Will choosing a “white coat CEO” advance physician alignment?

https://mailchi.mp/a2cd96a48c9b/the-weekly-gist-october-1-2021?e=d1e747d2d8

Physician Advocates Docs Ditch The White Coat - Too Germy | WUKY

We recently got a call from a health system board chair seeking our perspective on the system’s ongoing search for a new CEO. At the top of his list: trying to understand how important it will be for the next CEO to be a physician. “We’ve never had a doctor in the role,” he mused. “But now we employ hundreds of doctors. And you’d have to imagine that having a physician as CEO would help with physician alignment.” 

While choosing a physician CEO brings great signal value to the medical staff, we cautioned that it’s far from a panacea. 

Of course, there are advantages in having walked in a frontline clinician’s shoes, being able to personally identify with their challenges and speak their language. But over the years, working with hundreds of health system CEOs, we’ve found that the most important characteristic of a CEO who will advance physician strategy is the desire to form strong personal relationships with doctors and draw on their counsel.

Does the CEO build a “kitchen cabinet” of physician leaders whom he can consult? Are physicians viewed as something to be managed, a problem to solve, or seen as true partners in strategy? Even more simply, does she like spending time with physicians, or groan every time a meeting with doctors pops up on the calendar? We’ve seen many non-physician CEOs excel at building strong, strategic ties with doctors, and some physician executives, who become jaded by never-ending physician alignment struggles, fail to advance partnerships with their colleagues.

One retiring physician CEO, reflecting on his replacement by a nonclinical executive, summed it up well: “I have a feeling he’ll do well with our doctors. He counts several physicians among his closest friends, which is a great sign.”

Cartoon – Inconvenient Truths vs. Reassuring Lies

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Winston Churchill loved Paraprosdokians

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Winston Churchill loved paraprosdokians, figures of speech in which the latter part of a sentence or phrase is surprising or unexpected.


1. Where there’s a will, I want to be in it.
2. The last thing I want to do is hurt you, but it’s still on my list.
3. Since light travels faster than sound, some people appear bright until you hear them speak.
4. If I agreed with you, we’d both be wrong.
5. War does not determine who is right – only who is left.
6. Knowledge is knowing a tomato is a fruit. Wisdom is not putting it in a fruit salad.
7. They begin the evening news with ‘Good Evening,’ then proceed to tell you why it isn’t.
8. To steal ideas from one person is plagiarism. To steal from many is research.
9. I thought I wanted a career. Turns out, I just wanted pay checks.
10. In filling out an application, where it says, ‘In case of emergency, notify:’ I put “DOCTOR.”
11. I didn’t say it was your fault, I said I was blaming you.
12. Women will never be equal to men until they can walk down the street…with a bald head and a beer gut, and still think they are sexy.
13. Behind every successful man is his woman. Behind the fall of a successful man is usually another woman.
14. A clear conscience is the sign of a fuzzy memory.
15. You do not need a parachute to skydive. You only need a parachute to skydive twice.
16. Money can’t buy happiness, but it sure makes misery easier to live with.
17. There’s a fine line between cuddling and…holding someone down so they can’t get away.
18. I used to be indecisive. Now I’m not so sure.
19. You’re never too old to learn something stupid.
20. To be sure of hitting the target, shoot first and call whatever you hit the target.
21. Nostalgia isn’t what it used to be.
22. Change is inevitable, except from a vending machine.
23. Going to church doesn’t make you a Christian any more than standing in a garage makes you a car.
24. I’m supposed to respect my elders, but now it’s getting harder and harder for me to find one.