Can surgeon motivation and inclusion save patients?

If you are a healthcare executive and you have a partnered with a surgical group here are a few of my micro probing questions:

What do you do if your "Best" surgeon has the worst attitude and bedside manner?

What do you do if your "Best" surgeon always threatens they will leave unless incentivised more?

What do you do if your "Best" surgeon does not care about quality scores, and is not afraid of Joint Commission?

What do you do if your "Best" surgeon does not respect the executive team or surgical staff?

What are the answers?

There are many hospitals that are in this position right now. I have worked in many hospital Surgical Service lines of various sizes. We thrive in this type of environment. Why, might you ask? Because I know surgeons care and I know I care about patients. The solution starts with a physicians trusting leadership, being involved with the vision, creating and utilizing physician champions,creating a physician "agreed" upon behavioral standard, involving physicians in improvement solutions..much much more.