Tag: careers

  • Pursuing Board Roles for Doctors: Essential Tips

    Pursuing Board Roles for Doctors: Essential Tips

    Board Roles for Doctors

    If you are a doctor considering whether a board role might be for you, or are already looking for your first board position then, you likely have some questions. Perhaps you are unsure that your experience would be valued by boards, or think that without existing board experience you would not be a strong candidate, or you don’t know which companies would value you, or you just don’t know where to begin. Whatever your thoughts I am sure that you have begun to wonder HOW that transition to becoming a Non-Executive Director (NED) might take place. If some of that rings true, let me reassure you that I know from my 20+ years of experience of putting people on Boards that most doctors have lots to offer suitable Boards. 

    Why should doctors consider a board appointment?

    If you haven’t considered a NED appointment, you should.

    As a doctor there are many reasons you should consider a board appointment and for it to be part of a longer term career plan. Whilst doctors generally command higher degrees of job security and portability, we are typically seeing more and more doctors in Australia become dissatisfied with the traditional clinical career paths and health roles. Board roles for doctors can be a great way to add back in some variety and passion to your career. A board appointment can also help future proof your career, prepare for and stay relevant in retirement, support redundancy or a career change, offer the opportunity to ‘give back’, increase your ‘strategic’ expertise, diversify your network and can also offer a career in its own right (that pathway out of clinical medicine you may be craving). 

    Perhaps the benefits of board roles for doctors were best summed up in a general study from Harvard Business Review that found that serving on a board increases a professional’s likelihood of being promoted by 44% and even if they weren’t promoted their annual pay increased by 13%. Further studies have also shown that those who hold a NED appointment in addition to an executive role: have greater job security and are unemployed less, and transition between jobs more easily. 

    So the question is not ‘Should a board position be part of your career as a doctor? or ‘Is board appointment worth the effort?’ Rather, the questions you should want the answers to are ‘How do I find board opportunities as a doctor?’, ‘How do I determine the right board opportunities for me?’ and ‘How do I get appointed?’ 

    Do doctors make good board members?

    You bet. According to the Australian Institute of Company Directors AICD good NEDs have the following qualities:

    1. Good judgement
    2. Communication skills
    3. Active contributor
    4. Confidence
    5. Integrity and honesty
    6. Intellectual curiosity
    7. Discipline
    8. Genuine interest

    Compare these traits against a recent study which found that good doctors have the following qualities 

    1. are good communicators (tick)
    2. are organised and conscientious (tick)
    3. are empathetic (tick)
    4. are curious (tick)
    5. are collaborative (tick)
    6. are persistent (tick)
    7. have great bedside manner (tick)

    Compare these traits against the internationally recognised CanMEDS Framework that identify the following key roles for good doctors:

    1. Medical Expert
    2. Communicator
    3. Collaborator
    4. Professional
    5. Scholar
    6. Health Advocate
    7. Leader

     Enough said… the similarities between good doctors and good NEDs is obvious.

    Which organisation’s board vacancy is right for you?

    Medicine offers great skills. You have specialised fields on which your value is indispensable to potential employers. Be it at hospitals, clinics, private companies, teaching or research. So, my advice is to pick a business field where your particular medical knowledge gives you an advantage. This could be pharmaceuticals or aged care or medical technology. Whatever the area you want to be able to bring real knowledge as a practitioner to the field.

    But you don’t have to limit yourself to traditional healthcare organisations either. The premise that all doctors are similar is wrong. I have found there to be a massive diversity in the skill sets of doctors. Doctors can and do run companies, and do things that business people do in addition to their clinical skill sets. Further, doctors do have other interests or experience. It is too narrow to just limit yourself and your opportunities to just the medical sectors. 

    Ask yourself the following questions: What are you passionate about? What organisation can you meaningfully contribute to? Do you need to be paid? Who is going to value your connections? What is your value at board level? Answering these questions will help you to begin to narrow your focus. In turn, you will be better able to target specific organisations with a strong value proposition. This is going to make you more appointable and mean that you get a greater return on your time investment.

    How do you find a board roles for doctors in Australia?

