Page 4 Duke Hospital, InterCom Supt^^ Coxnex By Charles H. Freiizel Kenovations, new buildings, larger ])arking lots, and changing road pat terns are signs of j)rogress and are inevitable in the life of a dynamic and growing organization. Cnrrent changes at Duke TTnivei-sity Medical Center, however, nuist leave some of us with feelings of sadness. We can’t help but think back to the days gone by when life at Duke was less com plicated and the pace more leisurely. These changes suggest more than physical alteration and growth. The nature of the new l)ui]dings and the obviously increasing inadequacy of the old indicate the changing scope and range of functions in the Medical Center. We are seeing new patients, needing different things done for them, and we are adding constantly to the things tliat can be done for them. Organization, staffing, and work patterns must adapt tliemselves to the functions to be performed. This can be done piece by piece, reacting to each major change, and meeting each demand as it arises. This lias been the pattern of change iu many areas of Duke Hospital. There comes a time, however, when the basic or ganizational pattern is so distorted by change that it no longer can ef fectively function. Often existing categories of personnel are called up on to perform functions for which they have not been ade(|uately ])re- pared. Realizing tliat this has hai)|)ened in many areas of the hospital, we are currently planning a comprehen sive study in a ]>atient ward ai-ea to determine the i)resent elements of complete patient care and ward man agement. It is anticipated that the organization of the ward will be changed so as to best meet its needs. McDowell Ward has been selected as the test ward, and the studies will begin there in the next few weeks. We will keep you informed of the findings in the study and of the or ganizational changes made in an ef- George Kanter Named Personnel Director George B. Kantner has l>een ap pointed personnel director of the Duke University Medical Center. Mr. Kantner recently retired from the U. S. Marine Corps after 20 years' service. He attained the rank of colonel and last year was a member of the Military Studies and Liaison Division of the Weapons Systems Evaluation Grouj), Department of Defense, in Washington, D. i'. Dur ing World War IT, he served in the Pacific Theater, and from 194()-49 was an assistant ])rofessor iu the Naval ROTC unit at Duke Univer sity. Born in Somerset, Pa., Mr. Kantner received the B.S. degree from Pennsylvania State College and did graduate work in i)ersonnel man agement at George Washington Uni versity. Mr. Kantner succeeds Richard A. Bindewald who had been hospital j)ersonnel officer since 1954. Mr. Bindewald has been named assistant to the dean of the Duke University Medical School. In this capacity, Mr. Bindewald will assist Dean Woodhal] in business administrative matters pertaining to the Scliool of Medicine. Geome B. Kantner From The Auxiliary fort to improve patient care. AVe feel that this pilot study will have worth while effects throughout the Medical Center. By Carolyn Hackney Auxiliary members and guests at tending the Memberslii]) meeting No vember 9 were given an inside view of what it takes to operate an insti tution the size of Duke Hospital. Held in the hos])ital’s Ambulatory Dining Room, the meeting was billed as “Know Your Hospital” night and featured a ])a7iel discussion by hos pital staff members. Su))erintendent Charles Frenzel jiresided over a mock staff' meeting attended by George Kantner, personnel; Mary (Catherine Male, dietetics; Margaret Mitchell, luirsing; and Charles Boone, admin istration. With the use of a blackboard Mr. Frenzel revealed the staggering cost of operations. Basic cost ]>er patient per day averages $28.50. There are three employees for every i)atient.- a total of 2100 persons. With the i>a- tient census and the cost of i)atient care always on the increase, the hos pital’s 2() departments work luider a constant budget deficit. Miss Mitchell pointed out that the nursing shortage conthiues to be a serious problem causing grave con- (!ern. She described the efforts of Duke Medical Center to recruit more luirses througli luitional advertising and tlirough a large scliolarship pro gram which includes the Auxiliary’s nursing scholarship. Duke has more dietetic interns than any other institution in the south, accoi'ding to Miss Male. The Auxili ary members could, of course, appr‘- ciale the problems faced by a de partment which must plan and serve .'J,000 varied uu'als a day! .Ml'. Boone stressed the pi'obU'uis of maintenance and renovation to the building. Among the figures which (lramatiz(‘d the magnitude of the o]>- eration at Duke lIosi)ital were som(> 3 million cubic feet of oxygen used per year and three and a half million pounds of laundry washed and finished yearly. The thanks of the Auxiliai-y go to Mr. Frenzel and liis staff' for an in formative program.

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