1. At a recent strategic planning retreat of a 40-

person multispecialty group, the administrator made a presentation that focused on the coming year’s plans to establish the organization’s first two primary care satellites, which would be located in two of the community’s growing suburbs. These satellites would require hiring four family practitioners and other support staff. The group also planned to offer primary care appointments by teleconsultant. This service would be promoted on the group’s website as well as on radio ads and billboards throughout the state. When the administrator finished her presentation, one of the most senior physicians stood up and said, “This is a foolish expenditure. We’re so busy now in this group, we can’t even see another patient. Our revenue was up 14% according to the previous financial presentation we heard.

There is no reason to change what we’re doing.” How might you respond to this physician?