SlideShare a Scribd company logo

Doctors behaving badly

Pat Numann's talk from #ACSCC12 #ps320

1 of 10
The Good, the Bad, and
   the Ugly: Dealing with
  Doctors Behaving Badly
Patricia J Numann MD FACS, FRCS GLAS[HON]
Past President, American College of Surgeons
What is Bad Behavior?
•   Verbal Abuse
•   Not following the rules
•   Bullying
•   Use of profanity
•   Denigration
•   Sexual Harassment
•   Unwanted Physical contact
Why Care?


•   Disruptive Doctors are a liability
•   They cause errors
•   They cause law suits
•   They cause employee loss
Even Disruptive Doctors
             Have Rights?
• Have a written code of conduct which they
  need to sign.
• Present this in the initial orientation or when
  adopted
• Have due process spelled out in the bylaws
• Make sure you follow the bylaws
Basic Philosophy
• Recruitment of Doctors is labor and resource
  intense
• Rehabilitation better than dismissal
• “Face saving” processes
• Coaching and counseling
• Monitoring
How do you deal with them ?

• When event occurs, tell them—in private,
  with specifics and in an unemotional way
• “One Minute Manager”
• Be consistent
• Tell them the consequences
• Offer them remediation

Recommended

Do You Inspire Confidence at Your Hospital?
Do You Inspire Confidence at Your Hospital?Do You Inspire Confidence at Your Hospital?
Do You Inspire Confidence at Your Hospital?MedAmerica Marketer
 
What Smart Women Need to Conquer Healthcare's Glass Ceiling
What Smart Women Need to Conquer Healthcare's Glass CeilingWhat Smart Women Need to Conquer Healthcare's Glass Ceiling
What Smart Women Need to Conquer Healthcare's Glass CeilingMedAmerica Marketer
 
Psycho-Social and Sexual Health: Balancing Acceptance and Change
Psycho-Social and Sexual Health: Balancing Acceptance and ChangePsycho-Social and Sexual Health: Balancing Acceptance and Change
Psycho-Social and Sexual Health: Balancing Acceptance and ChangeNational Ovarian Cancer Coalition
 
MHW2015_BPD_Forum
MHW2015_BPD_ForumMHW2015_BPD_Forum
MHW2015_BPD_ForumJane Yang
 
BSides Brisbane 2019: Mental Health and the InfoSec Community - Simon Harvey
BSides Brisbane 2019: Mental Health and the InfoSec Community - Simon HarveyBSides Brisbane 2019: Mental Health and the InfoSec Community - Simon Harvey
BSides Brisbane 2019: Mental Health and the InfoSec Community - Simon HarveySimon Harvey
 
Women in Healthcare: Burn Brightly Without Burning Out
Women in Healthcare: Burn Brightly Without Burning OutWomen in Healthcare: Burn Brightly Without Burning Out
Women in Healthcare: Burn Brightly Without Burning OutSarah Maurer
 
SABSA COSAC APAC 2019 - Mental Health and the Information Security Community:...
SABSA COSAC APAC 2019 - Mental Health and the Information Security Community:...SABSA COSAC APAC 2019 - Mental Health and the Information Security Community:...
SABSA COSAC APAC 2019 - Mental Health and the Information Security Community:...Simon Harvey
 

More Related Content

Viewers also liked

Scrub nurse
Scrub nurseScrub nurse
Scrub nurseHIRANGER
 
Positioning, skin prep, incision & draping
Positioning, skin prep, incision & drapingPositioning, skin prep, incision & draping
Positioning, skin prep, incision & drapingBea Galang
 
Operating Room Nursing
Operating Room NursingOperating Room Nursing
Operating Room Nursingshenell delfin
 

Viewers also liked (9)

Surgical Tech Program in Oklahoma City
Surgical Tech Program in Oklahoma CitySurgical Tech Program in Oklahoma City
Surgical Tech Program in Oklahoma City
 
Scrub nurse
Scrub nurseScrub nurse
Scrub nurse
 
Atlas scrub nurse
Atlas scrub nurseAtlas scrub nurse
Atlas scrub nurse
 
Surgical draping
Surgical drapingSurgical draping
Surgical draping
 
Cardiac surgery and ptca
Cardiac surgery and ptcaCardiac surgery and ptca
Cardiac surgery and ptca
 