    If you want a board appointment you need to focus your time on doing the things that will get you a return on the investment of your valuable time.

    Whether you are a doctor, lawyer, accountant, HR, IT or marketing professional or something entirely different, finding and gaining your first non-executive role is a task few are qualified for and is akin to acquiring your first job. But it does happen – time and time again – though it is often linked to the amount of effort you put in and preparing accordingly. It is also linked to doing things that work and avoiding things that do not. 

    The simplest thing you can do is often be as simple as just telling people that you are looking for a board role! So, just start by doing that. By just mentioning that you are considering board roles for doctors you might be surprised by the result. However, once you start telling people you then need to also be ready to be asked a couple of questions in return. 1. Which organisation would you like to be on the board of/are you targeting? And 2. Why do you want to be a NED? You need answers to both of these questions, otherwise you will not be taken seriously and will waste opportunities.

    Whilst just telling people you would like a board role is a great start, if you are serious about gaining a board appointment you need to consider doing more. That means understanding the board appointment framework and putting together a simple, easy to implement and sustainable plan. At Board Direction, we consider there to be three ‘Core Pillars’ of a board appointment – they are the framework of your plan.

    1. Aspiration: Firstly you need a list of organisations that you believe you could and would like to be appointed to the board of – we like a list of 12
    2. Articulation: You need a Board CV and a verbal pitch that articulates your value at board level – language that avoids referencing your motivations but rather addresses the motivations of a decision maker.
    3. Application: Applying the knowledge of what your targets are and pitch is. Most people think that means working with recruiters or responding to advertised board opportunities. However, less than 20% of all board appointments are made this way. Instead, 80% of all appointments come through informal application processes – strong ties, weak ties and direct approaches

    Other than my medical expertise, what skills are Boards looking for in Directors?

    Again. This will vary from organisation to organisation. But if you are thinking of extending your professional development into non-traditional areas there are some skill areas and experience you may want to invest in based on what we see regularly advertised. These include:

    1. Prior Governance Experience

    Obviously, if you have board-level experience, you should lead with it. But what if you don’t have prior Board experience? Consider investing in some governance training and experience. Many directors often find their way to a Board appointment through committee work. So one obvious thing you can probably do now to improve your director skill set is volunteer for committee work in your hospital or health service or College etcetera…

    2. An Executive Skill Set

    At board level, what do you do? What is your value at board level? And why is what you do more valuable than one of your competitors with similar skills? What is your value at board level? 

    People often think finance, audit & risk and legal skills are the most valuable and most often requested at board level. However, whilst still high (good news for the lawyers and accountants reading this article), the desirability of these skills is actually decreasing, and far broader skills are in demand. 

    You can think about your value in two ways: Firstly, by considering the ROI for an organisation if they were to appoint you to their board – what would you deliver them? Secondly, consider what they would lose by not appointing someone with your skillset to the board – what risks are they potentially exposed to, and what is the cost of those risks that you and your skillset can mitigate?

    3. Industry Experience and Connections

    For some organisations, many in fact, this is often the most important thing you can offer. Therefore, it is important for you to be able to evidence how your industry experience and connections will benefit the organisation for which you wish to sit on the board. 

    The introductions you provide, the brand that you bring, or the knowledge you offer that can be leveraged to expedite business growth and lead to new opportunities. These relationships can also deal with difficult situations or provide access to knowledge not otherwise available to the organisation’s executive team.

    4. Demonstrable Passion

    You must always remember that passion is the key to being able to serve on a board effectively, but so is your appointability. Board members are passionate. They are often passionate about three things: What the organisation does, What the organisation is, and How they can contribute.

    5. Cultural Fit

    For me, this is the big one, but cultural fit is difficult to define. 

    What cultural fit means for a Chair is that you are not going to risk their reputation, the board’s and that of the organisation if they were to appoint you. So, demonstrating cultural fit is ultimately about de-risking your appointment because if Chairs…

    • don’t like you,
    • don’t feel their board or stakeholders or shareholders will like you,
    • feel like you won’t work effectively with the executive team,
    • feel you won’t attend extra-professional activities with other board members,
    • feel you are going to be too quiet or loud or in any way going to cause them a headache.

