No lollygagging for Dr. Lally

Jim Lally considers himself something of a late-bloomer because he spent years in the Army before earning his bachelor's degree and going on to medical school. But he's making up for lost time quickly. He already owns his own hospital.     

The case of here and there

This case relates to individual decision making. Ranan is the main figure. He is concerned with the kind of person he is or wants to be, and the kinds of actions or choices that will facilitate that self realization. Sodaily, he is comfortable with his native land, but professionally he is much better off in the U.S. where he received his higher education. No matter what he does, there is a price to be paid. He has to make a decision in this regard. The reader is invited to engage in the decision making process.     

Einführung von Coaching Ein Schulleiter kann es nicht immer allen recht machen

Coaching with a headmasterThe author describes a coaching process with a headmaster in difficulties, who always wants to please everybody. He lacks the necessary professional delimitation. Though refusing it initially, he recognizes the necessity and the advantage of a professional delimitation. By utilizing it in small steps, his contacts to the parents improve, he has more time for his administrative work, and he feels less oppressed by his tasks.     

The value circle. A profile of J. Richard Gaintner, MD.

This article describes how the arrival of CEO J. Richard Gaintner, MD, at Shands HealthCare signaled a time for refocusing the organization's direction and helping physicians to cope with the changes buffeting the industry. He saw angst and disenfranchisement, sentiments that characterized not only Shands and the University of Florida Health Science Center, but also the entire establishment of American scientific medicine. Gaintner believes--and continually preaches--that practicing medicine in a cost-effective manner will improve, not harm, the quality of care. His willingness to face reality objectively is perhaps his greatest asset in helping physicians deal with managed care. He conveys heartfelt empathy with the day-to-day conflicts they face. But he does not allow himself the temporary luxury of cynicism, and he refuses to accept negativity and pessimism in others. Rather, he asks that physicians and managers understand the system and develop the capacity to work within it and take responsibility for improving it. Beyond exhorting physicians to be accountable for the success of the enterprise, Gaintner creates mechanisms for meaningful physician participation in enterprise management.     

What is it like to work for a pharmaceutical company? Interview by Barbara J. Linney

Is working for a pharmaceutical company a career option you've thought about pursuing? In this column, Barbara Linney interviews physician executive Edward A. Kaufman, MD, about his 20-year experience working in the pharmaceutical industry. He talks about how he held a series of jobs for SmithKline Beecham's clinical labs business and lived in a number of places. He describes his background and how it made him an attractive candidate for the position, why he sought out the pharmaceutical industry, the nature of the work, and some of the projects that he has been involved in. He gives examples of physicians who have joined the executive ranks at GlaxoSmithKline and what made them such high-caliber candidates for top leadership positions.     

黄光裕的地头力偏了! 他缺乏对正当事物最起码的敬畏

地头力是一种敢想、敢做、敢坚持的开拓能力,常常表现为一种顿悟,"灵机一动,计上心来"地头力是我对中国企业实践长期观察的初步结论,能够在华为等中国一线企业身上得到印证。以地头力来透视企业的经营管理,是中国     

What is it like to work for a big five consulting firm? Interview by Barbara J. Linney

Is consulting for a big five a career direction you've thought about pursuing? In this column, Barbara Linney interviews physician executive Don Gessler, MD, MBA, CPE, FACPE, to talk about his experience in working for a big five consulting firm. He discusses how he got his position at ABC Consulting Firm, the nature of the work, the rigorous travel schedule, the pluses, and the type of physician executive that is satisfied in this environment. He describes some of the projects and tasks he has been involved in as a consultant. He emphasizes that if physicians don't like to do selling, consulting is not a place for them to be and that it is a very team-based structure.     

Reflections from philips electronics,N.A.: Lessons from winning the WEC gold medal

Several years ago I went to a lecture in which documentary film maker Rick Burns described his new film on the history of New York City. He mentioned that his biggest challenge was to identify a theme—an element that was a common thread in the history of the city which he could use as the focus for the documentary. (He finally decided that the theme would be “money.”)To develop the theme for Philips Electronic's application for the World Environment Center's (WEC's) Gold Medal Award for Corporate Environmental Excellence, I encountered the same challenge as the film maker. What theme would I use for a company which is diverse, decentralized, and has a worldwide presence? While Philips was doing many worthwhile things and had significant accomplishments, how could I put that in a package which would be coherent, cohesive, and understandable to the independent judges from around the world?     

钱平:越野生存 真正的野外驾车,是对智慧、应变能力的考验

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Geschichten erzählen als Beratungsintervention

If the coach tells a story during a coaching then it is far more than just entertainment. But what is it then? The author reveals the basics of this rarely discussed form of intervention. He points to important aspects of the narratology, theory of cognition and theory of coaching. He makes clear what can be achieved through stories in this context and gives pragmatic tips for a successful input of this form of intervention. He also tells the story of how he has been disappointed by his son.     

汪潮涌:征服美洲杯

朱新礼和王中军是帆船大赛的"第十八人""他是个独自在湾流中一条平底小帆船上钓鱼的老人,这一回已去了八十四天,没逮上一条鱼。"这是美国著名作家海明威于《老人与海》开头的一段话。     

Equity, equity, that's our cry. Interview by Richard L. Reece.

