Why this lecture? Why this lecture?

There are two aspects to be a successful doctorThere are two aspects to be a successful doctor 1. 1. Medical knowledgeMedical knowledge

2.2.Other things likeOther things like

A presentation by Dr. Ravi MalikCMD Radix Hospital Assistant Secretary IMA Convenor Medical Education DMC

((1) Time management (2) Knowledge 1) Time management (2) Knowledge management (3) Financial management (3) Financial management (4) personnel management (4) personnel

managementmanagement (5) Relationship (5) Relationship management (6) Crisis and legal management (6) Crisis and legal

management management

Medical profession is going through a change Medical profession is going through a change

a) Competition. a) Competition. b) Research & changes in all the fields of b) Research & changes in all the fields of

medicine..medicine.. c) Decreasing dignity of the professionc) Decreasing dignity of the profession

e) Expectation of the patients.e) Expectation of the patients.

f) Interference of many agenciesf) Interference of many agencies

g) Increasing consumer & criminal litigationg) Increasing consumer & criminal litigation..

To be a successful doctor you need to To be a successful doctor you need to bebe a) A clinician witha) A clinician with

b) An academicianb) An academician c) A business executive c) A business executive d) High E. Q. to manage the d) High E. Q. to manage the

psychological needs psychological needs

e) Liaisone) Liaison’’s between various medical s between various medical specialization specialization

f) Knowledge of architecture, Law, f) Knowledge of architecture, Law, medico legal; issues and govt. health medico legal; issues and govt. health rules.rules...

Off late developments in medical Off late developments in medical fieldfield

1) Changing the profession 1) Changing the profession 2) Depression 4 times more than general 2) Depression 4 times more than general

population.population. 3) Scared of medico legal & consumer 3) Scared of medico legal & consumer

litigations. litigations. 4) Not doing as well as they were doing 4) Not doing as well as they were doing

in past.in past.

Topics to be discussedTopics to be discussed

1. Time management 1. Time management 2. Business management basic skills2. Business management basic skills 3. Owning a patient friendly clinic3. Owning a patient friendly clinic 4. Marketing of your practice so that 4. Marketing of your practice so that

you increase your clientage.you increase your clientage. 5. Employee management 5. Employee management 6. Psychological vibing with your 6. Psychological vibing with your

patient which is very important.patient which is very important.

7. Managing your availability.7. Managing your availability. 8. Good medical record.8. Good medical record. 9. Equipping your self with the 9. Equipping your self with the

equipment.equipment. 10. Health education to the patient.10. Health education to the patient. 11. Communicating with your patients.11. Communicating with your patients. 12. Continue medical education 12. Continue medical education

program.program. 13. Risk and crisis management.13. Risk and crisis management. 14. Finally How to avoid legal battles.14. Finally How to avoid legal battles.

TIME MANAGEMENTTIME MANAGEMENTImportance- Importance- Time management is very important Time management is very important

in every field of life. To me time is everything in every field of life. To me time is everything money, health, enjoyment etc. money, health, enjoyment etc.

Try to get up early in the morning and plan for Try to get up early in the morning and plan for the day.the day.

Arrive at the work on time or before time.Arrive at the work on time or before time. Making list of your works. Making list of your works. (a) What must be done (a) What must be done (b) What should be done(b) What should be done (c) What would be good to get done.(c) What would be good to get done.

Put the must be and should be jobs to be done Put the must be and should be jobs to be done in a proper time frame.in a proper time frame.

Before sleeping always make a blueprint of Before sleeping always make a blueprint of your next days time table.your next days time table.

Use a planner or organizer.Use a planner or organizer. Try to use a small scribble pad for your tasks.Try to use a small scribble pad for your tasks. Lost time never found again.Lost time never found again. Carefully priorities what needs to be do done. Carefully priorities what needs to be do done.

Do the hardest and boring tasks first and the Do the hardest and boring tasks first and the

simple once at a later date.simple once at a later date. Focus on one task at a time.Focus on one task at a time. Never pro-crastinate. Never pro-crastinate.

Perfectionism is a giant time waster.Perfectionism is a giant time waster.Eliminate outdated and useless space Eliminate outdated and useless space fillers and documents.fillers and documents.Keep your desktop clean with few Keep your desktop clean with few useful things.useful things.Desk drawers .Desk drawers .Place your equipments and supplies in Place your equipments and supplies in advantageous and available spots.advantageous and available spots.Create as little paper work.Create as little paper work.Decisions delegations and do say Decisions delegations and do say ““NONO””..