    … they simply won’t appoint you. 

    Overall, continuing to broadly invest in your professional development and expanding your skill set as a doctor can help you become a more effective and valuable board member in the healthcare industry and more widely. Consider seeking out opportunities for learning and growth in these key areas to enhance your contribution to the organisations you serve.

    Gaining a Board appointment as a doctor can be simpler and quicker than you might imagine

    Over 90% of the people I work with are professionals who also want a board appointment. Whilst some do have an existing portfolio of executive and non-executive roles, most others are looking for their first appointment or some want to ‘step up’ into a more significant (often paid) board appointment. Regardless, they all face similar challenges on their road to get a seat in a boardroom and need to follow the same three step process to make it happen – including any Doctor who wishes to gain a board appointment! If you’d like some advice do contact us for a confidential consultation to see if and how we can help.

    Until then, just telling people of your board aspirations requires no fancy memberships, and no expense; it is also super simple to implement, and you may be astounded by how effective it can be.

    If you would like to get in contact with the Author of this article, David Schwarz you can head over to the Board Direction website.

    Frequently Asked Questions about Board Roles for Doctors

    Question. What’s the best way to find potential Board appointments?

    You will see Boards advertise on traditional jobs boards like Seek, but there are several other places that you will see Board appointments promoted. These include LinkedIn as well as specific Board appointment site listings.

    Advertised board opportunities often attract hundreds of candidates so whilst it is possible to get appointed this way it is unlikely. Instead, most directors find their way on to Board via a personal connections, through those they already know but more likely through people they see rarely or infrequently – they are called ‘weak ties’.  

    Question. Do you need any governance training?

    Formal governance training is not required to take up a board appointment.

    However, I often find that doctors, when considering a board appointment, underestimate the risks. There’s a decent amount that can go wrong on a board. And doctors are not immune to these risks just by virtue of being intelligent.

    So, whilst a governance qualification may not directly help you to gain a board appointment (that is what Board Direction [https://link.advancemed.com.au/boarddirection] do) it might be worth considering some further training.
    Many doctors do choose to do this training and it may even be something that is covered by your professional development leave and fund if you are a salaried doctor.

    Question. What are the eligibility requirements for becoming a director?

    Eligibility requirements vary according to the organisation and the Board you are considering.

    According to the AICD there are only 3 mandatory requirements for becoming a company director Section 201B of the Corporations Act 2001 (Commonwealth) provides that a director must:
    – Be an individual, not a body corporate
    – Be at least 18 years of age
    – Not be disqualified from managing corporations under Part 2D.6. If they have been disqualified, the appointment must be made with permission granted by ASIC under s 206F or leave granted by the Court under s 206G

    These requirements only legally extend to registered companies. But there are similar eligibility requirements for Not For Profit organisations.
    Many organisations will also require mandatory checks of your criminal history. Most care organisations will require a working with children check, as well as possibly aged care worker or NDIS worker checks.

    Question. Are Boards specifically looking for Aboriginal and Torres Strait Islander doctors?

    Question. Are Boards specifically looking for Aboriginal and Torres Strait Islander doctors?
    Yes. If you are an Aboriginal or Torres Strait Islander and a medical practitioner you are definitely going to be in demand as many Boards are seeking to address diversity and inclusivity challenges by adding Indigenous leadership onto their Boards.

    Question. I heard Boards are most often looking for females.

    Yes and no. There has been a big push for gender diversity (and diversity more widely) on boards in recent times. The last statistics we saw on this saw 48% of recent appointments made were female with the remaining 52% being male.

    Question. I have heard that LinkedIn is useful for doctors wanting to expand in to Board careers. Is this true?

    Yes. It is true that a LinkedIn profile can be helpful in obtaining a Board appointment. Many directors find out about Board opportunities via LinkedIn.

    Question. Is there a way I can get some professional help in developing my Board career?

    Yes. If you are interested in some professional coaching and advice to secure your first/next Board appointment then we suggest you sign up for our webinar.

