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Physicians have extensive education and are likely to work in a position that entails the exercise of a great deal of operating autonomy. Yet many characteristics that make for an effective high-skill professional, such as independence, also tend to make that employee difficult to manage at times. While it is certainly important to cultivate independence in those persons who are on their own much of the time, at times even the lone operator must be counted on to be a team player. Physicians also have a healthy ego to be able to operate as a visiting expert. The high-skill professional is indeed one who may often be viewed as needing to be in control of the situation. The healthy ego, so helpful to the professional while on assignment, can sometimes be troublesome to the manager. The successful manager of the high-skill professional must adhere to a number of guidelines:  Consider what most strongly motivates the individual; it is often income or scientific data  Thoroughly orient each physician to the organization, its policies, and its goals  Encourage physicians to take part in determining the scope and direction of each change  Encourage physician self-governance and innovation  Develop a trusting relationship to assure confidence in physicians ability  Learn and educate yourself about their profession and/or specific clinical topics prior to discussing them  Understand the differences in communication styles between administrators and physicians  Recognize the common goal is to provide the best care for patients  There is a patient at the end of every decision you make An important aspect to consider is that administrators and physicians have different motivations. Administrators tend to focus more on documentation and physicians care more about face-to-face time with their patients. However, there are also differences in motivations based on the level of physicians. Front line physicians care more about the instruments they use, their staff, and operations aspect of patients. Conversely, the chair is more interested in balancing the demands and keeping everyone happy by providing feedback and conducting surveys. Finally, the chief is focused more on keeping all positions filled. They want to be able to manage their physicians and their residents in order to maintain a good program. Due to the fact that documentation is not a priority for physicians, administrators must continually remind them of the importance behind it and assist them by streamlining any processes that would make this easier for them. Educate them on the organization’s vision in order to align goals. It is crucial for physicians to understand the culture that the facility promotes. This can be achieved by familiarizing them with the facility, staff, and providing background information, such as previous breakthroughs. SKILLS PRACTICE 3.10 – PARTNERING WITH PHYSICIANS  Close the l.

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