Frequently, we hear this phrase. Operational efficiencies focus on this point. Segregating activities by role is a proven methodology for improving throughput and standardization. When we contemplate all these thoughts about the physician role, we often throw this logic out the window. When practicing full time, I vividly recall all the letters, phone calls, and directives I was given and how I kept asking myself “why are they requesting that I do that function? Isn’t there a better qualified person that can complete that task and allow me to do my job”?
As a physician, what is my job? Is it to do data entry into the EHR? Should I be doing my own EKGs so my assistant can work on something else? Am I the best person to discuss dietary changes
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The medical profession is optimized when the focus is on diagnosing and treating conditions that inflict those we serve. Empowerment, engagement, and activation of those that have entrusted their care to us drive preferable outcomes. Focusing on successful results has greater importance than who does the job. Team-based care exemplifies a model that elevates the strengths of all for the betterment of who is served. Functions are distributed based on ability, not a title.
Discernment of role and functional responsibilities will become significantly more important as we study the value of interventions. How and who implements a new model of care will be just as important as the paradigm itself. Further studies on activation and engagement as a means of success will continue to illustrate the importance of skills that are deeper rather than