LIFE OF A DOCTOR,TEAM WORK AND BEYOND ORTHOPAEDICS,Dr.Sandeep Agrawal,Agrasen Fracture Orthopaedic Hospital ,Gondia,India

Dr.Sandeep Agrawal
MS,DNB ( ORTHO )
Agrasen Hospital
GONDIA
MAHARASHTRA
INDIA
LIFE OF A DOCTOR,TEAM WORK
AND BEYOND ORTHOPAEDICS
drsandeep123@gmail.com
09960122234

A Good Life-Then
A stable job
A great dowry-cash, house, motorcycle
A Brown envelop …cut ( for some
people )
An easy life---esp. for family
A lot of money
A good social statue

A Bad Life-Now?
Decrease income-fight with Cut practise
No more Brown envelop
Decreased social statue
Less patient”s faith on doctor
Window shopping
Fight legal dispute
Change of life style- Quality of life issue
Consumer Protection Act
Clinical Establishment Act
No more drug money for wine and dine
Renal transplant done

WHAT CAN WE DO?
Awareness
Advocate
Education
Excellence
Team Work
Medical policy

The Oath of Hippocrates
I swear by Apollo Physician, by Asclepius, by
Health, by Panacea and by all the Gods and
Goddess, making them my witness, that I will
carry out, according to my ability and
judgment, this oath and this indenture. ----------
---I will use treatment to help the sick according
to my ability and judgment, but never with a
view to injury and wrongdoing. Neither will I
administer a poison to anybody when asked to
do so,------------------

Many moons ago
What a wonderful
feeling
I have whole world

Who knows what
happened to him?
Administrator?
Business Man ?
Educator?
An Orthopaedician?

Six Competencies of Residency by
ACGME (2003)
1) Patient care
2) Medical knowledge
3) Professionalism
4) Practice based learning and
improvement
5) Interpersonal and communication
skills
6) System based practice

IOM Core Competencies
Health Professions Education:
A bridge to Quality (2003)
1) Provide patient-centered
care
2) Work in interdisciplinary
teams
3) Employ evidence-based
practice
4) Apply quality improvement
5) Utilize informatics

Qualities of a Physician
 Patient welfare
paramount
 Honest but not yes
man
 Reliable
 Stability from day to
day

Qualities of a Physician
 Responsible
 Pride and Humility
 Recognizes own
limitation
 Interested in people
 Has interests other
than medicine

.Positive
Attitude
.High Emotional
Intelligence
12

Some bad features of a Doctor;
 Stubborn
 Inhumane
 Rigid
 Not considerate
 “God” like

A GOOD DOCTOR
The Product of
Brain x Heart x Hands

Keep your mind open
Be observant, anything
surrounds you could be
interesting, there is
beauty anywhere,
Even in adverse condition,
you may find something
be enjoyable

My life time
MBBS, MS,DNB
LTMGH,Sion,Mumbai
KBBH,Mumbai
Stuttgart,Germany
Paris,France
CGMH,Taiwan
SGH,Singapore
Agrasen hospital,Gondia,India

My life time
Taiwan is the one I stayed the longest,
It is the place where;
I developed my professional career,
I matured in my think process,
I nurtured my relationship
But, India is always in my mind

20
Welcome Dinnner
Cadaveric Workshop
Research Lab
Dr.Mel Lee

Dr.Binu Agrawal
We married for 10 years,
we had a wonderful life
Together till now.
We have a boy
May God give you...
For every storm, a rainbow,
For every tear, a smile,
For every care, a promise,
And an answer for each prayer.

So, what do we need?
Competitive Ability
Social Harmony
Ecological Balance
Human dignity
Quality of personal life

CONTINUE EDUCATION
IS A
WAY OF LIFE
FOR THE
MEDICAL PROFESSIONAL

The greatest mistake
you can make in life is
to be continually fearing
that you will make one

Act !
“Stop thinking in terms of limitations and start thinking in terms of possibilities”

Secret of life 1 :
Love what you are
doing,
and enjoy your job.

