Thursday, May 10, 2007

Week 1 Day 4 - The Freaks and Procrastinators

We set up our training so we had a bit of flex as we figured out who was going to show and how people were going to react. It looks like that we are going to get all of our Admin staff through by Friday - so no need for Basic training for administrators during the second week.

We are also getting most of our medical assistants and half of our registered nurses through. So we decided to set aside one room to make sure all of our providers got through the training. We also decided to separate our more advanced providers from the staffers. 2 more rooms accounted for.

The fourth and final room is going to tackle the more senior admin staff and introduce some of the new tasks that they might receive as a result of the upgrade. There are 2 goals to the trainings that the Clinical Director for Medicine and I are designing for the 2nd week.

1) Make sure that the support staff is comfortable with some of the new tasks that the doctors may generate as a result of the new features.

2) Make sure they know enough about what the providers are being taught that they can help them in the clinic.

We know that the docs lean on the support staff more than any of them are willing to admit. We figure that if the support staff is comfortable - any failings on the part of the docs will be covered.

There is, however, circumstances where this can be taken too far...

I had been complaining about docs sharing passwords and having their support staff do things that the docs should be doing (such as prescribing medication) for months. With our organization's move towards fingerprints as passwords, the senior management is finally seeing concrete evidence that docs are sharing passwords with staff and residents.

Much of the hesitancy is the result of staff fearing that they will not have jobs if they stop doing the work that rightly belongs to the doctor - like prescribing and refilling medications. Even more scary - some doctors DEMAND and expect their staff to do these activities simply because they don't want to be bothered with the "work."

This is the scary underbelly of medicine. And the type of thing major technological change brings to light....

Meanwhile, I am scrambling to get rooms scheduled, marketing material for the trainings put together and attendance reports compiled. I am also trying to crank through the new training material enough times so that I can lead the new training with only a rough outline.

Since we are getting close to the end of the first mandatory training week - we are starting to see the procrastinators and troublemakers. Training that had taken only 60 minutes is now taking 90 - and giving the trainer a few gray hairs in the process The freaks, complainers, and procrastinators are starting to make their appearance in the classrooms.

Everyone in the training team is starting to look really tired. Tomorrow - I hope to have enough time and space to get some of the prep work done for next week. Anything I can do to avoid working this weekend will be time well spent.

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