Physicians Dealing With Uncertainty and Taking Risks in Business

Physicians are quite accustomed to dealing withthey had made a significant mistake with one of
uncertainty in their professional lives. As atheir patients? Given the medical-legal environment
psychiatrist, I can attest to the high degree ofthat we live in, such admissions are rare.
uncertainty in our profession. Not a day goes byPhysicians have to be invincible and perfect when
that I don't have questions about diagnoses orpracticing medicine. Expecting that mistakes will be
which medications my patients should be taking.made in business, and that this is a good thing,
For the most part, we don't even have bloodrequires a new mindset. To be successful in
tests to guide us.business requires that we be willing to make
In spite of this reality, I find that physiciansmistakes along the way. Otherwise, we will be too
engaging in entrepreneurial activities often have atimid, and progress willbe slow or nonexistent.
hard time dealing with uncertainty in business, andAdopting this new attitude does not, of course,
the associated risk of making bad decisions.imply reckless abandon. It is risky to not take
Doctors all-to-often labor under the misconceptionrisks in business, but the risks we take have to
that there has to be, or will be, absolutebe well thought out, and the actual risk minimized
knowledge before making business decisions.as much as possible.
Nothing could be further from the truth.One final thought on this subject. My professor on
Waiting for ALL the starts to line up beforeentrepreneurship at Northwestern's Kellogg School
making decisions is itself risky. Most of the time,of Management, where I got my MBA, Howard
we can never obtain complete knowledge beforeTullman (who is worth hundreds of millions of
pulling the trigger. That is the nature of business.dollars), stated, "The growth rate of a start-up is
To be successful in business requires many things,directly proportional to the entrepreneur's
and the willingness to make decisions in the facetolerance for, or indifference to, embarrassment.
of inadequate information is one of them.Growth is inherently embarrassing [because of the
Otherwise, we can fall into the trap of "analysisfailures we must experience along the way]."
paralysis."In summary, in medicine taking risks and
Given this relatively unhappy situation, mistakesexpecting failures is almost unthinkable and to
will be made as we move along the learning curve.avoided at all costs, while in business, a willingness
This is problematic for all business persons, butto take calculated risks, and the expectation of
especially so for physicians, who can never makefailures along the way, is expected and ultimately
mistakes (in medicine). Right? When was the lastrewarded.
time you heard one of your colleagues admit that