11 May HOW COULD WE COME IN THERE HOPING TO DO A GRAND ROUND, EVEN IF WE HAD THE MATERIAL, WITH A CARROUSEL FULL OF OLD-FASHIONED SLIDES?
After reading the case study below, identify the false assumptions the two parties made about each other, and then identify what truth had been hidden behind each of those assumptions.
Case Study
Last week, Marilyn had the chance to tell Dr. K about the difficulties she had been experiencing since he took over the department. She was shocked to discover he also was anxious for their talk, because he too was feeling the strain and had some needs he wanted to ask her about! Last week, we discovered she had:
Felt less important than she had felt before Dr. K took over
Was worried the other department secretaries didn’t respect her any more
Felt she was not in the loop about department information
Upset that her skills in word processing and computer scheduling seemed unimportant
Resented the open access policy Dr. K instituted because she could not control the department’s function
This week, we hear Dr. K’s opinion. This is what he has to say:
“You think it was easy coming into this department after Dr. Christopher’s retirement? Everybody here has worked in this department for years, and nothing has changed for years, either. The world of neurology has been turned upside down since the Human Genome Project in 2002, and nobody here acts like they ever heard of a gene. When I was hired, I was told I have to get this department up into the current standard. We have to attract and keep talent that will draw grant money for this department to survive, let alone excel like I want it to! I don’t’ like coming into a place and trying to change everything, but that is what I have to do if we are going to get our funding, and the entire thrust of the department has to come into the new millennium, here!
That’s why I spend so much time here. I’m the kind of person who has to check everything myself, and I’ve been walking the wards, trying to get the residents to start doing their rounds earlier so they are up to speed before grand rounds. Speaking of grand rounds, do you realize the neurology department hasn’t put on a presentation for grand rounds in four years? We are the laughing stock of the doctor’s lunch room. And, with the renovation of the meeting theater, How could we come in there hoping to do a grand round, even if we had the material, with a carrousel full of old-fashioned slides? Nobody uses slides any more! Everyone has these PowerPoint presentations, and all types of fancy graphics and film clips and such, and I barely know how to work my phone! That’s why I am in my office fooling with the devices all the time. If I don’t’ learn how to make these presentations, I can’t ask my staff to, and I certainly can’t ask you to!”
At this point, Marilyn stopped Dr. K (who was getting pretty worked up himself) and made some of her fresh ground Tanyanikan rainforest blend coffee. She had seen a whole different side of him, and she felt like she had in the old days: compassionate and involved. If he was feeling the heat, well, she knew how to help people in trouble! That was what she was famous for!
She suddenly saw a whole list of things she could help him with: everything from preparing the residents to select a patient and getting together a terrific presentation for grand rounds, to getting him an audio-video (AV) intern who would transfer department slides into sandiscs to be plugged into the equipment in the meeting theater. Why, he was trying to do it all alone! No wonder he looked so tense all the time! Marilyn felt herself relax for the first time in weeks. She smiled and sat comfortably back in her chair, continuing her mental list of the ways she could help him, help the department, and suddenly, she realized she felt just like the old days; important, very important.
As for Dr. K, he had totally misjudged what the neurology department secretary could, and more significantly, would do. He thought he had to tell Marilyn exactly what she should do, down to what type of font to use for the department minutes. He was doing things himself because he couldn’t decide all the things fast enough to delegate to others. He had no idea she was so interested in helping, and he totally misjudged how talented she was regarding how to get things done. He was thrilled to hear that she was willing to “close his door” for him and run interference on the constant flow of interruptions he had been subjecting himself to. What a help she was going to be, now that he knew she wanted to and was able to help him run things, and not just sit at her keyboard and type and answer the phone!
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