CREATIVITY IN MEDICAL PRACTICE WHAT PATIENT’S EXPECT?
CREATIVITY IN MEDICAL PRACTICE WHAT PATIENT’S EXPECT? *Dr.T.V.Rao. MDCreativity involves the power to create and bring about change.Creativity involves originality, imagination, inspiration, andinventiveness. The visionaries and pioneers in medicine havealways looked for innovative solutions to improve the practice ofmedicine. From the earliest days, medical training was based on anapprenticeship / internship model, in which Junior Doctors learnedthe art from senior practitioners. Even with the evolution ofmodern medical colleges, which offered future physicians arigorous common training, once doctors entered the real worldthey essentially did as they pleased. Consequently, there werepronounced differences in approaches to common problems fromone clinician to another, which made few to be successful indelivering the desired results. The best that you can for eachindividual patient— many well- qualified doctors ultimately werenot delivering their patients the best care available. We areinvesting much in resources for making acceptable and successfulDoctors. The clear goal is ensuring that all patients truly receive thevery best care available, asdoctored by rigorous scientificstudies.This discrepancy between what patients should be receivingand what patients are actually receiving is the major focus ofquality reform, and reflects the new recognition that there are trulypreferred approaches—pathways—to guide disease management.
These pathways are not meant to represent a rigid schedulereflexively applied to each patient, but are intended as a summaryof the best available data, a useful design to guide further medicaldecisions.The renewed emphasis on quality has also resulted in anewfound appreciation for the role of experience and repetition inpatient care. Study after study has shown that the best physician totreat a particular problem is the one who has treated it the most; itmeans every teacher is not competent to deliver the best contentto the students as few are really talented to deliver the desiredtraining.Adding to the existing problems, Medical profession is demerited with commercial interests, many other consideration inallotment of Medical seats. Our failure to nourish and sustaininquisitive physicians seems particularly tragic because medicinehas traditionally attracted some of our brightest and mostimaginative individuals. Even at the height of the informationtechnology boom, as an example, there were still more medicalcolleges applicants than there were spaces to train them. But ifcurrent trends continue, many of these creative minds will headelsewhere, while those who stay will risk becoming stultified byrepetitious routine.Several medical schools and colleges and ahandful of foundations have recognized this emerging problem. It isresponsibility of the Academicians who run the Universities in Indiaand many emerging Nations to care to produce betterprofessionally talented Doctors. But as well-intentioned as theseefforts are, simply changing the curriculum isnt likely to fix theunderlying problem. Unless ever-savvy medical students perceivethat inquisitive thinking is truly valued in clinical medicine, and
unless exasperated physicians are inspired to believe that they havethe ability to change some aspect of the way medicine is practiced,nothing is going to change. We may lose the best hope we have ofdefeating the terrible diseases that now plague us, as patientslosing confidence in the Modern medicine and many switching toalternative Medicine, and refusing to undergo costly investigations,even some write in the death will they should not be put onVentilator as they all know many Doctors do investigate andexperiment the patients with commercial conflicts rather thangenuine idea of diagnosing a condition. The demand for Medicinemay not continue eternally unless we create confidence in thepatients. We are loaded with much of communicated knowledgerather than foundations in knowledge many think e-resources canbe a short cut to save their ignorance. Everyone who wishes tobecome a Doctor /Physician and planners in Medical educationmust continue to cultivate novelty and originality, rather thanpenalize it.Imagination is perhaps the most essential trait thatmedicine, and medical insurers, must again learn to recognize andreward. Even with the best algorithms and the brightest computers,the future of health care ultimately depends upon the creativity ofthe hardy men and women still entrusted with its delivery. Theproblem is, most of these reform efforts, while critically important,only capture half the picture. Efficiency isnt everything, and unlesswe learn to cultivate creativity as avidly as we pursue consistency,future generations of patients may find themselves stuck with thesame basic treatments theyre receiving today. It will be the samemedicine, just served quickly in modern locations with
exuberantcosts without any utility of advances in Medicine.Aspatient populations and needs grew, the requirement forconsistency and precision took priority, and now cliniciansapproach common problems in much the same way as oneanother. The rigorous training and skills associated with providingexpert medical care today leaves little room for individualization,but by fostering creativity among its practitioners, society willbenefit from the innovation and ground-breaking discoveriesrealized by those entrusted to provide the best care possible. If wedo not understand the right criticism and expectations as said byone of the patient” I want my doctor to be well-trained in Clinicalskills and visual observation so they can take a good history. Butmost of all I want the correct diagnosis based on sound sciencewithout that, we’d be back with the leeches and lobotomies. Weare heading to a situation that our patientsthink ….”Many a times itis trial and error method adopted by doctors on our patients”.Emaildoctortvrao@gmail.com