What are the Consequences of Bad Management in Medicine?
Numerous studies cite the importance of clinician engagement in working with Managers to improve healthcare outcomes & assisting with necessary change processes. Such studies also generally comment on how lack of medical clinician engagement can be a powerful force resisting change and that engaging with doctors on Management related issues takes a concerted effort and often requires planning.
Of late we have heard several stories about the poor experiences of medical students and medical trainees within our healthcare system including multiple cases of burnout, bullying, sexual harassment and suicide. Whilst it would be quite unfair to place all of the responsibility for ensuring a more civilized healthcare workplace at the foot of front-line managers such as Medical Bosses there is ample evidence that in situations of medical trainee welfare many Bosses are ill-equipped to assist and often not trusted by the trainees in the first place.
40% of 596 medical trainees in 2015 and 2016 who either reported having been bullied or sexually harassed indicated that they chose not to raise the matter with anyone in authority. Of the remainder who did chose to escalate, sadly the majority reported a negative outcome, including not being believed by their Supervisors or Training Directors, being told they were soft or being given the wrong advice about how to file a complaint.
 Llewellyn Anthony, Karageorge Aspasia, Nash Louise, Li Wenlong, Neuen Dennis (2018) Bullying and sexual harassment of junior doctors in New South Wales, Australia: rate and reporting outcomes. Australian Health Review. https://doi.org/10.1071/AH17224