Positioning, skin prep, incision & draping
Positioning, skin prep, incision & drapingPositioning, skin prep, incision & draping
Positioning, skin prep, incision & draping
 
Operating Room Nursing
Operating Room NursingOperating Room Nursing
Operating Room Nursing
 
Operation theater
Operation theaterOperation theater
Operation theater
 
Draping
DrapingDraping
Draping
 

Similar to Doctors behaving badly

Learning plan 1 ha ppt
Learning plan 1 ha pptLearning plan 1 ha ppt
Learning plan 1 ha pptedlebecc
 
Achieving Rapid Cost Reduction and Revenue Improvement by Engaging Clinicians...
Achieving Rapid Cost Reduction and Revenue Improvement by Engaging Clinicians...Achieving Rapid Cost Reduction and Revenue Improvement by Engaging Clinicians...
Achieving Rapid Cost Reduction and Revenue Improvement by Engaging Clinicians...PYA, P.C.
 
Planning for end of life
Planning for end of lifePlanning for end of life
Planning for end of lifeSlides4fun
 
Moral Distress and Medical Futility
Moral Distress and Medical Futility Moral Distress and Medical Futility
Moral Distress and Medical Futility Andi Chatburn, DO, MA
 
How to be an Effective Advocate for Your Elderly Loved One or Client
How to be an Effective Advocate for Your Elderly Loved One or ClientHow to be an Effective Advocate for Your Elderly Loved One or Client
How to be an Effective Advocate for Your Elderly Loved One or ClientElizabeth Swider
 
The Role of Counselling in IVF
The Role of Counselling in IVFThe Role of Counselling in IVF
The Role of Counselling in IVFSujoy Dasgupta
 
Blood Monitoring in an MS Disease Modifying Therapy Clinic
Blood Monitoring in an MS Disease Modifying Therapy ClinicBlood Monitoring in an MS Disease Modifying Therapy Clinic
Blood Monitoring in an MS Disease Modifying Therapy ClinicMS Trust
 
Honiton cluster Advance Care planning presentation
Honiton cluster Advance Care planning presentationHoniton cluster Advance Care planning presentation
Honiton cluster Advance Care planning presentationHospiscare
 
Martin
MartinMartin
Martinmhcc
 
Parkinsons Journey 8.11.15
Parkinsons Journey 8.11.15Parkinsons Journey 8.11.15
Parkinsons Journey 8.11.15Kathryn Krug
 
Promoting Patient Safety and Preventing Medical Errors
Promoting Patient Safety and Preventing Medical ErrorsPromoting Patient Safety and Preventing Medical Errors
Promoting Patient Safety and Preventing Medical ErrorsAnjali Malpani
 
Salt lake presentation on roles of mh
Salt lake presentation on roles of mhSalt lake presentation on roles of mh
Salt lake presentation on roles of mhZoey Lovell
 
Ethical Considerations for Medical Decision Making.pptx
Ethical Considerations for Medical Decision Making.pptxEthical Considerations for Medical Decision Making.pptx
Ethical Considerations for Medical Decision Making.pptxvijayapriya24
 
Implicit Bias Training
Implicit Bias TrainingImplicit Bias Training
Implicit Bias TrainingPresence
 
The Importance of Trauma-Informed Engagement
The Importance of Trauma-Informed EngagementThe Importance of Trauma-Informed Engagement
The Importance of Trauma-Informed EngagementCHICommunications
 
Preventing patient errors and promoting medical safety - a guide for medical...
Preventing patient errors  and promoting medical safety - a guide for medical...Preventing patient errors  and promoting medical safety - a guide for medical...
Preventing patient errors and promoting medical safety - a guide for medical...Dr Aniruddha Malpani
 

Similar to Doctors behaving badly (20)

Learning plan 1 ha ppt
Learning plan 1 ha pptLearning plan 1 ha ppt
Learning plan 1 ha ppt
 
Achieving Rapid Cost Reduction and Revenue Improvement by Engaging Clinicians...
Achieving Rapid Cost Reduction and Revenue Improvement by Engaging Clinicians...Achieving Rapid Cost Reduction and Revenue Improvement by Engaging Clinicians...
Achieving Rapid Cost Reduction and Revenue Improvement by Engaging Clinicians...
 
