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Disrupting Disruptive Physicians

Disrupting Disruptive Physicians Opinion VIEWPOINT On Thursday mornings, our operating room manage- ply moved to the reception area and used the tele- Bruce. L Gewertz, MD ment committee meets to handle items large and small. phone any way I wished. Cedars-Sinai Health System, Los Angeles, Most of our discussions focus on block-time allocation, I felt like the fool I was. I trudged off to the showers California. purchasing decisions, and alike. However, too often we feeling, as in the Texas homily, lower than a snake’s belly. talk about behavioral issues, particularly the now well- Aftertowelingoff,Iapproachedtheemployeeandapolo- characterized disruptive physician. gized for my behavior and for making his job more dif- We have all seen it or been there before. A physi- ficult. I told him he had handled the situation far better cian acts out in the operating room with shouting or bit- than me and I admired his restraint. ing sarcasm, intimidating colleagues and staff and im- The lessons were stark and undeniable. Like my dis- peding them from functioning at a high level. The most ruptive colleagues, I had justified my boorish behavior debilitating perpetrators of this behavior are repeat cus- with patient care. I had assumed my need to break http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Surgery American Medical Association

Disrupting Disruptive Physicians

JAMA Surgery , Volume 150 (5) – May 1, 2015

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Publisher
American Medical Association
Copyright
Copyright 2015 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6254
eISSN
2168-6262
DOI
10.1001/jamasurg.2014.2911
pmid
25761225
Publisher site
See Article on Publisher Site

Abstract

Opinion VIEWPOINT On Thursday mornings, our operating room manage- ply moved to the reception area and used the tele- Bruce. L Gewertz, MD ment committee meets to handle items large and small. phone any way I wished. Cedars-Sinai Health System, Los Angeles, Most of our discussions focus on block-time allocation, I felt like the fool I was. I trudged off to the showers California. purchasing decisions, and alike. However, too often we feeling, as in the Texas homily, lower than a snake’s belly. talk about behavioral issues, particularly the now well- Aftertowelingoff,Iapproachedtheemployeeandapolo- characterized disruptive physician. gized for my behavior and for making his job more dif- We have all seen it or been there before. A physi- ficult. I told him he had handled the situation far better cian acts out in the operating room with shouting or bit- than me and I admired his restraint. ing sarcasm, intimidating colleagues and staff and im- The lessons were stark and undeniable. Like my dis- peding them from functioning at a high level. The most ruptive colleagues, I had justified my boorish behavior debilitating perpetrators of this behavior are repeat cus- with patient care. I had assumed my need to break

Journal

JAMA SurgeryAmerican Medical Association

Published: May 1, 2015

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