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Feedback is My Friend

A colleague sent me the following abstract that will appear in the May 2005 issue of Medical Education.

Sargeant J, Mann K, Ferrier S. Exploring family physicians' reactions to multisource feedback: perceptions of credibility and usefulness. Med Educ 2005; 39(5):497-504.
Purpose: Physician performance is comprised of several domains of professional competence. Multisource feedback (MSF) or 360-degree feedback is an approach used to assess these, particularly the humanistic and relational competencies. Research studying responses to performance assessment shows that reactions vary and can influence how performance feedback is used. Improvement does not always result, especially when feedback is perceived as negative. This small qualitative study undertook preliminary exploration of physicians' reactions to MSF, and perceptions influencing these and the acceptance and use of their feedback.

Continue reading "Feedback is My Friend" »

Posted by Jane L. Thilo at 02:30 PM in Emotional Intelligence, Self Awareness and Self Management | Permalink | Comments (1) | TrackBack (0)

Special Status

Physicians often fall into the trap of developing a false sense of self-importance.  There are lots of aspects of practicing medicine that contribute to the development of this state of mind.  For example, when I'm called in for an emergency, everything and everyone around me is instantly put on the back burner until that emergency is resolved.  Everyone has to wait until I'm finished.

People call me "doctor" and for the most part give me a certain level of respect not always afforded to others.  Patients arrange their own schedules around their doctors appointments rather than vice versa. 

As a result of all of these factors, many of us develop a sense of having "special status."  We sometimes even come to believe that we care more about our patients than anyone else.

Once I've internalized the belief that I have special status I am more likely to discount the contributions made by others.

I had a physician client who asked me to help him with some morale problems he was having with the office staff.  I had the staff fill out a survey, then I interviewed each staff member about what it was like to work in the office for this physician. I was impressed with the sincerity and competence of the staff, their dedication and loyalty.

Each of them told me that their boss was a wonderful doctor, but that he was not very approachable and he seemed kind of cold to them.  They did not feel appreciated. 

When I reported back to the physician on his staff's perception of him, he was surprised.  He said, "Giving excellent patient care is so important to me that I focus so intently on taking care of my patients I just don't have time to pay that much attention to my staff."

I asked him if he thought they did a good job and he said that he did. Then I pointed out to him that each member of his staff was just as focused on providing the very best patient care as he was and in their various roles, they each gave outstanding patient care.  Each of his staff members was a critical part of the team in his office - an office which had a reputation in the community for giving excellent patient care.

He stopped for a moment then admitted that he had never really thought of his staff in that way.  Some time later I checked back in with the staff and learned that the physician had become much more open with them, making a point of thanking them for their work, complimenting them and taking more interest in them.  Morale was up and things were much better.

Albert Einstein once said, "A hundred times every day I remind myself that my inner and outer life depends on the labors of other men, living and dead, and that I must exert myself in order to give in the measure as I have received and am still receiving."

I think this quote is a good reminder that even though I AM a doctor, so what?  I'm no better or worse than anyone else.  I have no special status in the world.  To the degree that I remember to be grateful for all the things others have done and are doing for me - from inventing electricity to answering my phone and keeping my schedule straight, I am more open and approachable - more human - for in fact, that's all that any of us are.

Posted by Jane L. Thilo at 07:50 AM in Emotional Intelligence, Self Awareness and Self Management | Permalink | Comments (1) | TrackBack (0)

My Unique Gift

People have written volumes on the purpose of man/woman.  Almost everyone ponders the meaning of life at some point.  People who have no sense of purpose are more likely to drift, suffer from depression or just exist day to day through dull, unfulfilling lives.  On the other hand, people who have a clear sense of purpose tend to enjoy life more fully, contribute more to their families, communities and to society and to experience more fulfillment.

I have discovered that an empowering position to hold is the following:

"The reason I am alive is to contribute my unique gift to the world." 

Each of us is born with a unique set of talents or natural abilities.  We are further shaped through our early experiences by the beliefs, attitudes and opinions of our families, friends, mentors and society.  All of these factors combine to determine the uniqueness of each individual.  That uniqueness is the gift each individual has to express in the world.  In fact, to withhold expression of my unique gift is actually damaging to my spirit.

There are many ways to discover the gift that I am. 

I recently attended a wonderful workshop on Peak Performers lead by Nikki Nemerouf for a group of TEC CEOs.  Nikki has developed a handy Internet-based tool for helping people discover and define their gifts.  The URL is www.giftsite.org. 

I highly recommend visiting this site and spending a few minutes defining your own gift.  You can also do it as a team building exercise or with family members and friends.  It's fun and it's completely free.  The site provides a way to send "gift cards" to other people (I sent one to my daughter at college) and gives some great tips on how to use the process with groups and teams.

As physicians we often limit ourselves to thinking that our gift to the world is healing, and perhaps it is.  But each of us has a unique way of expressing our gift - a unique spin so to speak.  Go through the exercise.  You might discover that in addition to being a talented healer, you could have a completely different gift to contribute.

Check it out and let me know what you think!

Posted by Jane L. Thilo at 04:15 PM in Coach Yourself to Excellence, Emotional Intelligence, Self Awareness and Self Management | Permalink | Comments (0) | TrackBack (1)

Spiral of Lethargy

One of the most helpful strategies I've learned for managing my energy is not to waste one speck of it worrying about what I should have done or didn't do or could have done differently, except to see whether there are lessons to take away that will help me be more effective going forward.

