Successful Medical Practise Management

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Successful Medical Practise Management - a guide for doctors

Text of Successful Medical Practise Management

  • 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