Planning for end of life
Planning for end of lifePlanning for end of life
Planning for end of life
 
Moral Distress and Medical Futility
Moral Distress and Medical Futility Moral Distress and Medical Futility
Moral Distress and Medical Futility
 
How to be an Effective Advocate for Your Elderly Loved One or Client
How to be an Effective Advocate for Your Elderly Loved One or ClientHow to be an Effective Advocate for Your Elderly Loved One or Client
How to be an Effective Advocate for Your Elderly Loved One or Client
 
The Role of Counselling in IVF
The Role of Counselling in IVFThe Role of Counselling in IVF
The Role of Counselling in IVF
 
Difficult Patients_LinkedIN
Difficult Patients_LinkedINDifficult Patients_LinkedIN
Difficult Patients_LinkedIN
 
Complicated Interventions: Process Addictions and Beyond
Complicated Interventions: Process Addictions and BeyondComplicated Interventions: Process Addictions and Beyond
Complicated Interventions: Process Addictions and Beyond
 
Blood Monitoring in an MS Disease Modifying Therapy Clinic
Blood Monitoring in an MS Disease Modifying Therapy ClinicBlood Monitoring in an MS Disease Modifying Therapy Clinic
Blood Monitoring in an MS Disease Modifying Therapy Clinic
 
Honiton cluster Advance Care planning presentation
Honiton cluster Advance Care planning presentationHoniton cluster Advance Care planning presentation
Honiton cluster Advance Care planning presentation
 
Martin
MartinMartin
Martin
 
Parkinsons Journey 8.11.15
Parkinsons Journey 8.11.15Parkinsons Journey 8.11.15
Parkinsons Journey 8.11.15
 
Promoting Patient Safety and Preventing Medical Errors
Promoting Patient Safety and Preventing Medical ErrorsPromoting Patient Safety and Preventing Medical Errors
Promoting Patient Safety and Preventing Medical Errors
 
Salt lake presentation on roles of mh
Salt lake presentation on roles of mhSalt lake presentation on roles of mh
Salt lake presentation on roles of mh
 
Advance Care Planning- WFS
Advance Care Planning- WFSAdvance Care Planning- WFS
Advance Care Planning- WFS
 
Stuart Lane on SORRY
Stuart Lane on SORRYStuart Lane on SORRY
Stuart Lane on SORRY
 
Ethical Considerations for Medical Decision Making.pptx
Ethical Considerations for Medical Decision Making.pptxEthical Considerations for Medical Decision Making.pptx
Ethical Considerations for Medical Decision Making.pptx
 
Implicit Bias Training
Implicit Bias TrainingImplicit Bias Training
Implicit Bias Training
 
The Importance of Trauma-Informed Engagement
The Importance of Trauma-Informed EngagementThe Importance of Trauma-Informed Engagement
The Importance of Trauma-Informed Engagement
 
Preventing patient errors and promoting medical safety - a guide for medical...
Preventing patient errors  and promoting medical safety - a guide for medical...Preventing patient errors  and promoting medical safety - a guide for medical...
Preventing patient errors and promoting medical safety - a guide for medical...
 

More from Amalia Cochran

Bullies Throwing Tantrums
Bullies Throwing Tantrums Bullies Throwing Tantrums
Bullies Throwing Tantrums Amalia Cochran
 
Cochran Grand Rounds- UP3 Program- August 2015
Cochran Grand Rounds- UP3 Program- August 2015Cochran Grand Rounds- UP3 Program- August 2015
Cochran Grand Rounds- UP3 Program- August 2015Amalia Cochran
 
Using blogs to develop a personal learning network
Using blogs to develop a personal learning networkUsing blogs to develop a personal learning network
Using blogs to develop a personal learning networkAmalia Cochran
 
Teaching clinical skills 2015
Teaching clinical skills 2015Teaching clinical skills 2015
Teaching clinical skills 2015Amalia Cochran
 
Cochran roi beyond the r01
Cochran roi beyond the r01Cochran roi beyond the r01
Cochran roi beyond the r01Amalia Cochran
 
Behavioral feedback for clinical learners
Behavioral feedback for clinical learnersBehavioral feedback for clinical learners
Behavioral feedback for clinical learnersAmalia Cochran
 
