1. 1. Dr.Sandeep AgrawalMS,DNB ( ORTHO )Agrasen HospitalGONDIAMAHARASHTRAINDIALIFE OF A DOCTOR,TEAM WORKAND BEYOND ORTHOPAEDICSdrsandeep123@gmail.com09960122234
2. 2. A Good Life-ThenA stable jobA great dowry-cash, house, motorcycleA Brown envelop cut ( for somepeople )An easy life---esp. for familyA lot of moneyA good social statue
3. 3. A Bad Life-Now?Decrease income-fight with Cut practiseNo more Brown envelopDecreased social statueLess patients faith on doctorWindow shoppingFight legal disputeChange of life style- Quality of life issueConsumer Protection ActClinical Establishment ActNo more drug money for wine and dineRenal transplant done
4. 4. WHAT CAN WE DO?AwarenessAdvocateEducationExcellenceTeam WorkMedical policy
5. 5. The Oath of HippocratesI swear by Apollo Physician, by Asclepius, byHealth, by Panacea and by all the Gods andGoddess, making them my witness, that I willcarry out, according to my ability andjudgment, this oath and this indenture. -------------I will use treatment to help the sick accordingto my ability and judgment, but never with aview to injury and wrongdoing. Neither will Iadminister a poison to anybody when asked todo so,------------------
6. 6. Many moons agoWhat a wonderfulfeelingI have whole world
7. 7. Who knows whathappened to him?Administrator?Business Man ?Educator?An Orthopaedician?
8. 8. Six Competencies of Residency byACGME (2003)1) Patient care2) Medical knowledge3) Professionalism4) Practice based learning andimprovement5) Interpersonal and communicationskills6) System based practice
9. 9. IOM Core CompetenciesHealth Professions Education:A bridge to Quality (2003)1) Provide patient-centeredcare2) Work in interdisciplinaryteams3) Employ evidence-basedpractice4) Apply quality improvement5) Utilize informatics
10. 10. Qualities of a Physician Patient welfareparamount Honest but not yesman Reliable Stability from day today
11. 11. Qualities of a Physician Responsible Pride and Humility Recognizes ownlimitation Interested in people Has interests otherthan medicine
12. 12. .PositiveAttitude.High EmotionalIntelligence12
13. 13. Some bad features of a Doctor; Stubborn Inhumane Rigid Not considerate God like
14. 14. A GOOD DOCTORThe Product ofBrain x Heart x Hands
15. 15. Keep your mind openBe observant, anythingsurrounds you could beinteresting, there isbeauty anywhere,Even in adverse condition,you may find somethingbe enjoyable
16. 16. My life timeMBBS, MS,DNBLTMGH,Sion,MumbaiKBBH,MumbaiStuttgart,GermanyParis,FranceCGMH,TaiwanSGH,SingaporeAgrasen hospital,Gondia,India
17. 17. My life timeTaiwan 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 relationshipBut, India is always in my mind
18. 18. Rediscover blue sky in Taipei
19. 19. Time to fulfill my dream
20. 20. 20Welcome DinnnerCadaveric WorkshopResearch LabDr.Mel Lee
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23. 23. Dr.Binu AgrawalWe married for 10 years,we had a wonderful lifeTogether till now.We have a boyMay God give you...For every storm, a rainbow,For every tear, a smile,For every care, a promise,And an answer for each prayer.
24. 24. So, what do we need?Competitive AbilitySocial HarmonyEcological BalanceHuman dignityQuality of personal life
25. 25. CONTINUE EDUCATIONIS AWAY OF LIFEFOR THEMEDICAL PROFESSIONAL
26. 26. The greatest mistakeyou can make in life isto be continually fearingthat you will make one
27. 27. Act !Stop thinking in terms of limitations and start thinking in terms of possibilities
28. 28. Secret of life 1 :Love what you aredoing,and enjoy your job.
