The
COVID-19 pandemic has created a world environment that is harsh and
seriously detrimental for everyone, but have you ever wondered how
difficult was it for the frontline workers? This is the most important
time to focus on suicide prevention. It’s time actions should be taken
to prevent these tragedies on a global scale.
Every year, suicide is among the top 20 causesof
death around the globe for people of all ages. It is responsible for
more than 800,000 deaths, which comes down to one suicide every 40
seconds. Every life lost is someone’s partner, child, parent, friend, or
colleague.
Suicide Among Doctors
Ever
since the beginning of the pandemic, more than thirty doctors have died
by suicide across India. Most of them were young doctors. Suicide in
doctors is a complex, deep issue that has been plaguing for several
decades. But, the arrival of the pandemic and its ill effects on one’s
mental health has caused insult to the injury.
Doctors
face different struggles at different stages of their careers that
affect their mental health and physical well-being. Which in turn
provokes them to choose suicide as an escape.
Interns
and residents have the highest suicide rates when compared to others.
Toxic environments, long working hours, no job satisfaction, and
violence against doctors are a few challenges the doctors face, that
eventually leads them to take such extreme steps.
High
suicide rates in medical colleges across the country surely reflect the
suicidal pattern among medical students as well. Medical students and
interns face exam-related stress, insomnia, bad living conditions, and
competition from peers. Among students, maximum suicides usually take
place during exams, showing the amount of stress and anxiety brought in
by the evaluation system.
Is this pandemic adding to the tally?
A
junior doctor from AIIMS committed suicide after writing a blog on his
suicidal tendencies and the depression he was suffering from. His last
blog suggests that he knew everything regarding his mental conditions
except how to get out of it! This is one of the many other incidents
that happened all over India during the pandemic.
The
only way which works in these extreme situations is finding a release,
whether it is music, cooking exercise or plain meditation, but the most
important among these factors is finding someone to talk to and not
losing ourselves in this chaos because let’s face it; life keeps on
putting us through one challenge or the other but rather than giving up
let’s try to bring some happiness for ourselves.
So never put a full stop after LIFE, follow it with a comma!
1. Make sure your team is delivering the right message
All
members of the team need to be on the same page when it comes to the
various benefits of the treatment options that you offer, as they need
to be able to provide patients with at least basic clinical information
when they make inquiries.
This is particularly important when it comes to treatment,
as the modality can require a greater investment of time and money by
the patient than other treatment options. If the team member they speak
to is confident about discussing the process — regardless of who they
are within the practice — this is more likely to instill confidence in
the patient to proceed.
All members of our team are therefore trained to deliver the same response to certain questions. This standardizes the patient experience
from the moment they ask about treatment through to appointment
booking, clinical examination, treatment and on-going care. The team
should also know how to explain differences between treatment options to
patients who can either have the treatment performed by myself, or
through a student clinic at a reduced cost and they are made aware of
what each option would entail from the outset.
Not
only does this standardization improve the patient experience, it also
streamlines the experience of referring dentists. All members of the
team can describe the different ways in which we work with referring
practices and the state-of-the-art technology we use to provide a good
service. This ensures complete clarity for the referring dentist from
the very beginning, no matter who picks up the phone or deals with the
email.
2. Know what’s in your Inventory!
It’s
always good to be prepared for any patient who walks through the door,
in particular potential patients, by ordering implant products in
advance and in bulk. I find that if you have the components ready to go,
you appear better organized and professional to the patient. It also
means that treatment can be offered much quicker — the patient can take
as much time as they need to make an informed decision, but once the
decision is made, treatment can commence at their earliest convenience.
Most people are happy with the efficiency of such a service and are less
likely to shop around. To complement this, try to develop a good
relationship with your dental laboratory, technicians and dealers.
Further ensure a fast turnaround time for any prosthetic work requested.
3. Delegate and share responsibility
One of the greatest challenges of practice management is compliance with
the ever-growing number of regulations. There is a lot of red tape to
get through and while it is absolutely necessary, it does occupy
considerable time. Balancing the administration tasks with clinical care
is difficult — particularly for a smaller practice such as our own —
but it can be achieved with careful management of the diary and
delegation. A fairly new practice or a beginner, might not have a
dedicated practice manager, but for those who do, this person can take
on a lot of the compliance and daily management responsibilities. This
allows the clinicians to focus more on patient treatment.