Secret of life 2
If you cease to enjoy
your work,
it is time to change or
retire

Secret Of Life 3:
Be Happy in all situations
31

Love your profession
and work.
God gives this
opportunity to very
few.
We are LUCKY…

12
E CARE”
• 2nd HALF 1st HALF
9 3
6
10
11
8
7
1
2
4
5

Expand Beyond Orthopedics
Orthopedics
• More interesting life
• Better for your family
• Better orthopedist
• Greater contribution
• Better example for
Dr.Sandeep Agrawal,Agrasen Hospital,Gondia India
residents

Before Orthopaedic
Multitalented
Helps ranking

The
Narrowing
Multitalented
Doctors
funneled into
a box
Medical school
Residency
Practice

Living in
a box
Home
Hospital
Clinic

Life in the box
Meet expectations?
• Happiness
• Money
• Altruism
• Achievement
British Medical Journal 1999

Life in the box
• Happiness
• Money
• Altruism
• Achievement
Happiness most
affected by
marriage, job and
health

40

Life in the box
• Happiness
• Money
• Altruism
• Achievement
$300,000 range
Appropriate
Unique
lifetime income

Life in the box
Income proportional to workload
Don’t forgot how to "make" life while busy with making money
!!!!
Money in itself is not evil; it provides food for the hungry,
medicine for the sick, clothes for the needy. Money is only a
medium of exchange.
We need two kinds of education:
a) One that teaches us how to make a living
b) One that teaches us how to live.

Life in the box
• Happiness
• Money
• Altruism
• Achievement
Robbins Lecture by Richard Layard
> $100,000 year doesn’t increase happiness

Altruism
• Volunteer – serve overseas
• Start a non-profit organization
Must leave the box
•Happiness
• Money
• Altruism
• Achievement

Volunteer
Health Volunteers Overseas
Orthopedics Overseas www.hvousa.org

Volunteer
Kaye Wilkins
Haiti

Volunteer
Jim Gage
Ecuador

Norgrove and Anne Penny
family – Uganda...
• Higher quality family life
• Children as project helpers
• Exposure to different cultures
Take your family
Penny family

Achievement
• Happiness
• Money
• Altruism
• Achievement
Consider leaving
the box
• Start a research project
• Accept challenges
• Take a sabbatical

Start a research project
Everything can be
Interesting – even
Gonorrhea
1961 Frankfurt, Germany
1961 USAF Assignment:
1. Chief of Pediatrics
2. Venereal Disease
Control Officer
JAMA: first report: 2.4m IM penicillin

Everything can be
torsion and flatfeet
1987
1985

New York
Times
Everything can be
children’s shoes
1991 Pediatrics

53

54

Physician’s public health
responsibility
“One of the first duties of the
physician is to educate the
masses…”
Sir William Osler 1849-1919

56
Educating Students

Flying adds
perspective
How important
does your box
look from
5000 feet?

Help orthopedics…
Example – living a good life
• Live out of a box
• Reasonable working hours
• Interesting and varied life
• Balanced salary and freedom
Never neglect our family, health and social responsibilities.
If asked why we do this, we would reply that "We are doing it for our family".
Yet, our kids are sleeping when we leave home. They are sleeping when we come back
home!! Twenty years later, we’ll turn back, and they’ll all be gone, to pursue their own
dreams and their own lives.

I Was Dying
• First i was dying to finish Twelth class
and enter Medical
• And then i was dying to finish MBBS and
start MS
• Then i was dying to finish MS and do
Marriage
• Then i was dying for my child to grow
enough and then dying to retire
• And now i am dying …and suddenly i
realise i forgot to live…..
• So THINK AND ACT NOW…..
59

TEAM WORK : SUCCESS MATRIX
60
1.Aim for the sky!
2.Be fair and have
empathy
3.Start slow,
consolidate, expand.
4.“Be prepared to loose
battle and win the war”
COURTESY:Dr.Bagaria Nagpur

TEAM WORK
61
Balancing academics, ethics & economics
Innovation & Research gets leg up
Group Practice models proving to be efficient &
cost effective
Surgeon reported quality of life & happiness index
Optimising cost to the patient & increasing profits

Making it happen
Key – making time

Making time
• Move closer to work?
• Smaller home?
• Fewer committees?
• Fewer patients?
Exchange income for time/freedom?

Making it happen
Make a list of the
things you would
do if you had a
year off
Start by doing the
first item of the list

"ह ाँ, मैंएक ड क्टर ह ाँ"
मुझेभगव न न समझो श यद मैैैै हकद र नह , मगर एक इ स न ह ाँ, इससेतुम्हेंभी इन्क र
नह
जब तुम िैज दगी मेंमस्त थे, मैंिैकत बों मेंव्यस्त थ , तुम्ह रेघर जश्न थ , मैंअस्पत ल
मेंमगन थ ,
तुम पररव र स ग त्योह रों की खुिैशय ाँमन रहेथे, मेर म ाँऔर मैं, द र-द र द येजल रहेथे,
िैबन न म ज त धममप छे, येह थ मदद को बढेहैं, त्यौह र हो, रववव र हो, िैदन हो य र त
हो,
फिर भी खडेहैं. िैिर तुम्हेंकोई हक नह बनत , मुझ पर ह थ उठ नेक , अपनी दोहर
म नससकत , क यरत , मुझ पर थोप के ज नेक . तुम्हेंदुननय ाँमेंल नेव ल म ाँथी, स ग मैं
भी
खड थ , तुम्ह र िैज दगी और मौत मेंबीच में, ज नेिैकतनी ब र अड थ . हक के
िैलयेिैचल्ल य तो अभद्र, थक गय तो गुनहग र, िीस म ाँगी तो ल लची, अस्पत ल
खोल तो
व्य प र. पत्थर प जनेव लेदोहरेसम ज,
मैंभी एक ज न ह ाँ,ह ाँ, मैंएक ड क्टर ह ाँ,
मगर पहलेएक इ स न ह ाँ.
68
Message to Media and
General Public

