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

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The Top Ten Es of an Excellent Doctor

  1. 1. Dr Aniruddha Malpani, MD
  2. 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. 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. 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. 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. 6. Today’s Health CareToday’s Health Care SystemSystem Patient Health Insurance Government Information Overload Media The Physician
  7. 7. Ethics It’s hard to learn ethics . Need to find teachers and mentors who are ethical role models
  8. 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. 9. Empathy Residents learn bad manners because of their huge workloads Need to learn to hand-hold the patient during his entire journey.
  10. 10. Non-verbal communication - SOFTEN S-Smile O-Open posture F-Forward lean T–Touch E–Eye contact N-Nod
  11. 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. 12. HELP – Health Education Library for People
  13. 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. 14. Economics Money is still a taboo topic – and not one which most doctors bother about. Need to learn to be cost effective
  15. 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. 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. 17. Educate your patients – please prescribe Information Therapy !
  18. 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. 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. 20. Ego
  21. 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. 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. 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. 24. The golden rule Patients are the practise – everything else is just paper work !
  25. 25.