However, the chain of command within the organizational structure of a medical practice is often challenging. 0000009404 00000 n 0000011567 00000 n Refusal to carry out an order is almost always considered insubordination; the only exception usually allowed is if the order itself is illegal (i.e., the person carrying out the order would be committing an illegal act). The person at the top of the chain of command has the most responsibility within the company and thus also the final say on decision-making. Even in these cases, though, it’s possible to clearly define the roles. U.S. Post Office on a DOD installation does not require previous military service; however, it is essential to understand the military’s chain of command and understand how to be successful in that community. 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