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Oh, and also, maybe the coach was bad ... blame him! ;-)TimOn Fri, May 9, 2008 12:58 pm EDT,

Brady, MD wrote:

Tim,

So what happens when you do take the

extrabatting practice and still have a zero average for an entire season (as

thishappened to me)? Humility is a wonderful lesson, but is quite painful for

a 12year old. J

-----Original Message-----From: [mailto: ] OnBehalf Of Malia, MDSent: Friday, May 09, 2008 10:38AMTo:

jnantonucci@...;practiceimprovement1 Subject: Re:

IMPS

Good points Jean.I don't do the off-list/phone

contacts with folks like you do (I'm a " failure " at that!! ;-), but

I would like to share aperspective.In the standard office model,

we can " blame " others, or the system ingeneral, for problems. But in

an IMP model we are not as well protected fromour own

inadequacies/flaws ... we are all human of course. So theIMP model

will potentially appear to amplify our personal problems(procrastination,

perfectionism, etc) and that hard-cold-truth can hurt.But we need to be

realistic and keep trying to improve those faults. Ipersonally have about 55

flaws that are obvious from time to time. 53 ofthem I try to ignore/deny, but those other 2 are trying to be improved... a pretty good ratio if you ask

me!Point is, we have to make the right statements and ask the right

questions tokeep improving. Change the statement to, " wow, the IMP model

ishelping me realize ways I can really do better, " or perhaps

" great,because of feedback from Gordon, I've got the tools that I can use

to providebetter care! " (remember, Gordon was my chief resident back

inthe day... he's given me some real painful feedback in my life!)Since it's Spring, and I'm coaching little league baseball, I'll use ananalogy. Consider a baseball player who strikes out 3 times in a game. With

the next game, he has a clean slate. But what's important is what hedoes

between games. He can sit and mope about the 3 strike outs, but thenhe's more

likely to do the same thing the next time. Or he can take someextra batting

practice, get feedback from the coaches about his swing andhitting, etc, so

his chance of getting hits the next game actually improves.We need to do

that over and over and over again in both our offices and ourlives!And

we are fortunate to have this list and bunch of folks to use to help us.Finally, consider herself and you'll realize we can improve and doanything... her TYPING has improved so much I find it personally motivating tokeep improving myself!!! ;-))TimOn Fri, May

9, 2008 9:49 am EDT, wrote:

so,

ummI have noticed that for weeks now as I talk/email etc to many IMPS I

am justfloored by how many of you tell me " I am a failure as an

IMP " " Gordon thinks I am a failure " etc etc.If

you ar e reading this you may think this is about YOU but I cannot tell youhow

much of this I hear from ALOT of you.Would you guys buck up??I am the

whining depressed one ok? let's get our roles straightDo you like need

all hugs or what?( NAncy is my surrogate hugger talk to her atcamp)Thisgroup is made up of the best thinking hardest/creative working mosttransformitive caring good medicine practicing set of docs in thecountry.I am sorry we all get discouraged but ya gott a stop saying that stuff.You

guys are totally wonderful!well I am sure that solved everything. If you are a patient please

allow up to 4-8 hours for a reply by email/please note the new email

address/e mail may not be entirely secure/ MD115 Mt

Blue Circle ph fax

---------------------------------------- Malia, MDMalia Family Medicine & Skin Sense Laser6720 Pittsford-Palmyra Rd.Perinton Square MallFairport, NY 14450 (phone / fax)www.relayhealth.com/doc/DrMaliawww.SkinSenseLaser.com-- Confidentiality Notice --This email message, including all the attachments, is for the sole use of theintended recipient(s) and contains confidential information. Unauthorized useor disclosure is prohibited. If you are not the intended recipient, you may notuse, disclose, copy or disseminate this information. If you are not theintended recipient, please contact the sender immediately by reply email anddestroy all copies of the original message, including attachments.----------------------------------------

---------------------------------------- Malia, MDMalia

Family Medicine & Skin Sense Laser6720 Pittsford-Palmyra Rd.Perinton

Square MallFairport, NY 14450 (phone / fax)www.relayhealth.com/doc/DrMaliawww.SkinSenseLaser.com--

Confidentiality Notice --This email message, including all the attachments, is

for the sole use of the intended recipient(s) and contains confidential information.

Unauthorized use or disclosure is prohibited. If you are not the intended recipient,

you may not use, disclose, copy or disseminate this information. If you are not the

intended recipient, please contact the sender immediately by reply email and destroy

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