29. 29. Secret of life 2If you cease to enjoyyour work,it is time to change orretire
30. 30. Secret Of Life 3:Be Happy in all situations31
31. 31. Love your professionand work.God gives thisopportunity to veryfew.We are LUCKY
32. 32. 12E CARE 2nd HALF 1st HALF9 361011871245
33. 33. Expand Beyond OrthopedicsOrthopedics More interesting life Better for your family Better orthopedist Greater contribution Better example forDr.Sandeep Agrawal,Agrasen Hospital,Gondia Indiaresidents
34. 34. Before OrthopaedicMultitalentedHelps rankingDr.Sandeep Agrawal,Agrasen Hospital,Gondia India
35. 35. TheNarrowingMultitalentedDoctorsfunneled intoa boxMedical schoolResidencyPracticeDr.Sandeep Agrawal,Agrasen Hospital,Gondia India
36. 36. Living ina boxHomeHospitalDr.Sandeep Agrawal,Agrasen Hospital,Gondia IndiaClinic
37. 37. Life in the boxMeet expectations? Happiness Money Altruism AchievementDr.Sandeep Agrawal,Agrasen Hospital,Gondia IndiaBritish Medical Journal 1999
38. 38. Life in the box Happiness Money Altruism AchievementHappiness mostaffected bymarriage, job andhealthDr.Sandeep Agrawal,Agrasen Hospital,Gondia India
39. 39. Dr.Sandeep Agrawal,Agrasen Hospital,Gondia India40
40. 40. Life in the box Happiness Money Altruism Achievement$300,000 rangeAppropriateUniquelifetime incomeDr.Sandeep Agrawal,Agrasen Hospital,Gondia India
41. 41. Life in the boxIncome proportional to workloadDont 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 amedium of exchange.We need two kinds of education:a) One that teaches us how to make a livingb) One that teaches us how to live.Dr.Sandeep Agrawal,Agrasen Hospital,Gondia India
42. 42. Life in the box Happiness Money Altruism AchievementRobbins Lecture by Richard Layard> $100,000 year doesnt increase happinessDr.Sandeep Agrawal,Agrasen Hospital,Gondia India
43. 43. Altruism Volunteer serve overseas Start a non-profit organizationMust leave the boxHappiness Money Altruism AchievementDr.Sandeep Agrawal,Agrasen Hospital,Gondia India
44. 44. VolunteerHealth Volunteers OverseasOrthopedics Overseas www.hvousa.orgDr.Sandeep Agrawal,Agrasen Hospital,Gondia India
45. 45. VolunteerKaye WilkinsHaitiDr.Sandeep Agrawal,Agrasen Hospital,Gondia India
46. 46. VolunteerJim GageEcuadorDr.Sandeep Agrawal,Agrasen Hospital,Gondia India
47. 47. Norgrove and Anne PennyDr.Sandeep Agrawal,Agrasen Hospital,Gondia Indiafamily Uganda... Higher quality family life Children as project helpers Exposure to different culturesTake your familyPenny family
48. 48. Achievement Happiness Money Altruism AchievementConsider leavingthe box Start a research project Accept challenges Take a sabbaticalDr.Sandeep Agrawal,Agrasen Hospital,Gondia India
49. 49. Start a research projectEverything can beInteresting evenGonorrhea1961 Frankfurt, Germany1961 USAF Assignment:1. Chief of Pediatrics2. Venereal DiseaseControl OfficerJAMA: first report: 2.4m IM penicillinDr.Sandeep Agrawal,Agrasen Hospital,Gondia India
50. 50. Start a research projectEverything can beInteresting eventorsion and flatfeetDr.Sandeep Agrawal,Agrasen Hospital,Gondia India19871985
51. 51. Start a research projectDr.Sandeep Agrawal,Agrasen Hospital,Gondia IndiaNew YorkTimesEverything can beInteresting evenchildrens shoes1991 Pediatrics
52. 52. Dr.Sandeep Agrawal,Agrasen Hospital,Gondia India53
53. 53. Dr.Sandeep Agrawal,Agrasen Hospital,Gondia India54
54. 54. Physicians public healthresponsibilityOne of the first duties of thephysician is to educate themassesSir William Osler 1849-1919Dr.Sandeep Agrawal,Agrasen Hospital,Gondia India
55. 55. Dr.Sandeep Agrawal,Agrasen Hospital,Gondia India56Educating Students
56. 56. Flying addsperspectiveHow importantdoes your boxlook from5000 feet?Dr.Sandeep Agrawal,Agrasen Hospital,Gondia India
57. 57. Help orthopedicsExample living a good life Live out of a box Reasonable working hours Interesting and varied life Balanced salary and freedomNever 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 backhome!! Twenty years later, well turn back, and theyll all be gone, to pursue their owndreams and their own lives.Dr.Sandeep Agrawal,Agrasen Hospital,Gondia India
58. 58. I Was Dying First i was dying to finish Twelth classand enter Medical And then i was dying to finish MBBS andstart MS Then i was dying to finish MS and doMarriage Then i was dying for my child to growenough and then dying to retire And now i am dying and suddenly irealise i forgot to live.. So THINK AND ACT NOW..59
59. 59. TEAM WORK : SUCCESS MATRIX601.Aim for the sky!2.Be fair and haveempathy3.Start slow,consolidate, expand.4.Be prepared to loosebattle and win the warCOURTESY:Dr.Bagaria Nagpur
60. 60. TEAM WORK61Balancing academics, ethics & economicsInnovation & Research gets leg upGroup Practice models proving to be efficient &cost effectiveSurgeon reported quality of life & happiness indexOptimising cost to the patient & increasing profits
61. 61. Team work - GroundRules62
62. 62. Team Work - Systems63
63. 63. Making it happenKey making timeDr.Sandeep Agrawal,Agrasen Hospital,Gondia India
64. 64. Making time Move closer to work? Smaller home? Fewer committees? Fewer patients?Exchange income for time/freedom?Dr.Sandeep Agrawal,Agrasen Hospital,Gondia India
65. 65. Making it happenMake a list of thethings you woulddo if you had ayear offStart by doing thefirst item of the listDr.Sandeep Agrawal,Agrasen Hospital,Gondia India
66. 66. Dr.Sandeep Agrawal,Agrasen Hospital,Gondia India
67. 67. " , " , , , , , , , , - , , , , , , . , , , , . , , , . , , , . , , , , .68Message to Media andGeneral Public
68. 68. , , , , , , , , , , , , , , ,69 Satisfaction. , , , . , , ,
69. 69. 70Without water, a ship cannotmove. The ship needs water, but if thewater gets into the ship, the ship will faceexistential problems. What was once ameans of living for the ship will nowbecome a means of destruction.Similarly we live in a time whereearning is a necessity but let not theearning enter our hearts, for what wasonce a means of living will surely become ameans of destruction for us as well.So take a moment and askyourself.Has the water entered my ship ?I hope Not !!!!! ...!!!"
70. 70. DISCLAIMER71.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