It's no secret that managers in all different fields struggle with the process of evaluating employee performance. The point of a goal-oriented evaluation is not to focus on the fact that the employee is often tardy or doesn’t complete assignments on time – those things should be initially dealt with outside of this process. Remember the old adage “No new news at the performance evaluation.” Although performance issues can be added to #3 question below as goals, the true idea

Harvard surgeon Atul Gawande, MD recently did a TED Talk titled How do we Heal Medicine. Dr. Gawande spoke about the cost and outcomes that are involved within medicine. Gawande focused on the structure of medicine and how it has been built around the concept of independence, self-sufficiency, and autonomy. He believes medicine should be more focused around a team structure, which Gawande refers to as a pit crew versus being a cowboy. A pit crew is always working together.