It's such a hassle to look for another manager, and we would never be able to find or afford a pro. Good managers become valuable, not indispensable. They keep their backups trained and delegate plenty so they can take on new projects. When managers make themselves indispensable, it's a sign that there may be quality problems. Of course, these indicators of trouble may not be fair, taken out of context.
Every manager needs a thorough and fair performance evaluation.
Many practices avoid reviews because, like their employees, they think it's as much fun as a trip to the vice principal's office. Maybe it's time for an attitude adjustment on this subject. It has to be done by the physicians. Since many physicians are concerned about upsetting the status quo by offering criticism, they avoid manager reviews. They may also withhold praise because they think it will lead to a manager demanding a raise.