Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

A scrum master for primary care

C. Todd Staub, MD
Physician
October 9, 2018
Share
Tweet
Share

We should consider a new position in our primary care teams — that of the scrum master. “Scrum” is a rugby term that comes from agile, a work methodology for software development that now is being applied to industry and health care.

In rugby, a scrum is a huddle where the teams come together with interlocked arms to regroup and start play again. In agile, scrum masters facilitate team huddles and cultivate the morale and energy of the group.

Symptoms of burnout are all too common in primary care — largely because our tools and organizational structures have not kept up with the changing nature of our work. Scrum masters and agile are another way to breath new life into our teams and improve everyday workflow.

Developing muscle memory for primary care teams

Teams in primary care are relatively new with muscle memory for team play still early in formation, especially for physicians, whose training and prevailing culture have lagged behind current needs. A specific role dedicated to the strength of teams could go a long way in increasing our effectiveness.

A scrum master serves as a mix of both coach and referee. The job entails facilitating communication and team interaction while removing barriers and creating external connections. The scrum master protects the team from extraneous distractions and curates the health of the team. It is a distinct role from the product leader in agile, whose job is focused on the specific team deliverables.

During team huddles, scrum masters ask these kinds of questions:

1. What did you do yesterday?
2. What will you do today?
3. Are there any impediments in your way?

What if a new patient with a complex and rare disease enters into a primary care team’s domain? How could a scrum master facilitate a connection with the specialist team involved and accelerate collaboration? What if a team has many part-time members — a reality in today’s world? Could a scrum master help that team operate as a more cohesive whole with improved patient continuity? What if internal dynamics on a team are problematic — what could a scrum master do to restore balance and harmony?

Agile and primary care redesign

In the legacy world of hospital systems, redesign efforts are challenged by the slow pace of monthly meetings and sign-offs by multiple committees. Even simple changes seem to require triathlete levels of endurance.

Agile brings us sprints — intense bursts of rapid iteration that stand up real solutions in a matter of days and weeks. Reimagining the workflows of primary care in this manner makes real change in real time possible — and gives us hope for a better primary care model that can reduce burnout and support the professional fulfillment of clinicians. In both this larger redesign process and in our daily teamwork, we could use scrum masters at our side — pacing the flow and keeping a finger on the pulse of the team.

A new primary care platform

ADVERTISEMENT

To meet the needs of a population health model interwoven into the framework of one-on-one care, the work of primary care needs major retooling. Agile is one of the methodologies that can help us get there — and there are others, too. Lean has been a major focus over the last decade — and there are also design thinking, workflow science, organizational design, digital technologies, and intentional culture building. All of these will be needed as we create a new primary care platform that works for clinicians and for people.

In settings across the country, this crucial work to improve primary care is underway. Having a scrum master alongside us would make this journey of transformation a better team experience for everyone.

C. Todd Staub is senior vice-president, physician relations, OptumCare.

Image credit: Shutterstock.com

Prev

I learned how to be a good doctor in theater school

October 8, 2018 Kevin 4
…
Next

Avoid the power drain of life

October 9, 2018 Kevin 0
…

Tagged as: Practice Management, Primary Care

Post navigation

< Previous Post
I learned how to be a good doctor in theater school
Next Post >
Avoid the power drain of life

ADVERTISEMENT

More by C. Todd Staub, MD

  • What do cement trucks and health care have in common?

    C. Todd Staub, MD

Related Posts

  • Primary Care First: CMS develops a value-based primary care program for independent practices

    Robert Colton, MD
  • Primary care makes a difference for patients and the nation

    Glen R. Stream, MD
  • The many benefits of strengthening the primary care workforce

    Nicole Liner-Jigamian, MSW
  • Primary care faces a very difficult winter

    Ken Terry
  • The biggest health care fix: a relentless focus on primary care

    Suneel Dhand, MD
  • The hidden work of primary care

    Michelle Nall, MPH, ANP-BC

More in Physician

  • The dying man who gave me flowers changed how I see care

    Augusta Uwah, MD
  • How market forces fracture millennial physicians’ careers

    Shannon Meron, MD
  • Unity in primary care: Why I believe physicians and NPs/PAs must work together toward the same goal

    Jerina Gani, MD, MPH
  • Guilty until proven innocent? My experience with a state medical board.

    Jeffrey Hatef, Jr., MD
  • How to balance clinical duties with building a startup

    Arlen Meyers, MD, MBA
  • When life makes you depend on Depends

    Francisco M. Torres, MD
  • Most Popular

  • Past Week

    • Why palliative care is more than just end-of-life support

      Dr. Vishal Parackal | Conditions
    • When life makes you depend on Depends

      Francisco M. Torres, MD | Physician
    • Guilty until proven innocent? My experience with a state medical board.

      Jeffrey Hatef, Jr., MD | Physician
    • Why medical notes have become billing scripts instead of patient stories

      Sriman Swarup, MD, MBA | Tech
    • How denial of hypertension endangers lives and what doctors can do

      Dr. Aminat O. Akintola | Conditions
    • A powerful story of addiction, strength, and redemption

      Ryan McCarthy, MD | Physician
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years

      Larry Kaskel, MD | Conditions
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • Why doctors should rethink investing compared to the average U.S. investor [PODCAST]

      The Podcast by KevinMD | Podcast
    • How chronic stress harms the heart in minority communities

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • Could antibiotics beat heart disease where statins failed?

      Larry Kaskel, MD | Conditions
    • The dying man who gave me flowers changed how I see care

      Augusta Uwah, MD | Physician
    • Universities must tap endowments to sustain biomedical research

      Adeel Khan, MD | Conditions
    • Exploring the science behind burnout [PODCAST]

      The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 7 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why palliative care is more than just end-of-life support

      Dr. Vishal Parackal | Conditions
    • When life makes you depend on Depends

      Francisco M. Torres, MD | Physician
    • Guilty until proven innocent? My experience with a state medical board.

      Jeffrey Hatef, Jr., MD | Physician
    • Why medical notes have become billing scripts instead of patient stories

      Sriman Swarup, MD, MBA | Tech
    • How denial of hypertension endangers lives and what doctors can do

      Dr. Aminat O. Akintola | Conditions
    • A powerful story of addiction, strength, and redemption

      Ryan McCarthy, MD | Physician
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years

      Larry Kaskel, MD | Conditions
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • Why doctors should rethink investing compared to the average U.S. investor [PODCAST]

      The Podcast by KevinMD | Podcast
    • How chronic stress harms the heart in minority communities

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • Could antibiotics beat heart disease where statins failed?

      Larry Kaskel, MD | Conditions
    • The dying man who gave me flowers changed how I see care

      Augusta Uwah, MD | Physician
    • Universities must tap endowments to sustain biomedical research

      Adeel Khan, MD | Conditions
    • Exploring the science behind burnout [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

A scrum master for primary care
7 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...