title: Catching the wave at its crest.
abstract: Leland Kaiser, PhD, a long-time member of the ACPE faculty, describes opportunities in terms of surfers. Many smaller and insignificant waves will appear before the surfer senses "the big one." The knowledgeable and skilled surfer will distinguish these small waves (mere fads in management terms) from the real one (a significant trend for the medical manager). If the surfer catches the big wave before its crest, there is a formidable danger of being too far in front and being crushed by it. If the surfer misjudges the wave and starts behind the crest, the wave will leave the surfer behind. It is only by catching the wave at or near its crest that the surfer has a chance for a long and exciting ride. And, of course, even having judged the wave perfectly, there is no guarantee of success. The surfer must still use his or her skills with daring and precision if the ride is to end in the calmer waters of the shore and not in the toss and tumble of a spill.
authors.affiliation: American College of Physician Executives, Tampa, FL, USA.
authors.forename: R
authors.initials: R
authors.lastname: Schenke
mesh_terms: D002204:Capitation Fee; D002322:Career Mobility; D003266:Continuity of Patient Care / Q000458:organization & administration / Q000592:standards; D008329:Managed Care Programs / Q000458:organization & administration* / Q000592:standards; D017146:Models, Organizational; D017063:Outcome Assessment, Health Care; D008486:Physician Executives; D011787:Quality of Health Care; D014481:United States