Thoughts on doctors and management styles

Specialties Advanced

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So, the doctor that owns our practice and has been there for 30 years, and is essentially "my boss" has a hard and fast rule for all staff that all issues regarding the practice must be addressed first with the practice manager and not directly with him -- like, ever, at all.

I can understand how this makes sense for routine matters, but as an NP in the practice, I feel this is just stifling. I don't feel like I can go to him and talk, about much. Sometimes I just want guidance, reassurance, or just to shoot the breeze in general -- or get feedback on my performance. He's a great one minute manager -- offers praise if you've handled a singular issue well, and is always thanking us for picking up extra shifts, or whatever. But in almost two years I have not received a performance eval of any kind.

So, is this a normal thing or is my doc just a big wimp/jerk/avoidant type personality who doesn't want to deal with conflict or to have conversations. I just don't feel like I can knock on his door and just talk .... we have to go through the practice manager . . . who can at times also act as his attack dog as well. I also don't feel like I'm being developed much as an employee.

They're all nice enough to work with, but I find this sort of management style strange and have nothing to compare it to as this is my first time working alongside md's in practice on a daily basis. Any thoughts or comments on how it is done in your practice?

Sometimes I really feel he just doesn't care ....which is also sad/disturbing.

Specializes in allergy and asthma, urgent care.

I work in a private, single physician owned practice and find that I have to take the initiative when it come to performance reviews. Every year on my anniversary, I write up a list of my accomplishments over the past year, and include what I want to work on for the next year. I then schedule a meeting with my boss and ask for a raise. I'm not going to sit around and wait for him to propose it. He's very busy, and I think it just doesn't dawn on him to deal with personnel type issues. I do go to him for clinical concerns, but will go to the practice manager for any operational issues.

Your boss may certainly be the avoidant type, or he might just be clueless. Take the initiative and request a performance review, or ask to set aside a regular time to discuss clinical issues.

One thing I have learned in the NP role is that "performance reviews" aren't really a thing. Our organization requires quarterly reviews and they literally just throw the numbers/print outs (RVUS and patient satisfaction scores) on the table and tell me to look them over. It takes 5 minutes.

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