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Mentoring
 

Mentoring services add value to an already established medical executive or executives.  All solutions can be tailored to and adapted to the timeline and schedule of the involved individual(s), and consist of a pre agreed combination of direct and indirect contacts. Progress reporting and prognoses are included as required.

After the Diagnosis Phase of the problem, a detailed implementation plan is prepared, in writing, giving the steps that need to be accomplished. Timeframes and projected effects of each step will be noted in the Prescription Phase of the project. It is possible that an institution decide that this is enough information to implement the process.

During the Implementation Phase, personal on the job orientation and training is provided, with emphasis on practical problem solving and organizational dynamics, using real time institutional problems, supplemented with case studies.

During the period of the  Implementation Phase engagement, there is continuous indirect support provided by phone or email, for problem intervention, brainstorming and job related stress support.

Limited post engagement email and phone support for continuing issues of concern is provided. More extensive post engagement support can be arranged.

There are several situations when this mentoring service is needed:

When the new Medical Executive is picked on merit, but new to the Medical Staff, there are a number of transitions that need to be made. There is acclimatization to the role within the executives of the health organization. There is also need to establish an effective leadership relationship with the physicians. Failure to recognize and defuse overt and hidden problems can render the position ineffective from the start.

Medical Executive strengthening is needed in one of two situations: The current Medical Executive is compromised because the of the structure or because of prior personal activities.

     If the structure of the Medical Staff is not altered to accommodate the Medical Executive, the relationship with the Chief of Staff will not function properly: The push-pull between the two will either render one ineffective, or cripple both. The solution is to mediate an amenable architecture. In some cases the defect is in the organizational structure of the health facility. If reporting relationships and authorities are incorrect, the position will not function.

     The Medical Executive may have baggage that hampers effective relationships in the new position. The most common instance is when a "revered or senior " physician is selected by the administration. Not only does that physician rarely have the combination of experience and talents to be effective, but previous referral group associations may be an additional impediment to credibility. This situation can be remedied, but requires careful attention to particulars.

In another variant, those prior referral relationships may have already become entwined in a decision or series of decisions that have caused a furor within the medical staff. These situations need to be fixed before they fester and destroy the Medical Executive Office and its inhabitant.

 

 

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Seniority
Seniority in the Medical Staff does not automatically confer cross-factional leadership ability. Having a large number of physicians that know and like a particular CMO candidate is not necessarily an indicator that the physician will be able to lead them. There are many reasons that a successful physician my have a large cohort of associates: referral patterns, political or social connections. Understanding this may overt a disastrous choice.

Replacement Value
It is often better to mentor a CMO that is having difficulties than to replace them immediately. The costs of replacement come in both hidden and overt forms.

In real dollars the cost of replacement is a combination of severance, recruitment and training added to the salary of the incoming executive. This could easily equal or exceed the incumbent's salary by 100-150%.

The indirect costs are hidden in the physician relationship problems that arise. There are few incumbents that do not have an influential following, which, without skillful management, will be the bane of the new hire. Additionally, while getting situated in the position, the new CMO will make waves. If the sum of the offended is too high, success can be diminished to the point of futility.

Mentoring can often solve both problems, but if the incumbent is saved, then the expenses and turmoil in the system is potentially much less.

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