  • Ikigai and Medicine – Meaning and Purpose Can Be Tricky

    Ikigai and Medicine – Meaning and Purpose Can Be Tricky

    Doctors are often put into positions that can cause them stress, burnout and depression. Many doctors will reach a stage in their career when they question their choice to practice medicine. If this sounds like you then perhaps the concept of Ikigai is worth reflecting upon. Ikigai is a Japanese word that roughly translates to “reason for being.” It is similar to the French term raison d’etre.

    If you are able to combine Ikigai and Medicine. It could be the reason why you get out of bed in the morning. Ikigai can be found through any activity that brings joy, which is why it’s important to find these activities and indulge in them more often. The problem is there are powerful barriers in Medicine that can prevent us from finding our Ikigai. Most notably salary expectations and the stigma of being seen to “reject” a career in medicine for something else.

    Ikigai and Medicine
    Venn diagram exploring the Ikigai concept. Note this is based on the Western author Hector Garcia’s conceptualisation of the idea and not a true representation of the original concept.

    The Japanese Concept of Ikigai

    Ikigai is closely tied to the Japanese concept of Seika (貞知). Seika is about making the most of your life. Every human being has the opportunity to lead a fulfilled and happy life. The concept of Ikigai, which was formed by Japanese author Haruki Murakami. Ikigai does not require that an individual’s pursuit of happiness be grandiose or complicated, nor does living a fulfilling life mean achieving success as defined by society; one might find meaning in their work as an engineer for example.

    Everybody has a reason for living. For many of us, pursuing our goals and passions is sufficient motivation to meet life’s challenges. But some people have trouble identifying what is important to them. Sometimes it takes a tragedy or a crisis to help with this realization, but most often, it just happens naturally as we grow older.

    Moral Injury and Medicine

    Working in the medical profession, we can often encounter a stage where we question our worth or whether it is worth it. We may feel guilty or ashamed of what we are doing in our work. It is a very common feeling and one that can be extremely debilitating. One reason we may question our worth as medical professionals is through moral transgressions.

    Most of us are taught early on that the right thing to do is the moral thing to do. It means that you are doing what is right. If you are forced into a position of not doing exactly the right thing. You might think that it is not very important, but it still matters because if you do things differently, then you are doing something wrong by being bad. If you are constantly put in a position where you feel you are not doing right, it will eventually challenge your resilience and cause moral injury.

    Moral injury is a concept in psychology and psychiatry. It is thought to arise from feelings of guilt or shame felt by an individual who has taken part in wrongdoing, for example, war crimes, genocide, torture, or other such atrocities. Whilst these are extreme examples of wrongdoing we can also experience moral injury if we are constantly put in a position in our work of feeling that we are not doing good or constantly having to compromise on what is right.

    A classic example in medicine might be the feeling that we are constantly medicalising people’s problems, i.e. providing medications or physical treatments when the root causes are far deeper than this. Or being forced to discharge patients when the care available at home is inadequate because we need to create beds for “sicker patients”.

    Finding Your Ikigai in Medicine

    As I have noted, Ikigai is often translated as ‘reason for being, the reason why you get up in the morning. It is believed that your Ikigai must be fulfilled before you can die. While it is not always easy to find one’s Ikigai, there are some things to remember when searching for it.

    How to find your Ikigai

    Many people search for a sense of meaning or Ikigai in their life. You may find your Ikigai by doing what you love and pursuing your passions. Ikigai is found through actions and not just through words. It can be found in medicine, as well as other professions. For those of us looking for our Ikigai, we can find it most easily by taking action and finding the things that speak to us and energize us.

    It is important to understand that Ikigai is not just about your own personal purpose and fulfilment. It is also about your contribution to society at large. In the end, Ikigai should bring meaning and purpose to your life while you contribute to the good of others.

    It is said that everyone has an Ikigai – their particular intersection of passion, talent, and potential to benefit others. It is only a matter of finding it. The journey to Ikigai, however, might require significant time, reflection, and effort to get there.

    From a personal perspective. As someone who has always felt a little edgy about their career and a desire to try new things. I wonder if Ikigai is perhaps more of an iterative process for some.