।खुश ह ।
िज दगी हैछोट , हर पल मेंखुश ह
क म मेंखुश ह , आर म मेंखुश ह
आज पनीर नह , द ल मेंह खुश ह
आज ग डी नह , पैदल ह खुश ह
दोस्तों क स थ नह , अकेल ह खुश ह
आज कोई न र ज है, उसके इस अ द ज सेह खुश ह
िजस को देख नह सकत , उसकी आव ज सेह खुश ह
िजसको प नह सकत , उसको सोच कर ह खुश ह
बीत हुआ कल ज चुक है, उसकी मीठी य द मेंह खुश ह
आनेव लेकल क पत नह , इ तज र मेंह खुश ह
ह सत हुआ बीत रह हैपल, आज मेंह खुश ह
िज दगी हैछोट , हर पल मेंखुश ह
अगर ददल को छुआ, तो जव ब देन
वरन बबन जव ब के भी खुश ह ।
रुई क गद्द बेच कर,
मैंनेइक दर खर द ल ।
ख्व दहशों को कुछ कम फकय मैंने,
69
और ख़ुशी खर द ल ।
Satisfaction
.
सबनेख़र द सोन ,
मैनेइक सुई खर द ल ,
सपनो को बुननेिजतनी,
डोर ख़र द ल ।
.
इस ज़म नेसेसौद कर,
एक िज़न्दगी खर द ल ,
ददनों को बेच और,
श मेंखर द ल ।

70
Without water, a ship cannot
move. The ship needs water, but if the
water gets into the ship, the ship will face
existential problems. What was once a
means of living for the ship will now
become a means of destruction.
Similarly we live in a time where
earning is a necessity but let not the
earning enter our hearts, for what was
once a means of living will surely become a
means of destruction for us as well.
So take a moment and ask
yourself……….
Has the water entered my ship ?
I hope Not !!!!!
• कई जीत ब की हैं
कई ह र ब की हैं
अभी तो िज दगी क स र ब की है
य ह सेचलेहैंनयी मिज़ल के सलए
येएक पन्न थ अभी तो फकत ब ब की है...!!!"

DISCLAIMER
71
.This presentation is prepared for doctors in general.
. Some graphics and jpeg files are taken from Google Image and Whatsapp • If there is any objection/or copyright violation, please inform drsandeep123@• It is intended for use only by the doctors.
. Views expressed in this presentation are personal.
• .For any confusion please contact the sole author for clarification.
• Every body is allowed to copy or download and use the material best suited There is no financial involvement.
• For any correction or suggestion please contact drsandeep123@gmail.com

LIFE OF A DOCTOR,TEAM WORK AND BEYOND ORTHOPAEDICS,Dr.Sandeep Agrawal,Agrasen Fracture Orthopaedic Hospital ,Gondia,India

Recommended

Recommended

More Related Content

Viewers also liked

Viewers also liked (18)

Similar to LIFE OF A DOCTOR,TEAM WORK AND BEYOND ORTHOPAEDICS,Dr.Sandeep Agrawal,Agrasen Fracture Orthopaedic Hospital ,Gondia,India

Similar to LIFE OF A DOCTOR,TEAM WORK AND BEYOND ORTHOPAEDICS,Dr.Sandeep Agrawal,Agrasen Fracture Orthopaedic Hospital ,Gondia,India (20)

More from AGRASEN Fracture Arthritis Hospital, Ganesh Nagar,Gondia,Maharashtra,INDIA

More from AGRASEN Fracture Arthritis Hospital, Ganesh Nagar,Gondia,Maharashtra,INDIA (7)

Recently uploaded

Recently uploaded (20)

LIFE OF A DOCTOR,TEAM WORK AND BEYOND ORTHOPAEDICS,Dr.Sandeep Agrawal,Agrasen Fracture Orthopaedic Hospital ,Gondia,India

Editor's Notes