Announcement

Collapse
No announcement yet.

Conflict with coworker

Collapse
X
 
  • Filter
  • Time
  • Show
Clear All
new posts

  • Conflict with coworker

    Curious to hear what an unbiased third party thinks of this scenario.

    First year attending in IM subspecialty, joined hospital based multispecialty group private practice. One other MD brought into the group shortly after me but wasn't really a new hire as was already working in PP at the hospital solo and just got folded into the group.

    To put it bluntly, she is a narcissist -- multiple people have had conflicts and would call other people for consultations even before I came around, because they did not want to deal with her (sparse notes, not too helpful with tricky cases, abrasive personality).

    Naturally after I started, I have had fortunately not had too hard of a time ramping up my own consult numbers, between people that don't want to call my coworker and some hospitalists I get along well with (some of whom are old co-residents). However, this has gotten to the point where census #s are skewed - I am seeing many more consults in comparison, and her RVUs are not at goal.

    I know for a fact (because hospitalists have told me) that she has gone up to people asking "Why don't you consult me more?" and has been told that they would be happy to consult if she just toned it down a bit and wasn't so abrasive. Hey, there's an easy solution!

    Today, she talked to me saying that I am only getting more consults because I am friends with people from before and that some of the other hospitalists just don't like him and are too sensitive. She said I need to start giving her consults to keep things balanced. When my list is too long, I do actually tell other docs to call her (they don't usually) -- I told her this, but she says instead I need to just give her the patient info for consult and have the hospitalists "deal with it."

    I feel very conflicted. I feel like the hospitalist is running the show and should be able to call who they want to help their patients - we all know other docs practice styles and if they don't want my coworker seeing their patient, I can understand why. But at the end of the day, I completely acknowledge that I am on the same team/group as my coworker and on some level they are probably right (I know in training the larger hospital groups used to just alternate/share consults). We also cover each others patients on the weekends, so I don't want to piss her off. But I also find her similarly abrasive -- which makes it very difficult to be a good team player.

    I know for a fact this person got hired into the group for "political" reasons - she has friends in hospital administration (CMO), so I have no particular desire to either talk to the group leadership about it and ruffle feathers. But she also stated that the "imbalance in numbers has to change" or else she will talk to the "higher ups." On some level, I am curious to call that bluff and see what the complaint even would be.

    Anyway, sorry for the long post/rant. Would love any level of feedback from impartial observers due to my reticence to talk to anyone directly at work about the matter. At minimum people can commiserate / point and laugh even if no helpful advice!

    Tim


















  • #2
    Reading this, I had the same first reaction as you; I would love to know how it would go when she complains to administration. In essence, the crux of her complaint is that she is horrible to work with and she would like to rewarded for this by having patients funneled to her despite her inability to maintain cordial relationships with her referring doctors. It's laughable.

    Perhaps I'm too stubborn, but I would call that bluff. Besides, I'm not even certain that I would consider it appropriate to hand off consults that are given directly to YOU to another provider, particularly when said provider is being intentionally avoided by the referring doctor.

    Comment


    • #3
      I would not share the consult patient info with her.

      I would ask her instead to directly attract consults from the hospitalists. Unless your office has a policy to share patients, I don't see the point of giving away consults. You might even not be liked by the hospitalists for doing this.

      As to call, it is what it is. If she does not cover you, you do not cover her.

      I am a stubborn person if people try to blackmail me. If she stated to me that she would take to higher ups I would state - Go ahead and let us see what happens.

      Comment


      • #4
        She won’t be there for long, regardless of her friends in admin.

        Comment


        • #5
          Originally posted by Vae Victis View Post
          Perhaps I'm too stubborn, but I would call that bluff.
          Yeah, this is where I'm at.

          I don't see how you can get in trouble here. You have colleagues who has specifically requested you to do something. You can't possibly be expected to alienate referral sources by shifting that work to someone else (when they have essentially told you they don't want that person).

          If she wants more referrals and feels like talking to the "higher ups" will help, then you should encourage her to do that. Even if she has "friends" among the higher ups. I suppose if those friends are powerful enough, then you had no chance no matter what you did. Nevertheless, you absolutely should not just roll over on this one.

          Comment


          • #6
            So if you are too busy to see a consult, does the patient just not get seen and the hospitalist decides they don’t really need the consult? Or is there a third specialist?

            Comment


            • #7
              Tell us more about group. Is CMO in the group now or past? Are you an employee or what. It sounds like hospitalists are not part of this multispecialty group. How are you and she paid exactly? You take call during full week and then share on weekends? How many in your subspecialty, etc.