    But How Does Ikigai Pay the Bills?

    Ikigai is not just about finding meaning and purpose. It can also be about making money.

    Ikigai can be a way to work out how to make a living whilst feeling fulfilled and with purpose. Ikigai does not have to be part of your formal career. It can be part of your hobbies, your family or a profession. Ikigai is not necessarily tied to a job, but it is tied to a passion. It is about finding the job that is the right fit for your passion.

    In order to arrive at our Ikigai, we can consider four key spheres. (Note: this concept relates to the author Hector Garcia’s conceptualisation of Ikigai, not the original Japanese concept)

    I Love It!

    Clearly, this sphere encompasses what we do or experience that brings us the most joy in life and makes us feel most alive and fulfilled. This might be playing cricket, singing in a bad, playing computer games, hanging out with friends or travelling the world.

    What is important here is to think about what we truly love without thinking about whether we are good at it or not and whether we can earn a living from it. This is the most indulgent sphere.

    Something I Am Great At

    This sphere includes anything you are particularly good at. These can be skills you have learnt or hobbies you have pursued, or talents you have had from an early age. What you are good at might be, for example, playing the guitar, displaying empathy, sports, performing surgery, or painting pictures.

    This sphere encompasses talents or capabilities, whether or not you are passionate about them, whether the world needs them, or if you can get paid for them.

    The World Needs This

    Whether it’s the entire world or a small community you are in touch with. The “world’s” needs might include skilled doctors, clean energy, volunteers, or improved teacher training.

    This is the area of Ikigai that is most practical. It connects most explicitly with other people and doing good for them beyond your own needs.

    Can I Get Paid For This?

    This dimension of the Ikigai diagram also refers to the world or society at large. It involves a transaction where someone else is willing to pay you for something you provide. Or that there is a market for your skills or expertise. You might be passionate about your poetry writing or be very good at canoeing, but this does not necessarily mean that you can get paid for it.

    Whether you can get paid for your passions or talents depends on factors such as the state of the economy and whether your passions or talents are in demand.

    Ikigai and Medicine – Threading the Needle?

    What I notice most about the Ikigai concept is how much overlap one needs between these 4 spheres of love, good at, need, and monetizable.

    I suspect it is for this reason that many of us settle on compromises where we end up doing things that the world needs (and there are plenty of medical jobs that fit this bill) or things we are good at. So we can get paid for our efforts. But missing any passion or sense of mission for what we are doing.

    Barriers to Ikigai in Medicine

    You only have to work your way through this recent post to see that money is probably one of the biggest barriers to doctors gaining a sense of purpose and Ikigai.

    If we are lucky, we do find an area of medicine we truly love. That has a need and needs us and our skills. But it may well mean that we compromise on our salary expectations somewhat. I say somewhat because a salary compromise in a medical career still represents an outstanding salary in most other people’s careers.

    So, for example, even though we are quite good at surgery. We might choose to work in general practice as we have more autonomy over our patient care decisions and get to work holistically with people which we love. In so doing, we probably compromise somewhat on salary expectations. But we probably also create room for other things we love in life, like family and hobbies.

    However, as doctors, we have the potential to create economic expectations for ourselves that can trap us in careers that are creating us harm. Doctors generally have good credit risks. So we often end up servicing high loads of debts and other financial expectations, which can make exciting a particular medical career difficult.

    Finding Your Ikigai Alongside Medicine

    Perhaps your medical job is not your be-all and end-all. Perhaps it’s your way of paying for the thing in life that brings you passion and satisfaction and others enjoyment?

    I certainly know of many doctors who work so that they can indulge their passion in music or the arts and, in so doing, bring joy and something to others that they need.

    Consider also those doctors who do stints working for organisations like Doctors Without Borders. The years of critical care training and experience at home may not be exactly what they would like to be doing on a daily basis. But the trips abroad where they can “make a real difference” helped to balance out having to fight the bureaucracy of hospital care in your real job whilst you are maintaining and improving upon your skills.

    Finding Your Ikigai Out of Medicine

    And finally. Maybe it’s just possible that the skills, talents and passions that brought you into Medicine are the sorts of skills, talents and passions that are needed in other parts of our world.

