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What turns you on and off? (Career Management).


Energizers are activities that excite (Excite.com, Irvington, NY, www.excite.com) One of the major search engines on the Web founded in 1995 and part of IAC Search & Media. Excite was acquired by Ask Jeeves, Inc. in 2004, which was acquired by IAC in 2005. See Web search engines.  and invigorate in·vig·or·ate  
tr.v. in·vig·or·at·ed, in·vig·or·at·ing, in·vig·or·ates
To impart vigor, strength, or vitality to; animate: "A few whiffs of the raw, strong scent of phlox invigorated her" 
 you or people who lift your heart and inspire you. De-energizers are activities or people who drain you, drag you down, depress de·press
v.
1. To lower in spirits; deject.

2. To cause to drop or sink; lower.

3. To press down.

4. To lessen the activity or force of something.
 you. If you are making changes in your career, try to design in as many energizers as you can and eliminate as many de-energizers as possible. No job is perfect with all energizers. Make lists of those things that energize en·er·gize  
v. en·er·gized, en·er·giz·ing, en·er·giz·es

v.tr.
1. To give energy to; activate or invigorate: "His childhood
 and de-energize you either at work or in other situations. Then, prioritize pri·or·i·tize  
v. pri·or·i·tized, pri·or·i·tiz·ing, pri·or·i·tiz·es Usage Problem

v.tr.
To arrange or deal with in order of importance.

v.intr.
 the list. Try hard to do something to incorporate or change at least the first five on each list and see if you feel more job and life satisfaction.

What can you do?

Many people have not stopped to think about what energizes and de-energizes them. Just identifying them is often the beginning of giving yourself permission to do something about them. What can you do? You have to recognize the problem before you can think of a solution. When I had very young children, I first had to realize I was going crazy because I had no time for myself. Then, I figured out that I needed to get up at 4 a.m. before they woke up so I could have one hour of quiet to myself before the chaos of the day began.

Two authors offer reasons why job-related activities energize or de-energize you. "In order that people may be happy in their work, three things are needed: They must be fit for it. They must not do too much of it. And they must have success in it." (1) And "...there are three major emotions that motivate us in most of our actions: Fear, duty, and love (2)--what we feel we have to do or risk punishment, what we should do, and what we want to do. We have to discover and do enough of what we want and love to feel satisfied with our life's work Life's Work is a sitcom that aired from 1996 to 1997 on the American Broadcasting Company channel that starred Lisa Ann Walter as Lisa Ann Minardi Hunter, the assistant district attorney who had a husband named Kevin Hunter .

To help you think of ways to design in energizers and eliminate de-energizers, we have grouped the two lists and made some suggestions for how to incorporate the energizers into your life and solve the problems caused by the de-energizers. (The suggestions are highlighted in italics at the end of each grouping.)

Energizers

* Making the system work

* Being able to envision a project, develop it, and get it going

* Positive change

* Energizing energizing,
adj giving energy to; revitalizing; rejuvenating.
 people in my group about a concept that is important to the group

* Developing structures in which physicians can work collaboratively

* Providing leadership for a team of people who understand what health care will be in five years

* Working with a group of people who share a common focus

* Helping people visualize possibilities

* Providing creative vision

* Anticipating the future

Volunteer to lead a task force.

* Learning new things

Take a management course on a subject that interests you.

* Having positive interactions

Have lunch or coffee breaks with people who energize you.

* Fixing things

* Solving financial problems

* Problem-solving

* The creative part of problem-solving--brainstorming

* Seeing a problem, recognizing the resources to solve it, and getting them together

Volunteer to solve a problem In your organization.

***

* Exercise

Schedule 30 minutes a day at least 4 days a week.

***

* Getting positive feedback and gratitude

Keep up some patient care, focusing on what you enjoy most.

***

* The creative part of problem solving--brainstorming.

Influence committees and task forces that you participate on to brainstorm regularly.

***

* Redesigning the way the medical staff leadership works with administrative leadership

Sell medical staff and administration on the need and then volunteer to head-up the project.

***

* Teaching, public speaking, negotiating

* Mediation mediation, in law, type of intervention in which the disputing parties accept the offer of a third party to recommend a solution for their controversy. Mediation has long been a part of international law, frequently involving the use of an international commission, , conflict resolution, encouragement

Go for jobs that are heavy on these. Look for opportunities to negotiate managed care contracts, speak to community groups to advertise your health care organization, and create leadership development programs in your organization.

***

* Building relationships

Learn about, teach, and practice team-building.

***

* Facilitating someone else's self empowerment em·pow·er  
tr.v. em·pow·ered, em·pow·er·ing, em·pow·ers
1. To invest with power, especially legal power or official authority. See Synonyms at authorize.

2.
 

Initiate a formal mentoring/coaching relationship with a subordinate.

***

* Being an insider

Learn to use all informal and formal communication processes at work. The formal processes are the people you report to and who report to you. The In formal venues are the doctor's lounge, the surgeons dressing room, the cafeteria cafeteria: see restaurant. , etc.

