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Year : 2002  |  Volume : 19  |  Issue : 1  |  Page : 101-102

How to improve performance and achieve clinical and academic excellence

Department of Urology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India

Correspondence Address:
Santosh Kumar
Department of Urology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry
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Source of Support: None, Conflict of Interest: None

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Keywords: Improving Performance; Clinical Excellence; Academic Excellence

How to cite this article:
Kumar S. How to improve performance and achieve clinical and academic excellence. Indian J Urol 2002;19:101-2

How to cite this URL:
Kumar S. How to improve performance and achieve clinical and academic excellence. Indian J Urol [serial online] 2002 [cited 2022 Jul 6];19:101-2. Available from:

   Introduction Top

Professional excellence involves performing high qual­ity work and it consists of clinical (patient care) and aca­demic (teaching and research) excellence. Professional excellence can be achieved and maintained in the com­petitive world only by continuous improvement of per­formance.

   How to Improve Performance Top

"We are all functioning at a small fraction of our ca­pacity to live fully in its total meaning of loving, caring, creating and adventuring. Consequently, the actualizing of our potential can become the most exciting adven­ture in our lifetime. "

Herbert Otto

1. Understand the Factors of Performance

Performance is the act of doing a piece of work and also how well one does it. [1] Performance of a task is deter­mined by following factors. [2]

Performance = Ability x Motivation (Effort)

Ability = Aptitude x Training x Resources

Motivation = Desire x Commitment

Aptitude is the natural ability and interest in learning. [1] Commitment is the hard work and loyalty that someone gives to an organisation or activity. [1] Performance can be improved by increasing motivation to fully use the exist­ing ability and by increasing the ability.

2. Understand Achievement Motivation

Motivation is the set of forces that cause people to be­have in certain ways. [3] It depends on attitude or the opin­ions and feelings that one has about something. [1] The process of motivation comprises a physiological or psy­chological deficiency (need) that activates a behaviour (drive, motive) that is aimed at something that will allevi­ate the need (incentive, goal). [4]

Self-actualization needs (A.H. Maslow) involve realiz­ing our full potential and becoming all that we can be. [3] The need for achievement (D. McClelland) is the desire to accomplish a task or goal more effectively than in the past. [3] High achievers make moderately risky decisions, set moderately difficult goals, want immediate specific feedback, become preoccupied with their task and assume personal responsibility. [3] They gain intrinsic satisfaction by accomplishing the task and look at material rewards as a measurement of their performance. [4] Moderately diffi­cult goals develop mental power as moderately difficult exercise develops muscle power (overload principle). [5]

3. Develop Achievement Motivation

Achievement motivation can be developed by learning to think like high achievers, receiving personal feedback and creating a group esprit de corps that supports high effort and success. [3] Fears of failure and success and per­fectionism are to be avoided.

4. Develop Self-awareness

An accurate self-assessment of one's strengths and weaknesses can be made by self-introspection and feed­back of others because some are known to self and to oth­ers (public), some are known to self but not to others (hidden), some are known to others but not to self (blind) and some are not known to both self and others (Johari Window).

   How to Achieve Clinical Excellence Top

One should choose an area of interest such as a disease (eg., BPH) or a surgical procedure (eg., PCNL) (after careful consideration of the resources) in which one can have strong life-long commitment [Figure - 1],[Figure - 2],[Figure - 3]. Regional, national and international levels of excellence can be achieved in about 10, 15 and 20 years.

   How to Achieve Academic Excellence Top

Academics evolve naturally with strong long-term com­mitment [Figure - 4].

   References Top

1.Longman Dictionary of Contemporary English. Essex: Longman Group Ltd, 1995.  Back to cited text no. 1    
2.Lawler EE. III. Motivation in work organizations. Belmont, Calif: Brooks/Cole. 1973.  Back to cited text no. 2    
3.Moorhead G. Griffin RW. Basic concepts of motivation. In: Or­ganizational Behaviour, 3rd ed, Mumbai: Jaico. 2000: 125.  Back to cited text no. 3    
4.Luthans F. Motivational needs and processes. In : Organizational Behaviour, 9th ed. Boston: McGraw-Hill. 2002: 246.  Back to cited text no. 4    
5.Hersey P, Blanchard KH, Johnson DE. Motivation and behaviour. In : Management of Organizational Behaviour, 7th ed, New Delhi Prentice Hall of India. 2000: 24.  Back to cited text no. 5    


  [Figure - 1], [Figure - 2], [Figure - 3], [Figure - 4]


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