We are continuing our series involving your ideal future in medicine. For those of you out there saying, “Enough with the dreaming and mindset stuff; I want to take action,” this is your month.
If you haven’t already, write your goals and the vision behind them. You can use the steps I gave three weeks ago.
Now, I’m going to encourage something contrary to my typical suggestions. I want you to let your mind go wild with the impossibilities and roadblocks you’re likely to encounter, preventing you from achieving your vision of what you want your practice to look like in our current state of affairs. Look inside and around every nook and cranny of your cerebral gyri. Take 2-3 minutes to do this.
Write each of the barriers down. I will use the categories my friend and colleague Dr. Tyra Fainstad used when we co-led a presentation on this topic.
Underline the self-imposed ones.
Highlight those that are skill gaps.
Circle those that are more logistical.
Star those more related to networking, connections, and system support.
If you identify any others, commit to journaling about them until you get some ideas or they begin to fade or shift.
Our brains automatically categorize logical obstacles, skill gaps, and connection barriers as STOP signs - especially if there are several. However, we are going to change that, and we will turn those obstacles into strategies with brainstorming.
Skill gap examples:
"I don’t have the depth of colposcopy experience that I want in order to offer comprehensive women’s health".
Strategy - flip it. "I will get more experience."
Brainstorm: ASCCP course, work alongside more experienced colposcopists at a private office or the MUNI. Reach out to experienced colposcopists to debrief cases.
When the barriers seem overwhelmingly large, break them down into categories.
“Considering owning a practice is too big. I can't consider it”
Break it into categories. The biggest category could be Knowledge Deficit of Physician Owned Practices.
Then brainstorm ideas to fill the gap such as:
I know graduates who have worked in a physician-owned practice that learned on the job, so it was a smooth transition when the senior parter was ready to retire. There are residents who are rotating in DPC offices to get an idea of the pros, cons, and systems.
Or ”How would I get my current practice to consider value-based care?” Consider what large steps make sense to you. Break it down and brainstorm
*As an aside, here is an upcoming conference.
Now, you can break them down into smaller steps in each category. Now your obstacles have strategies.
Connection Barrier Example.
“The people in the C-suite don’t even know me but I need them on-board.”
Who do I know that might get me one step closer to them?
What is the acceptable cultural chain to get to talk with them?
Break into steps.
When, where, and how will I ask the intermediaries? In-person, email, phone, etc
What am I asking them for? Write it out and edit.
Decide where to meet.
Set up the invite and explore times.
Repeat until you now have time with the C-suite and all other stakeholders and decision-makers.
Okay, that was a lot of work done today! Great job. Next week, we will explore the next steps.
Until then, have a joy-filled week! Tonya
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