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 Economics

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 Economics

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  • 1. Dr Aniruddha Malpani, MD
  • 2. Being a doctor today is not easy too much work too much hassle too much paperwork unhappy patients too much competition too much despair; and too little reimbursement ?
  • 3. 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
  • 4. 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 provider Self caretaker, who know how to look after himself and fulfill his personal needs .
  • 5. The problem Unfortunately, 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
  • 6. Today’s Health CareToday’s Health Care SystemSystem Patient Health Insurance Government Information Overload Media The Physician
  • 7. Ethics It’s hard to learn ethics . Need to find teachers and mentors who are ethical role models
  • 8. Empathy Professional 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 !
  • 9. Empathy Residents learn bad manners because of their huge workloads Need to learn to hand-hold the patient during his entire journey.
  • 10. Non-verbal communication - SOFTEN S-Smile O-Open posture F-Forward lean T–Touch E–Eye contact N-Nod
  • 11. BATHE technique B = 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.
  • 12. HELP – Health Education Library for People
  • 13. Epidemiology Doctors provide great one-on-one medical care – this is their core competence ! Need to remember the big picture as well Positive Deviants Upstreamists
  • 14. Economics Money is still a taboo topic – and not one which most doctors bother about. Need to learn to be cost effective
  • 15. 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
  • 16. Education Medical 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.
  • 17. Educate your patients – please prescribe Information Therapy !
  • 18. Equity We 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.
  • 19. E- Health Everybody seems to be in the E- Health space today, except for doctors ! Digital portfolios Every doctor needs their own website.
  • 20. Ego
  • 21. Become a Professional – The Trust Equation T = C + R + I/ S, where T = Trustworthiness C= Credibility R= Reliability I = Intimacy S= Self-orientation
  • 22. 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.
  • 23. 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
  • 24. The golden rule Patients are the practise – everything else is just paper work !
  • 25.