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THIS IS SO TRUE! I am working with the snowflakiest physicians at the moment. “We’d love to have you use your M.A.s to enter basic info in the EMR so that you can spend more patient facing time.” (Insert 100 other things that will help them here). Cue hysterics, leaving the room, berating the team. “OK, tell me what would help you.” Physician: “YOU TELL ME! WHY ARE WE PAYING YOU?!”
🤣
As someone who has been on both sides of the fence ( have an M.D., now on consulting side), I have to side with physicians on this one. I think a lot of the “tactics” we use in consulting just don’t bode well with physicians and the way they have been trained. To be frank, our typical bs of throwing words on slides like, “agile, digital, machine learning, etc.” just doesn’t cut with this community. They have lives to save and a pretty ppt deck is not going to do that. I firmly believe most, but not all, consultants have no business being in this space. Most consultants don’t understand the intricacies of this space, which can mean life or death. This is not just some CPG case, where worst case scenario your client doesn’t sell enough their alcoholic sparking water for the quarter 😜
That said, physicians are severely lacking a lot of fundamental understanding of business concepts and more education in this area could go a long way. But that’s a different conversation in and of itself, and surely consultants are not the ones who are going to fix that gap.
This article is a great summary of how many physicians view admins/“the system”/consultants and anyone else you want to put in that bucket:
https://www.nytimes.com/2019/06/08/opinion/sunday/hospitals-doctors-nurses-burnout.html?action=click&module=Opinion&pgtype=Homepage&fbclid=IwAR1ijcc1fKStLNnBTzbVitvP_WWpArBwMbuE1BxOtkW9oy3Bkub_2YFwGpI
Yes we can and I totally agree, what I would add we need to make a positive impact to the providers as well. To do this you have to get a global view on what is successful in delivering the quadruple aim and take that knowledge and translate into your own country/system. I would say digital platform and capabilities need to be at the heart of this to move to a demand led system ratchet than the overpriced supply focused system we have today.
I swear to god, anytime we do a process change that slightly impacts them, like having to work with a new business office person, their leadership freaks out like “we are going to need an entire communication program to gradually educate them on this”
And the union machinery goes nuts
Example 2: the extreme sensitivity to words like “mid level provider” that can send an entire medical group into hysterics
Can’t call them “mid-level”. They have to be called APPs 😉. I had a physician exec berate me because I used the term “mid-level”.
As a nurse I concur with this assessment 🤣
Example 3: “Safe spaces” like physician only rooms in the cafeteria
Well well well, where do I being!?!? 😁
It starts with medical school. It selects for a certain type and personality out of the general population. Becoming a physician is not just about reading a book or going to an anatomy lab, it is about practice, about singularity, and about training. It’s through painful errors that we learn the right way. When we find a brilliant solution and save a patient, there’s praise. When something is done “wrong” you are chastised and ruminate over what you did wrong. Ask any surgeon/physician if they are remember everytime they were wrong and it impacted a patient and I guarantee they will. Hell I did/do and was only a resident. Doctors look at the information given, assess, and act(either by themselves or as a team). There is no whining, there is no complaining, you just keep your head high and keep on moving. The training and repetition devoted to doing something “right”, means that doctors stick to the lane they are in and don’t bother changing from it. They may get upset because the industry wants to change how physicians think and how they make decisions. Doctors are a bunch of very conservative folks with their feet squarely in a block of concrete. Understanding the value system, training and thought process is truly crucial to getting them on board with change.
Strong disagree with A2. There is a ton of literature/consumer studies out there about different groups of patients and what is important to them. Many of them (but not all, to be fair) don't care about seeing MD vs APP as long as they can get in the door faster. Obviously you can't give everything to the APPs to do, but identifying appropriate clinical activities/diagnoses that they can support is extremely patient centric when done correctly.
Example 4: Crushing weight of student loan debt
There’s reasons for this and I can have a discussion about it.
I did, just in response to someone else in the thread.
👎
Cannot stress enough how true this is!
Over valued.
Hey man, that God complex has its advantages and disadvantages. Lol