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Medicine as IT: why gut-feeling hiring fails

CEBM 5 · practice ★★★☆☆ 3 / 5 A management methodology drawn from practice, not a clinical study.

"We hired them because we liked them at the interview": that is how most clinics recruit. The IT industry moved away from intuition to measurable competencies long ago, and medicine should follow.

Hard-skills matrix

For physicians, a skills matrix is built with Junior / Middle / Senior levels. Each level means specific, verifiable abilities, not tenure and charm.

3
qualification levels in the matrix. A candidate is assessed on competencies, not on a subjective "I liked them".
Why it matters

Measurable criteria deliver predictable service quality and an objective basis for pay raises and career growth. The patient gets a stable outcome, not a lottery.

Benchmarking

Practices are compared against a standard, not against a sense that things are "probably fine". This is the language of numbers instead of the language of impressions.

The bottom line

A clinic is a system, not a collection of talents. Managed quality begins when we measure competencies instead of trusting intuition.

Review: hiring practices in clinics, "Double-Blind"
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