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Case: a Phil Redding, assistant administrator at Glory Hospital, has been assigned by Victor Alan to serve on the medical staff recruitment committee. The physicians

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Case: a Phil Redding, assistant administrator at Glory Hospital, has been assigned by Victor Alan to serve on the medical staff recruitment committee. The physicians on the committee include Bill McKenna, a young internist and chairman; Steve Stromboli, another internist; Lou Arfus, an obstetrician; and Bill Brown, chief of pathology. On the agenda of the committee is the recruitment of a neurosurgeon and two general practitioners. The first committee meeting is scheduled for 8:00 a.m. Redding arrives at 8:00a.m., McKenna at 8:05, and Stromboli and Arfus by 8:30, when the meeting begins: Brown arrives at 8:45. McKenna reviews past attempts to recruit a neurosurgeon and how difficult it has been because of the shortage of neurosurgeons, the amount of malpractice insurance required for the specialty, and the lack of coverage, because the hospital patient load is sufficient to support only one neurosurgeon. Recruitment is hampered by the presence of an inferior neurosurgeon at a neighboring hospital and by Glory Hospital's not yet having obtained a CAT scanner. Stromboli suggests that someone attend the next national neurosurgery meeting and that the hospital advertise in the appropriate medical journals. McKenna asks Stromboli to prepare a recruitment plan, with specifics, for the next meeting. Regarding general practice, McKenna says that the hospital governing board would guarantee one year's income to each of the two new physicians. Board members have indicated that some people in town have experienced difficulty lately in obtaining a regular physician. Arfus says that he is unaware of any physician shortage and that no one guaranteed him an income when he started practice: he leaves for the operating room. Redding points out that other hospitals in the area have guaranteed first year incomes to physicians; it cost one hospital less than $10,000 last year, and the hospital's occupancy was improved. Stromboli says that doesn't mean it will happen here. "I am still taking new patients. Aren't you, Bill?" McKenna replies, "Yes, on a limited basis, but I have restricted my practice to gastroenterology." Stromboli says that he has to leave the meeting. Brown says to Redding, "Keep up the good work, Phil.," as he gets up to leave the meeting. McKenna then says to Redding, "Well, that went over like a lead balloon. Let's see what happens at the next meeting." Outline the kinds of leadership on Bill McKenna's part that is needed to make this committee work

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