COVID-19 disease VS lockdowns in India: What is causing greater distress? by Marcia Carteret, M. Ed. In the U. S., it is very common for patients to seek a second opinion, though there is often awkwardness between patient and doctor during this conversation, and some doctors do get defensive. Equanimity and evenness of mind are the greatest assets for Doctors during the present crisis and can be cultivated with regular meditation and radical change in the attitude. Act without fears: Doctors are vulnerable to infections which can instill fear, mainly if personal protection equipments are not available. International Advisor, Srilanka Journal of Radiology [SLJR-online]. The physician acts more as an expert offering guidance than an authority figure (except in the case of emergency). Ex-Consultant to Chief Editor, Radiology, RSNA. The Psychology of Expectations Why unrealistic expectations are premeditated resentments. The Doctors need to set high standards for the society in terms of professional commitment, moral obligations, ethics, work discipline and good personal health. They should follow government guidelines regarding the pandemic and lockdowns as applicable to hospitals and clinics. Act with conviction:  It is important to realize that having faith is not inferior to cultivating knowledge. Email ID    drnitinpghonge@gmail.com                drnitinghonge@rediffmail.com. In addition Society expects competence and altruisticity from the doctors. Section Editor, Indian Journal of Radiology & Imaging. In a highly individualistic culture, like American culture, it is common for people to believe the locus of control in their lives rests securely with themselves. Most respondents (78%) agreed that they expected a doctor to be the leader of the healthcare team. The number of complaints and claims has risen year on year, but this has not been shown to be associated with a reduction in the standard of care provided by doctors. If we have the benefit of a recommendation from someone we know, all the better, but often that isn’t available. Equanimity of mind will allow doctors to perform at their best in terms of clinical acumen, technical skills and scientific knowledge for the patient’s well-being. This cross-sectional descriptive study population was made up of adult volunteers who were randomly selected at four types o… For some people, the crowded schedules of esteemed specialists is actually reassuring – proof of sorts that we are lucky to be the patient of such a highly sought doctor. Though at times challenging and more time-consuming, a culturally-responsive approach to patient care results in clearer expectations, better compliance, reduced medical errors and improved patient satisfaction. Patients were perceived to deem tertiary hospitals with skilled doctors and high-tech equipment as places where any difficult and complex medical problem could be cured (Table 2 … The Bhagavad-Gita is the eternal message of spiritual wisdom from ancient India which can answer questions about our lives and existence. If they do seek a second opinion, thorough discussion of both the initial and second opinions will also be difficult for them. Those questions concerned the growing gap between what society has always expected of the medical profession—that doctors be available whenever needed and give priority to the interests of the patients in front of them at all times—and the expectations of medical students and new doctors—to have rich and balanced lives outside of the profession and to balance the health needs of the public with those of the … Set high standards: Even today, Medicine is the most respected profession. Societal expectations Prepared by Manisha Khadka 2. Mind-body connection should be accepted as a key concept in healing. | Nov 17, 2010. Effective cross-cultural communication begins with understanding values-based health beliefs and behaviors – including the expectations different cultures have for physicians. 1. If the doctor’s mind remains unperturbed with uncertainties of the present times and is free from attachment, anxiety and fear, he or she can perform much better. Doctors need to respond to their calling, rise to occasion and serve the humanity in these challenging times. We should accept change as a central rule of our existence on this planet. Expectations from Physicians Expectations from Physicians When in a Public Gathering Oftentimes, we hear such statements from lay people when there is / are a doctor / doctors in a crowd or public gathering. 5 Ways to Make the Most of Your Doctor’s Appointment. This is a valuable background for promoting patient centred communication in the society. “They all attain perfection, when they find joy in their work”. In this cross-cultural communications article we will take a look at one area that is commonly problematic – patients’ expectations of physicians. Patients might attend their doctor with a preconception of how they will be treated, which could be for a variety of reasons. Bhagavad Gita is much more than a religious text, as it offers insight into every aspect of life and is universally relevant. Arise”. “The one by whom others are not agitated and who is not agitated by others, who is free from joy, envy, fear, and anxiety, is also dear to Me”. The doctor’s dilemma during COVID-19 pandemic: Solutions from Bhagavad Gita. In private practices, we expect to see a doctor’s educational and professional credentials displayed where we can view them. Effective cross-cultural communication begins with understanding values-based health beliefs and behaviors – including the expectations different cultures have for physicians. In choosing a primary care physician at an HMO, we want to read about the credentials of physicians on the organization’s website before we choose our primary doctor. “Don’t worry with what you are going to do. This innovative approach of the “street study” aims to understand what people want from health care. Copyright © 2021 Bennett, Coleman & Co. Ltd. All rights reserved. However in contrast to the perception of the … The vast majority of science, technology, engineering, medicine and Doctor’s decisions will become much more difficult if they attach themselves with the outcome of the treatment. They should develop equanimity and evenness of mind and treat everyone equally. The dimension of culture that we call “individualism vs. collectivism” applies here. Doctor can also play a crucial role in providing correct patient education. A warm and paternalistic rapport is established