Dealing with change in the workplace powerpoint for healthcare

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[Music] so i went on this date with a guy i met online good on paper worst date ever he shows up late barely says hello hardly lets me talk before probing me with a barrage of questions and then he just walks out and who gets left with the bill worst date ever undeterred i continue to online date and i go out with this other guy also good on paper but this one led to a long-term relationship he shows up with a warm smile asked me about something he found interesting on my profile and then we engage in meaningful conversation about each other's histories the difference is clear one treated me like an objective the other treated me like a person these are true stories about experiences i've had but i did lie about one little detail these weren't dates with men they were appointments with doctors i spent 10 years doctor dating searching for a diagnosis to make sense of my mixed bag of chronic symptoms it wasn't until this last doctor that someone had intentionally asked me about my life outside of my standard medical history and therefore was properly able to diagnose me with fibromyalgia so what's the message here that a good on paper guy can be misleading definitely true but deeper than that whether relationship is romantic or clinical research shows that there are three essential qualities to every successful relationship respect communication and trust this is true for couples friends partners parents and yes doctors too unfortunately doctor-patient relationships aren't prioritized like our other relationships it's not the doctor's fault it's not the patient's fault it's the nature of our faulty health care system now it's not news that our healthcare system is broken and it is a multifaceted issue but deeper than the obvious complexities and disconnects there is a crack in the foundation that we often ignore a crack that can't be patched up by better technology more money a private or a single-payer system but it can be fixed by us doctors are people patients are people we as people can take part in fixing our broken health care system because we make up that system we don't need legislative change to have better doctor-patient relationships although many would argue that we need more time a doctor's appointment rarely is longer than 15 minutes so the question to fix our foundation of healthcare isn't only how do we build stronger healthcare relationships but also how do we do so quickly and efficiently today i'm here to share with you a tool that takes only five minutes my professional experience in healthcare as a researcher and my personal experience as a patient led me to create a tech company that uses compatibility matching just like a dating site to help people with chronic illnesses find their ideal doctor-patient relationships in preparing for today i asked our doctor and patient users what their issues are with the healthcare relationship as it is the majority of our patients agreed upon this sentiment i feel like doctors don't care to understand me now i want you to imagine for a second that we're talking about a marriage or a life partnership if your partner said to you i feel like you don't care to understand me wouldn't that be a giant red flag that something's wrong of course but would we ever say that to our doctors so let's look at it from the doctor's side what's their experience well doctors have spent 10 plus years in grueling training in which they have had almost no money time autonomy and then as they grow into their professions they have to retain an ever-growing encyclopedia of medical knowledge they have to emotionally engage and detach from dozens of people each day and at the same time keep in mind financial legal and time constraints they have dedicated their lives to helping others people don't become doctors to self-serve they become doctors because they have a passion to help those in need so our doctors what did they what were their greatest complaints their comments all boiled down to i feel like patients don't understand my limitations they're in a tough place patients are in a tough place they don't understand me versus they don't understand my limitations both feel misunderstood and unheard respect communication and trust are absent no relationship can thrive like that so how do we close this gap in understanding when i was in college as a neuropsych major my family cardiologist let me set up a study summer study internship in hispaire office i was interested in studying the definition of happiness based on expectations so it went like this i'd go up to people in the waiting room introduce myself hey i'm eva dr smith's intern would you be interested in joining me for a few minutes to answer some questions they'd follow reluctantly and confused clearly thinking why is this girl bothering me so i'd usher them in have them sit across from me and then i'd have them choose a happy level face that best identifies how they feel the majority of the time i'd then explain i'm going to have you reflect on 10 different life circumstances please tell me if at this time your expectations whether or not they have been met unmet or exceeded i'd ask them about their career their family life their health and then i'd ask them to review each again and rate each in terms of importance basically how much did them how much do they matter to you in the first place and lastly i would ask if there are any extenuating circumstances extreme things going on in their lives positive or negative that would greatly influence how they currently feel things like divorce a promotion a baby my study supported my hypothesis one's level of happiness is defined by their expectations boom success but the real success came from the outcome of conducting the study itself in five minutes in a simple questionnaire-based conversation i had a 360 degree view of each person's world way beyond their health concerns one woman even admitted to me now you know me better than my best friend is that all it takes five minutes structured conversation active listening what if our doctors knew us better than our best friends what if my doctor had would i have been diagnosed sooner there's one interview i'll never forget this man joe a recent immigrant from south africa he was actually intrigued when i asked him to participate in the study but despite his cheery disposition joe chose this face so when it came time for the last part of the study extenuating circumstances i said to joe you seem to be a relatively happy guy joe your expectations have been met or exceeded in almost every aspect of your life except family life which you've also rated of high importance if you don't mind me asking what is it about your family situation that seems to have negatively impacted your happiness so much last year my family moved from the u.s to south africa to protect my daughter from the rising crime in our country shortly after we moved to the u.s my daughter was killed yes i am a generally happy and positive guy but the pain of losing my daughter inevitably impacts my happiness so i try not to talk about it joe came to see his doctor that day for unexplained chest pain tess weren't showing any signs of physical issues so his doctors had recommended that he take aspirin in the meantime until they figured out what was going on joe hadn't told any of his doctors about his daughter he didn't think it was relevant and doctors didn't know to ask he seemed so happy but in five minutes joe trusted me an intern a stranger he didn't know because i had asked the right questions to trigger a trusting relationship which made him feel comfortable enough to divulge helpful context to his chest pain relationships whether they're at home or in the workplace or wherever are the greatest contributors to our happiness if our happiness affects our health and our relationships affect our happiness how can we ignore the necessity of relationships in our health care the answer is we can't doctors patients all of us are equally responsible for the healthcare relationship just like any relationship knowing that how do we take action at better addressing this responsibility how do we bring respect communication and trust back to the healthcare relationship and how do we do it in five minutes patience you can take action by first recognizing that your life outside the exam room matters you don't have to tell your doctor your whole life story but if it matters to you it's important even if it seems medically irrelevant advocate for yourself don't be intimidated that's just another person with a stethoscope around their neck a person who does care who does want to help and understand so do it together you're in a partnership and doctors you can take action by using this tool a an in-person brief but inclusive questionnaire method it could save you countless hours dollars and frustrations when you do but you can adapt it to your own style adapt it to your patients for instance pediatricians you can ask kids to give a thumbs up or a thumbs down when asking them about school siblings bedtime ask more listen more be curious there's more to a person than what's on their chart and often they won't share with you unless you ask if joe had never exposed his heartbreaking story he would have been prescribed even more unnecessary tests and medications instead he shared his emotional pain with his doctor and found the proper relief in therapy when the qualities of a successful relationship respect communication and trust are present between a doctor and a patient the impact is astounding quality of life improvements better treatment outcomes fewer readmissions more efficient time appointments when we get to the true problem faster there's a financial benefit to the individual and the system and true understanding may only take the time of a few curious questions yes we would all love more time with our doctors with our patients but regardless of when or if that ever happens we can fix our broken health care system now by bringing human care back to health care thank you you