4. Make the most of positive patient reviews
In
my experience patients trust other people’s reviews more than
practice-led marketing efforts. The vast majority of new patients who
come to our practice do so as a result of word-of-mouth, meaning we rely
heavily on positive patient recommendations.
Aside from this indirect method of promoting our practice, our website
offers more information to support any details provided by the team to
the patients.
5. Use trusted products and systems
Any
practice small or big ,is initially set up with simple equipment and
products that would streamline day-to-day processes. As your practice
grows, try putting in most of the earning from your patients back into
your practice. Get better equipment and if you are one of those
practitioners who like keeping state of the art instruments then be
proud to belong in that handful of doctors.
How has your routine changed since you are locked up ?
It’s
been approximately 40 days and you have still not seen your clinic.
Based on the scenario outside and not to mention the paranoia among the
doctors, do you think it would be easy for us to get back on the horse?
With the fear of a crumbling economy, the forecasts by these “gurus”
about an upcoming recession is enough to raise the hair on our spine.
But among these underlying
fears, did you realize that there are some people without whom you
cannot start your practice and how often do we speak with them let alone
your assistants and reception staff, these people are a different
story. Here I am talking about your daily maid who cleans your clinic
before you even enter the clinic, your garbage collector, your
raddiwalla. These are a few people who leave your clinic sparkly clean
and smell free. Imagine when the garbage collector misses out your home
for one day the smell that fills up your house.
How
many of you ever stopped and thanked these people genuinely during the
COVID -19 crisis? These are the people who are still working
relentlessly day and night, collecting hospital waste, your home waste,
and are still made to feel unwelcome in your home.
Let
us just go back and think once, as much as you are afraid to bring back
your closed clinic to the same glory as before, some of them are scared
that they might not even get their jobs back and will have no means to
put food on the table.
We did put posts on social media thanking those people on labor’s day, but was that post even meaningful enough?
Don’t
you think we are the more blessed people who are still safe in our
homes thinking about our next plan of action for our business, jobs or
families whereas them, they might be having sleepless nights thinking
how they are going to save their homes from loss of money, from a
disease which has no cure as of now and they are on a certain risk of
infecting their near and dear ones.
Let
us take a moment to thank them, because if not the backbone they still
are a very vital organ of your practice and I am pretty sure that even
if they take a day of absence you will not pick up the broom and mop and
start cleaning your clinic.
In
today’s high octane lifestyle prevalent in society, it is common to see
that healthcare spending in India takes up to 50% of the annual income
of the majority of the population.
The patients I am talking about tend to be frail, elderly and have multiple
chronic illnesses while many have unmet behavioral and mental health
needs as well. Each family has one or two elderly patients who require
monthly checkups, prescription refill and blood tests. Come to think of
it, home visits to patients is not a bad idea if seen through the eyes
of the patient and their families. This not only saves a lot of time and
money on hospitalization and miscellaneous hospital bills, but also
provides care for the patients where they are most happy (their homes)
making it easier for them to recover.
The
basic idea is to provide care from the comfort of their homes. This
will lead to half the expenditure of what traditional Medicare programs
spend on severely sick patients. Much of the savings will result from
keeping patients healthy enough to avoid high-cost hospitalizations.
High-cost,
high-need patients tend to spend almost all of their time at home.
They’re often elderly seniors who live alone. Many lack access to
reliable transportation that can get them convenient and in some cases
immediate appointments with doctors. Instead of demanding that patients
come to us to receive care, what if we went to them?
In
doing so, we could eliminate barriers concerning access to quality
medical care for the patient and convenience to the worried family
members. But for this concept to succeed, we’d have to restore the lost
practice of making house calls. After all, gone are the days of charming
doctors showing up on doorsteps with medical bags in their hands
[Remember the old Hindi movies? Except for the basic services offered by
home care agencies, healthcare at home has taken a backseat over the
“trend” set by the new mushrooming hospitals’ chains.
The
idea is to treat the patients within the comfort of their homes, just
as we would in a medical office setting, fine-tune medications, examine
& dress wounds and make diagnoses.
But
Home-Based Integrated Care is so much more than that. For this idea to
succeed, there need to be teams made up of primary care physicians,
nurses, case managers, medical assistants, social workers and other
professional caregivers who work in tandem to provide comprehensive care
to include preventive, chronic conditions, urgent and post-discharge
care.
