029 - Medicine and Managerialism: A Clash of Values

J.-C. Spender, PhD, is an engineer-turned-business school professor, an author, an expert on the history of business education, and he’s a former business executive and business school dean. These credentials equip him to have insight into the goings-on of business schools and real expertise in the practical challenges of graduate business education. Dr. Spender has a distinct philosophical bent which surfaces in this episode (and more so in Part 2 of this interview—Episode #30). He sports a professorial persona, likely honed with endless graduate students, which means a few pugilistic remarks punctuate our conversation even when we are in “violent agreement.”<br /><br />I asked him to come onto the LTL podcast to talk about Managerialism. He and Robert R. Locke co-wrote the book Confronting Managerialism—How the Business Elite and their Schools Threw our Lives out of Balance.<br /><br />Dr. Spender makes it clear from the get-go that controversy related to managerialism must be seen in terms of conflicting values. By necessity, there are distinct values driving people who are involved in the financial or operational details of large organizations. He believes critics of managerialism might suffer from the delusion that it’s possible to run a complex organization without applying attention and resources to maintaining the multiplicity of needs of the enterprise itself. This “idiotic and fruitless” stance ignores the fact that friction between managers and professionals represents an inevitable clash of values.<br /><br />In this episode Dr. Spender says “The issues of managerialism in the healthcare sector are extraordinarily important--they are the cutting edge of getting a sense of how on earth do we manage these systems?”<br /><br />In this episode:<br /><br />-Principles and theory—the scaffolding for the actual practice of a profession<br />-Tacit knowledge—you won’t escape this podcast without a clear picture of the critical nature of experiential learning<br />-Principles and theory must step aside to a