期刊正文

Haseeb Nawaz,Amy C. Edmondson,Tony H. Tzeng,Jamal K. Saleh

Kevin J. Bozic,Khaled J. Saleh

Confronted with rising costs and patients who often have multiple comorbidities, the orthopaedic surgeon needs to face the challenge of providing high-quality health care. One solution is to increase and improve coordination, communication, and teamwork. The orthopaedic surgeon also needs to work effectively and efficiently to manage a fluid and shifting mix of health-care personnel partners from other disciplines and specialties to deliver high-quality patient care. The orthopaedic surgeon must collaborate in a new way with fellow health-care professionals, providing care by following teaming protocols.

In the appropriate leadership role and employing the necessary motivational, communication, and conflict-management skills, the orthopaedic surgeon must build the proper foundations for teaming through the selection of compatible, effective team members and establish the necessary collaborative teaming environment. The orthopaedic surgeon needs to lead these teams and promote communication, listening, and collaboration. The emphasis on effective communication through a horizontal hierarchy rather than an autocratic management style by the orthopaedic surgeon allows the seamless incorporation of specialty physicians as needed and facilitates teaming among orthopaedic staff.

With a facilitative environment and clear communications, teaming in patient care will occur as a learning cycle of diagnosis, design, action, and reflection. Each of these steps is critical for teaming to be successful. During diagnosis, the orthopaedic surgeon needs to effectively frame the situation. In design, the orthopaedic surgeon needs to encourage participation in the determination of the next appropriate steps for patient care. During the action step, teaming protocol emphasizes both the process of care through care-tracking and the result of that care, which is critical for reflection. Reflection is necessary for the team to improve its effectiveness and learn from its experience. However, for successful reflection and learning, the orthopaedic surgeon needs to be truly open to criticism.

To face the challenges currently within the …