On
visiting new patients, the medical professional shall assess their
mental and physical health; ensure that they’re filling prescriptions
and taking their medications appropriately. For their convenience, we
can try to develop a strong relationship with local pharmacies who
deliver pre-packaged medications to patients and can ensure timely
alterations in medication regimens.
Seeing
patients at home adds a certain familiarity to the doctor-patient
relationship, which often gives long lasting positive results.
Your patients are probably bored with Valentine's Day marketing campaigns by now. They've seen all conversations, offers and all the cheesy puns for patients. Don’t make your practice fall into the sea of gimmicks. We found a few ways to show your patients some love without creating the same old boring ideas, which patients forget a nanosecond after. They'll appreciate your creativenessand perhaps even return your love with more love
Keep reading, maybe some of our ideasmay delight your patients this month.
Patient Education
Your current patient education might consist of videos, pamphlets on common medical infections, or even a guide to the best products offered in your clinic.
Take advantage of the holiday and create a new set of educational materials based on practicing love for your dental health.
A creative infographic is also a good place to start. You could provide a few key recommendations based on the needs of the patient such as nutritional supplements or toothpaste brands.
Freebies
Encourage patients to spread the love by giving them branded pink & red pens a goodie bag with red brush and toothpaste etc that they can give to their friends and family. We know that word-of-mouth is the strongest marketing avenue for many dental care practices, so make the messaging more interesting and relevant by printing love and tooth-related phrases on your marketing merchandise.
Send a coupon via What's app, which is sharable, if your patient doesn't need it; they will share it with their near and dear ones and BAM you have a new OPD.
Love-Based Marketing Campaign
For those new patients who look you up before booking an appointment or as a marketing strategy, you probably already have Google ads, practo, justdial at your service. Switch the messaging out in these to include something unique like “We love you” messaging. It might be more eye-catching than the typical medical ads.
Many
doctors are still reluctant to shake hands with technology, Email
access, online scheduling, and electronic records would all make
healthcare so much easier for patients. This is why some doctors are
still reluctant to modernize.
Change is not for all:
The world is changing and it’s changing fast but not for all.
Doctors these days, especially the ones who are more experienced, find
it harder to accommodate newer technologies and newer methods of
practice management in their clinics. For instance, my baby’s
pediatrician who is 77 years of age finds it hard to use an app as
simple as Whatsapp.(How to deal with this one!)
The
only problem faced in this scenario is when a patient wants to show a
specific medicine at the counter they have to buy it show it to the
doctor and come back again to get it changed if it is in this case not
what was recommended for the kid.
This small problem could have been easily resolved if the doctor was open enough to accept a simple technology.
The World is spinning
A
few healthcare providers or doctors are so confident in working with
robotics, computerised invasive surgeries etc., but when it comes to
using a tab to explain a certain procedure to the patient or add simple
data in the patient’s e file they are at a loss.
Most doctors ask their assistants to do this (dirty work) as most of them find it time consuming and honestly, plain old boring.
To feed or not to feed
Feeding
data in the tabs is easier for new doctors who are more technologically
compliant than the senior ones who learned to prescribe using paper
compared to the ones who use tabs to even feed complaints and medicine.
Rise of the new world
It
is next to impossible to keep track of old patients in the form of hard
copies which might in case be needed for medico-legal issues. Also,
with the never ending inflation, decreasing sizes of clinics where are
the doctors supposed to keep all this paperwork?
Don’t
you think a laptop with online backup will be easier to keep track of
daily patients, accounting, prescriptions and what not!
We would love to know and understand if this is just stereotypical or doctors are more accepting this new world with a storm!
If you threaten your patients, you may regret it later. “It shows that you’re not truly committed toyour
job, making your patient feel rejected and preventing them from feeling
safe trusting you.” When a patient comes to you, he/she is
apprehensive, as a new patient will definitely take time trusting you
for he/she had his/her own reasons to leave his/her previous dentist.
So, if by any chance you are having a bad day (it’s OK, we are all
humans), tell the patient politely that you are swamped today and you
would really appreciate if you can give them the evening/next day’s
appointment. This will give you time to understand his/her issue and
understand the exact problem they are facing. Believe me, it helps build
trust with your patients as they see that you have kept a “special
time” exclusively for them.