    Maybe. Just maybe. It’s possible for you to find a career completely outside of medicine.

    Here is where I think doctors face another real but under-recognised barrier to finding their Ikigai. Which is the stigma and possible shame or guilt associated with being a doctor who is no longer a doctor.

    I was once providing career coaching for a doctor who was considering exiting medicine altogether for a career in real estate.

    Real Estate happened to be something that she loved and was very good at. Having flipped several properties on the side during her medical school and training. And, of course. The world needs houses.

    What surprised me most of all about our encounter was her statement that I was the first doctor that she had ever talked to who would even consider not working in medicine as a possible career choice.

  • How Do You Deal with a Difficult Boss in Medicine?

    How Do You Deal with a Difficult Boss in Medicine?

    Those who know me know that I am a big fan of Robert Sutton‘s classic book on Workplace Civility (The No Asshole Rule).  In this book Sutton demonstrates how one bad egg can have such a devastating effect on workplace culture and harmony.   Including, yes you guessed it! Hospitals, where the difficult boss in medicine can and does exist.

    That book dealt mainly with how organizations can detect if they have an asshole problem and how to deal with it if they found one. On its tenth anniversary, Sutton has published a follow (The Asshole Survival Guide) which is more of a personal help aid if you encounter a jerk in your workplace.

    The main purpose of this post is not, however, about Assholes in Medicine.  Its about that Difficult Boss in Medicine.  The Consultant or Trainee who sometimes might be temporarily labelled an asshole (sometimes even fairly) for some of the things they do or don’t do. The folks who are not deliberately trying to up set others and who are generally well-meaning.  These types of Bosses are much more common than the true workplace asshole but can still create grief and concern for those who work with them.

     

    Bosses shape how people spend their days and whether they experience joy or despair, perform well or badly, or are healthy or sick.  Unfortunately, there are hoards of mediocre and downright rotten bosses out there, and big gaps between the best and the worst.

    Robert Sutton – Good Boss, Bad Boss: How to be the Best…and Learn from the Worst.

     

     

    Is the Difficult Boss in Medicine a real problem?

     

    I think the majority of medical trainees would answer yes to this question.  In my own research 17-20% of medical trainees reported bullying and sexual harassment in the last year, with 60% of this coming from senior medical staff[1].  And of course bullying and sexual harassment is at the extreme end of difficult or bad bossness!

    Perhaps part of the problem is who is a boss in Medicine?  Registrars or Trainee tend to refer to their Consultant as “their boss”.  Interns and Residents do as well, but then report on a daily matter to their Registrar.  Very few of these Consultants or Registrars however have the title Manager or Director or something equivalent.  So we have lots of bosses but most of them are not formal bosses.  And many Consultants also speak openly about not wanting to be a boss.

    I think that’s a real problem.  CanMEDS has recognized that at the core of every good medical practitioner is the need to develop a level of Leadership and Management capability, along with other useful “boss skills” such as Professionalism and Communication.  Colleges have started to pick up on this in training but sadly a focus n Leadership and Management skills still tends to come late in the curriculum.

    When I talk to Advanced Trainees about their worries about transitioning to the Consultant level they tell me that they are not concerned about how to handle clinical problems as a boss, they are concerned about how to handle management problems (mostly people management).

    So if we are not adequately preparing doctors for becoming a boss and have systems where nearly everyone becomes a boss at some point is it such a surprise that many are on what Sutton call the “mediocre to rotten” end of the spectrum?

     

    So how many Types of Difficult Bosses in Medicine are out there?

     

    The short answer is too many to describe in a blog post.

    The longer answer is that not all Bosses are the same to all medical trainees.

    An example of this is what I call the “Micromanager Boss“.

    The Micromanager is concerned about avoiding risks and problems with their patients.  They tend to have problems trusting others to ensure that what needs to be done is done (problems with delegating).  They can be a great source of frustration for an experienced trainee as, despite your best effort, the Micromanager always seems to be wanting you to check or confirm something.

