strong> <strong>Members</strong><br />

Barbara Schuster, MD, MACP<br />

Campus Dean<br />

MCG/UGA Medical Partnership Campus


Just Remember<br />

You did not choose to be<br />

a leader because you<br />

wanted to be loved! If<br />

you did, you might<br />

reconsider your options!


Position Description<br />

• Develop new 4 year partnership campus<br />

• Balance politics of two institutions<br />

• Hire faculty and staff<br />

• Start <strong>with</strong> a temporary office, no assistant<br />

What skill must this candidate possess?


WANTED<br />

• Leader <strong>with</strong> past management<br />

experience<br />

• Extensive experience <strong>with</strong> gifted adults<br />

• Able to advise and mentor<br />

• Superb skills in giving feedback and<br />

evaluation


The ability to<br />

work <strong>with</strong><br />

difficult<br />

people!!!!!!!!!!!!!


Who might be difficult?<br />

“Our tradition infers that there are<br />

different kinds of people. To each we<br />

respond in a different manner,<br />

according to the question, the<br />

situation, and the need.’<br />

A Passover Haggadah, p.30


Four Types of People<br />

Wise<br />

Wicked


Four Types of People<br />

Simple<br />

One unable to ask


How might these manifest in faculty?<br />

• The Highly Gifted<br />

• The Narcissist<br />

• The Underperformer<br />

• The Traveler


Good <strong>Faculty</strong> Become <strong>Difficult</strong><br />

Differential Diagnosis<br />

• Personal issues<br />

• Lifecycle Issues<br />

• Unfulfilled expectations<br />

• Unrecognized illness


Manifestations<br />

• Change in behavior<br />

• Mood swings<br />

• Evidence of substance abuse<br />

• Unfulfilled responsibilities<br />

• Sleep deprivation


The Scientific Physician


Case Discussions<br />

• How do you begin?<br />

• What do you need to know?<br />

• What can you do/not do?


Doctors are always complicated!<br />

Cases:<br />

1. Loved by patients – staff frustrated<br />

2. Multiple complaints – little data<br />

3. “I I only care for patients who do<br />

what I say.”<br />

4. Who am I today?


Approach <strong>Difficult</strong> <strong>Faculty</strong> like a<br />

Clinician<br />

• Presenting complaints<br />

• Take the history<br />

• Synthesize the data<br />

• Consider the differential<br />

• Develop the intervention


Pearls in Personnel Management<br />

• Set and model the parameters<br />

• Make job descriptions explicit when hiring<br />

• Make daily work transparent – keeping open<br />

calendars<br />

• Gather feedback – keep your ears open<br />

• Give feedback – positive and negative<br />

• Evaluation in person minimally yearly<br />

• Personal development/remediation plan


Yearly Evaluations<br />

• Self Evaluation:<br />

What were your proudest accomplishments?<br />

What did you not accomplish?<br />

What do you wish to accomplish next year?<br />

What do you need to accomplish your goals?<br />

What would you change/keep in your job?<br />

• Teaching Feedback<br />

• 360 Feedback when appropriate<br />

• Set the agenda for the ‘next year’


Concluding Remarks<br />

• A Chief’s s success and reward comes from the<br />

success of the Division<br />

• Clarity of values and standards helps all faculty<br />

• Personnel IS a responsibility of the Division<br />

Chief – it should not be ‘punted’ or ignored<br />

• Practice develops skill; HR departments and<br />

others can help


Final Lesson<br />

It’s s all about people!<br />

Harvard Course for Clinical Chairs

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