              She was there before you and you may not understand the hospital politics. Lots of shenanigans go on

              Comment


              • #8
                let her go to the higher ups. let them sort it out.
                “. . . And the LORD spake, saying “First shalt thou take out the Holy 401k. Then shalt thou save to 20%, no more, no less. 20% shall be the number thou shalt save, and the number of the saving shall be 20%. 25% shalt thou not save, neither save thou 15%, excepting that thou then proceed to 20%. 30% is right out . . .””

                Comment


                • #9
                  Originally posted by childay View Post
                  Tell us more about group. Is CMO in the group now or past? Are you an employee or what. It sounds like hospitalists are not part of this multispecialty group. How are you and she paid exactly? You take call during full week and then share on weekends? How many in your subspecialty, etc.

                  She was there before you and you may not understand the hospital politics. Lots of shenanigans go on
                  CMO in the group. Not sure what you mean by employee. Because I'm new, I'm guaranteed salary to start but I get paid whatever extra RVU i make past my "guarantee" equivalent of RVUs (another reason why I don't feel very compelled to just give away consults, if I wanna work hard and see stuff I shouldn't have to bend to this person). Because my colleague was there as a non-group private doc there already, they are straight to productivity model, which is why they are grousing about the imbalance. See our own patients M-F and participate in a call pool for the weekends with another doc outside the group.

                  The hospitalists are indeed part of this group though. Which is the funny part. They don't like this person so much that they won't call a doc in their own group and will go out of the group for help.

                  Originally posted by pierre View Post
                  So if you are too busy to see a consult, does the patient just not get seen and the hospitalist decides they don’t really need the consult? Or is there a third specialist?
                  There are a handful of other MDs in my specialty that are at the hospital. They are not formally in my hospital group. So if I can't see the consult there's 3-4 other people who they can call.

                  Comment


                  • #10
                    In residency I trained at a hospital where there were some private groups (weird hospital with mix of private and academia). The larger groups in my specialty would get texted consults (usually to the main "elder statesman" of the group) and he would just parcel things out to everyone, and there was generally no importance of which one of the docs in that group saw the consult as they were all respected. So I'm well familiar with the concept of "passing off" consult info or whatever and happy to try and be a team player.

                    But the problem with this situation is it's just the two of us in the "group," and everyone else is outside. I don't have a third person to help "dilute" out this other toxic person. So people text me personally bc they want my help in particular, not our "group"s help. Ugh.

                    Comment


                    • #11
                      Sorry you are dealing with this.
                      Hang in there.
                      Not sure best advice.

                      I am not an IM doc but i have worked in small groups with difficult people and it sucks.

                      Make sure you stay professional and continue to do good work and treat her respectfully. Might not work. You may not want this job long term.
                      There is no perfect job, so be careful but it might not work for you.

                      You might want to look for situations where the group has control over who is hired and who is retained. Meaning, if she was hired for political reasons and the admin wants her there, you might be viewed by them and her as the issue.
                      I would look for PP gigs that still have independent ability to hire and fire.
                      Medicine is a hard enough job without politics.
                      I would see if a better opportunity existed. I would not share weekends/ patients with an abrasive incompetent narcissist who was hired for political reasons. That said, make sure you do some self reflection and ensure you are not at fault and stay professional.

                      Read some Jocko Willink.

                      Do outstanding work and investigate other options.

                      Have an escape plan, while you try to salvage.
                      Last edited by Tangler; 01-22-2022, 01:42 AM.

                      Comment


                      • #12
                        I would say "I'm happy to share consults with you. However, when a hospitalists contacts me directly to see a consult I feel obliged ethically to see them. I am trying to build a good reputation for myself being a new grad and can't therefore say no. Maybe in a few years I will have the gusto to tell the hospitalists to deal with it. If you want to go to administration or leader of the hospitalists group and work out a situation that works better for you I support you"

                        Comment


                        • #13
                          I wanna guess ID.

                          Comment


                          • #14
                            I have a theory that everyone in the workforce is cut out for one of two roles - owner or employee. No implications either way - the world needs an appropriate mix of box.

                            This is just another reason I am more suited to be an owner than an employee. That person would not last beyond a month at either of our offices.

                            One of my favorite German phrases from when I was trying (unsuccessfully) to become fluent was “Das geht nicht“ and I would apply it here. Sorry it’s not the same for your workplace.
                            Our passion is protecting clients and others from predatory and ignorant advisors. Fox & Co CPAs, Fox & Co Wealth Mgmt. 270-247-6087

                            Comment


                            • #15
                              Based on your own experience she brought this upon herself. If she can bully you into giving her patients she will keep coming back to you.

                              If she goes to the CMO fine. Let the CMO get in the middle of this and referee between her and the referrers.

                              Comment

                              Working...
                              X