Effects of Disruptive Surgeons- ASE 2014
Effects of Disruptive Surgeons- ASE 2014Effects of Disruptive Surgeons- ASE 2014
Effects of Disruptive Surgeons- ASE 2014Amalia Cochran
 
#AcadSurg2014 Twitter Talk
#AcadSurg2014 Twitter Talk#AcadSurg2014 Twitter Talk
#AcadSurg2014 Twitter TalkAmalia Cochran
 
Cochran anesthesia postgrad 2013
Cochran anesthesia postgrad 2013Cochran anesthesia postgrad 2013
Cochran anesthesia postgrad 2013Amalia Cochran
 
Frostbite Grand Rounds- 2011
Frostbite Grand Rounds- 2011Frostbite Grand Rounds- 2011
Frostbite Grand Rounds- 2011Amalia Cochran
 
Using NSQIP to calculate mortality risk from NSTIs
Using NSQIP to calculate mortality risk from NSTIsUsing NSQIP to calculate mortality risk from NSTIs
Using NSQIP to calculate mortality risk from NSTIsAmalia Cochran
 
Handout final acs women in surgery 10.3.12a
Handout final acs women in surgery 10.3.12aHandout final acs women in surgery 10.3.12a
Handout final acs women in surgery 10.3.12aAmalia Cochran
 
Defining disruptive behavior
Defining disruptive behaviorDefining disruptive behavior
Defining disruptive behaviorAmalia Cochran
 
Cochran ACS Presentation
Cochran ACS PresentationCochran ACS Presentation
Cochran ACS PresentationAmalia Cochran
 
ISBI- Transthoracic Echo
ISBI- Transthoracic EchoISBI- Transthoracic Echo
ISBI- Transthoracic EchoAmalia Cochran
 

More from Amalia Cochran (17)

Dysfunctional teams
Dysfunctional teamsDysfunctional teams
Dysfunctional teams
 
Cv tips and tricks
Cv tips and tricksCv tips and tricks
Cv tips and tricks
 
Bullies Throwing Tantrums
Bullies Throwing Tantrums Bullies Throwing Tantrums
Bullies Throwing Tantrums
 
Cochran Grand Rounds- UP3 Program- August 2015
Cochran Grand Rounds- UP3 Program- August 2015Cochran Grand Rounds- UP3 Program- August 2015
Cochran Grand Rounds- UP3 Program- August 2015
 
Using blogs to develop a personal learning network
Using blogs to develop a personal learning networkUsing blogs to develop a personal learning network
Using blogs to develop a personal learning network
 
Teaching clinical skills 2015
Teaching clinical skills 2015Teaching clinical skills 2015
Teaching clinical skills 2015
 
Cochran roi beyond the r01
Cochran roi beyond the r01Cochran roi beyond the r01
Cochran roi beyond the r01
 
Behavioral feedback for clinical learners
Behavioral feedback for clinical learnersBehavioral feedback for clinical learners
Behavioral feedback for clinical learners
 
Effects of Disruptive Surgeons- ASE 2014
Effects of Disruptive Surgeons- ASE 2014Effects of Disruptive Surgeons- ASE 2014
Effects of Disruptive Surgeons- ASE 2014
 
#AcadSurg2014 Twitter Talk
#AcadSurg2014 Twitter Talk#AcadSurg2014 Twitter Talk
#AcadSurg2014 Twitter Talk
 
Cochran anesthesia postgrad 2013
Cochran anesthesia postgrad 2013Cochran anesthesia postgrad 2013
Cochran anesthesia postgrad 2013
 
Frostbite Grand Rounds- 2011
Frostbite Grand Rounds- 2011Frostbite Grand Rounds- 2011
Frostbite Grand Rounds- 2011
 
Using NSQIP to calculate mortality risk from NSTIs
Using NSQIP to calculate mortality risk from NSTIsUsing NSQIP to calculate mortality risk from NSTIs
Using NSQIP to calculate mortality risk from NSTIs
 
Handout final acs women in surgery 10.3.12a
Handout final acs women in surgery 10.3.12aHandout final acs women in surgery 10.3.12a
Handout final acs women in surgery 10.3.12a
 
Defining disruptive behavior
Defining disruptive behaviorDefining disruptive behavior
Defining disruptive behavior
 
