Beyond Medicine: A to E for Medical Professionals
Editor(s)/Author:
Kalidas Chavan
Available
2020-07-25
Kalidas Chavan
Available
2020-07-25
Many medical professionals are doing wonderful, dedicated, and admirable work. Research and technological developments have enhanced medical capabilities to help patients manifold. However, the existing medical professionals are unhappy in the profession and the youngsters are shying away from this profession. What could have changed so suddenly to cause disappointment in this noble profession? There are several reasons for this, but the patient’s lack of trust and respect for the medical profession leading to violence is the most important cause. We need to improve the doctor-patient relationship quickly because the good health of the citizens is essential for the prosperity of the nation.
The solution to violence is unraveled in this book. It is Beyond Medicine. The key to this solution is in the A to E for the medical professionals. Our education system from childhood was informative. This led to a lack of motivation among youngsters. Medical education in the past heavily relied upon giving the medical knowledge, skills, and experience to the medical trainees. Many other skills beyond these determine the success of the medical professionals. The new competency-based medical curriculum tries to address these lacunae. This book defines these skills and the ways to obtain them. Currently, there is a severe paucity of such books to help medical professionals beyond the scope of medicine. All 54 competencies of AETCOM module are well covered in this book.
It will help you to connect with people by being a good listener, sharer, and carer. It will become a lifetime resource for you to enjoy your professional work and win the trust and respect of your patients. We believe the book will transform you into a true leader with extraordinary professional and human skills.
The authors are experts in the field of communication skills and personality development of the medical trainees. Dr. Kalidas Chavan did his Ph.D. on the role of communication skills in improving the Doctor-Patient relationship. Dr. Sandeep Mane conducted communication skills training in the UK for international doctors coming to the UK for training. He was in charge of the practical skills training at the Royal College of Obstetricians and Gynaecologists, London. In association with the MUHS, he conducted the “Susanwaad Abhiyaan” across Maharashtra to offer communication skills training to the trainees. Dr. Sunil Thitame is working in the field of communication skills in public health for the last five years. He has participated as a lead trainer in the workshops on Communication Skills for the postgraduate students. He has done extensive work on the role of communication skills in health care delivery and published the research articles in reputed journals.
The team of authors enjoyed working together to bring this book for the benefit of the medical professionals. Our dream is to help the medical professionals to become service-oriented and socially responsible. This book will transform our medical professionals and make them ready to serve humanity at par with the best professional standards of the world.
Chapter 1: Attitude Leading To Burnout
1.1 Introduction 1
1.2 Meaning of Doctor And Patient 4
1.2.1 Meaning of Doctor
1.2.2 Meaning of Patient
1.2.3 Meaning of Family Member of a Patient
1.3 Cadaver- A Lifetime Teacher and Motivator- A True Giver! 9
1.4 Burnout 12
1.4.1 Stages in Burnout
1.4.2 Types of Burnout
1.4.3 Identifying Burnout
1.4.4 Effects of Burnout
1.5 Prevention of Burnout by Increasing Capacity 15
1.5.1 Measures to Increase Personal Capacity
1.5.2 Measures to Increase Capacity of the Team
1.5.3 Measures to Increase the Capacity of an Organization
1.6 Prevention of Burnout by Reducing Workload 35
1.6.1 Personal Level
1.6.2 Team Level
1.6.3 Organization Level
1.7 Conclusion 40
1.8 Exercises 40
Chapter 2: Behavior Leading To Violence
2.1 Introduction 45
2.2 The Violence against Doctors 47
2.3 Healthcare Scenario of India 48
2.4 Disease Burden in India 502.5 Causes for Increasing Violence 51
2.5.1 Patients of their Accompanying Person Factor
2.5.2 The Medical Professional Factor
2.6 Tackling the Violence 62
2.6.1 Measures by general public
2.6.2 Measures by Medical Professionals
2.6.3 Measures by Government
2.7 Legal Provisions 67
2.8 Conclusion 68
2.9 Exercises 69
Chapter 3: Communication Skills In Medical Profession
3.1 Introduction 72
3.1.1 Communication in Modern Healthcare
3.1.2 Importance of Communication Skills
3.2 Process of Communication 78
3.3 Types of Communication 80
3.3.1 Oral Communication
3.3.2 Written Communication
3.3.3 Images and Visual Communication
3.3.4 Multimedia Communication
3.3.5 Telephonic Communication
3.4 Barriers in Communication 92
3.5 Communication during History Taking and Physical Examination 94
3.5.1 Example of History Taking
3.5.2 Communication during physical examination
3.6 Communication in Special Situation 98
3.7 Breaking Bad News 99
3.7.1 Components of Breaking the Bad News
3.7.2 The Technique of Breaking Bad News
3.8 Talking to an Angry Patient 109
3.9 Disclosing Medical Mistake or Complication 111
3.10 Handling Patients with Depression 112
3.11 Handling The Family or Relatives 113
3.12 Communication in Unusual Situations 115
3.13 Challenging Situations and Responses 117
3.14 Conclusion 121
3.15 Exercises 122
Chapter 4: Doctor-Patient Relationship
4.1 Introduction 126
4.2 Doctor-Patient Relationship 128
4.2.1 The doctor cycle
4.2.2 The patient cycle
4.3 Scope for Doctor-Patient Relationship 135
4.4 Goals of Doctor-Patient Relationship 136
4.5 Elements of Doctor-Patient Relationship 136
4.6 Models of Different Types of Doctor-Patient Relationship 141
4.7 The Doctor-Patient Interaction 145
4.8 Factors Affecting the Doctor-Patient Relationship 151
4.9 Tactic to Improve Doctor-Patient Relationship 154
4.10 Poor Doctor-Patient Relationship Causing Violent Attacks on Doctors 155
4.11 Conclusion 157
4.12 Exercises 158
Beyond Medicine: A to E for Medical Professionals