Effective physician leaders are effective communicators. They express themselves well both orally and in writing. Further, they project an image of self-assurance and of understanding. These attributes are continuously communicated by their actions and demeanor.

Effective communication is also important because a large portion of a physician’s time is spent communicating with others. A physician’s day is filled with face-to-face communications with patients, patients’ families, employees, and referring physicians.

Here are five ways physicians can improve their communication skills when interacting with staff:

1. Be open and approachable

Physician leaders must communicate an aura of approachability. If they do not, their employees will be reluctant to tell them of potentially dangerous situations because of their fear of harsh rebuke or excessive punishment.

As a physician leader, you must not only lead; but also stay open and listen. You should try to put people at ease and listen intensively when communicating with team members. Be sure to make eye contact, smile, and ask open-ended questions. Once you have eye contact down, make sure to have an open posture when others approach you. An open posture means your shoulders are square and you are still. This can be difficult because your natural tendency may be to look down or scrunch your shoulders together.

2. Focus on clarity

People cannot be led if they cannot understand what the leader says, means, or expects. There is no place for ambiguity in practice management. Clear direction is a critical dimension of practice climate. When people understand the mission, values, standards, and expectations of the practice, they can do what needs to be done. Lack of such understanding leads to false starts, ineptness, and discontent. Every practice changes priorities as the needs of the business change. But if priorities have no real meaning, and the rules change without conscious planning and intentional explanation, it muddies decision-making and slows down momentum. Employees get worn down and cynical.

3. Explain your reasoning

When communication is used effectively, people do not feel like pawns. Rather, they understand and subscribe to the goals and values of the practice and feel empowered, not dominated. When the reasons for orders are not apparent, the likelihood of the orders being disregarded increases. Confrontation can paralyze your efforts, so avoid headbutting. Additionally, always be thinking about new ways to show your staff you appreciate them and celebrate their successes. Highlight triumphs in staff meetings.

4. Take the quality and sanctity of communication seriously

Despite the proliferation of virtual communication tools, sometimes you just need to meet with your team face-to-face, in a group. Physicians can share information with staff through regularly scheduled meetings. They can inform team members of upcoming events so people can plan ahead. Even trivial rumors must be squelched as the transmission of accurate information is vital. Making sure your staff has common goals and are working together (even when working on separate projects) is crucial to the success of your practice. In other words, if employees don’t have a clue what their co-workers are doing, it is likely that projects may overlap or interfere with one another, ultimately causing productivity to decline and perhaps hindering project growth.

5. Pay attention to reactions

One thing great communicators have in common is their heightened sense of situational and contextual awareness; they are great listeners and astute in their observations. When they talk to team members, outstanding physician leaders watch the expressions of those in the audience to be sure they are taking in what is being said. When there is any doubt, physicians must ensure understanding by making a clearer restatement or requesting that an employee repeat the message in his own words. Important oral communications are sometimes followed up in writing to ensure uptake and understanding.

It might seem easy, but communicating effectively actually takes quite a bit of finesse.  George Bernard Shaw is quoted as having said,

“The single biggest problem in communication is the illusion that it has taken place.”

Indeed the office atmosphere can often be rocky due to poor communication.

Effective communication is a necessity for positive and productive workplace interactions.  Becoming a more effective communicator will not only make your employees more motivated and productive, but will also have a positive effect on your practice environment.

Nick Hernandez, MBA, FACHE

Nick Hernandez, MBA, FACHE,, is the CEO and founder of ABISA, a consultancy specializing in strategic healthcare initiatives.

Since founding ABISA in 2007, his emphasis has been on developing and maintaining a strong relationship with physicians and identifying areas for business opportunity and support. The company’s client list includes physician groups, hospital systems, healthcare IT organizations, venture capitalists, private equity firms, and hedge fund managers.

Nick is a graduate of the United States Naval Academy and a former Captain in the U.S. Marine Corps. He holds MBA degrees in both Operations Management and Information Technology & E-Business Management from Wake Forest University. He is Board Certified in Healthcare Management and has been named a Fellow of the American College of Healthcare Executives.

He is a frequent guest lecturer and is often quoted in the national media. He has consulted with clients in multiple countries and has over 20 years of leadership and operations experience. Nick is a Subject Matter Expert in business strategy, practice management, telemedicine, health IT, and oncology.


  1. Technology has made it simpler for doctors to interact with patients. The apps like Virtual Practice (http://www.continuouscare.io) provides so many features like booking appointments online, video consultancy, medical report sharing, etc. Using such apps can improve the communication between doctors and patients.

  2. If you want to learn even more about how to communicate and improve how you relate with your staff (and people in general) you should read the book “How to Win Friends and Influence People”. It’s easily one of the best books I’ve ever read on the subject.


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