Optimists see change as opportunity. Pessimists find change to be irritating, risky at best. Realists weigh change one case at a time.
Doctors face a paradigm shift in how they interact with government. Binding interest arbitration (BA) promises to fix a power imbalance between doctors and government. Many docs have wanted BA for years.
But will BA fix everything between doctors and government?
Like the last post, many people have asked for copies of my first address to Council as President.
A number have shared bits and pieces on social media, so I thought it was best just to share the whole thing here.
This is just a starting point. I look forward to seeing where we – all of us – take this from here.
Thank you, Mr. Chair, Members of Council and Special Guests.
In my election speech, I offered three priorities for the OMA over the next year: trust, unity and excellence. I’d like to expand those ideas a bit more over the next few minutes. I offer these for discussion. I hope you will argue with me. I offer them as a starting point to a larger conversation.
Everyone agrees: We need an agreement. But we need more than that. We might get a wonderful agreement. But if we do not have a system—the excellence—to socialize it with our members, it will fail. Continue reading “First Address to Council”
A notorious doctor yelled at my friend, another doctor, “Why don’t you step outside so we can settle this?!”
Two hundred and fifty doctors at the OMA council meeting had watched the angry doc march across the front of the auditorium. His red face, clenched fists and raised voice gave him the spotlight he craved.
My friend had said something at the microphone. The angry doc took offence. He demanded an apology or else.
I secretly hoped that the little man would attack my friend, so that I could jump to the rescue: like breaking up hockey fight.
There are two kinds of homeowners. The first kind would never change faucets and doorknobs. They buy a house, tear it down and start over.
Other people keep what they can tolerate. They cannot afford to be radical.
No matter the approach, everyone agrees: The point of renovation is to rebuild.
Like an old house, the OMA sprawls with additions, legacy rooms and dark closets unfit for visitors. It’s tired and dysfunctional. Most people finally admit it.
The OMA was never built to service 42,000 members. It was not designed to command a battle with an activist, majority government in the trenches of social media.
Crisis can bring out the best in people. It often brings out the worst in organizations. The OMA crisis exposed problems that no one talked about when times were good. Continue reading “Time to Rebuild the OMA”
Every doctor has seen or done something horrible to an old, dying patient.
Armed with good intentions, we spot a gasping 95 year old and jump into action. We snap open a laryngoscope blade, hoist her jaw into the air and shove in a tube to relieve her “upper airway obstruction”.
Our technical prowess is matched only by our moral purity. But we accomplish something grotesque and wrong.
Doctors must learn to identify sick patients and how to resuscitate them. But these skills cause harm if doctors do not learn what comes between diagnosis and treatment.
Before treatment, we must ask: Why?
Purpose Before Process
A governance expert entertained a large group of doctors in Toronto this weekend. He summarized a graduate textbook on board governance in 40 minutes, for a group who had very little board experience.