Don’t call him or her a liar
“Trust
is imperative for any successful relationship”. If you suspect the
patient is being untruthful about anything, telling them straight out
that you don’t believe him/her will usually backfire. Instead say, “I’m
having trouble believing you’re telling me the entire story.” It’s less
inflammatory and accusatory. Focus on asking questions about a
particular incident to fully open the lines of communication. The idea
is to listen rather than fire off harsh statements. By gathering all the
facts first, you’ll be in a much better position to understand your
patient’s behavior, disease, history and then react appropriately.
Don’t tell them how to react to something
Let’s
get one thing down for sure, they are in pain, they are not sure and
all they want is relief. Words like “Calm down” and “You’re being too
sensitive” will make the patient feel you cannot empathise. Sometimes
doctors make comments like these to stop their patients who are upset,
but it can make the patient feel like their emotions aren’t justified,
valid or being heard. You want your patients to feel safe showing and
voicing their vulnerability without fear of judgment. These phrases are
perceived as demeaning directives that belittle and degrade your
patient; and he’ll respond with anger, volatility and/or hostility.
Rather than telling them how to feel and react to the matter at hand,
you’ll be better able to resolve things by letting them vent and
listening carefully to what they are saying.
Don’t be passive aggressive
When
a patient is at your clinic, it’s obvious that something is wrong,
maybe something serious. So, when you say “nothing or everything is
fine” you’re being passive aggressive and you make it seem like you’re
afraid of bringing up something that could be serious. Being able to
communicate with your patients is the only way to work through and make
them trust you completely. Sit down and talk it out as calmly and
respectfully as possible.
Don’t speak in absolutes
“You’re
always late”, “You never take a complete course of medicines” — when
you use these phrases, they’re rarely truthful or productive and always
hurtful. You’re telling your patient that they can never do anything
right and that you don’t think they can change. When you say these
words, you’re essentially conducting a character assassination. Studies
show that when you put your patient’s character down, you’re even more
likely to head for a break up, meaning — you may be the most talented
dentist in the whole city, but if you lack communication skills, get
ready to go down the hills and lose potential patients. Next time,
explain the logic behind taking complete course of medicines (patients
appreciate if you involve them) or plan a time according to their
schedule if they are always late on your appointed time. A little
adjustment will go a long way.
Don’t test their loyalty
“You
don’t trust me?” — your patients shouldn’t feel pressured to do
something to prove his loyalty. You’re basically testing your patient
when you say things like this. Instead, make a request in a
non-confrontational and direct way.
Don’t insult their career
Do
NOT share a treatment plan according to their social status, it is
unethical and you never know, sometimes patients surprise you. I have
come across many senior doctors who do not tell their economically weak
patient a complete treatment plan. They go straight away with
extractions, never even mentioning Root canal treatment, crown and
bridge, let alone implants. You have to respect each and every patient
you have. You don’t want to belittle, emasculate or marginalize your
patients by saying things like “You cannot afford our advanced
treatment.” Poof!! Your patient is gone.
Don’t make them feel dumb
No
one likes to be told they’re dumb or feel belittled. The unspoken and
unwelcome message is that you’re smarter than they are in what you do.
They have all the right to get an explaination of the treatment plan,
post-op instruction or pre-op instructions without them feeling that you
think they are dumb. It takes time for some patients to absorb or they
want to be extra careful, there is nothing wrong with repeating an
instruction 4 or 5 times, if the patient wants so. if it is difficult to
conduct easily and/or there is a series of instruction or treatment
plan that you follow with all of your patients, then keep printed copies
and handover to them.
Don’t be overly sarcastic
The
habit will not go on its own. “Do I look like I am here to brush your
teeth?” “Do I look like a babysitter?” Words of sarcasm may seem
harmless at first, but they can be used to take a dig at your patient
and communicate that you’ve been frustrated by an unmet expectation.
Sarcastic comments that put your patient down will erode the
relationship and are likely to leave your patient feeling frustrated.
Deal with the issue in a loving and genuine manner, which shows that you
truly care.
Don’t bring up the ex
You
know you are talented, you know you are better than others, but don’t
forget you are easily replaceable. If you keep on shaming down the
patient that “his ex-dentist was a quack” or “that he destroyed their
oral cavity” or words like “I could have saved this if you came first to
me”, will not only send the patient on a guilt trip, but will also make
him/her feel that you are too proud. Keep your feet on the ground. This
goes vice versa too, your patient might keep on comparing you with his
ex-dentist and will make you feel frustrated at some point of time. Have
patience, you don’t need to fill someone’s shoes. You have a
personality of your own, talents of your own. Let them see that through
your work.