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7 min readRead articleAn ENT clinic mixes consultations, endoscopy, hearing tests and day-care surgery. Here is how to run the people side of it.

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Share your requirementsAn ENT clinic treats ear, nose and throat conditions through consultations, endoscopy, hearing and balance tests and, in many places, day-care procedures such as sinus, tonsil and ear surgery. The team includes ENT surgeons, audiometry and speech staff, endoscopy and theatre nurses, a front desk and a billing and insurance desk. Paediatric patients form a large part of the work, which affects how staff must communicate and how the waiting area is run. Surgery days and consulting days look very different, so staff move between roles on a weekly pattern. Surgeons often operate across several hospitals, which stretches their time and the clinic's control. See also HR for healthcare.
Who does the work
Surgeons are shared across hospitals
Operating lists shift when a surgeon is called elsewhere, and the clinic's team is left idle or rushed.
Day-care days are uneven
Theatre days need many hands and consulting days need few, so staff hours swing from week to week.
Children need a different handling skill
Staff are not trained in dealing with frightened children and anxious parents, and complaints follow.
Endoscope and instrument care is informal
Cleaning and tracking of delicate instruments depends on one or two trained people.
Billing for procedures is complicated
Packages and insurance approvals sit with a few staff, and delays slow the schedule.
Agree surgeon schedules in writing
Fixed days and hours at the clinic, a notice rule for changes and a plan for backup. See role design and job descriptions.
Plan staffing by day type
A roster that separates consulting and theatre days, with a pool that moves between them. The attendance, shift and leave process supports it.
Train for working with children
A short practical session for all patient-facing staff, covering explanation, patience and parent communication.
Document instrument care
A written routine for cleaning, checking and tracking instruments, with a trained backup.
Train a second person on procedure billing
A written flow and a trained alternate so approvals do not stall when one person is absent.
Confirm with a qualified professional. What applies to you depends on your business, your state and your arrangements, and it changes. This page describes practice. It does not state a legal position.
Rosters that match theatre and consulting days.
Practical training for staff who handle children and anxious parents.
Roles that make clear who does what in theatre, endoscopy and recovery.
A credential record for surgeons, nurses and technicians with renewal dates.
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From the GullyHR blog: one on HR in healthcare, and one on each of the topics this page points to.

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Agree fixed sessions, notice for changes and a backup plan in writing, and review attendance against the agreement.
Build a roster per day type, with a pool that can move between consulting and theatre.
Simple, practical communication with children and parents, and a calm waiting area, taught to everyone who meets them.
A named, trained person with a written routine and a backup. Confirm any rules with a qualified professional.
Yes. Rosters, credentials and pay are as complex as in a hospital with far fewer people to manage them.
Together we would look at how many operating lists changed at short notice, who is trained to clean and track endoscopes, and how you staff a typical theatre day against a consulting day. A reasonable first piece of work is written surgeon schedules and a staffing plan by day type. Scope is agreed in writing afterwards.
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