Episode 107

107. Physician Leadership Job #1 - STOP Solving Problems, do THIS Instead

Is your leadership suffering because you're focused on the wrong thing? Discover why trying to "solve problems" is definitely holding you back.

In this episode, we uncover the two most misused words in leadership: PROBLEM + SOLUTION. As a physician leader, understanding the difference between a PROBLEM and a DILEMMA is critical for your success. Learn why 99% of the challenges you face aren’t problems at all, and how shifting your approach will unlock your team’s full potential and streamline your leadership.

~~ Learn the key difference between problems and dilemmas, and why 99% of leadership challenges are dilemmas.

~~ Discover how to quickly identify dilemmas and stop trying to solve things that have no solution.

~~ Explore how to quickly organize your team to address dilemmas with effective strategies, leading to much better outcomes.

~~ I will even show you that the patient's Problem List is NOT a List of Problems!

Don’t miss this episode—listen now to learn how changing your mindset from “problem solving” to “strategy building” can revolutionize your leadership and improve team performance!

USE THIS LINK to subscribe to our show wherever you get your podcasts: https://link.chtbl.com/afG_dWHm



Takeaways:

  • The term 'problem' is misused 99% of the time; it rarely represents the true nature of a challenge.
  • Effective physician leadership in healthcare requires recognizing that dilemmas exist rather than problems.
  • Using the correct terminology helps leaders focus on strategies instead of simple solutions.
  • Identifying dilemmas involves understanding the complexities of ongoing challenges in healthcare.
  • Burnout and staffing issues are examples of dilemmas needing strategic approaches, not one-time fixes.
  • A leader's ability to guide their team hinges on reframing problems into manageable strategies.

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Explore physician leadership tools and strategies to stop physician burnout, enhance physician wellness and give you the power of personal influence in the C-Suite. All the tools you need to play your role in leading the charge to wellness - at three levels - for you, your teams and your entire organization.

Transcript
Speaker A:

In this episode, I'm going to show you the single most misused word in the physician leadership lexicon.

Speaker A:

This is true for all leaders, not just doctors.

Speaker A:

But every time you hear this word, it's wrong.

Speaker A:

Maybe one time out of a hundred, when you call something a problem, it's actually a problem.

Speaker A:

But the key is that in order to be a good leader, you actually have to stop using the word problem, stop trying to solve problems, because 99% of the time, what you're facing isn't a problem in the first place.

Speaker A:

I'm going to show you how to identify the real underlying issue and quickly organize your team around addressing things effectively.

Speaker A:

It all starts when you stop solving problems.

Speaker A:

Check it out.

Speaker B:

Hello, and welcome to the latest episode of the Stop Physician Burnout Podcast, a physician leadership podcast where you will learn the skills so that we can join together and lead the charge to physicians well being skills to earn the respect of your colleagues in the front line, skills to exercise true influence in the C suite and take back your job, your practice, your career, and your life.

Speaker B:

All of these tools have been proven effective in my 40,000 doctor physician coaching and training practice.

Speaker B:

And if I know one thing, I know you're super busy.

Speaker B:

So let's get started.

Speaker A:

Now, this isn't even actually specifically for physician leaders.

Speaker A:

It's for anybody in a leadership position.

Speaker A:

Anybody in a leadership position.

Speaker A:

99 times out of 100, when you use the word problem, it's inappropriate.

Speaker A:

Not because you don't face challenges, not because there aren't things that you need to address.

Speaker A:

It's because the use of the word problem is inappropriate because what you're facing doesn't meet the definition criteria of the word.

Speaker A:

So the word problem comes from mathematics.

Speaker A:

It's actually quite specific.

Speaker A:

By definition, a problem has a solution.

Speaker A:

And if I apply a solution to a problem, what should happen to the problem?

Speaker A:

It should go away.

Speaker A:

Problems are things that are fixed in a single step.

Speaker A:

You apply the solution, the problem goes away.

Speaker A:

The challenge is as a leader, you never see problems.

Speaker A:

This word is a form of magical thinking on the part of leaders.

Speaker A:

They see a challenge and they hope that you can just do one thing and fix it.

Speaker A:

And they pray that it's a problem.

Speaker A:

And they call it a problem, and they ask you to find this solution, which is never, ever going to work.

Speaker A:

Let me give you just a quick example.

