and Career Stability: What
does it mean to you?
keeps us from taking a career risk as leaders and business
professionals? Often it’s
a desire to maintain “stability”.
As practicing physicians, we reasonably expected to set up a
practice, build it over time, and derive a good income without a major
interruption. For many
physicians, the largest threat to that stability has been an erosion of
income from administrative burdens and managed care.
happens to your concept of stability, then, as you become a physician
executive or business professional?
Certainly, no health system is immune from executive changes,
downsizing, restructuring, and mergers.
Moreover, for physician leaders who aspire to grow professionally
or reach new personal goals, a move out of your current organization is
the fear of “instability” often keeps you from making the very moves
that can vault you to the next great adventure, it is worthwhile
contemplating what stability means for you.
Here are some questions to help uncover your personal
a scenario of maximum stability (for you).
a scenario of minimally acceptable stability (for you).
are the essential features and elements of stability that are shared
in each scenario?
do you “give up” when moving from the maximum to minimally
What do you gain (how is it to your advantage) in
accepting the minimal stability scenario (assuming it will be
R. Gaillour, MD, Business Consultant and
Executive Coach for Healthcare Leaders email@example.com,
Transition: Consider the Three Dimensions of Career Fulfillment
embarking on professional transition, a helpful model I have used with
clients is the Three Dimensions of Career Fulfillment.
Imagine three interlocking circles, each representing one of
these three aspects:
- Economic Engine
we were physicians early in training, our VISION-VALUES often included
“service”, “achievement”, “learning”, and perhaps
“spirituality”, among others. The
SKILLS we developed in medical school and residency were on target for
the specialty that we chose. And
once we completed training, a healthy ECONOMIC ENGINE rewarded us for
those skills. More than
likely, all three dimensions were well aligned and we felt
physicians experience boredom, frustration or lack of professional
fulfillment, it often means the VISION-VALUES circle has drifted away
from the other two circles. The
VISION-VALUES circle is no longer aligned with Skills and an Economic
Engine. The reason for the “drifting away” often indicates that
VISION-VALUES are not honored in your current professional environment;
for example, strong VISION-VALUES may be around “personal growth”,
“emotional health”, “family”, “creativity”, or
professional transition to be truly effective, and indeed
transformational, it is imperative to clearly assess and acknowledge
your core VISION-VALUES---what are your passions, talents, and inherent
strengths? What gets you up in the morning? What do you enjoy more than
anything in the world? From
that center-point then, what NEW skills can your learn, what NEW
economic engine can you develop, that will align with your core
Core Values are inherent to you; because they are not always clear, your
task during transition is to uncover or discover them.
SKILLS are learned; just like clinical skills, new skills can be
acquired through school, training, or apprenticeships.
In an optimal situation, your new skills are aligned with or
Economic Engine is earned; your task is to research the possibilities in
society for economically rewarding new skills.
successful professional transition is a process more than a final
destination. The process is
one of becoming clearer about and committed to your core VISION-VALUES
over time. Any number of
professional paths might be the right avenue at a given point in your
journey. If professional fulfillment is your goal, then your most
important task is to evaluate choices in light of how they honor your
personal VISION and VALUES.
R. Gaillour, MD, Business Consultant and Executive Coach
for Healthcare Leaders firstname.lastname@example.org,
Care About Values, Passion and Purpose? Ask the Samurai
and previous newsletters covered the subject of transferable skills.
As you inventory your learned skills, keep in mind that
acknowledging and uncovering your core values, passion and
purpose is equally if not more important in making your
transition. Your “soul”
inventory is what will power your transition and sustain it through the
the words of the great Samurai Tesshu:
your soul is not projected into your hands, even ten thousand techniques
will be useless.”
R. Gaillour, MD, Creative Strategies in Physician Leadership