HappinessBased-Musculoskeletal-Medicine幸福为基础的肌肉骨骼医课件

Happiness-BasedMusculoskeletalMedicineTheIdealMicropractice1012015AAPM&RNationalConferenceJustinBerthold,DO–PM&RWhoamI?JustinBerthold,D.O.PhysicalMedicine&RehabilitationPhysician

Focusonrestoringfunctionandqualityoflife

Treatthewholepersonandnotjusttheinjury

RehabilitationPhysiciansofPittsburgh–FounderTheChildren’sInstituteofPittsburgh–MedicalDirectorofPM&RLECOMatSetonHill–OMTFacultyOk,butWhoamI?Moore’s4PillarsofSuccessACCESSPatientshaveunlimitedaccesstothecareandinformationtheyneed,whentheyneedit.INTERACTIONInteractionbetweenthepatientandcareteamisdeepandpersonal.Thecareteamhas“memory”ofthepatient.RELIABILITYThesystemexhibitshighreliabilityinthatitprovidesallandonlythecareknowntobeeffective.VITALITYThepracticehasvitality:happyemployees,aspiritofinnovationandfinancialviability.AWiseMentor’s3PillarsofSuccessAVAILABILITYAFFABILITYABILITYKeepitSimpleWhatisanIdealMicropractice?Whydosuchathing?Howtotaketheleap?PearlsandpitfallsYear1results/fpm/2007/0900/p20.pdfWhat

isanIdealMicropractice?KeyPrinciplesHigh-quality,patient-centered,collaborativecareUnfetteredaccessandcontinuityExtremeefficiencyLet’sKeepitSimpleWhatisanIdealMicropractice?Whydosuchathing?Howtotaketheleap?PearlsandpitfallsYear1resultsWhyDoSuchaThing?Whynot?UnpredictablehealthcareclimatePatientsdeservethebestofmeWilllearnmuchmoreifIdothisSetupforasolidplanBBurnoutiscommonlydefinedaslossofenthusiasmforwork,feelingsofcynicism,andalowsenseofpersonalaccomplishment.PhysicianBurnoutPhysicianBurnoutAnationalsurveypublishedintheArchivesofInternalMedicinein2012reportedthatUSphysicianssuffermoreburnoutthanotherAmericanworkers.[1]Thisyear,intheMedscapePhysicianLifestyleReport,46%ofallphysiciansrespondedthattheyhadburnout,whichisasubstantialincreasesincetheMedscape2013LifestyleReport,inwhichburnoutwasreportedinslightlyunder40%ofrespondents.PhysicianBurnoutInthisyear'ssurvey,thelowesthappinessscoresatworkbelongedtoradiologists(4.46)and,asexpected,thoseonthefrontlineofcare:internistsandemergencymedicinephysicians(both4.50)andfamilyphysicians(4.52).Dermatologists(4.95)andophthalmologists4.85)hadthehighestscoresforhappinessatwork.Inyourjob,youarerunningonthetracksof“thewaywedothingsaroundhere.”Thesearestillnotyourtracks.Youdidnotlaythem.Burnoutiswhenyoufigureouthowtolayyourowntracksorbetteryet,realizeyouareafourwheeldrivevehicle–notatrainontracks.Youcannavigateanyterrainyouchoose.

-DikeDrummondMD(TheHappyMD)Let’sKeepitSimpleWhatisanIdealMicropractice?Whydosuchathing?Howtotaketheleap?PearlsandpitfallsYear1resultsMapoutyourvaluesystem–yourpracticewillbeadirectextensionofyouSeekadvice(*notapproval)fromtrustedfamily,friends,andmentorsCallyourselfsomething,putanactualnametoyourvisionStepforwardanddon’tlookbackHowtotaketheleapMusthaveskillsMedicalknowledge/abilityCompassion/empathyBlue-collarworkethic/self-relianceNetworking/promoterOrganizationalability/motivator“It’sthelackoffaiththatmakespeopleafraidofmeetingchallenges,andIbelievedinmyself.”

-MuhammadAliLet’sKeepitSimpleWhatisanIdealMicropractice?Whydosuchathing?Howtotaketheleap?PearlsandpitfallsYear1resultsPearlsandPitfallsStartthecredentialingprocessasearlyaspossibleNegotiateeverything;cutstart-upandoperationalcostswhereveryoucanSupplementincomeifpossible(teachingengagement,locums,etc.)FindtrustworthystaffmembersandtrainthemwellDesignprotocolsacrosstheboard(phoneanswering,medicalprocedures,etc.)Walkinthepatient’sshoes(simulateyourofficeexperience)StaytruetoyourvisionbutalwaysreadytoadaptLet’sKeepitSimpleWhatisanIdealMicropractice?Whydosuchathing?Howtotaketheleap?PearlsandpitfallsYear1resultsYear1resultsCommunitymicropracticemodelhasbeenwell-receivedLocalpublici