Who creates bad doctors by Dr.T.V.Rao MD

1. WHO CREATES BAD DOCTORS?
Dr.T.V.Rao MD
Who creates Bad Doctors? Is a great question I . YOU or WE if you think sensibly we all have crated
and the system is blamed, never forget we are the system. Teachers talk morals in profession today
to hide their own ignorance contributions. In the 70’s there was a great confidence in my Teachers
and Doctors and never went for a second opinion, whatever we prescribed was final even it one dies
The majority of doctors, nurses, and other health care professionals I’ve worked are great people
who are courteous and respectful: strong teachers were compassionate caregivers. I have met
colleagues whom I would feel honoured to work alongside in the future and mentors whom I’d want
to treat my own family should they become ill. I’ve been amazed by residents who work 24-hour
shifts and somehow still have the energy to teach those who do not yet know as much as they do. I
both admire them and am grateful for them. The behaviour of the Doctor have changed dramatically
in late 80’s and many Medical colleges and more professional living in fear of survival, Since 2000 AD
the medical profession changed dramatically the enemies to Doctors were Doctors and the patients
starting understanding there is no unity in profession, Doctors are not that competent as in the past
Doctors wish to exploit the patients and many litigations started. It’s not that jerky personalities are
reserved for those at the top. There are nice people and mean people at every rank. But in a system
dependent on the proper functioning of hierarchy, it works like this: when anger and intimidation
flow down, information stops flowing up. The chain of communication becomes clogged. I say
bullying started within the profession. The culture of Profession has totally changed there is more of
hierarchy than service. Most of my friends in medicine have witnessed flagrant episodes of hospital
bullying and have juicy tales to tell. But medical disrespect is usually far less dramatic, dished out in
the form of ‘micro-aggressions’: exasperated sighs, a sarcastic tone, the dismissal of alternative
ideas. It’s the subtle put-downs about a trainee’s competence that erode confidence; the public
shaming for an incorrect answer on rounds; or the denial of simple privileges such as taking a chair
or reading a chart. It’s the psychological effect of being called by your rank instead of your name, or
having it made clear that your presence is a burden instead of a help. It’s being ignored. These are
the acts that affect our state of mind in small but cumulative ways. This is the stuff that creates a
culture. The Profession is dealt by most junior Doctors who know little of Medicine and live more in
responsibility many Professor in many Medical colleges work on many agreements to suit to relax In
teaching hospitals, As a Teacher in Microbiology there are few seniors who take responsibility to
teach train and take up any laboratory work and most complex matters are left to technicians junior
and post graduate students, as the matters progressing the post graduates will not be a position to
decide on simple matter. Today many young postgraduates live in comfort and do not wish to DO
bench work and imitate teachers/PRFOESSORS as experts a true crisis to many future patients. This
all resulted to a state no laboratory can be trusted in moment of crisis. In spite of Automation in
laboratory let us not forget a Machine is more dangerous when not controlled by the learned
professional almost the Biochemistry is left to Auto analysers and least know ledged persons that is
the true National phenomenon.. One has to run after many pathologists to get a little better opinion
It made the laboratories too contributing death and increasing morbidity. In the past the Clinical
professor are present by Dot of Time and easier to approach for help we meet on team rounds daily,
discuss updates on patients, and talk through goals for the day. Questions get run by senior
residents, and senior residents run things they’re unsure of by attending physicians. Whenever there
is uncertainty, the question works its way up the hierarchy. At the same time, decision-making
reports back down, so that the newest of the doctors carry out the plans and learn by doing. Today
few Professors to take interest to take in responsibility it is not just in India that matters going wrong

2. in developed countries too A substantial body of data attributes medical errors to interactions
among hospital workers. Calls for improved patient safety gained traction from the late 1980s
through the early ’90s, when Australian researchers reported a shocking find: the vast majority of
medical errors, some 70‑80 per cent, are related to interactions within the health care team. In the
early 2000s, a report by the Joint Commission that accredits health care organisations in the US
studied adverse events over a 10‑year period and discovered that communication failure was the
number-one cause for medication errors, delays in treatment, and surgeries at the wrong site. It was
also the second leading cause of operative mishaps, postoperative events, and fatal falls. We try to
control our Junior Doctor and Medical by our power to pass them however the students know well
what we are in real sense Brutality doesn’t make better doctors; it just makes crankier doctors. And
shame doesn’t foster improvement; it fosters more mistakes and more near-misses. We know now
that clinicians working in a culture of blame and punishment report their errors less often, pointing
to fear of repercussion.. One doesn’t have to work in a hospital long to experience or observe some
form of disrespect. This is hardly a secret. The bullying culture of medicine has been widely written
about and portrayed in popular media. In one study, published in 2012 and conducted over the
course of 13 years at the David Geffen School of Medicine at the University of California, Los
Angeles, more than 50 per cent of medical students across the US said they experienced some form
of mistreatment. Behind closed doors, we share advice on whom to hang around and whom to
avoid. Why do people behave badly? Some are just jerks. Some imitate jerks. But we also can’t
ignore a system that takes loads of formerly ‘nice’ people and churns out jaded, bitter, and gruff
ones. We have to call attention to the external factors that can contribute. The lack of sleep. The
poor hours. The system that overbooks and overworks and no poor or no support from the seniors
in the emergency hours
However I truly believe the teachers have a responsible role to make matters little better to the
patients today, we still recognise that newly minted doctors must be trained, but there are more
checks and balances in place for patient safety. Interns still see very sick patients and propose plans
of action, but those plans are run by more experienced doctors before being implemented.
TODAY THE SOCIETY IS LOSING CONFIDENCE IN TEACHING HOSPTIALS AS THE JUNIOR
DOCTORS IN THE NAME OF TRAINING DEAL MANY COMPLEX MATTERS AS WE ALL KNOW
THE PATIETNS ARE INTILLEGENT AND WISH TO VISIT A DOCTOS WITH LITTLE OF
COMMITMENT AND KNOWLEDGE
NEVER FORGET I YOU AND EVERY ONE CAN BE PATIETNS I THINK WE HAVE A
RESPOSBILITY TO CHANGE THE MATTERS CREATE BETTER DOCTORS FOR TOMORROW
HOWEVER IT IS TRUE BAD DOCTORS ARE CREATED BY I YOU WE AND ABOVE ALL MONEY ?
Ref A good contribution by 3rd year Medical students Bullying doctors are not just unpleasant, they
are dangerous. Can we change the culture of intimidation in our hospitals? Ilana Yurkiewicz is a
third-year student at Harvard Medical School and a blogger for Scientific American
Dr.T.V.Rao MD Professor Microbiology Freelance writer