Cochran ACS Presentation
Cochran ACS PresentationCochran ACS Presentation
Cochran ACS Presentation
 
ISBI- Transthoracic Echo
ISBI- Transthoracic EchoISBI- Transthoracic Echo
ISBI- Transthoracic Echo
 

Recently uploaded

Vertigo and Nystagmus - Clinical approach part-2.pptx
Vertigo and Nystagmus - Clinical approach part-2.pptxVertigo and Nystagmus - Clinical approach part-2.pptx
Vertigo and Nystagmus - Clinical approach part-2.pptxYasser Alzainy
 
Measles.pptx Department of Physiotherapy, SHUATS, Prayagraj
Measles.pptx Department of Physiotherapy, SHUATS, PrayagrajMeasles.pptx Department of Physiotherapy, SHUATS, Prayagraj
Measles.pptx Department of Physiotherapy, SHUATS, PrayagrajSurabhi Srivastava
 
Hydrocele and tumors of testis Introduction.pptx
Hydrocele and tumors of testis Introduction.pptxHydrocele and tumors of testis Introduction.pptx
Hydrocele and tumors of testis Introduction.pptxSizan Thapa
 
Clinical validation of an Artificial Intelligence algorithm for the detection...
Clinical validation of an Artificial Intelligence algorithm for the detection...Clinical validation of an Artificial Intelligence algorithm for the detection...
Clinical validation of an Artificial Intelligence algorithm for the detection...Josep Vidal-Alaball
 
Shodhanagha snehapana.pptx Dr Akshay Shetty
Shodhanagha snehapana.pptx Dr Akshay ShettyShodhanagha snehapana.pptx Dr Akshay Shetty
Shodhanagha snehapana.pptx Dr Akshay ShettyAkshay Shetty
 
(DENGUE).pptx Department of Physiotherapy, SHUATS, Prayagraj
(DENGUE).pptx Department of Physiotherapy, SHUATS, Prayagraj(DENGUE).pptx Department of Physiotherapy, SHUATS, Prayagraj
(DENGUE).pptx Department of Physiotherapy, SHUATS, PrayagrajSurabhi Srivastava
 
Disruption at the Neuromuscular Junction: Relevance of Autoantibodies to Ther...
Disruption at the Neuromuscular Junction: Relevance of Autoantibodies to Ther...Disruption at the Neuromuscular Junction: Relevance of Autoantibodies to Ther...
Disruption at the Neuromuscular Junction: Relevance of Autoantibodies to Ther...PeerVoice
 
MICTURITION AND DEFECATION REFLEXES.pptx
MICTURITION AND DEFECATION REFLEXES.pptxMICTURITION AND DEFECATION REFLEXES.pptx
MICTURITION AND DEFECATION REFLEXES.pptxDr. Aniket Shilwant
 
Dasha vidha Pareeksha.pptx Dr Akshay Shetty
Dasha vidha Pareeksha.pptx Dr Akshay ShettyDasha vidha Pareeksha.pptx Dr Akshay Shetty
Dasha vidha Pareeksha.pptx Dr Akshay ShettyAkshay Shetty
 
Arts-Focused Approaches to Public Health Communications
Arts-Focused Approaches to Public Health CommunicationsArts-Focused Approaches to Public Health Communications
Arts-Focused Approaches to Public Health Communicationskatiequigley33
 
PTERYGIUM ,clinical picture and its management.pptx
PTERYGIUM ,clinical picture and its management.pptxPTERYGIUM ,clinical picture and its management.pptx
PTERYGIUM ,clinical picture and its management.pptxvideosfildr
 
JULIETH KABIRIGI,PAED.CARDIOLOGIST-CUHAS
JULIETH KABIRIGI,PAED.CARDIOLOGIST-CUHASJULIETH KABIRIGI,PAED.CARDIOLOGIST-CUHAS
JULIETH KABIRIGI,PAED.CARDIOLOGIST-CUHASJuliethKabirigi1
 
RADIATION THERAPY IN BILIARY TRACT CANCER
RADIATION THERAPY IN BILIARY TRACT CANCERRADIATION THERAPY IN BILIARY TRACT CANCER
RADIATION THERAPY IN BILIARY TRACT CANCERKanhu Charan
 
