In traditional organizations, hierarchies are the normal state of affairs. While this may chafe those at a lower level of the chart, there is usually no thought to getting rid of a hierarchy, it’s more about finding ways to get on the top of the pile. However, in more progressive organizations and societies, hierarchical structures are much flatter, looser or may not exist at all. In many ways, medicine in all forms has some aspects of both types of systems, which can plant the provider squarely in that uncomfortable transition zone. Hierarchies are very much the norm in many types of … [Read more...] about Hierarchies
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Purchasing A Practice
I’ve written in previous posts about creating value in a practice prior to a planned sale. What about the other side of the equation, important items from the perspective of the buyer? Careful consideration of the pertinent details can avoid a painful situation, both financially and emotionally. Here are several factors to consider: Transferability When you are purchasing a practice, you are essentially buying the income stream from the practice, along with the physical items, the infrastructure and the intangibles. The equipment is not going to go anywhere, but the seller cannot guarantee … [Read more...] about Purchasing A Practice
Characteristics vs. Behaviors
The question of what you can change and what you can’t is a powerful one. This notion applies to self-management, employee or staff management and client/customer management. Knowing the difference can be tricky and slippery, but is worth the effort. The basic distinction is that characteristics are built-in and cannot be changed, and that behaviors are essentially a series of choices and can be changed. Traditional or subsistence societies operated under the assumption that little or nothing could be changed by force of will. The course of events were pre-ordained or attributed to fate. In … [Read more...] about Characteristics vs. Behaviors
Multiple Generations in the Workplace 2
In the last blogpost, we explored the overall characteristics of the 4 generations now present in the American workplace. When we are discussing a group that covers tens of millions of people, we are reduced to generalities and shared large scale experiences. The further point of this exercise, though, is to think of these groups as different enough so as to be from different, but related countries. Also, to understand how to work through conflicts most effectively. Sticking Points Haydn Shaw illustrates these common conflict areas artfully and concisely. He has a general assessment and … [Read more...] about Multiple Generations in the Workplace 2