successful medical practise management
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Successful Medical Practise Management - a guide for doctorsTRANSCRIPT
- What will this workshop help you to do ?
- Manage your life better !
- A doctors life is very different from a businessmans or executives
- We have our own unique set of problems
- 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
- 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 .
- The problem
- Unfortunately, while doctors are quite eager to discuss medicine, most are unwilling to talk about the nuts and bolts of practise management
- Dont want to enrich the competition by giving away their trade secrets !
- We can learn together and help each other
- The solution
- There is no need to reinvent the wheel . The challenges are similar all over the world
- We can learn from our colleagues and from peers in other parts of the world
- Apply knowledge from other fields to ours !
- Being a doctor today is not easy
- Do you find that there is:
- too much work
- too much hassle
- too much competition
- too much despair; and
- too little reimbursement ?
- Common response work even harder !
- Run around from clinic to clinic, hospital to hospital
- Try to expand your practise to get more patients
- Common response work even harder !
- Only 24 hours in a day !
- Fed up and unhappy
- No time for yourself or your family
- Are you fed up of
- Long energy-exhausting hours and crushing workloads leaving little or no free time for yourself or your family ?
- Demanding dissatisfied patients ?
- Inadequate payment
- for all your hard work ?
- Need to work smarter not harder ! Need to learn tools which will:
- Give you control of your time;
- Allow you to do work which you felt was worthwhile, for patients that you enjoy seeing; and
- Pay you well for your effort, so that you enjoy going to work every day.
- Practise management skills
- Every doctor is an entrepreneur
- Needs to run a business
- These skills are never taught in medical college
- Some doctors never learn them, and struggle to manage their practise
- 5 stages of a doctors career
- Entry, when you are starting out;
- Establishment, when you have created a name for yourself;
- Exploration, when you look for new fields to conquer;
- Specialization , when you settle down in your niche; and
- Mastery, when you establish yourself as the Expert in your area of interest.
- Specialise !
- Need to carve out a niche for yourself
- Have a clear professional goal
- Shape your practise around your abilities you will become extremely good at doing what you enjoy !
- Please Prescribe Information ! Dr Aniruddha Malpani, MD HELP, Health Education Library for People www.healthlibrary.com
- Carrot and stick
- 1. Promote your practise
- Well informed patients are more faithful
- Differentiate yourself from other doctors
- Good investment !
- Can vouch for this from personal experience !
- 2. Protect you from lawsuits
- Document that you have educated your patient
- Patient autonomy
- Autonomy = freedom to decide
- Doctors need to
- 1. present the options to the patients and
- 2. allow patients to choose for themselves
- Informed choice means patients need information
- Allowing patients to choose
- With advances in medical therapy, there are often many treatment options available for any medical problem
- Do not choose for the patient how can you read the patients mind or foretell the outcome ?
- Present the information and let the patient decide
- Educating patients
- Most doctors do not spend much time educating their patients.
- This is a shame. The primary role of a doctor should not be merely treating an illness, but rather helping people remain healthy, and educating patients is vitally important for this.
- Doctor ( docere) = Teacher
- In ancient India, doctors were paid only if their patients were in good health. If someone fell ill, the doctors payments were stopped until he treated the illness successfully. This was a very useful model, which should be more widely practised!
- Barriers - 1
- Most of us do not have the time to encourage questions from patients.
- Most doctors are just not very good at communicating with their patients.
- Doctors are used to talking medicalese
- Barriers - 2
- Educating the patient is simply not valued enough
- It is not seen to be glamorous
- It is not financially rewarding.
- It can be quite boring to repeat the same stuff again and again.
- Encourage questions !
- Some doctors feel threatened by a patients questions. This is not the right perspective at all. Remember: both doctor and patient have a similar goal to make the patient better and questions should be encouraged and answered, rather than leaving doubts to fester a situation that can create unnecessary problems in the future.
- Benefits of patient education - 1
- Happier patients , because they have been treated as intelligent adults.
- Patient education is important as a practice promoter: patients appreciate that the doctor has taken the time and effort to inform and teach them.
- Benefits - 2
- Patients forget over half of what the doctor tells them, because of the stress of the consultation. Giving them printed materials to read at home will help prevent midnight calls .
- Printed educational materials help to increase patient compliance
- Benefits - 3
- Patient education helps to improve public health. Educational materials are read by the entire family, and community health awareness can help to reduce quackery .
- People respect the printed word especially when given by the doctor !
- Best form of CME for the doctor !
- Remember that the inquiring and well-informed patient can teach you much more about medicine than any textbook !
- A patients questions will make a good doctor think about things that otherwise he or she might take for granted.
- Best form of CME for the doctor !
- Help you to improve the quality of your medical practice. The well-informed patient may help make you aware of advances occurring in other parts of the world that you as a busy doctor might otherwise overlook.
- Helps to improve empathy
- Reading information intended for the patient can teach you to look at things from the patients point of view. This helps to increase your empathy a very desirable goal.
- Reduce risk of complications
- Patient education can actually reduce the risk of inadvertent complications. After all, doctors are human and may make errors . The well-informed patient can sometimes point out possible problems with a treatment plan that the doctor may have overlooked (for example, patients with G6PD deficiency)
- Reduce quackery
- Educating patients will help prevent health fraud and quackery. If doctors teach their patients about what can be done to help them, as well as the limit