Speaker A:

How about physician burnout?

Speaker A:

That's a real problem, isn't it?

Speaker A:

No, it's not.

Speaker A:

It doesn't meet the definition criteria.

Speaker A:

Let's think about it for just a little bit.

Speaker A:

Physician burnout is an issue that all healthcare delivery organizations have to face.

Speaker A:

However, is it a problem?

Speaker A:

Is there one thing you can do one time, and you never have to worry about burnout again?

Speaker A:

Just think about it for a second.

Speaker A:

Do you think, hiding somewhere, we haven't found it yet because it's in a secretive layer, like Austin Power's lair, there is this one thing you can do one time inside your organization.

Speaker A:

You'll never have to worry about physician burnout again because you've solved it.

Speaker A:

Do you think that's true?

Speaker A:

Of course not.

Speaker A:

That's because physician burnout isn't a problem.

Speaker A:

What it is is a dilemma.

Speaker A:

Problem.

Speaker A:

Dilemma.

Speaker A:

Problem's the wrong word.

Speaker A:

Dilemma is the right word.

Speaker A:

And when I say dilemma, what I mean is a never ending balancing act.

Speaker A:

And in this case, it's a lot like a teeter totter.

Speaker A:

On one end is the amount of energy an individual doctor burns in their practice and their larger life.

Speaker A:

And on the other end is their ability to recharge the energy that they burn in order to maintain a positive energy balance in all three of their energetic bank accounts.

Speaker A:

This balancing act is something that you can manage.

Speaker A:

You can strike a balance and keep your energy positive, but it's not with a solution.

Speaker A:

You have to use a different s word.

Speaker A:

S s t.

Speaker A:

Got it yet?

Speaker A:

Str.

Speaker A:

The word is strategy.

Speaker A:

Right.

Speaker A:

Strategy.

Speaker A:

And what's the difference between a solution and a strategy?

Speaker A:

Well, think about it for a second.

Speaker A:

It's actually extremely simple.

Speaker A:

The difference between solution and strategy is simply the number of steps.

Speaker A:

Solution is one.

Speaker A:

Strategy is more than one.

Speaker A:

And when I'm working with a burned out doctor as a coach, and we help them recover from their burnout, typically, they will take three to five new actions.

Speaker A:

They have to be new actions if you want to get new results.

Speaker A:

And they'll turn them into habits, and those new habits will help them hold a positive energy level and help them recover from physician burnout.

Speaker A:

Now that you understand the difference between a problem and a dilemma, just notice that dilemmas are everywhere.

Speaker A:

But we almost always call them problems.

Speaker A:

How about this?

Speaker A:

Your personal physical fitness.

Speaker A:

Now, you might say to me, that's a real problem.

Speaker A:

Is it?

Speaker A:

Is there one thing you can do one time?

Speaker A:

You never have to worry about being fit again.

Speaker A:

Well, that's just crazy talk.

Speaker A:

How about your net worth?

Speaker A:

Problem or dilemma?

Speaker A:

It's a dilemma.

Speaker A:

You need a strategy.

Speaker A:

You have to put several things together in order to address it successfully.

Speaker A:

And in truth, in any leadership position, but especially as a physician leader in healthcare, you never see a problem.

Speaker A:

Why?

Speaker A:

Because the problems get fixed on the way to your desk.

Speaker A:

If it had a solution, it would have been applied a long time ago.

Speaker A:

Every single thing on the agenda of your next leadership meeting, I guarantee you, I guarantee you, is a dilemma.

Speaker A:

And the team is being called out for a solution because the leader is misnaming the issue you're facing as a problem.

Speaker A:

See, problem solution is a trap.

Speaker A:

If I keep calling something a problem and I say, dyke, we need some solutions here, you got to be a solution guy.

Speaker A:

For me, I trap people in an impossible set of circumstances.

Speaker A:

And if you have things on the agenda month after month after year after year that you keep calling problems but you can't solve, two things will happen.

Speaker A:

People will start to doubt your ability to lead effectively, and they will start to doubt their own abilities.

Speaker A:

So here's the mantra.

Speaker A:

Any problem you can't solve is not a problem.

Speaker A:

So think of anything that's persisted that's been an issue for you in your personal life or for your teams at work.

Speaker A:

Any problem you can't solve is not a problem.