Things that matter most must never be Things that matter most must never be at the mercy of things which matters at the mercy of things which matters least.least.

The shortest minute saving word is The shortest minute saving word is

““NONO””..

Designing your clinicDesigning your clinic

Spend your time in designing the clinic. Spend your time in designing the clinic. 1.1. Keep on reviewing other clinic Keep on reviewing other clinic 2.2. Sign board Sign board 3.3. Critical look Critical look 4.4. Traffic of the patients flow Traffic of the patients flow 5.5. Designing therapeutic environment. Designing therapeutic environment. 6.6. Display your academic excellencesDisplay your academic excellences

7.7. A notice board can be there with A notice board can be there with medical information medical information

8.8. Customer friendly signs Customer friendly signs 9.9. Sit in your own clinic waiting room Sit in your own clinic waiting room 10.Basic amenities 10.Basic amenities 11.Train your staff carefully 11.Train your staff carefully 1212 Cleanliness of your clinic. Cleanliness of your clinic. 13.Telephone 13.Telephone 14.Relaxing atmosphere14.Relaxing atmosphere

15.Small gifts 15.Small gifts 1616 Use more of glass aluminum and air Use more of glass aluminum and air

conditioning.conditioning. 1717 OverstaffOverstaff 1818 Staff uniformStaff uniform 1919 Monitoring your staff Monitoring your staff 2020 Protocol of the work in writing to your Protocol of the work in writing to your

staffstaff

At last ; remember that you have never a second At last ; remember that you have never a second chance to make Ist impression.chance to make Ist impression.

Getting referrals & new patientsGetting referrals & new patients Sitting & waiting for patients will not help you. Sitting & waiting for patients will not help you. Networking is very important at every level Networking is very important at every level 1.Fellow doctors1.Fellow doctors 2. Senior specialist and Super specialist doctors2. Senior specialist and Super specialist doctors 3.3. Doctors in medical colleges and Doctors in medical colleges and

government setups.government setups. 4.4. All acquaintances.All acquaintances. 5. 5. All relations and family friends.All relations and family friends. 6.6. Any body you meet at any place, make a Any body you meet at any place, make a

brief relation and give your business card to them.brief relation and give your business card to them. 7. If you are enthusiastic become member of 7. If you are enthusiastic become member of

different new medical &non medical organization & different new medical &non medical organization & socialize.socialize.

To increase your networking.To increase your networking.

1.1. Speak take every Speak take every opportunity to speak about opportunity to speak about your specialty both on one to your specialty both on one to

one basis one basis 2.2. Participate – Participate – 3.3. Publish –Publish –

Marketing your practice Marketing your practice Life is like a treadmill Life is like a treadmill 1. Create patient salesman1. Create patient salesman 2. Local media.2. Local media. 3. The best way to market is to give something away 3. The best way to market is to give something away

as your expertisation, your as your expertisation, your time, socialization etc. time, socialization etc. 4. Creating an event 4. Creating an event 5. Health education lectures to the public 5. Health education lectures to the public 6. Publish news letters and utilize websites 6. Publish news letters and utilize websites 7. If you are getting the referrals from other doctors 7. If you are getting the referrals from other doctors

Educating your PatientEducating your Patient

AdvantagesAdvantages – – 1. 1. More satisfaction More satisfaction 2. Less communication gap 2. Less communication gap 3. Patient can take decisions for small problem 3. Patient can take decisions for small problem

from their own nithant disferting you from their own nithant disferting you 4.4. Less time consumption in clinicLess time consumption in clinic 5.5. You stand out in front of your competitor You stand out in front of your competitor 6.6. Patient compliances more Patient compliances more 7.7. Give information about you, your qualification Give information about you, your qualification

and experience.and experience.

Pt. HANDLINGPt. HANDLING Get feedback from your patients.Get feedback from your patients. Try to copy a doctor with good communication Try to copy a doctor with good communication

skills.skills. Remember names of pt., sib and mother.Remember names of pt., sib and mother. Pt. have different personalities, so adopt Pt. have different personalities, so adopt

yourself as per with the need of patient.yourself as per with the need of patient. Keep a complaint book for the patient.Keep a complaint book for the patient. Add little sense of humor.Add little sense of humor. Project the philosophy work and ethics to every Project the philosophy work and ethics to every

pt.pt. Never ridicule a mother.Never ridicule a mother. VIP should be treated as the requirement. VIP should be treated as the requirement.

