Pearls of Wisdom, Nuggets of Truth
February 23, 2017 Fort Langley Taphouse
Our Residents asked for an opportunity learn from you what they could expect in their professional future - what you wish you had known when you were a Resident. Here are the insights from the Event on Feb 23rd.
Over 50 Members and guests enjoy each other's company and wisdom on Feb 23 at the Fort Langley Taphouse.
Taking Care of Your Patients:
- Remember: the person is infinitely more important than the illness, look after the person.
- Try to take a moment with every patient encounter to be in their shoes. Do they understand what they are being told? Do they know how to get the test done or take the medication?
- Listen to your patient – they are trying to tell you the diagnosis.
- Plan for patient experience, it will pay off.
- Ask the patients who are deeply struggling whether they have any spiritual support and encourage them to explore this. Often medicine does not have all the answers.
- In patient care some issues require more than 10 minutes – diagnosis, treatment plan, test ordering. Follow up 30 – 45 minute visit for complete physical scheduled in 1 – 3 weeks with detailed assessment and review.
- Make sure you are right if you disagree with a patient.
- Treat people the way you would like to be treated.
- Sometimes it is best for all parties to end a patient - physician relationship. Don’t do it often, but do it sooner rather than later. The college gives guidance as to how to do this.
We had a little birthday surprise for Ellen, presented by Drs. Leo Wong and Beth Watt
Taking Care of Yourself:
- Take care of yourself so you can take care of others.
- Cling to a few scraps of altruism as hard as you can. Do random or deliberate favors for patients and for colleagues, without material reward.
- Always take the time to take care of yourself –exercise time, no skipped meals, and most importantly, don’t miss family events for work.
- Always ask for help from your colleagues.
- Be human and show empathy.
- Don’t take work and difficult cases home.
- Slow down, start your day on time or 10 minutes early.
- Always book time off for lunch, never skip even if you stay 30 mins more at the end of the day – lunch break is your life saver and it will be worth it in the long run.
- Life balance – minimize commuting, don’t shortchange yourself – charge, lean forward, compassion, efficiency, group practice.
- Start living your life now, don’t wait until you finish your training.
- Find a hobby or an activity that allows you to forget what you do for a living.
- Low stress at work is an enjoyable part of being a team and can be a very rewarding career.
- Take lots of holidays and 1 day off per week.
- Take advantage of professional courses.
- Be like Tom Parsons - kind, generous and a lifelong learner.
- Drink less and get outside more.
- Have a beer on Friday.
- KISS (Keep It Simple Silly).
Drs. Beth Watt and Jeff Plante, the emcees for the evening
Taking Care of Your Colleagues:
- Ask your colleagues questions, be open about the gaps you want to fill.
- Use a team approach.
- Help everybody you can and never criticize.
- Network in hospital with everybody.
- Work in hospital and listen to the RNs or LPNs who actually look after the patients
- Get to know your hospital radiologists. When you order a diagnostic imaging test, go down to their offices and review the results. You will get the answer much faster than waiting for the report to show up on the patient’s chart, which is very helpful for patient care.
- The hospital provides patient care and your contact to consultants, nurses, social workers, dietitians, emergency and operating rooms. This is the team that you will assist and they will in turn assist you. Help everyone you can and you will be assisted by all.
Learners and new grads aptly absorbing the wealth of information shared on Feb 23rd
Practice advice - medical:
- Common things are common, uncommon and rare things do happen, don’t get locked into diagnosis.
- If things aren’t going well, start at the beginning or go through the chart and see what part of the history you are missing. (The patient doesn’t always remember the history). Observe faces and body language to make sure you are getting the real story.
- Often the key to the first problem on the list came with the 3rd or 4th problem. Telling patients to talk about one problem per visit means missing crucial information.
- Do hospital work when you start or will be hard to start after a few years.
- Own up to your mistakes.
- Do obstetrics.
- Acknowledge what you don’t know.
- Like in sports where the top athletes do the basics better than anyone else, true also of medicine.
- When complications arise, never criticize, help with solutions to solve the problems.
Drs. Garnet Wolchok and Gary Nataros sharing with the group
Practice advice – administration:
- Learn the fee codes early.
- Remember that students have little money and work hard at minimum wage jobs, if a student needs a note to miss an exam for school, don’t charge them.
- Try to complete all labs, notes, referrals, forms etc.
- Start doing your billings as soon as you start practicing, you’ll be surprised how much you can save for yourself.
- Advanced same day access.
- Get good medical insurance.
- If you are diligent, your time is as valuable as a lawyer’s time.
Drs. Bob Saunders and Judy Higginson - ER perspective
The depth of what you conveyed was immense in importance and abundant in wisdom. LDFP commits to keep updating and sharing this valuable collection of Pearls of Wisdom,Nuggets of Truth for years to come. Please keep letting us know: did we miss anything; do you have another wisdom you'd like to add? We always look forward to hearing from you!