Eisemann Bradley S, Wagner Ryan D, Reece Edward M
Division of Plastic Surgery, Department of Surgery, Baylor College of Medicine, Houston, Texas.
Semin Plast Surg. 2018 Nov;32(4):166-171. doi: 10.1055/s-0038-1672149. Epub 2018 Oct 22.
Despite incredible advances in medical innovation and education, many students finish medical school, and physicians finish residency, without sound business acumen regarding the financial realities of the modern profession. The curriculum in medical schools and residency programs too often neglects teaching the business of medicine. This overview addresses how physicians can utilize effective negotiation strategies to help develop a medical practice or add value to an existing practice or institution. The authors applied the six foundations of effective negotiating, detailed by Richard Shell in his , to the medical field to demonstrate the processes involved in effective negotiating. They then outlined a strategy for physicians to adopt when negotiating and showed how this strategy can be used to add value. The six foundations include: developing a personal bargaining style, setting realistic goals, determining authoritative standards, establishing relationships, exploring the other party's interests, and gaining leverage. As physicians complete training, the ability to solely focus on medical knowledge and clinical patient care disappears. It is crucial that physicians invest the time and energy into preparing for the business aspects of this profession in much the same way they prepare for the clinical care of patients. This overview seeks to define the basics of negotiation, characterize the application of negotiation principles toward clinical medicine, and lay the foundation for further discussion and investigation.
尽管医学创新和教育取得了惊人的进展,但许多医学生完成医学院学业,医生完成住院医师培训后,对现代医学职业的财务现实却缺乏良好的商业头脑。医学院校和住院医师培训项目的课程常常忽视医学业务的教学。本概述阐述了医生如何运用有效的谈判策略来帮助发展医疗业务,或为现有业务或机构增加价值。作者将理查德·谢尔在其著作中详述的有效谈判的六个基础应用于医学领域,以展示有效谈判所涉及的过程。然后,他们概述了医生在谈判时应采用的策略,并展示了该策略如何用于增加价值。这六个基础包括:形成个人谈判风格、设定现实目标、确定权威标准、建立关系、探究对方利益以及获取优势。随着医生完成培训,单纯专注于医学知识和临床患者护理的能力不复存在。医生投入时间和精力为该职业的业务方面做准备,就如同他们为患者的临床护理做准备一样至关重要。本概述旨在界定谈判的基础,描述谈判原则在临床医学中的应用,并为进一步的讨论和研究奠定基础。