Anaesthetists in Management SIG - “SECOND-IN-CHARGE” WHAT DOES IT REALLY MEAN?

“SECOND-IN-CHARGE” – WHAT DOES IT REALLY MEAN?
T Tay
John Hunter Hospital, Newcastle, NSW

Being second-in-charge may have many different meanings – from being deputised to carry out predetermined strategies, to having the freedom to develop an individual vision, from being a manager to being a leader. The interpretation of the role will vary with the needs of the department and of the organisation, and with the capabilities and creativity of the director and the “second-in-charge” and with changes in these factors over time. Failure to identify these factors and to clearly align the role of “second-in-charge” with them can lead to frustration and lost opportunities for development of both the individuals and of the department and organisation.

This brief presentation aims to consider the clinical leadership issues of:

• Responsibility
• Authority, and
• Accountability

and to suggest performance management as a framework for clarifying and developing the role of “second-in-charge”.

Finally, the concept of “second-in-charge” itself will be challenged as being part of a “control-based” paradigm as opposed to a “commitment-based” paradigm. The suggestion will be put that, in an ideal world, all doctors should have the skill set and professional commitment to take on the role of clinical leader in response to the dynamic needs of the department and of the organisation.

Time of Presentation
Saturday 13 May 2006 - 1030-1200