    For an experienced trainee a Micromanager becomes a headache and you may start to resent their presence as an annoyance on the Ward.  But consider this.  What if you are an Intern who hasn’t reached that level of feeling experienced enough to know what to do?  All of a sudden the Micromanage Boss becomes the Caring and Nurturing Boss.  The Boss who goes the extra mile to make sure you have covered all the things that need to be done for the patient.

     

    First seek understanding.

     

    The point here is that in order to understand the Difficult Boss Problem you both need to understand yourself and your needs as a trainee.  Try to understand the perspective of the Boss at question.  If possible own your Difficult Boss in Medicine problem.

    In our example above it may very well be that our boss has had some very bad outcomes in past.  This may have been through a failure to check certain things with patients.  OR perhaps under pressure from their own bosses to ensure that some things are done in a certain way?

    So one strategy for overcoming your difficulties with your boss might be to seek further information about the source of the insecurities.  Perhaps you can engage with them directly.  Perhaps a previous trainee or one of the experienced nursing staff can shed some insight.  If you can learn about what makes your Boss anxious you can take steps to reduce this.  For example, by presenting them with a personal report each day showing how you have checked all these important things.  Show them you have their back!

     

     

    A couple of other examples of  Difficult Bosses in Medicine, including possible reasons and how to own the problem:

    The not so helpful boss.

    Presentation:

    This is the Boss that believes in old school teaching, likes to put you on the spot in the middle of the Ward round and quiz you on the 31 causes of hypertension.

    Possible Reason:

    This Boss may be very keen to teach and believe what they are doing is helpful.  They may never have been taken aside and told that their teaching approach is no longer considered the best.

    How to own it:

    May be a difficult one to tackle front on.  But perhaps if you are more observing this Boss interrogating another colleague you may feel able to take them aside for a private conversation.  Otherwise, it might be useful to share with your Boss what you are currently studying and suggest that they could help you to focus on learning this (rather than anything that just happens to come up on the Ward Round).

     

    The too nice boss.

    Presentation:

    This is the Boss who says yes to anything anyone, staff and patients because they seemingly “don’t want to upset anyone”.  They leave you frustrated because a lot of those “yesses” mean you have to do extra things.  Like an extra day on take, reorganizing a theatre list, or negotiating with a frustrated secretary about cramming extra time into an outpatient clinic.

    Possible Reason:

    Your Boss may be very new to the role and unsure of themselves.  They may be wary of establishing credibility with their peers before saying no to things.

    How to own it:

    Such a Boss may be very receptive to a friendly empathic conversation about feeling new and unsure.  Make it clear that you are happy to support more firm decisions when they are needed.  But also make clear what you need to get your job done and what you may need from a boss.  If possible see if there is another person around who can help with these but make sure that your Boss knows about this.

     

    How to not become a Difficult Boss yourself.

    Its never too late to avoid becoming known as one of those Difficult Bosses in Medicine.  Of course you can learn the science and art of Management in Medicine by enrolling in a University Management training degrees.  But there may be something a little shorter on offer at your local hospital.  To be perfectly honest they are more likely to tackle the issues of how to be a good boss to your team members than any Masters degree course will.

     

    Seek Feedback.

     

    An even better start is to think about how well you are currently receiving feedback on your style as a leader and manager from those who report to you.  Do you encourage feedback?  Are you regularly receiving feedback?  Is it the type of frank and fearless feedback that really opens your eyes to the need to change something you are doing?

    We are generally very bad at evaluating our own performance.  So its well worth considering formalizing feedback every few years by engaging in a 360 feedback process.  Done well this process will normally give you one or two key areas for improvement as a people manager so you can avoid those below seeing you as “Difficult”.

     

    Want to hear more about how to deal with a Difficult Boss in Medicine?

    I’m giving a talk on the subject at the upcoming onthewards & Beyond Conference in Sydney on the 14th April 2018.

     


     

    Llewellyn Anthony, Karageorge Aspasia, Nash Louise, Li Wenlong, Neuen Dennis (2018) Bullying and sexual harassment of junior doctors in New South Wales, Australia: rate and reporting outcomes. Australian Health Review, .https://doi.org/10.1071/AH17224