After finishing residency, you are fortunate to find anexcellent job as an attending emergency physician in abusy community teaching hospital. The physiciangroup is well established, with an equitable shiftdistribution and a practice plan to support theresidents’ teaching program. The emergency department (ED) sees high volumes, so there are alwayschallenging, acutely ill patients to treat. Over time, youreceive repeated comments from your fellow physicians and nurses that you are a natural leader. Soon, thechief is asking you to cover for administrative issueswhile she is away. You attend a few medical advisorycommittee and other meetings and find the interdepartmental discussions and negotiations with administration intriguing. When the chief steps down, itseems natural that you be nominated as the next chief.
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