Ask the expert: As a busy medical staff leader, I find it hard to get work done in my office because of the constant interruptions. What can I do to stop these interruptions?

It is hard to stop people from simply dropping by to discuss problems or to chat. No one can expect to eliminate all interruptions, and medical staff leaders do need to interact with people to know what's going on. However, there are techniques leaders can use to control these interruptions.

Private time is essential to getting work done. Shutting the office door discourages visitors and helps physician leaders find time to catch up on correspondence and tasks. Consider placing a "do not disturb" sign on the door if people continue to interrupt.

Medical staff leaders might also leave a mailbox or bulletin board outside their offices for staff questions. They should make it clear that all messages will be given their full attention as soon as possible.

To accommodate people who really do need a face-to-face discussion, physician leaders should consider holding "office hours" once or twice a week. During this time, the leader will be in his or her office and people can drop by or set up appointments to talk.