Speaker A:

What is it?

Speaker A:

It's a D d lemma.

Speaker A:

And here's the way you get your team to focus on strategy.

Speaker A:

And it happens very quickly.

Speaker A:

It goes like this.

Speaker A:

Let's say that the issue that we're talking about is staffing.

Speaker A:

Getting the right amount of staff in the right slots to make sure that all the positions are covered in the coming month, and it's an ongoing issue that you've been calling a problem.

Speaker A:

Okay?

Speaker A:

Wrong.

Speaker A:

There's not one thing you can do one time and take care of staffing forever.

Speaker A:

Right?

Speaker A:

So next time you're with your team, say, hey, team, you know what?

Speaker A:

I've been doing some education, and I just realized one of the problems that we're having, one of the challenges that we're having, see, I had to even correct myself there.

Speaker A:

One of the challenges that we're having is that we're trying to solve the staffing issue, and it's not a problem.

Speaker A:

It hasn't got a solution.

Speaker A:

It's actually a balancing act.

Speaker A:

Getting the people and the slots matched effectively every month is a balancing act.

Speaker A:

So rather than try and do one thing one time and fix it, which is impossible, let's get some ideas on the table about what are one or two or three tactics we can string together into a strategy.

Speaker A:

So we make sure all the slots are filled every month.

Speaker A:

What are some ideas?

Speaker A:

What you'll notice is when you identify a dilemma, eliminate the thought of a solution.

Speaker A:

And switch to multiple steps.

Speaker A:

Several steps, just three to five.

Speaker A:

Get your team focused in that fashion.

Speaker A:

What will happen is they'll quickly come up with a really usable strategy for you.

Speaker A:

So, in my experience, 99 times out of 100, effective leadership is not solving problems simply because the issues you face are not problems, especially in healthcare.

Speaker A:

As a matter of fact, you know the COVID sheet on a chart.

Speaker A:

The COVID sheet on a chart is called a what list?

Speaker A:

It's called a problem list.

Speaker A:

I'll tell you that on a patient's problem list, there are no problems.

Speaker A:

Example, person comes in with a boil.

Speaker A:

Indeed, I fixed the boil.

Speaker A:

That was a problem and I solved it.

Speaker A:

Would you put boil on their problem list?

Speaker A:

Yes or no?

Speaker A:

The answer is no.

Speaker A:

The reason you don't is because you were able to solve it in one visit.

Speaker A:

The reason you don't put it on the problem list is because it was a problem.

Speaker A:

Are you seeing this?

Speaker A:

What is on the patient's problem list?

Speaker A:

All the things you can't solve.

Speaker A:

So even the problem list isn't a list of problems, it's a list of dilemmas.

Speaker A:

So let's review.

Speaker A:

Any problem you can't solve is not a problem.

Speaker A:

It's a dilemma.

Speaker A:

Focus your own actions and your team's on strategy.

Speaker A:

Two to three to four simple tactics that will allow you to reach the balance point that you're seeking and watch how everything gets so much easier.

Speaker A:

This stop physician burnout podcast is just ten minutes on Tuesdays and Fridays, giving you useful tools just like this.

Speaker A:

If you've enjoyed this lesson, please go out and find the dilemmas your team are dealing with and focus them on strategy.

Speaker A:

And go ahead and subscribe to this podcast wherever you get your podcasts until the next episode.

Speaker A:

Keep breathing and have a great rest of your day.

Speaker A:

Day.

About the Podcast

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Stop Physician Burnout: Physician Leadership Skills To Help Us Lead The Charge To Physician Wellness
Learn Simple, Powerful Physician Leadership Skills for C-Suite Influence and Peer Respect. Help Us Lead The Charge To Physician Wellness

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About your host

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Dike Drummond

Dike Drummond MD is a family doctor, ICF certified executive coach, trainer and consultant specializing in preventing physician burnout and physician leadership power skills. He is CEO and founder of TheHappyMD.com and has trained over 40,000 Physicians to recognize and prevent burnout in live trainings. He specializes in coaching for physician leaders to
- exercise influence in the c-suite
- earn the respect of your colleagues
- and incorporate Wellness and Balance on three levels: for yourself (and your family) your teams and your entire organization.
He is also a coach and advisor to Healthcare Startups whose product/service must be prescribed or delivered by physicians.