• You bring up 2 things. The first is about negotiating. We will get to that in the last course of the program. But for now, when there is an asymmetry of information, bad results occur. Over the short term it may benefit one party, in this case the employer, but when information evens out in the long term and you realize you got the short end of…[Read more]

  • Another from Sabir,

    “Wow, that was a lot of good information. As you’ve said before, none of it was even brought up during any part of training, and for that matter during signing contracts or the first few years of my job. You really have to go out and seek this information; very detrimental if we don’t know since this is what pays our bil…[Read more]

  • This came in from Sabir Taj MD, an interventional radiologists on the comment section.  I moved it to the board because it is important.  

    “In imaging we are constantly being pushed to read more. Our outpatient center cap at 80-85 RVU/day/physician. In addition, due to RVU discrepancy between different imaging studies (MRI Vs CT), you can read le…[Read more]

  • I hear you Joe.  At the end of the day we want the candidate to like us and the candidate wants us to like them.  I think it is important to frame the conversation at the beginning.  We want more than a warm body.  We want more than a 75% RVU earner.  We want someone who will be happy here.  We hope you know that happy in the long run will have…[Read more]

  • My response to Joe

    I agree, the advertising could be difficult. But think about the interview process or lack thereof. Typically for a hospital employment situation you come in and meet the physicians you will be directly working with. Lots of chit chat, maybe exchange about clinical issues but no scripted interview process to dive deeply into…[Read more]

  • This one is from Joe, he put in in the comments section and it was so good I moved it here for everyone to see.

    “So is there any advantage from a practice standpoint in recruitment of physicians in noting all the items mentioned in the first negotiation video when recruiting physicians? Some advertisements focus on location and money – and you w…[Read more]

  • David Joyce MD, MBA started the topic in the forum 6 years, 6 months ago

    Most physicians do not like the hiring process, whether is is as a prospective candidate or the one doing the hiring.  Talk to your classmates about a hiring process on either end that you were involved in.  How well did they get to know you?   How well did you get to know them?  What was the process?  Was there a negotiation or a take it or le…[Read more]

  • That actually is a pretty easy question.  We treat business skills, and in this case leadership, like we treat all of the other skills and knowledge we obtain as physician.  Only data driven, peer reviewed, proven knowledge is acceptable.  How do we obtain leadership skill.  We look at those who come before us and emulate their uninformed mos…[Read more]

  • Welcome to the class Raquel.  We are neighbors as I live in Arnold.  As a matter of fact, if the sun comes out today, we might go to the Navy baseball game and then over to First Sunday Annapolis.  I look forward to following your progress in the class and reading and replying to you discussion board comments.

  • To be honest, that is what I thought about financial statements.  After some practice I found I was pretty straight forward.  The statement I use in the presentation is from a $600 million non profit hospital system.  But when you get right down to it, the income statement is in the same form as every other income statement in the world.  Rev…[Read more]

  • Barbara

    I wonder how you would characterize the efficiency of their collections?  What metric or data point would you focus on to track it.  In the next course you will learn about run charts and normal vs special variation.  The object would be to have a value that measures collection efficiency, track that each month in a run chart, and then de…[Read more]

  • “Another issue in many institutions I have worked with is that there are many barriers to getting the proper financial statements in a granular form.”

    I find this interesting because you are actually earning the revenue that appears on the income statement.  There are a millions reasons I would want you to take ownership of that revenue…[Read more]

  • To be honest, most meetings we attend as physicians have an informal quality about them. Conducting a proper meeting is like taking a patient to the OR. The more process driven the surgery the better the outcome. A meeting that is process driven, that abides by the rules of meeting dynamics all of a sudden becomes different from all the other…[Read more]

  • I think brainstorming as described in the presentation gets around shyness or uneven contribution.  In brainstorming everyone makes a contribution.  You go around the table and everyone must contribute and you write it on a while board.   I also like the brainwriting approach.  That avoids those who are not as confident in the public cont…[Read more]

  • Your BATNA is your most important negotiating tool.  Let say all parties took this negotiation course.  That just doesn’t mean you, it means the team that you represent.  Your team does its homework and understands that the market has given you a weak BATNA.  Let’s say opposing party also understands this as he or she did homework and und…[Read more]

  • Great observation Irene.  Here is my take.  I understand that we all work under an organizational framework.  I also know most organizations have a stated mission.  I also know that most organizations are not mission sensitive.  They rarely refer to mission in their decision making process.  In this situation personal mission oversized corpo…[Read more]

  • Hi Katelin, I saw your discussion with Joe.  Identifying the problem to be solved is the most important feature of improvement.  Spending time solving the wrong problem is frustrating and time consuming.  It seems you are identifying the problem os provider burnout and you jump immediately to a cause of clerical tasks.  You might fall into the mis…[Read more]

  • I am not surprised to find out that you are way ahead on the menoting front, Irene.  The one suggestion I would have for you is to formalize it in some way.  Create an SOP that formalizes the mentoring process.  Use that as a standard for all the mentoring done across your organization.  That way everyone has input into the SOP which creates buy…[Read more]

  • Welcome to the class.  I know Hancock well, it is the exit off the highway to go to Whitetail.  Plus I have spent many hours in Hagerstown when I coached youth ice hockey.  I look forward to the challenge of relating business skills that are relevant to your everyday practice.  One thing about what we do here is we give you education that tra…[Read more]

  • Hi Barbara, welcome to the class.  We are kind of neighbors, I live in Arnold and spend a lot of time in Annapolis.  We have had several students who work at AAMC.  I appreciate your pursuit for business knowledge.  You will find skills here in this class that you can use immediately.  Plus you will obtain the language of business that is so effe…[Read more]

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