It's been my personal experience that if you want to successfully change an institutional culture or even a medical procedure, you have to have unquestionable credibility with that institution. That credibility usually comes from a long and distinguished work history. Effecting change requires membership on key hospital committees, buy-in from staff and administration, and skills of persuasion. It's very difficult to achieve that kind of credibility as a locums physician, who is by definition temporary. Trying to change an institution as a locums physician is a fool's errand, in my opinion, and likely to lead to a less than optimal locums experience.
Second, I’m a “guest in someone else’s house.” It’s not my role to comment on the facility’s glaring imperfections and inadequacies. My job is patient care. So disheartening to hear a fellow physician say that.
It's been my personal experience that if you want to successfully change an institutional culture or even a medical procedure, you have to have unquestionable credibility with that institution. That credibility usually comes from a long and distinguished work history. Effecting change requires membership on key hospital committees, buy-in from staff and administration, and skills of persuasion. It's very difficult to achieve that kind of credibility as a locums physician, who is by definition temporary. Trying to change an institution as a locums physician is a fool's errand, in my opinion, and likely to lead to a less than optimal locums experience.
Second, I’m a “guest in someone else’s house.” It’s not my role to comment on the facility’s glaring imperfections and inadequacies. My job is patient care.
So disheartening to hear a fellow physician say that.