Solutions to problems in the O.R. frequently require change in physician behavior. Collegial interactions between people of equivalent professional stature are often the best way, and sometimes the only way, to effect these behavior changes. There are disadvantages as well. According to Michael E. Kurtz, a business leader and prominent speaker for the American College of Physician Executives, there are significant differences between the roles performed by physicians and managers. 4 Physicians tend to be doers, while managers tend to be organizers.
Physicians often fail to appropriately delegate and guide tasks.
Physicians enjoy the immediate results produced by patient care, and they may find it hard to accept the delayed gratification of long-term administrative projects. Physicians value independence and autonomy, whereas managers pursue participation and collaboration. Finally, physicians must act in their patient's best interest, while managers must act in the best interest of the organization. In spite of these disadvantages, and given the current hierarchy among hospital-based care providers, a physician serving as director of perioperative services is more likely to be successful than a nonphysician. A physician can achieve the necessary management skills much more rapidly than a nurse or medical administrator can acquire the medical knowledge and clinical peer presence necessary for credibility and authority.