***

* Meeting people from different disciplines

Enroll in a general MBA MBA
abbr.
Master of Business Administration

Noun 1. MBA - a master's degree in business
Master in Business, Master in Business Administration
 program. Go to Chamber of Commerce meetings.

***

* Looking at blue prints

* Working on detail-oriented projects and making every last detail correct

Volunteer for these tasks in a planning process.

***

De-energizers

* Seeing too many patients too fast

* Competing priorities

* Being tired

Think about trade-offs--Ask yourself: "What would I have to give up in order to see fewer patients or have more time? Or could I utilize a physician assistant or nurse practitioner nurse practitioner
n. Abbr. NP
A registered nurse with special training for providing primary health care, including many tasks customarily performed by a physician.
?"

***

* Handling paper work

* Details

* Constant, repetitive work

* Maintaining and continuing projects

Delegate A person who is appointed, authorized, delegated, or commissioned to act in the place of another. Transfer of authority from one to another. A person to whom affairs are committed by another.

A person elected or appointed to be a member of a representative assembly.
 to someone. Do paper work at your least productive time of the day.

***

* Repetitive aspects of clinical practice

Look for interesting areas to focus on and develop, such as wellness or some specialty.

***

* Being around depressed, bitter people--like other physicians

* Whining

* People who complain, but are unwilling to change

* Selfish self·ish  
adj.
1. Concerned chiefly or only with oneself: "Selfish men were . . . trying to make capital for themselves out of the sacred cause of human rights" Maria Weston Chapman.
, choleric chol·er·ic
adj.
1. Easily angered; bad-tempered.

2. Showing or expressing anger.
 people

* Culture of blame--no one takes ownership of a problem

* Spending excessive energy dealing with people who are unable to acknowledge that they are not doing their jobs properly

* Listening to my partners gripe gripe
v.
To have sharp pains in the bowels.

n.
1. gripes Sharp, spasmodic pains in the bowels.

2. A firm hold; a grasp.
 and try to recreate the past when there is tremendous opportunity staring stare  
v. stared, star·ing, stares

v.intr.
1. To look directly and fixedly, often with a wide-eyed gaze. See Synonyms at gaze.

2. To be conspicuous; stand out.

3.
 them in the face

* Lazy people

Look for energetic people to work with. Schedule lunch or social events with energetic people.

* Not being able to control my own time

Take a time management seminar. Again, think about trade-offs.

* Micromanagement This is about the management style. For the computer game strategy, see Micromanagement (computer gaming).
In business management, micromanagement is a management style where a manager closely observes or controls the work of their employees, generally used as a pejorative term.
 

* Inability to be able to grab a project and run with it, without people checking on you

* Being micromanaged by someone who has authority and less ability

When looking at new Jobs and prospective bosses, ask his or her subordinate about the management style.

* Organizational politics

Learn to understand and use organizational politics. Don't think they are some lesser function that people will eventually give up when they become enlightened. There will always be people who have power and are not in power positions. Learn who they are and work with them.

* Poor practice management

Hire managers who can do it right and work with the practicing physicians to do their part.

* Working with inadequate resources

* Managing by crisis instead of by planning

Explain the importance of the planning process to colleagues and encourage them to schedule time for it. Describe how a few crises you have had could have been avoided ifyou had planned ahead.

* Committee work

Think twice about going into management. But once you are there, don't expect yourself to sit in on all committees.

* Clinical managers who manage from behind closed doors and desks

Encourage and model "Management by Walking Around."

* Time controlled by entities that you have no control over

This is a partial cop out cop 1  
n. Informal
1. A police officer.

2. One that regulates certain behaviors or actions: "Faced with the world recession of the early 1980s, ... the World Bank ...
. You do have control of many things, if you are willing to make trade-offs. Get to meetings on time. If you are in charge of the meeting, start on time. If you are still in patient care, see your first patient on time.

* Clinical work

Analyze why it is a de-energizer. Are the negatives strong enough to give it up, or do you just need to make modifications? If you are determined, come up with a two to three year plan to get yourself out of clinical work and into something else.

* Too much cross country travel for single day meetings

Don't become a management consultant.

Conclusion

When career changes are chosen or forced upon you, it is an excellent time to assess what energizes and de-energizes you. "Discovering what's most important to you, and doing something about it, is what inner peace is all about." (2)

References

(1.) Breathnach, Sarah Ban. Simple Abundance. John Ruskin quoted on the page labeled May 17. New York New York, state, United States
New York, Middle Atlantic state of the United States. It is bordered by Vermont, Massachusetts, Connecticut, and the Atlantic Ocean (E), New Jersey and Pennsylvania (S), Lakes Erie and Ontario and the Canadian province of
, New York: Warner Books, 1995.

(2.) Smith, Hyrum W. The 10 Natural Laws of Successful Time and Life Management. New York, New York: Warner Books, 1994. (He quotes Kay KAY Kick Ass Year
KAY Kansas Association of Youth
 Allan in his book, The Journey From Fear to Love).