Best neurologist in jalandhar Punjab India
Best neurologist in jalandhar Punjab IndiaBest neurologist in jalandhar Punjab India
Best neurologist in jalandhar Punjab IndiaNHS Hospital
 
Malaria Disease.pptx Department of Physiotherapy, SHUATS, Prayagraj
Malaria Disease.pptx Department of Physiotherapy, SHUATS, PrayagrajMalaria Disease.pptx Department of Physiotherapy, SHUATS, Prayagraj
Malaria Disease.pptx Department of Physiotherapy, SHUATS, PrayagrajSurabhi Srivastava
 
Yantra used in Rasashastra: Equipments and Machineries
Yantra used in Rasashastra: Equipments and MachineriesYantra used in Rasashastra: Equipments and Machineries
Yantra used in Rasashastra: Equipments and MachineriesAparnaNandakumar12
 
Introduction to anatomy and physioligy.pptx
Introduction to anatomy and physioligy.pptxIntroduction to anatomy and physioligy.pptx
Introduction to anatomy and physioligy.pptxMarbahunJalaKharbhih
 
GROSS ANATOMY OF CAECUM & APPENDIX DR VKVS.ppt
GROSS ANATOMY OF CAECUM & APPENDIX DR VKVS.pptGROSS ANATOMY OF CAECUM & APPENDIX DR VKVS.ppt
GROSS ANATOMY OF CAECUM & APPENDIX DR VKVS.pptDr Vinay KV Shetty
 
Death or Thantology.pptx death ppt useful ppt
Death or Thantology.pptx death ppt useful pptDeath or Thantology.pptx death ppt useful ppt
Death or Thantology.pptx death ppt useful pptDrSathishMS1
 

Recently uploaded (20)

Vertigo and Nystagmus - Clinical approach part-2.pptx
Vertigo and Nystagmus - Clinical approach part-2.pptxVertigo and Nystagmus - Clinical approach part-2.pptx
Vertigo and Nystagmus - Clinical approach part-2.pptx
 
Measles.pptx Department of Physiotherapy, SHUATS, Prayagraj
Measles.pptx Department of Physiotherapy, SHUATS, PrayagrajMeasles.pptx Department of Physiotherapy, SHUATS, Prayagraj
Measles.pptx Department of Physiotherapy, SHUATS, Prayagraj
 
Hydrocele and tumors of testis Introduction.pptx
Hydrocele and tumors of testis Introduction.pptxHydrocele and tumors of testis Introduction.pptx
Hydrocele and tumors of testis Introduction.pptx
 
Clinical validation of an Artificial Intelligence algorithm for the detection...
Clinical validation of an Artificial Intelligence algorithm for the detection...Clinical validation of an Artificial Intelligence algorithm for the detection...
Clinical validation of an Artificial Intelligence algorithm for the detection...
 
Shodhanagha snehapana.pptx Dr Akshay Shetty
Shodhanagha snehapana.pptx Dr Akshay ShettyShodhanagha snehapana.pptx Dr Akshay Shetty
Shodhanagha snehapana.pptx Dr Akshay Shetty
 
(DENGUE).pptx Department of Physiotherapy, SHUATS, Prayagraj
(DENGUE).pptx Department of Physiotherapy, SHUATS, Prayagraj(DENGUE).pptx Department of Physiotherapy, SHUATS, Prayagraj
(DENGUE).pptx Department of Physiotherapy, SHUATS, Prayagraj
 
Disruption at the Neuromuscular Junction: Relevance of Autoantibodies to Ther...
Disruption at the Neuromuscular Junction: Relevance of Autoantibodies to Ther...Disruption at the Neuromuscular Junction: Relevance of Autoantibodies to Ther...
Disruption at the Neuromuscular Junction: Relevance of Autoantibodies to Ther...
 
