LIFE BEYOND MEDICINE DR Vidushi Sharma & DR Suresh K Pandey SuVi Eye Institute Kota India

LIFE BEYOND MEDICINE
Dr. Vidushi Sharma, MBBS (AIIMS, New Delhi), MD (Ophthalmology, AIIMS, New Delhi), FRCS (UK)
MS (Ophthalmology, PGIMER, CHANDIGARH), Anterior Segment Fellowship (USA) Director, SuVi Eye Hospital & Lasik Laser Centre C-13, TALWANDI, KOTA, RAJASTHAN, INDIA
Dr. Suresh K Pandey,
Website: www.suvieye.com Email- suvieye@gmail.com Phone +91 9351412449, 0744 2433575

Dr. Vidushi Sharma Dr. Suresh K Pandey SuVi Eye Institute & Research Centre, Kota, INDIA www.suvieye.com
Doctors day Presentation at IMA Kota, Rajasthan, India

Dr. BC Roy Physician, freedom
fighter, leader and Chief minister of West Bengal for 14 years
Life of Doctors
All professions becoming more demanding and competitive Customer care oriented jobs are increasingly difficult due to growing and aggressive consumerism
Dr. Vidushi, SuVi Eye Hospital
Life of Doctors
Need to be available 247 no routine No possibility of delegating your core work to staff The better you do, the busier you are, unlike many other professions
Busy CEOs Office
Busy Doctors Office
Manual labour or manager

Gets paid for the number of taps he fits everyday
Gets paid for the work he can get out of others
Doctors well paid skilled labour

Get paid for number of patients seen per day Days when no patient, no income Also have to get work done out of other staff, but get paid nothing for that
Demands on doctors
Serious demands to strive for excellence and high quality Environment that continually asks physicians to know more, do more and be more Above all this hangs a daily threat of complaints or litigation
Lessons to learn
Beyond clinical medicine in treating patients Beyond treatment in managing practice Beyond practice in managing life
Beyond medicine in treatment

Placebo and Nocebo effects at work The result depends upon the expectations, experience, and trust of the patient interacting with the confidence, trustworthiness, and personality of the healer A placebo effect is a component of all healing.
Placebo and Nocebo effects

Our words and the tone can be placebo or nocebo The medical team can have placebo or nocebo effects
Placebo & Nocebo effects

A rushed consultation in a noisy office interrupted by the phone The doctor himself can be a powerful placebo The doctor who fails to have a placebo effect on his patient should become a pathologist!!
Placebo and Nocebo

The placebo effect is a product of successful human interaction. A skeptical patient or an unfeeling doctor - can cause a nocebo effect Nobody should underestimate the effects of kindness, encouraging words and positive ambience to make the patient feel even better.
Placebo and Nocebo

The history of medical treatment is essentially of the placebo effect. Unfortunately, the history of medicine is turning into the high tech Nocebo effect. Anything will cure, if the patients faith is strong in it Mark Twain
Beyond medicine
Medicine is not only a science, but also the art of letting our own individuality interact with the
Practice management
Go much beyond clinical care A US survey - only 12% respondents felt that residency training had helped in practice administration Trained in diagnosis and treatment, doctors spending more time on issues like management, improvement, finance, law & communication
Or practice management?
Life Skills in Medicine

We all need life skills to navigate through life and doctors need more than most other people First rate communication, negotiation, emotional intelligence and an ability to manage conflict
Practice Management
Create unprecedented value for customers Ambience becoming very important staff, other facilities
Team Leader
Quality of supporting staff very important Settle insurance papers, other paperwork Assisting patients at various stages Doctors trained to take responsibility, but must learn to delegate all that can be delegated INVEST in good quality staff
Deal with diverse expectations
Avoiding Problems
In our society - Increasingly volatile, easily provoked society with many vested interest groups, often demanding patients tackle ugly situations
Doctor, heal thyself.
Doctors Health
Slightly better general health compared to population, primarily due to better socio-economic status Doctors appear to be reluctant patients who look after their health in a haphazard way. BMC Public health 2008
Basic needs
To be naturally tired, not stressedout after a satisfactory day's work To have enough energy when you go home to spend quality time with family To be able to look after your body, mind and spirit on a regular and enjoyable basis Is this an impossible dream?
Beyond medicine
Looking beyond your medical role towards your own personal, emotional and spiritual needs? As a result of the lifestyle and the unrealistic expectations of patients, there is a high level of stress in the profession and doctors health is suffering.
Some views
Why are doctors so unhappy?
are probably many causes, some deep. BMJ Saturday 5 May 2001 There of them
Physician Discontent.
A Barometer of Change and Need for Intervention. J Gen Intern Med. 2001 July; 16(7): 496497.
12.8% of Australian metropolitan GPs had clinical depression, anxiety or other psychiatric conditions. 2004
Old and New Equation

Old paradigm doctors studied long and hard, gave up early earnings and in return got respect, financial rewards Today, still earn well, but increasing judgement by nontechnical criteria and blame culture
Demanding patients
Some survey eye-openers

Despite recommendations, hepatitis B vaccination rates ranged from 49% to 87% among Australian doctors. Among other risk groups, such as dentists and pathology laboratory supervisors, close to 100% hepatitis B vaccination coverage
MJA 2004
Doctors Health
Working while ill is characteristic of self-employed professions but even more common among doctors Similar concerns across professions However, for doctors, it is all or none Cant decide your work timings or extent of work you want to do
Physician, heal thyself

Nature of work that demands feelings and empathy for patients when we are under overworked conditions If you are travelling with children, put on your own oxygen mask first before attending to your child
What can be done

Multi-tasking Make a list at the end of the day of things that bothered us or that we would like to change
Do not carry it too far!

Too much multitasking may actually increase stress
Some tips by other doctors

When youre out socially with colleagues, talk about things other than medicine. It will remind you that theres a world out there. Take regularly scheduled days off. Your patients will eventually get used to it Eat at least one meal a day with your family or with a friend.
Lets remember
Physical activity not computer games The great outdoors
Life beyond medicine

Friends, who are not doctors, enjoy variety Hobbies other than medical
Some tips.
Learning to say No, remembering the big picture FIND TIME FOR FAMILY, you may regret it later To care for patients effectively we must first care for ourselves.
Thank You

Dr. Vidushi Sharma, MBBS (AIIMS, New Delhi), MD (Ophthalmology, AIIMS, New Delhi), FRCS (UK)
MS (Ophthalmology, PGIMER, CHANDIGARH), Anterior Segment Fellowship (USA) Director, SuVi Eye Hospital & Lasik Laser Centre C-13, TALWANDI, KOTA, RAJASTHAN, INDIA
Dr. Suresh K Pandey,
Website: www.suvieye.com Email- suvieye@gmail.com Phone +91 9351412449, 0744 2433575

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LIFE BEYOND MEDICINE DR Vidushi Sharma & DR Suresh K Pandey SuVi Eye Institute Kota India

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LIFE BEYOND MEDICINE

Dr. Suresh K Pandey,

Website: www.suvieye.com Email- suvieye@gmail.com Phone +91 9351412449, 0744 2433575