A Deeper Dive into Patient Experience

Recently, my blog on Patient Experience was re-posted on KevinMD. The comments that patients and providers made on the site were challenging, insightful and difficult to read at times.

So many providers, mainly physicians, are so incredibly angry about the idea of patient experience. They get red in the face and raise their voices as they talk about it. They get defensive and make all kinds of excuses about how the data collection methodology is wrong and how medicine is going down the tubes.

Continue reading A Deeper Dive into Patient Experience

The Skeptic Doctor: Reflections of a Physician Leader

“Patient experience. I’d like you to take over the initiative,” he said. I looked to my left and right.

Shit. He’s talking to me.

 For a moment, I had an overwhelming sense of insecurity. Give me operations. Give me finance. Give me quality. Give me strategy. But don’t give me patient satisfaction. That’s not me. I’m not light and fluffy. I’m not mushy-gushy. Nor am I very good at the touchy-feely leadership stuff. I’m a cynic. A skeptic. A no-nonsense gangbuster.

Continue reading The Skeptic Doctor: Reflections of a Physician Leader

Nurse Respect: Confessions of an OB/GYN Physician

Sometimes I’m not the nicest. Sometimes I don’t say “thank you” or “please”. Sometimes I seem gruff or insensitive. Sometimes my tone does not put you at ease.

It’s not because I disrespect you. I value our interactions each and every day. It’s not because I don’t like you. Some of it is just the way I was trained. Continue reading Nurse Respect: Confessions of an OB/GYN Physician

Prayer and Medicine: Confessions of an OB/GYN Physician

The hand stretched out towards me and I looked at it solemnly.

“Will you pray with us, Doctor,” her mother asked.

I was at a loss for words or an appropriate response.

Pray?

 The day prior I had received the lab test. Her baby was 99% certain to have the devastating diagnosis of Trisomy 18, or Edwards Syndrome. It is an unfortunate condition in which a child is severely mentally retarded and typically does not live beyond the first year of life. Continue reading Prayer and Medicine: Confessions of an OB/GYN Physician