I have freed up lots of energy taking this approach. Rather than get down on myself, I stay curious and reflect about what didn't work and focus on staying in action with what does work.  Focusing on the past can be an insidious drain.

One of my clients was recently very much stuck in a downward spiral of lethargy after losing her job.  She spent a lot of time focusing on what she could have done differently and developed some fear around what might happen in the future.  Having been in this position before myself, I shared my formula for successfully extracting myself from this life-sucking emotional state.

  1. Decide - I make the decision that I do not want to be in this position another minute.
  2. Exert Control - I choose something, even the smallest thing, over which I have control - For example, I make up my bed (this was my strategy as a resident when at times I felt like my whole life was under someone else's control!)
  3. Make a commitment to myself that I KNOW I will keep and KEEP it! - This could be as small as I will eat lunch at noon or I will balance my check book or I will make a call I have been putting off.  The act of making and keeping commitments to myself builds self-esteem.
  4. Celebrate even the smallest success.
  5. I remember to have compassion with myself.

Once I begin taking these steps, I build momentum.  Having a support person or a group of people to whom I am accountable is also a big help.

Posted by Jane L. Thilo at 07:33 PM in Coach Yourself to Excellence, Emotional Intelligence, Self Awareness and Self Management | Permalink | Comments (1) | TrackBack (2)

Grocery Story Lessons

I just got back from the grocery store where I ran in, picked up six items, whizzed through the self-service line and was out again all in just 10 minutes.  As I was driving away, I got to thinking about my initial resistance to self-service at the grocery store. 

Normally I'm a technology junky.  I love gadgets and I'm certainly self-sufficient, but for months, I walked past the empty self-serve aisles to stand in line for a live checker.  So what had I been allowing to get in my way of learning how to use the scanner in the self-serve line? 

Hummm.... weighing the produce?  finding the barcodes?  foregoing the opportunity to be waited on?   No, these were just silly superficial things - well except that I do like to be waited on.

I decided to use one of my most powerful get-to-the-bottom-of-things tools.  As a leader, I tell myself the truth and frequently ask, "What am I pretending not to know?"  Reflecting on this powerful question, I came up with a more likely candidate: 

  • I don't like to change my comfortable habits!  Even when doing so would be of benefit in the long run.  Ouch - I think of myself as a person who embraces change.

One day, the lines were long and I was in a big hurry so I did bumble through the self-serve line with the help of the clerk who showed me how to do the produce.  It was really a piece of cake and now I opt for self-serve every time. 

Not all change is as easy as learning how to use the self-serve line at the grocery store, but this entire experience was a good reminder to look for other areas in my life where I resist change, then to ask myself, what am I pretending not to know?

Posted by Jane L. Thilo at 02:25 PM in Coach Yourself to Excellence, Emotional Intelligence, Self Awareness and Self Management | Permalink | Comments (0) | TrackBack (0)

Location, Location, Location!

I'm sure you've heard the old saying about the three most important traits that make for the best piece of real estate.  Yep, you got it, location, location, location! 

I think the three most imporant traits for a leader are  Self-awareness!  Self-awareness!  Self-awareness!

What is self-awareness and why is it so important?

Self-awareness is the recognition of how my thoughts, feelings and actions relate to the results I'm creating in my life. 

Emotional Intelligence* researchers Boyatzis and Burckle (1999) discovered that without self awareness, a person has virtually no chance of successfully and reliably demonstrating self-management.  Even subjects who had a high level of self-awareness were successful in self-management only about 50% of the time.

Without self-awareness, I am likely to go bumbling through life never recognizing the role I play in creating my own results.  I may have the sense that life happens to me rather than recognizing that I have the power to make things happen and create my own results.

To the degree that I recognize how my thoughts, feelings and actions relate to my results, I have more opportunity to choose how I will respond in any given situation.  Increasing self-awareness takes practice, but the pay-off is exceptionally high.  That's why I think the three most important traits of a leader are Self-awareness!  Self-awareness!  Self-awareness!

To learn more about Emotional Intelligence, read Primal Leadership by Goleman, Boyatzis and McKee.  See notes under my Best Books list to the left.

Posted by Jane L. Thilo at 01:04 PM in Emotional Intelligence, Self Awareness and Self Management | Permalink | Comments (0) | TrackBack (0)

Congruent Self-Expression

I'm on a mailing list for Phil Holcomb's and Lori Marcoux's Newsletter 21st Century Leadership This Week and just today, the newsletter included an article by Phil on the Definition of Leadership.  Click here to read the exerpt. 

As I mentioned in an earlier post on January 19th - "Leadership Defined", 21st Century Leadership is a powerful course that I highly recommend.  I have taken the course once, audited it once and have been involved in two follow-up programs related to this course. I'm currently participating in MORE, an ongoing program I use to support myself in living the principles and values I've chosen as most important to me.  Through these programs, I have created great value for myself.  The body of knowledge I learned and continue to build as I grow through experience has been instrumental in my own personal life transformation.  If you'd like to learn more about 21st Century Leadership, contact Lori Marcoux at (800) 514-7128 or visit www.extraordinarylearning.com.

Posted by Jane L. Thilo at 09:49 AM in Emotional Intelligence, Self Awareness and Self Management | Permalink | Comments (0) | TrackBack (0)

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