On February 11, 1999, Richard L. Reece, MD, interviewed J.D. Kleinke to talk about his new book entitled Bleeding Edge: The Business of Health Care in the New Century. A medical economist and author living in Denver, Kleinke advocates a true partnership between hospitals and physicians--a marriage with both parties contributing equally to the relationship. He believes that "physicians and people who are running the administrative infrastructures of hospitals and other facilities need to recognize that they are equal partners in a death struggle against the insurers for ultimate control of the premium and the consumer." Though physicians are sure to balk at the suggestion that they become "captive" to the hospital, Kleinke explains that, "captivity is a necessary condition before they can work functionally together and take on managed care and contract directly with consumers, employers, and the government." Kleinke discusses five trends that he explores in his book: risk assumption, consumerism, consolidation, integration, and industralization.     

Learning from adversity: diary of a medical manager

This article is one physician's account of his experiences in managing a large multispecialty group practice. While he was able to accomplish much in his tenure during the latter half of the 1980s, it was, on balance, a negative experience. He describes both the high and the low points of the period and assesses how both contributed to his eventual downfall. While personal, the account has important implications for others involved in the rapidly changing, personally rewarding, and eminently challenging health car system in which physician executives work.     

Reinventing my medical career

The author found himself in a surprising situation in the Fall of 1998. For the first time in his life, he was looking for a job. Kent Bottles, MD, shares his experience of reinventing himself from academic chairman in an integrated delivery system to health care consultant. He stresses that physician executives need to package their experiences in terms of transferable skills that are easily understood by potential employers. He also emphasizes that acquaintances are more important than friends in obtaining employment; one needs to network with acquaintances and rely on the sympathy of relative strangers. A lot of hard work, networking, and "selling" his reinvented self resulted in a CEO hiring him. With all the changes brought on by the global economy and the uncertainties of the health care marketplace, other physician executives may be faced with the need to reinvent themselves.     

Management in the 1980s—Key issues and priorities

The author sets out the tasks confronting managers in British industry and commerce throughout the 1980s. His analysis is based upon lengthy practical experience as a top executive in engineering management and manufacture. He presents his views against the background of a fast-changing world— politically, economically, socially—and also provides a commentary on Britain's major overseas competitor nations and markets. In his analysis of U.K. management problems, he makes clear that much depends upon changed policies and attitudes to ensure the successful restoration and revived growth of British manufacturing industry.     

爱马士:骑马上班!

砸了奔驰的陈光标,应该改成骑马陈光标砸完自己的奔驰车后,宣布从此乘坐公车上班。这一绿色行动,并没有赢得满堂喝彩,在宁波慈溪一家塑料公司的老板费杰看来,如果有机会认识陈光标,建议后者骑马上班,这样既可以继续维系其绿色环保卫士的形象,又可以节约上班的路途时间。     

A question of balance

Dr W. Warner Burke is Professor of Psychology and Education and Chair of the Department of Organization and Leadership at Teachers College, Columbia University in New York. He is also Chairman of W. Warner Burke Associates, Inc., an organization consulting firm. Burke earned his BA from Furman University and his MA and PhD from the University of Texas, Austin. Prior to Teachers College, he served in senior positions at Clark University, the NTL Institute, and as Executive Director of the OD Network. Dr Burke's consulting experience has been with a variety of organizations in businessindustry, education, government, religious and medical systems. A Diplomate in 1/0 Psychology, the American Board of Professional Psychology, he is also a Fellow of the Academy of Management, the American Psychological Society, and the Society of Industrial and Organizational Psychology, and past editor of both Organizational Dynamics and the Academy of Management Executive. He has authored over 100 articles and book chapters on OD, and authored, co-authored or edited thirteen books. He has received numerous awards, including, in 1989, the Public Service Medal from the National Aeronautics and Space Administration, in 1990, the Distinguished Contribution to Human Resource Development Award and, in 1993, the Organization Development Professional Practice Area Award for Excellence—The Lippitt Memorial Award—from the American Society for Training and Development. He has been working in the field of OD for over thirty-five years.

Seth A. Berr, MA, is a Research Associate at W. Warner Burke Associates, Inc. He received his BA in Psychology from the University of Pennsylvania and MA in Organizational Psychology from Teachers College, Columbia University. He currently specializes in the co-ordination and planning of executive development and feedback-based programmes.

Allan H. Church, PhD, RODC, is a Principal at W. Warner Burke Associates, Inc., an Adjunct Assistant Professor at Teachers College, Columbia University, and edtor of both the Organization Development Journal and The Industrial-Organizational Pychologist. He has published more than eighty articles and several book chapters, and was recently awarded the 1999 OD Consultant of the Year Award from The OD Institute.     

E.D. Smith and Sons,Ltd.

Lew Smith, the chairman of a privately owned Canadian processor, must decide whether his company will build a plant in the United States. He has been asked to do so by one of his major customers, Loblaw. The company has been making many improvements to its operations but it’s performance has been hurt by the Free Trade Agreement between Canada and the United States. The company has been doing very well, however, as it shifts its focus from making private label to controlled label. Is now the right time to expand the business into a foreign market?     

Coaching in der Psychotherapie — Psychotherapie im Coaching

The author seeks a deeper understanding of the relationships between coaching and psychotherapy. He reflects first of all his own practical experience as psychoanalyst, coach, and as trainer/supervisor of coaches and psychotherapists. Therapy, he says, develops a long-range-approach of alleviating symptoms and helping to strengthen potentials in a close relationship between therapist and client. Coaching is more focused on short, exactly aimed interventions and acute problems in the relationship between the coachee and his job. Professional exchange between therapists and coaches should be encouraged, because therapist often are deeply ignorant of the professional reality of patients, and coaches tend to underestimate the relevance of personality problems which work against rational organizations of professional development and constructive relationships in teams.