我的自我有多大?从事医学事业的问题在于你花四年时间在课堂上,而不是管理。衡量你的自我的大小是不可能的如果你不有一堆小单位领导的情况来调整。最需要的品质作为一名医生领袖(或任何领袖)是谦逊。运动员和前军事医学人倾向于调整好生活。他们之前一直在燃烧。他们已经在高压情况下,如遇到游泳,足球比赛,或者实弹的情况下他们做出决定。不可避免的是,一路上他们犯了一些错误的决定,他也不得不面对短暂的在同事和下属面前羞辱。最好带一个前面的下巴30或更多的人。你的大脑必须做出选择。 Not a multiple-choice question on an exam, but an actual choice. The only way forward is to confront the fact that you were wrong and learn from it. Iterate this a couple of hundred times and you have a much clearer picture of the size of your ego. Still too big? No problem, ask for some extra duties and get more comfortable looking like a dumbass. If you develop the habit of keeping your precious MCAT, USMLE, Phi Beta Kappa ego in check, then you will leapfrog 99 percent of physicians.
我的爱处理有多大?在海军陆战队,如果你软和超重,你不会认真对待。在平民的世界里,这种类型的标准被认为是肤浅的和贬低。建议:体重标准不肤浅或贬低。在医学上,你可能不会做风冲刺同时携带弹药筒,或高级代表引体向上,但你仍然有一个基本的纪律维护标准。一个健康的身体传达耐心,另一个重要的领导技巧。早起,锻炼你生理上的变化。没有时间清晨健身吗?好,晚上做。维护一个精益、健美的,健康的身体是需要时间的。 For some, it can take years, depending on your baseline weight and fitness level. Years of patience (and persistence) with yourself will manifest as a trim waistline and some basic endurance capabilities (jogging 3–5 miles at a decent clip without stopping). This outward manifestation of fitness and physique is powerful. Fitness sends a message to those around you that you won’t give up on them, just as you won’t give up on yourself.
我是多么渴望知名度?定义基准在学术医学医生的出版物的数量。更广泛地说,报纸上有你的名字给你一种自豪感和建立你的品牌在一个特定的主题,作为出版专家。这种知名度的文化唯一的问题是,它不是基于现实。组织的任务即将到来的实验室检查,例如,没有人会在乎有多少论文你写在一个名不见经传的医学杂志上。领导不是关于你。它是关于服务。每年我都看到孩子发表自己的照片在推特上宣布他们已经被选为主要居民。如果这是一些虚荣的游戏。这些孩子们如梦初醒呢他们的主要职责开始时,他们被要求替同事请病假。 Don’t be a CV monkey. You need to accept that if you take on extra responsibilities for the sole purpose of fattening your CV, akin to racking up publications, people will see through you. Are you really who you say you are? Or did you win a popularity contest? Get over your desire for name recognition. It’s your ego chiming in. It won’t go well.
我是谁睡觉?你有一个亲密和深连接的必要性。您可能还需要随意亲密。后者需要非常谨慎。许多年前,作为一个实习生,我将办一个聚会在我的城市公寓每月一次。当时我的室友有点老(也可以说是明智的)。几个漂亮的护士走进门口,我们喜欢晚上。我的室友说,“你要做什么?”我说,“我想再见到一位棕发美眉。”他说,“你不想屎你吃的地方。“当时,听起来有优越感的。几个月后,我明白他的意思。 We’re in the business of caring for some of the sickest patients in the city, county, and state. And you’re trying to sleep with the nurses? Unless you plan on marrying one of them and starting a family, be careful about casual intimacy with any hospital staff. There’s enough tension in hospitals as it is. You don’t need the added drama of a failed romance complicating the delivery of patient care. As you progress through medicine, you will see giants fall for various reasons. One of the more common ones is mismanagement of your zipper.
我的杂志在哪里?是有原因的马可·奥里利乌斯的冥想从来就没有被人阅读。奥里利乌斯,罗马皇帝,从来没有想过要当皇帝。他是哲学和写作更感兴趣。强加给他的角色。冥想是他深刻的个人尝试管理自己的情绪和精神状态,以更好地执行他的领导任务。在领导的情况下,你必须学会闭上你的嘴。口头腹泻是焦虑和内部冲突的表现。有一次,我遇到了一个高级医师的国家组织。每当他焦虑的时候,他会漫游对尚未成型的想法,对行业的状态推测,谈论同事在医学。 These interactions were awkward for me because they reminded me of a younger version of myself. I used to do the same thing. You can easily and cost-effectively avoid such ramblings by keeping a fresh set of pens and notebooks at your home desk, work desk, and in your backpack. Anytime you feel anxiety or another half-formed thought, record it in your notebook. Develop the habit of daily debriefs with yourself. What worked? What didn’t work? How could you improve for the next day? Odds are, in residency, fellowship, or a busy private practice, you’re not going to have time to see a therapist. While therapy is immensely useful, journaling is a highly effective proxy. For best results, your journal should be within arm’s reach at all times. Otherwise, you will unconsciously resist using it and won’t realize the benefits, compounded over time.
我的名片盒是谁?我们有很多的联系人藏在我们的iphone手机或医院。这同样适用于我们的谷歌联系人。名片盒是paper-pencil转动线轴的空白卡片大小的一张名片,按字母顺序组织。为家庭、亲密的朋友和导师,手写的Rolodex保持联系。你将面临领导很难使自己的决定。写或手机的朋友。写你的父母。把你的理由选择X / Y在雇佣决策,费用决定,或监管的决定以书面形式将迫使你批判性的评价思想和让你的内部圈子做同样的事情。最好的决定当你能够脱离的情况和你的想法。 Mentors are usually happy to do this. If you don’t have a circle of mentors, build one. Don’t be alone and afraid.
总的来说,这些都是要考虑的重要方面作为一名医生的领袖。谦卑是关键,能够接受并从错误中学习是至关重要的。保持一个健康的身体不仅传达了纪律,而且耐心,另一个重要的领导技巧。知名度不应该决定,背后的推动力量,重要的是要避免与医院工作人员随意亲密,以防止不必要的戏剧。写日记和发展日常任务的习惯可以帮助管理情绪和思想在高压情况下,和维护一个名片盒信任的家庭,朋友,和导师可以提供宝贵的支持和角度在做艰难的决定。
作者是一个匿名的医生。