Family & MD Life Cycle: Physician's Life Cycle Flashcards
Keeping a balance between the ______ of practice and the ______ of self and family is critical.
Demands. Needs.
Is inter-related with his professional development
Physician’s personal development
Establish _________ & ________ early in order to enjoy a full life and a productive career.
Personal goals. Priorities.
To sustain _______ for medicine throughout a demanding career, kne must nourish ___________ throughout a lifelong personal program of medical education.
Passion. Personal interest.
Characteristics of a medical student: gives _________ to anyone who will listen.
Unsolicited advice
Characteristics of a medical student: ________ with the popular consultants.
Familiar
Characteristics of a medical student: choose line of practice according to _______.
Role models
Takes a year. Usually after graduation. Valuable experience, battle stories. First real exposure to patients. Opportunity to determine one’s interests.
Internship
“Am I a medicine man in business or a business man in medicine?”
Independent practice
A doctor who works ______ and _______ build a strong practice and reaps the rewards.
Hard. Diligently.
“No good doctor is ever asked to stay hungry, cold or unliquored for long.” Stated by
Martin Fischer
Primary interest is service. Puts patient first. Has an efficient and well ordered practice but shows concern for patients in small ways.
Medicine man in business
Primary interest is money. Puts financial interest first. Provides good service; has a well run office and practice but his or her interests are in making a living from medicine.
Business man in medicine
Usually not charge for certificates. Comes on time and decides treatment according to what is best for the patient. Has a loyal following.
Medicine man in business
Inevitably professional interest is compromised and does not have a loyal following.
Business man in medicine
Gives satisfying independence, being one’s own boss. Disquieting isolation, longer hours and considerable amount of time spent on the practicalities of running a business.
Solo practice
Offers the advantages of professional association. Access to piece of diagnostic equipment or ancillary service. Benefits of an office staff and on call arrangements are more structured and reliable. Have to deal with the priorities and philosophies of the partners.
Group practice
Sources of conflict in group practice: ________ arrangements and _______ of profits.
Financial. Distribution.
Sources of conflict in group practice: Problem. _______ between partner’s earnings.m
Disparity
Best arrangement of Group practice: shares ______ rather than profits. More work, more _______.
Expenses. Income.
Traditionally, a young physician would join an _________.
Established practitioner
Young doctor’s are guaranteed. Less time needed to establish a practice. Source of tension between established people and a newcomer.
Health insurance schemes
Medical graduates of ________ standing are already earning substantial incomes.
Less than 10 years
Graduates of _______ standing are at the peak of their earning capacity, which will then gradually decline until the earning of physicians with ________ experience are eclipsed by doctors in their first ten years.
10-20 years. More than 30 years.
Ten years after qualifying in specialty board. Newly qualified doctors tend to focus on acute illness and emergency room work.
Professional maturity
Tends to focus on acute illness. Emergency room work.
Newly qualified MD
Treats the routine problem effortlessly and will often avoid emergencies. Work with elderly, the mentally retarded, the chronic sick and dying. General broadening of interest.
Mature MD
In Mature MD: has an established practice with a ________ in the community and ________ from colleagues.
Reputation. Acceptance.
In Mature MD: finished with setting up a practice, of making a ______ and ______ for a family.
Home. Caring.
Plays a part in community activities and professional organizations.
Mature MD
A feeling of being a less of a doctor than ideals and personal goals would dictate
Professional/Job Dissatisfaction
Causes of job dissatisfaction: being trapped in an _________ or type of _______.
Uncongenial location. Practice.
Causes of job dissatisfaction: the psychology of the _____.
40s (midlife crisis)
Causes of job dissatisfaction: dissatisfaction with one’s ________.
Qualifications
A common undiagnosed problem among physicians in general. Role stress.
Psychiatric Illness
3:1 than general population in physician commits this
Suicide
Ranking of suicide among specialties
Psychiatrists, ENT surgeons, Ophthalmologists & Family physicians “PEOF”
At least 10% of physicians will suffer impairment due to misuse of alcohol and/or drugs
Chemical dependence
Sources of Role Stress among Physicians
Social pressures, Professional responsibilities, Emotional strain and Disrupted home life. “SPED”
Must be a life long professional objective
Self education
Are together insufficient compensation for the tribulations of a doctor’s life.
Money and Social standing
An interest in medicine, coupled with some belief in the _________ of one’s own life and work, is essential if a medical career is to be successfully navigated.
Intrinsic value
Study the patterns in one’s practice. Demographic profile, Epidemiology of Illness and Best treatment practices. Effective prophylaxis against professional boredom.
Practice-Based Research
Requirements for Practice-Based Research
Persistence, Inquiring mind and Not necessary to own sophisticated boredom “PIN”
Continuing medical education in the form of Writing
Publication & Case discussions
Economic sacrifice. Compensation or Benefits, contact with inquiring young minds. No need to justify clinical decisions. It starts as a need to develop one’s own professional skills and concludes by participating in the education of others.
Teaching
Is the logical progression along a path which begins with self improvement.
Interest in teaching
Study, publish and teach. Serve communities. Industrial medicine. Administration.
The afterlife. After establishing the practice.
A physician’s ______ development goes hand in hand with his ______ development.
Personal. Professional.
Maintain a balance between the _______ of practice and the ______ of self and family.
Demands. Needs.
Embark in a lifelong personal program of ________ to nourish professional interest and sustain ______ for medicine.
Medical education. Passion.
