Administrators
In our modern healthcare systems, clinicians find themselves dealing face-to-face with administrators at many different levels. Unfortunately, there often appears to be a major disconnect between the two parties, and priorities may appear to be vastly different. For the busy clinical anaesthetist who encounters this in passing, there may be transient frustration and confusion before simply getting on with the job. For the anaesthetist with a designated management role, the problem doesn’t go away that easily. Both, however, will benefit from some deeper insight into the nature of these interactions to help everyone to better achieve their goals. The ‘LAURS’ concept as presented in Chapter 2 emphasizes the generic attributes of the approach to a meaningful interaction. Of particular interest in attempting to apply this framework to our dealings with administrators is the recognition that the management ‘world’ is exactly that — a seemingly different place that abounds with its own distinctive language, practical tools, and approaches to problem solving with which most clinicians have little familiarity. There may indeed be a sense of entering a different domain, much like the person entering the healthcare system as a patient. Hence in this chapter there is a deliberate intent to present some of these practical tools and perspectives to help better understand this other world and the people who abide there and relate it to these general principles. The results may be surprising. Dr Celia Roberts has recently been appointed Director of the Anaesthesia Service of a large public teaching hospital. Being an expert in her field she had conducted research, written several papers and been responsible for the teaching of specialist trainees. There is little in her chosen area of expertise that she doesn’t know how to deal with. In her day-to-day work she needs to think on her feet, work independently and be accountable for her individual actions. Where appropriate, she assumes a leadership role, giving clear and concise instructions to the team around her. Celia approaches her work with a high commitment to one-to-one interaction between herself as a skilled exponent of a specialised craft—clinical anaesthesia—and the patients who are seeking her help.