the top ten es of an excellent doctor
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There are lots of gaps in medical education, which need to be be filled if we want doctors to do well. These include: Ethics, Empathy and EconomicsTRANSCRIPT
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Dr Aniruddha Malpani, MDwww.drmalpani.com
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Being a doctor today is not easy
too much worktoo much hassletoo much paperworkunhappy patientstoo much competitiontoo much despair; andtoo little reimbursement ?
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A doctor needs to wear many hats !Clinician , who has polished medical skills
Academician, who is a constant learner
Manager , who understands the business aspects of running a profitable clinic
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A doctor needs to wear many hats !CEO, who understands how to motivate staff and lead people;
Financial expert, who can manage his money
Family providerSelf caretaker, who know how to look after himself and fulfill his personal needs .
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The problemUnfortunately, while doctors are quite eager
to discuss medicine, most are unwilling to talk about the nuts and bolts of practise management
Don’t want to enrich the competition by giving away their “trade secrets” !
We can learn together and help each other
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Today’s Health Care Today’s Health Care SystemSystem
Patient
Health Insurance
Government
Information Overload
Media
The Physician
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EthicsIt’s hard to learn ethics . Need to find teachers and mentors who are ethical role models
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EmpathyProfessional skills and Compassion If the compassion is missing , then
no amount of technical competence can make up for this.
The patient does not care how much you know until he knows how much you care !
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EmpathyResidents learn
bad manners because of their huge workloads
Need to learn to hand-hold the patient during his entire journey.
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Non-verbal communication - SOFTEN
S-SmileO-Open postureF-Forward leanT–TouchE–Eye contactN-Nod
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BATHE techniqueB = Background. What’s going on ?A = Affect. Feelings. What do you
feel about it ?T = Troubles. What troubles you
about this ?H = Handle. How are you handling
this ?E = Empathy. It must be hard.
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HELP – Health Education Library for People
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EpidemiologyDoctors provide great one-on-one
medical care – this is their core competence !
Need to remember the big picture as well
Positive DeviantsUpstreamists
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EconomicsMoney is still a taboo topic – and not one which most doctors bother about.
Need to learn to be cost effective
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Entrepreneurship While medicine is a profession, every medical practice is also a small business .
Need to learn real life practice management skills
How to thrive without giving cuts
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EducationMedical college crams your heads with tons of information
Medical knowledge has a very short half life.
Need to become lifelong independent adult learners, and remain up-to-date.
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Educate your patients – please
prescribe Information Therapy !
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EquityWe are technically trained professionals, but have become cut off from the social milieu
Need to understand the economic , social and political forces which cause health inequity today.
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E- HealthEverybody seems to be in the E-Health space today, except for doctors !
Digital portfoliosEvery doctor needs their own website.
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Ego
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Become a Professional – The Trust Equation
T = C + R + I/ S, where T = TrustworthinessC= CredibilityR= ReliabilityI = IntimacyS= Self-orientation
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The joy of practising medicine – how to be a happy doctor
Treat all your patients like VIPs . A healthy doctor-patient relationship nurtures both patient and doctor !
Savor your patients. When a patient thanks you , relish that moment.
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The joy of practising medicine – how to be a happy doctor
Lots of positive feedback daily. A good doctor can have the best emotional income in the world !
Be thankful that you have the opportunity for helping others – expressing gratitude will help you find contentment
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The golden rulePatients are the practise – everything else is just paper work !
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