Obstacles to Effective Medical Group Governance

In earlier articles I discussed some of the obstacles to implementing effective medical group governance: Physicians tend to be conflict avoiders. Physicians tend to avoid setting norms, or ignore those that are set. Why Is Effective Governance So Hard to Achieve? We believe there are several other reasons that medical groups have a tough time more…


The Importance of Medical Group Governance

      Liberty means responsibility. That is why most men dread it. – George Bernard Shaw     Our last several articles focused on medical group meetings because that is where much of the work of governance is done. It’s now time to take a broader look at practice governance: what it is, why more…


Meeting Torture Technique: Rediscussing Issues

Many medical groups make a decision and then re-visit it over and over again. This situation comes about when a few members of the group do not get their way in the first vote. They then use this strategy to either torture the group into changing the decision, or to paralyze the group. When other more…


Tough Issues? Use Parliamentary Procedures

There are situations when medical groups need to be very formal when dealing with issues. Sometimes a group has severe intra-group conflict. Sometimes the group is split nearly down the middle on an issue and can’t seem to make a key decision. Other times group meetings are so large that you must use a more more…


Use Secret Ballots to Improve Decision Making

When the members of a medical group meet (at either Shareholders or Board meetings) they typically deal with issues that require a decision. Unfortunately, voting doesn’t work very well in many medical groups for the following reasons: Some group members feel the idea of actually voting is too “formal.” Some groups think they have consensus more…


Meeting Flow

By now I hope you have implemented meeting ground rules, set a schedule for the dates of your meetings, developed useful agendas (to include time limits for each discussion item) and selected a Meeting Manager. Meeting Flow Let’s now look at how a meeting should flow: Open the Meeting: Establish a habit of opening the more…


Stop Meeting Madness!!! The Meeting Manager

  “Democracy means government by discussion, but it is only effective if you can stop people talking.” Clement Atlee Tools If you’ve followed our recommendations included in the last several articles you now have important tools in place that can dramatically improve group meeting performance: Ground rules. Meeting schedule. Appropriate meeting start time. Agenda with more…


Stop Meeting Madness!!! Create Useful Agendas

Why Agendas Are Important The best way to ensure that those attending  a meeting are sure about its purpose is to send them a clear agenda, well in advance. An agenda for a meeting is a list of items or issues that need to be raised and debated. It should be short, simple and clear. more…


Stop Meeting Madness!!! Plan Your Meeting

The medical groups that achieve a higher level of meeting effectiveness devote time to planning their meetings. Meeting planning includes several steps: Establishing a Meeting Schedule. Setting a Meeting Duration. Creating a useful Agenda. Meeting Schedule One way to increase meeting attendance is to establish schedule of meeting dates well in advance. Many groups set more…


Stop Meeting Madness!!! Meeting Ground Rules

Ground Rules can help your medical group have more efficient and effective meetings.

Now that we have looked at a few important organizational dynamics that hinder effective governance in medical groups (lack of adherence to group decisions, conflict avoidance, and getting stuck in the Storming stage of group development), let’s start looking at solutions. Why Discuss Group Meetings? We begin with group meetings.  Why group meetings? No matter more…


Is Your Medical Group Storming?


Another important group dynamic at play in medical groups relates to a key theory about how teams develop over time.  This theory is known as the Four Stages of Team Development. Under this concept, a group or team goes through a set of identifiable stages that affect their performance as a group.  These stages include: more…


Physicians Are Conflict Avoiders?

Modes of Conflict

As any medical group looks to create or improve its system of governance, important concepts of group dynamics must be considered. Of most importance to medical groups is how individuals approach conflict management in group settings. Two researchers (Thomas and Kilmann) found that people react in one of five basic ways when faced with interpersonal more…