the top ten es of an excellent doctor

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Dr Aniruddha Malpani, MD www.drmalpani.com

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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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Page 1: The Top Ten Es of an Excellent Doctor

Dr Aniruddha Malpani, MDwww.drmalpani.com

Page 2: The Top Ten Es of an Excellent Doctor

Being a doctor today is not easy

too much worktoo much hassletoo much paperworkunhappy patientstoo much competitiontoo much despair; andtoo little reimbursement ?

Page 3: The Top Ten Es of an Excellent Doctor
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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

Page 5: The Top Ten Es of an Excellent Doctor

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 providerSelf caretaker, who know how to look after himself and fulfill his personal needs .

Page 6: The Top Ten Es of an Excellent Doctor

The problemUnfortunately, 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

Page 7: The Top Ten Es of an Excellent Doctor

Today’s Health Care Today’s Health Care SystemSystem

Patient

Health Insurance

Government

Information Overload

Media

The Physician

Page 8: The Top Ten Es of an Excellent Doctor
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Page 11: The Top Ten Es of an Excellent Doctor

EthicsIt’s hard to learn ethics . Need to find teachers and mentors who are ethical role models

Page 12: The Top Ten Es of an Excellent Doctor

EmpathyProfessional 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 !

Page 13: The Top Ten Es of an Excellent Doctor

EmpathyResidents learn

bad manners because of their huge workloads

Need to learn to hand-hold the patient during his entire journey.

Page 14: The Top Ten Es of an Excellent Doctor

Non-verbal communication - SOFTEN

S-SmileO-Open postureF-Forward leanT–TouchE–Eye contactN-Nod

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BATHE techniqueB = 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.

Page 16: The Top Ten Es of an Excellent Doctor

HELP – Health Education Library for People

Page 17: The Top Ten Es of an Excellent Doctor

EpidemiologyDoctors provide great one-on-one

medical care – this is their core competence !

Need to remember the big picture as well

Positive DeviantsUpstreamists

Page 18: The Top Ten Es of an Excellent Doctor

EconomicsMoney is still a taboo topic – and not one which most doctors bother about. 

Need to learn to be cost effective

Page 19: The Top Ten Es of an Excellent Doctor

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

Page 20: The Top Ten Es of an Excellent Doctor

EducationMedical 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.

Page 21: The Top Ten Es of an Excellent Doctor

Educate your patients – please

prescribe Information Therapy !

Page 22: The Top Ten Es of an Excellent Doctor

EquityWe 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.

Page 23: The Top Ten Es of an Excellent Doctor

E- HealthEverybody seems to be in the E-Health space today, except for doctors !

Digital portfoliosEvery doctor needs their own website.

Page 24: The Top Ten Es of an Excellent Doctor

Ego

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Become a Professional – The Trust Equation

T = C + R + I/ S, where T = TrustworthinessC= CredibilityR= ReliabilityI = IntimacyS= Self-orientation

Page 26: The Top Ten Es of an Excellent Doctor

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.

Page 27: The Top Ten Es of an Excellent Doctor

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

Page 28: The Top Ten Es of an Excellent Doctor

The golden rulePatients are the practise – everything else is just paper work !

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