* Barbara and George Linney teach Career Choices, an eight-hour ACPE ACPE Accreditation Council for Pharmacy Education
ACPE American Council on Pharmaceutical Education
ACPE American College of Physician Executives
ACPE Association for Clinical Pastoral Education, Inc.
 seminar for physicians who are thinking about moving into medical management. Their spouses are also invited to attend, since this career change often creates anxiety for the whole family.

RELATED ARTICLE: ENERGIZERS AND DE-ENERGIZERS

What follows are the two lists from 30 participants in a recent Career Choices program, an eight-hour ACPE seminar for physicians who are thinking about moving into medical management. * Their responses may help you develop your own list.

Energizers

Making the system work

Learning new things

Being able to envision a project, develop it, and get it going

Looking at blue prints

Positive change

Having positive interactions

Energizing people about a concept that is important to the group

Developing structures in which physicians can work collaboratively

Fixing things

Solving financial problems

Problem-solving

Exercise

Getting positive feedback and gratitude

Being asked to participate

The creative part of problem-solving--brainstorming

Redesigning the way the medical staff leadership works with administrative leadership

Caffeine caffeine (kăfēn`), odorless, slightly bitter alkaloid found in coffee, tea, kola nuts (see cola), ilex plants (the source of the Latin American drink maté), and, in small amounts, in cocoa (see cacao).  

Teaching, public speaking, negotiating

Building relationships

Providing leadership for a team of people who understand what health care will be in five years

Facilitating someone else's self empowerment

Seeing a problem, recognizing the resources to solve it. and getting them together

Being an insider

Working with new projects

Working with a group of people who share a common focus

Helping people visualize possibilities

Meeting people from different disciplines

Changing older concepts and technology

Providing creative vision

Mediation, conflict resolution, encouragement

Anticipating the future

Working on detail-oriented projects and making every last detail correct

De-energizers

Seeing too many patients too fast

Handling paper work

People who don't take responsibility for their own health

Details

Being around depressed, bitter people--like other physicians

Repetitive aspects of clinical practice

Not being able to control my own time

Whining

Constant, repetitive work

Maintaining and continuing projects

Bureaucratic bu·reau·crat  
n.
1. An official of a bureaucracy.

2. An official who is rigidly devoted to the details of administrative procedure.



bu
 inertia inertia (ĭnûr`shə), in physics, the resistance of a body to any alteration in its state of motion, i.e., the resistance of a body at rest to being set in motion or of a body in motion to any change of speed or change in direction of  

People who complain, but are unwilling to change

Micromanagement

Self criticism

Being delegated other's busy work

Selfish, choleric people

Poor practice management

Inconsistency in·con·sis·ten·cy  
n. pl. in·con·sis·ten·cies
1. The state or quality of being inconsistent.

2. Something inconsistent: many inconsistencies in your proposal.
 

The phrase, "You've got to get this done because the Joint Commission is coming."

Working with inadequate resources

Culture of blame--no one takes ownership of a problem

Spending excessive energy dealing with people who are unable to acknowledge that they are not doing their jobs properly

Committee work

Inability to be able to grab a project and run with it without people checking on you

Managing by crisis, instead of by planning

Responsibility without authority

Leadership that is excessively wedded to the past

In-house calls

Clinical managers who manage from behind closed doors and desks

Time controlled by entities that you have no control over

Unrealistic expectations

Working nights, weekends, holidays

Clinical work

Listening to my partners gripe and try to recreate the past when there is tremendous opportunity staring them in the face

Competing priorities

Too much cross country travel for single day meetings

Lazy people

Being tired

Being micromanaged by someone who has authority and less ability

Organizational politics

Barbara J. Linney, MA, & George E. Linney, Jr., MD, CPE (Customer Premises Equipment) Communications equipment that resides on the customer's premises.

CPE - Customer Premises Equipment
, FACPE FACPE Fellow of the American College of Physician Executives  

Barbara J. Linney, MA, is the Director of Career Development at the American College American College is the name of:
  • American College Dublin, Dublin, Ireland
  • The American College in Madurai, Tamil Nadu, India
  • The American College of the Immaculate Conception, Leuven (also known as Louvain), Belgium
 of Physician Executives in Tampa, Florida “Tampa” redirects here. For other uses, see Tampa (disambiguation).
Tampa is a United States city in Hillsborough County, on the west coast of Florida. It serves as the county seat for Hillsborough County.GR6.
 and a member of its faculty. She can be reached at 800/562-8088.

George E. Linney, Jr., MD, CPE, FACPE, is a heath care consultant with Tyler & Company. He also teaches Career Choices for the American College of Physician Executives. He can be reached by calling 704/529-3358.
COPYRIGHT 1998 American College of Physician Executives
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 1998, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Article Details
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Author:Linney, George E.
Publication:Physician Executive
Geographic Code:1USA
Date:Sep 1, 1998
Words:1910
Previous Article:Is high touch finally here? (In the Trenches).
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