New to Meducation?
Sign up
Already signed up? Log In

CPD Tracker


Foo20151013 2023 1m9x1i7?1444774296

Creative Administration

Written by DR William LeMaire · Monday 24th September 2018

Like may of you who work for a hospital, HMO or other organized medical care, I have often been frustrated by the rigidity and dullness of administrators. Many of them go by the rules and seem to be unbending.

Once in awhile one comes across some one who does not fit into that category. A personal example will illustrate this.

After I had retired from my academic position at the University of Miami I was doing intermittent "locums" work. I had just finished a six month assignment in Okinawa, Japan and was in my traveling mode. I needed to find my next "job" and had applied to an add from Mount Edgecumbe Hospital in Sitka, Alaska. That Indian Health Service Hospital was looking for an obstetrician and gynecologist. I was interested, applied and was invited for an interview.

I liked the job and they must have liked me as I was offered a two year contact. However as a new hire they offered me only two weeks of vacation and one week of Continuing Medical Education leave. For someone with my seniority, I thought that that was insufficient and said so. I left Sitka in a sad mood as I really would have liked that job, but was not ready to accept their offer of only two weeks of vacation time. I was told that that was the Company's policy, and that they were not ready to start a precedent.

Some days later, I received a phone call from the medical director of the hospital. She started off by apologizing again that she could not offer me more vacation, as that was the Company's policy for new hires. Right away I felt discouraged, but then she added: "We really would like to have you work for us and what I can do is give you two addition weeks of unpaid leave and raise your salary by two weeks (which, by company rules she was free to do). I was elated and accepted the offer for two years. We liked it there so much that we ended up staying seven years.

I thought that this hospital administrator was using her authority to make a very creative and imaginative decision. We all benefitted.

There should be more administrators like that.

Those interested in reading more about my experiences can download an e book for free from Smashword at: or just Google: "Crosscultural Doctoring. On and Off the Beaten Path".