In part two of this response, I focus on the systemic issues involved when considering the replacement of a medical director in the emergency department and what to do about them. Part Two: Removing the Obstacles When considering whether to replace the EDMD, look for procedural, financial or organizational impediments to leadership performance. What historical ...

Question: Our Emergency Department Medical Director (EDMD) is one of the original members of our Emergency Medicine Practice. He’s primary care trained like most of our Emergency Physicians and is Emergency Medicine Board Certified but not by the American Board of Emergency Medicine. He’s practiced clinically here for years and has been the EDMD for ...

Question: Our Emergency Department Contract is coming up for renewal later this year.  We’re pleased with the physicians that are here providing the coverage, but after several years of waiting the Contract Management Group (CMG) still hasn’t recruited enough full-time doctors to fill all the shifts. They seem more intent on selling their services to ...

Question: How do we select the right contract management group? Our current provider of emergency physician services is a contract management group (CMG), the third one we’ve had in the past 12 years. The current contract is set expire later this year and the board, medical staff, and senior management team all agree that its ...