MICTURITION AND DEFECATION REFLEXES.pptx
MICTURITION AND DEFECATION REFLEXES.pptxMICTURITION AND DEFECATION REFLEXES.pptx
MICTURITION AND DEFECATION REFLEXES.pptx
 
Dasha vidha Pareeksha.pptx Dr Akshay Shetty
Dasha vidha Pareeksha.pptx Dr Akshay ShettyDasha vidha Pareeksha.pptx Dr Akshay Shetty
Dasha vidha Pareeksha.pptx Dr Akshay Shetty
 
Arts-Focused Approaches to Public Health Communications
Arts-Focused Approaches to Public Health CommunicationsArts-Focused Approaches to Public Health Communications
Arts-Focused Approaches to Public Health Communications
 
PTERYGIUM ,clinical picture and its management.pptx
PTERYGIUM ,clinical picture and its management.pptxPTERYGIUM ,clinical picture and its management.pptx
PTERYGIUM ,clinical picture and its management.pptx
 
JULIETH KABIRIGI,PAED.CARDIOLOGIST-CUHAS
JULIETH KABIRIGI,PAED.CARDIOLOGIST-CUHASJULIETH KABIRIGI,PAED.CARDIOLOGIST-CUHAS
JULIETH KABIRIGI,PAED.CARDIOLOGIST-CUHAS
 
RADIATION THERAPY IN BILIARY TRACT CANCER
RADIATION THERAPY IN BILIARY TRACT CANCERRADIATION THERAPY IN BILIARY TRACT CANCER
RADIATION THERAPY IN BILIARY TRACT CANCER
 
Best neurologist in jalandhar Punjab India
Best neurologist in jalandhar Punjab IndiaBest neurologist in jalandhar Punjab India
Best neurologist in jalandhar Punjab India
 
Malaria Disease.pptx Department of Physiotherapy, SHUATS, Prayagraj
Malaria Disease.pptx Department of Physiotherapy, SHUATS, PrayagrajMalaria Disease.pptx Department of Physiotherapy, SHUATS, Prayagraj
Malaria Disease.pptx Department of Physiotherapy, SHUATS, Prayagraj
 
Yantra used in Rasashastra: Equipments and Machineries
Yantra used in Rasashastra: Equipments and MachineriesYantra used in Rasashastra: Equipments and Machineries
Yantra used in Rasashastra: Equipments and Machineries
 
Introduction to anatomy and physioligy.pptx
Introduction to anatomy and physioligy.pptxIntroduction to anatomy and physioligy.pptx
Introduction to anatomy and physioligy.pptx
 
GROSS ANATOMY OF CAECUM & APPENDIX DR VKVS.ppt
GROSS ANATOMY OF CAECUM & APPENDIX DR VKVS.pptGROSS ANATOMY OF CAECUM & APPENDIX DR VKVS.ppt
GROSS ANATOMY OF CAECUM & APPENDIX DR VKVS.ppt
 
Death or Thantology.pptx death ppt useful ppt
Death or Thantology.pptx death ppt useful pptDeath or Thantology.pptx death ppt useful ppt
Death or Thantology.pptx death ppt useful ppt
 
A Comprehensive Fatty Liver Program .pptx
A Comprehensive Fatty Liver Program .pptxA Comprehensive Fatty Liver Program .pptx
A Comprehensive Fatty Liver Program .pptx
 

Doctors behaving badly

  • 1. The Good, the Bad, and the Ugly: Dealing with Doctors Behaving Badly Patricia J Numann MD FACS, FRCS GLAS[HON] Past President, American College of Surgeons
  • 2. What is Bad Behavior? • Verbal Abuse • Not following the rules • Bullying • Use of profanity • Denigration • Sexual Harassment • Unwanted Physical contact
  • 3. Why Care? • Disruptive Doctors are a liability • They cause errors • They cause law suits • They cause employee loss
  • 4. Even Disruptive Doctors Have Rights? • Have a written code of conduct which they need to sign. • Present this in the initial orientation or when adopted • Have due process spelled out in the bylaws • Make sure you follow the bylaws
  • 5. Basic Philosophy • Recruitment of Doctors is labor and resource intense • Rehabilitation better than dismissal • “Face saving” processes • Coaching and counseling • Monitoring
  • 6. How do you deal with them ? • When event occurs, tell them—in private, with specifics and in an unemotional way • “One Minute Manager” • Be consistent • Tell them the consequences • Offer them remediation
  • 7. Who Deals with Them? • Anyone can • Peer pressure sometimes most effective • Their boss • The Medical Director
  • 8. What if You are the Person to Deal with the Difficult Person ? • Learn how to have difficult discussions/ • Delegate ??? • Have moral Courage • Have absolute authority
  • 9. Believe it or not in the long run many of them will thank you!!!!!!!!!!!