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Fri, 27 Dec 2002 12:30:52 -0800

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Professionals are paid for the work they do - not the number of hours they
spend at work.  Unfortunately, particularly lately in healthcare, unions
have won a lot of elections and begun to represent a significant number of
employees in hospitals.  Almost without exception, they demand hourly pay
not salaries.  I don't apologize for concuring with Ken that this is not
consistent with professional healthcare delivery.  I do believe that an
hourly employee can act professionally (most do).  But we have to stop
trying to break everything down to a list of tasks to be done in an 8 or 12
shift and get back to focusing on the improving patient outcomes.  I don't
believe punching a clock is consistent with the work ethic necessary to
achieve that goal.  We need professionals working in hospitals who worry
much more about that goal than how many more minutes are left on their
shift.

Greg Prouty

-----Original Message-----
From: KMATTOX@aol.com [mailto:KMATTOX@aol.com] 
Sent: Friday, December 27, 2002 12:07 PM
To: trauma-list@trauma.org
Subject: Re: Projections for 2003

In a message dated 12/27/2002 1:58:52 PM Central Standard Time,
bhill@lakeregional.com writes:

>>The definition of a professional is a person who does not punch a clock. 

You owe a lot of people an apology for this statement. 

(No one should have to punch a clock, but antiquated, old school management 
command and control policies will not change in our lifetimes.) 

I make NO apology for this statement.  I have worked with adminstrators,
teachers, nurses, and others who did not punch a clock.   I have worked with
doctors who did.  As we move to restricted hours, we are becoming tradesmen
and tradeswomen, not members of a guild, and therefore, we will be less
professional, if at all as physicians.   It is not the degree that one
obtains which makes them a  professional or not, it is how they do their
job.  If one is offended by a threat to non-professional status, as I am
with the 80 hour work week, then we should do something about it and change
our status from being tradesmen.   I for one plan to do what I can to show
that this move was not a good one.    

k 

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<DIV><SPAN class=570092520-27122002><FONT face=Arial color=#0000ff 
size=2>Professionals are paid for the work they do - not the number of hours 
they spend at work.&nbsp; Unfortunately, particularly lately in healthcare, 
unions have won a lot of elections and begun to represent a significant number 
of employees in hospitals.&nbsp; Almost without exception, they demand hourly 
pay not salaries.&nbsp; I don't apologize for concuring with Ken that this is 
not consistent with professional healthcare delivery.&nbsp; I do believe that an 
hourly employee can act professionally (most do).&nbsp; But we have to stop 
trying to break everything down to a list of tasks to be done in an 8 or 12 
shift and get back to focusing on the improving patient outcomes.&nbsp; I don't 
believe punching a clock is consistent with the&nbsp;work ethic necessary to 
achieve that goal.&nbsp; We need professionals working in hospitals who worry 
much more about that goal than how many more minutes are left on their 
shift.</FONT></SPAN></DIV>
<DIV>&nbsp;</DIV>
<DIV>&nbsp;</DIV>
<DIV class=Section1>
<P class=MsoAutoSig><SPAN 
style="FONT-SIZE: 14pt; FONT-FAMILY: 'Lucida Handwriting'">Greg 
Prouty<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" 
/><o:p></o:p></SPAN></P>
<P class=MsoAutoSig><SPAN 
style="FONT-SIZE: 14pt; FONT-FAMILY: 'Lucida Handwriting'"><o:p>&nbsp;</o:p></SPAN></P></DIV>
<BLOCKQUOTE style="MARGIN-RIGHT: 0px">
  <DIV></DIV>
  <DIV class=OutlookMessageHeader lang=en-us dir=ltr align=left><FONT 
  face=Tahoma size=2>-----Original Message-----<BR><B>From:</B> KMATTOX@aol.com 
  [mailto:KMATTOX@aol.com] <BR><B>Sent:</B> Friday, December 27, 2002 12:07 
  PM<BR><B>To:</B> trauma-list@trauma.org<BR><B>Subject:</B> Re: Projections for 
  2003<BR><BR></FONT></DIV><FONT face=arial,helvetica><FONT lang=0 face=Arial 
  size=2 FAMILY="SANSSERIF">In a message dated 12/27/2002 1:58:52 PM Central 
  Standard Time, bhill@lakeregional.com writes:<BR><BR>
  <BLOCKQUOTE 
  style="PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #0000ff 2px solid; MARGIN-RIGHT: 0px" 
  TYPE="CITE">&gt;&gt;The definition of a professional is a person who does 
    not punch a clock.</FONT><FONT lang=0 style="BACKGROUND-COLOR: #ffffff" 
    face=Arial color=#000000 size=3 FAMILY="SANSSERIF"> <BR><BR></FONT><FONT 
    lang=0 style="BACKGROUND-COLOR: #ffffff" face=Arial color=#000000 size=2 
    FAMILY="SANSSERIF">You owe a lot of people an apology for this 
    statement.</FONT><FONT lang=0 style="BACKGROUND-COLOR: #ffffff" face=Arial 
    color=#000000 size=3 FAMILY="SANSSERIF"> <BR><BR></FONT><FONT lang=0 
    style="BACKGROUND-COLOR: #ffffff" face=Arial color=#000000 size=2 
    FAMILY="SANSSERIF">(No one should have to punch a clock, but antiquated, old 
    school management</FONT><FONT lang=0 style="BACKGROUND-COLOR: #ffffff" 
    face=Arial color=#000000 size=3 FAMILY="SANSSERIF"> <BR></FONT><FONT lang=0 
    style="BACKGROUND-COLOR: #ffffff" face=Arial color=#000000 size=2 
    FAMILY="SANSSERIF">command and control policies will not change in our 
    lifetimes.)</FONT><FONT lang=0 style="BACKGROUND-COLOR: #ffffff" face=Arial 
    color=#000000 size=3 FAMILY="SANSSERIF"> <BR><BR></BLOCKQUOTE><BR></FONT><FONT 
  lang=0 style="BACKGROUND-COLOR: #ffffff" face=Arial color=#000000 size=2 
  FAMILY="SANSSERIF"><BR>I make NO apology for this statement.&nbsp; I have 
  worked with adminstrators, teachers, nurses, and others who did not punch a 
  clock.&nbsp;&nbsp; I have worked with doctors who did.&nbsp; As we move to 
  restricted hours, we are becoming tradesmen and tradeswomen, not members of a 
  guild, and therefore, we will be less professional, if at all as 
  physicians.&nbsp;&nbsp; It is not the degree that one obtains which makes them 
  a&nbsp; professional or not, it is how they do their job.&nbsp; If one is 
  offended by a threat to non-professional status, as I am with the 80 hour work 
  week, then we should do something about it and change our status from being 
  tradesmen.&nbsp;&nbsp; I for one plan to do what I can to show that this move 
  was not a good one.&nbsp;&nbsp;&nbsp; <BR><BR>k</FONT> 
</FONT></BLOCKQUOTE></BODY></HTML>
<BR>
<BR>

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Projections for 2003