PSYCHOLOGICAL PSYCHOLOGICAL MANAGEMENTMANAGEMENT

Listen more speak less.Listen more speak less. Expression, gesture & smile to be healthy.Expression, gesture & smile to be healthy. Mild humorMild humor Always take attendant in confident and Always take attendant in confident and

communicate.communicate. Two phone calls every day to the patient & Two phone calls every day to the patient &

G.P.G.P. Treat panic patient aggressively or loose.Treat panic patient aggressively or loose. Proper examination at couch.Proper examination at couch. Red alert patient like MRHC.Red alert patient like MRHC.

Look directly into eyes.Look directly into eyes. No unnecessary admission & keep for short No unnecessary admission & keep for short

period.period. No argument with the mother, agreement with No argument with the mother, agreement with

patient is more rewarding than argument of patient is more rewarding than argument of head.head.

55% of communication is done by body 55% of communication is done by body language.language.

Never appear rushed even if you are.Never appear rushed even if you are. Remember names of mother & patient.Remember names of mother & patient. Go to the personal parties of patient when Go to the personal parties of patient when

invited.invited.

Patient care more about how much your care about Patient care more about how much your care about then rather then your technical then rather then your technical

competence.competence. Never argue with patient, patient is always right.Never argue with patient, patient is always right. Always exceed the expectation of patient in giving.Always exceed the expectation of patient in giving. Personal appearance to be improved.Personal appearance to be improved. Always encourage the mother to ask the silly question Always encourage the mother to ask the silly question

& in the end ask if any query & in the end ask if any query left.left. Always give special attendance to the patient who is Always give special attendance to the patient who is

getting you the patient.getting you the patient. Do not deal with any other person except patient in Do not deal with any other person except patient in

clinic time. clinic time.

Staff ManagementStaff Management

All staffs to be with aprons with name platesAll staffs to be with aprons with name plates Try not to change any staff. If you need donTry not to change any staff. If you need don ’’t t

wait.wait. Give them respect, love & Care. Never over Give them respect, love & Care. Never over

appreciate.appreciate. Vigilant about behavior, honesty and working.Vigilant about behavior, honesty and working. Stupid staffs can prove to be costly.Stupid staffs can prove to be costly. Front deskers to be perfect.Front deskers to be perfect.

Always give attention to training & constant Always give attention to training & constant education.education.

Praise is public , reprimand in private. Praise is public , reprimand in private. Coming together is beginning, keeping together is Coming together is beginning, keeping together is

progress, working together is success.progress, working together is success. Listen to employees and take their valuable Listen to employees and take their valuable

suggestions.suggestions. Gentleness is stronger than anger.Gentleness is stronger than anger. Delegate but donDelegate but don’’t forget.t forget. Training requires persistence, Patience & simple Training requires persistence, Patience & simple

language.language. Forget & forgive.Forget & forgive. MS & Director should work hard to set an example.MS & Director should work hard to set an example.

Risk ManagementRisk Management

1. 1. Clinical Competence:-Clinical Competence:- Keep yourself up to date.Keep yourself up to date. Mal practice.Mal practice. Staff should also be competent .Staff should also be competent . Do not criticize other doctors.Do not criticize other doctors.

2.2.Communication :-Communication :- Detail about the clinical conditions.Detail about the clinical conditions. Good communicable skill are likely to be sued Good communicable skill are likely to be sued

much less.much less. If any bad situation arise .If any bad situation arise . DonDon’’t lie, dont lie, don’’t hide, dont hide, don’’t pretent.t pretent. 3.3.InsuranceInsurance 4. 4. DocumentationDocumentation 5.5. Support system in case of prices. Support system in case of prices.

Often delegated to the junior.Often delegated to the junior. Major medico legal liability.Major medico legal liability. Record-Record-““OLFACTORYOLFACTORY”” Record-Record-““SOAPSOAP”” Subjective (patient history)Subjective (patient history) Objective (Examination findings)Objective (Examination findings) AssessmentAssessment PlanPlan

Preprinted medical records are very helpful.Preprinted medical records are very helpful. All duplicate recordsAll duplicate records High risk consentHigh risk consent Patient record should never be altered never Patient record should never be altered never

erase obliterate or edit notes.erase obliterate or edit notes. Preprinted medical records Preprinted medical records Discipline yourself.Discipline yourself.

How to avoid legal battlesHow to avoid legal battles

Often law suits are trigged byOften law suits are trigged bySimple misunderstandingSimple misunderstandingAn unavoidable bad out comeAn unavoidable bad out comePatient anger rather than Patient anger rather than actual malpractice.actual malpractice.