is yelling acceptable?? ever??

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Beware empathy for the sake of empathy.  If the report is truthful, the
behaviors are unacceptable and the history and motivations are
irrelevant.  The issue demands systematic correction.  If there are no
hospital or medical staff policies for disruptive / abusive behaviors,
it falls to the responsibility and discretion of supervisors -- which
should in itself inspire the prompt development of reasonable and
enforceable policies.

Properly documenting the circumstance is essential either way: it holds
both the complainant and the clinician responsible to the facts, and
provides a foundation for correction and tracking.

These solutions should be obvious.  

Pret


-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of Bill Griggs
Sent: Tuesday, December 30, 2008 9:00 AM
To: 'Trauma & Critical Care mailing list'
Subject: RE: is yelling acceptable?? ever??


A number of people have posted that this sort of behaviour is
unacceptable,
potentially unsafe and likely to produce bad outcomes.

Now what about looking for solutions?  It is possible that the surgeon
concerned is unaware that his behaviour is disruptive and believes it is
the
"only" way to get the "right" things to happen.  If not, maybe there are
some personal or other issues at work?  Regardless of the cause it is
clear
that he should be offered some counselling and support.
 
Unfortunately there is also enough information in the email to suggest
the
identity of the facility, perhaps also for local people to identify the
person who posted it, and possibly the surgeon concerned.  The cat is
now
out of the bag.  

I suggest that the original poster should approach someone that she
trusts
who is in a senior position and who will be able to progress this
further in
a supportive manner. 

With the right support sometimes tigers do change their stripes.

Good luck.

Bill

A/Prof William Griggs AM
Director Trauma Services
Royal Adelaide Hospital
South Australia
william.griggs at health.sa.gov.au


-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org]
On Behalf Of Angela
Sent: Tuesday, December 30, 2008 12:06 AM
To: trauma-list at trauma.org
Subject: is yelling accepatable?? ever??


I work with a pariticular trauma surgeon and he loses his temper easily
and
resorts to yelling and screaming at all staff until hiis orders are done
and
things go his way overall .  My trauma team are no amateurs and have a
good
flow when it' s gets busy.  Your walking on egg shells around him
because no
one  knows what will upset him.  And he never says ," sorry for acting
out
of line." Thouhghts?

JMH hospital , MIami



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