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In Birmingham I think because all the surgeons knew each other and each other’s skills sufficiently well that they were able to self organise - and also because the emphasis was on people dropping by so I was able to assign people without too much trouble.
I would frequently see surgeons swapping patients after a quick chat!
Maybe therefore, it’s best for managers to keep surgeons up to date with what they’re all good at – i.e. This is Bob and he’s marvellous at blogs – I guess this is where post-it notes would come in. I would expect that if you’ve got lots of people then the host/manager would have to step in a bit, but that shouldn’t be too onerous.