Sunday, May 27, 2007

Build A District Empire, I Must


Yet another interesting gesture by some of my district colleagues.

My soft-spoken SHO, Dr AR, has complained to me recently about an incidence that involved her and one of the relatively more senior SHO from another department.

My SHO was tearful after being 'reprimanded' heavily by the so-called senior colleague.

The details of the incidence was not known to me, as my SHO was reluctant to carry the agony of going through the details once more. But I gathered that she must have been 'made' to given in to the incidence after being taken under heavy fire for some time. She wanted to make the incidence as 'personal' and 'off the record'. As per her soft-spoken character, I respected her decision.

If not, by virtue of my usual character, I would have summoned the 'senior' SHO for a mutual discussion.

As I was continuing my round with another SHO of mine, she told me that it was definitely not the first time that the 'senior' SHO in regard had acted this way.

"If you think she's been unreasonable, why not fight back?" I asked.

"She's more senior and her bosses cover her very well. Their department is stronger."

I was pretty much amused and subtly surprised by her comments.

I had to admit that though. My department has been a place with rapid shuffling of manpower and staffs, especially of the higher ranking ones, such as the head of department. The SHO pool was rather stable in a sense. This is partly owing to the fact that most physicians posted to the district will tend not to stay too long. They would stay for a year or so, and then got transferred away for subspecialty training.

On the other hand, there are 'hardcore' specialists in other departments who would stay in the same hospital for a long long time, thus cultivating and nurturing their own 'district empire'. Not only then, their SHOs would tend to follow suit, thus rendering an environment which is 'not intentionally' hostile, but 'much potentially' condescending for the lesser ones.

Having said so, the culprits are made up of merely a handful of them. Nevertheless, a handful is sorely more than enough.