If I understand the statement correctly, I would agree that in the current job market hiring less effective personnel is more likley than in an "employer's market" when there are more applicants available to choose among. However, I believe this highlights the importance of using high quality hiring practices. Being meticulous in checking qualifications and especially references is key. I disagree with the statement that fresh perspectives cannot be gained by hiring from outside your organization. It is true that clinicians are typically not present in other industries, but hiring other professionals from diverse industries could bring great ideas into healthcare organizations.

I agree with the statement that "hiring professionals from diverse industires could bring great ideas into healthcare organizations." Recently, after a long hiring process, our organization hired an individual with 18 years of healthcare experience. Once this employee began working in our organization, it was quickly noted that he was a in the box kind of thinker, set in his/her ways, and unable to adhere to "fresh perspectives". Needless to say, this individual did not last long in the organization. Thousands of dollars were spent and lost in recruitment, re-location, and training of this individual. Months later, a new college grad with no healthcare experience was hired with an open mind, "fresh perspectives" and motivation; he/she turned out to be one of the best employees in our organization.

Maria -- Out of curiosity what type of position did you fill?