Clinical Practice Performance Wheel

Francine R. Gaillour, MD

Executive and Career Coach for Physicians

Physician Development Needs Assessment™

Name: ______

Contact Phone # and Email ______

How did you hear about us? ______

Your current position______

______

Directions:

On the next three pages, please rate the following key areas as to where you would like to see improvement regarding your development.

Scale is:

5 Very important

4 Important

3 Slightly important

2 Not certain

1 Does not apply

Email or fax your completed assessment to me before our Introductory Meeting.

FAX: (206) 686-4205

Low High / Leadership and Team Performance
1 2 3 4 5 / Planning and Budgeting: establishing detailed steps and timetables for achieving results and then allocating the resources necessary to make it happen
1 2 3 4 5 / Establishing Direction: developing a vision of the future, often the distant future, and strategies for producing the changes needed to achieve that vision
1 2 3 4 5 / Organizing and Staffing: establishing a structure for accomplishing plan requirements, staffing that structure with people, delegating authority for carrying out the plan, providing policies and procedures to guide people, and creating methods or systems to monitor implementation
1 2 3 4 5 / Aligning People: communicating the direction by words and deeds to all those whose cooperation may be needed so as to create a team that understands the vision and strategies and accepts their validity
1 2 3 4 5 / Controlling and Problem Solving: monitoring results in detail, identifying deviation from the plan, and then organizing to solve these problems
1 2 3 4 5 / Motivating and Inspiring: energizing people to overcome major political, bureaucratic, and resource barriers to change by satisfying basic, but often unfulfilled, human needs
1 2 3 4 5 / Promoting Stability and Cooperation: creating the potential of consistently producing key results
1 2 3 4 5 / Promoting Change: creating the potential of producing useful change and innovation, such as a new product, service or process

*Adapated from the Coactive Coaching Toolkit

Other comments:

Low High / Professional or Career Development
1 2 3 4 5 / Self Awareness of Strengths and Talents: understanding what you do best, what your special gifts and talents are and how these can be fully expressed professionally
1 2 3 4 5 / Establishing Presence Within or Outside of Your Current Organization: creating awareness of you and your positive impact; creating awareness of your expertise and thought leadership regionally or nationally through speaking and writing
1 2 3 4 5 / Researching Career Options and Potential Direction: assessing career alternatives, professional paths and industry options, based on your unique strengths, current skills, future skills, and ideal work-life scenarios
1 2 3 4 5 / Cultivating a Network of Contacts: establishing and maintaining a network of people within and outside your industry who can enhance your knowledge and be a future resource for you
1 2 3 4 5 / Building a Leverage Portfolio of Accomplishments: developing and communicating key achievements that can serve as springboard to new opportunities
1 2 3 4 5 / Creating a Compelling Resume: having an updated, crisply-formatted, accomplishment-focused resume that can be easily customized for each employment opportunity
1 2 3 4 5 / Building New Skills : developing business, communication and domain-specific skills that will enhance your performance and attractiveness
1 2 3 4 5 / Communicating with Decision-Makers: developing confidence and proficiency in making contact with decision-makers within or outside your organization
1 2 3 4 5 / Presenting Yourself with Polish and Professionalism : looking professional, approachable and attractive; behaving in a professional and powerful manner during critical meetings and interviews
Low High / Market and Business Development
1 2 3 4 5 / Understanding your company’s core competency: knowing clearly what you or your company does extremely well
1 2 3 4 5 / Developing the main points of business plan: drafting the main elements of business plan including descriptions of: product plan, market plan, competition, differentiation, sales strategy, financial pro forma, capital needs, development plan, operation plan
1 2 3 4 5 / Differentiating your product or service from competition and alternatives: establishing what sets your product or service apart from the competition or alternatives that a customer is currently using
1 2 3 4 5 / Packaging and pricing your product or services effectively: developing creative packing, bundling or tiers of service in order to increase your customer’s comfort with purchasing
1 2 3 4 5 / Creating awareness of your product or service through personal promotion and/or advertising: developing multiple channels of promotion including marketing material, public relations, advertising, active promotion in public forums
1 2 3 4 5 / Developing strategic alliances with companies and organizations: establishing ties with organizations who can accelerate the buying process or open channels for your product or service
1 2 3 4 5 / Contacting decision-makers within prospective customer organizations and closing business: approaching and entering target customers, developing a sales process for securing business
1 2 3 4 5 / Managing the operations of your business : managing or delegating the product development, operations, sales and delivery for the business
1 2 3 4 5 / Presenting Yourself with Polish and Professionalism : presenting yourself as professional and approachable; behaving in a powerful manner as the representative of your company; having professional brochures and promotional material

1. What are the personal or professional goals you most want to achieve? In what areas of your life or business do you most want to see improvement?

2. How will you feel when you achieve those goals/results? What will that bring you or your organization?

3. What are some of the obstacles or challenges that are in your way?

4. How will you feel if you don’t achieve those results? What are the consequences of not achieving your goals?