between patients and physicians, but at the same time, patients may expect to be told what to do. We have a doctor / doctors with us.” “Don’t worry with what… Women may set themselves unachievable goals and then become… In recent times, as the practice of medicine gradually became the industry of healthcare, there are increasing incidences of violence against the doctors and decline in the trust. Summarizing the solutions:  In this mystical circle of life, the material world often discard the wisdom of one generation as absurdities in the next generation and even vice versa. Doctors looking after the non-COVID patients should follow the same approach. However, it is also very important to be prepared for an apparent contradiction in values and expectations from some families who will want a provider to take time to get to know them and demonstrate warmth, yet also be directive. There is no doubt that nursing is a profession with the essential ingredients of autonomy and accountability. Many of us have come to expect doctors to be hurried and over-busy. Section Editor, Apollo Medicine. The fears stem out of care and concern for their family and for their patients. Excelling and dedication to one sport is insufficient. Even in routine clinical practice, the same set of treatment protocols may have variable responses in two different patients and the same will happen during this pandemic, when treatment protocols are not standardized across the globe. Societal expectations • General standard of behavior that individuals who live within a society are expected to uphold • Unique set of normal behavior • Universal social behavior • … It is prudent to use Hydroxychloroquine after due safety precautions rather than waiting for clinical trials. The timeless teachings of the Bhagavad Gita offer profound knowledge about the nature and purpose of our lives and are useful for every human being, irrespective of their caste and creed. In any health care interaction where personalismo is clearly missing, compliance and health outcomes may be adversely affected; open communication between patient and provider will be difficult to establish. Dr. Nitin P Ghonge @ A breath of fresh air. What is the solution?…. In collectivist cultures, and in societies where a high power distance is the norm, patients are more likely to view providers as authority figures who conduct themselves with utter certainty. of Radiology; Indraprastha Apollo Hospitals, New Delhi-76, INDIA. 091-9811135957 . The healthcare should move from ‘Volume-based’ to “Value-based’ model in the interest of society. This way of finding a doctor and establishing an initial degree of trust is comparatively easy. Don’t expect to get any coaching from the coach if you aren’t one of those star athletes because all of their time is spent on them. Doctors need to understand that the majority of patients like to contribute their opinion and get involve in decision making even though they wanted doctors to make decisions. Offer a handshake that lingers a moment and is less business-like than an American professional handshake. Cultural responsiveness in health care describes the capacity to respond to the health care issues of diverse communities. The panic response of the society related to the COVID-19 may prove to be a bigger problem than the medical problem alone. Dr. Nitin P. Ghonge, MD, DNB, FICR, FIMSA. It is appropriate for doctors to communicate about the scarcity of personal protection equipments, but that should not discourage them from performing their duties. The Bhagavad Gita [meaning ‘Song of God’] is a 700-verse Hindu scripture that is part of the epic Mahabharata. Another set of expectations that is related to the sick is the physician's role, a role society has created that defines appropriate patterns of behavior for people who are doctors. High expectations among the public of the benefits of medicinal cannabis are being disappointed because doctors are unwilling to prescribe it in the knowledge that there is … Though, treatment protocols for COVID-19 are presently struggling between ‘evidence-based approach’ and ‘limited experience’ with use of Hydroxychloroquine in viral infections. Many Americans bristle at doctors telling them what to do if it feels like being given orders, unless of course the patient has asked for a medical directive. The practice of medicine is distinguished by the need for judgement in the face of uncertainty. Doctors need to remain calm and cheerful, amidst the doom and gloom of COVID-19 pandemic. In the process of developing culturally responsive care, it is important to consider the ways in which patients’ health beliefs and behaviors are likely to differ from their provider’s if the two come from different cultural backgrounds. “Equanimity of mind is Yoga. In many traditional cultures of the world, trust is vested in health care professionals based on referrals from very well-trusted sources – usually close friends or family members. Designed by Elegant Themes | Powered by WordPress, Key Concepts in Cross-Cultural Communications, Using the Cross-Cultural Adaptability Inventory In Healthcare Training, BBC Article Claims “Native English Speakers are the Worst Communicators in the World”. Society is a worldwide voice that tells us what is isn't acceptable to do. Trust is not vested in medical professionals the same in all cultures. “The mind alone is one’s friend as well as one’s enemy”. Role theory is the sociological study of role development, concerned with explaining what forces cause people to develop the expectations of their own and others' behaviors. It is helpful to be prepared for what may appear to be a contradiction of values and expectations operating in some cross-cultural interactions. Treat everyone equally:  It is natural for humans to become judgmental of situations and persons around us. Doctoral students’ career expectations principles and responsibilities Introduction There are now more PhD students in the UK than at any time in the past, of whom only a small fraction are likely to pursue traditional academic careers. We want an expert’s opinion more than a connection, so we accept a bedside manner that may be less warm but is highly professional. Change is inevitable:  As in life, the only thing constant in Medicine is Change. This may sound obvious except for the fact that doctors' assessments of patients' preferences have more influence than those preferences themselves. Having faith is not opposed to being reasonable or scientific. This certainly does not mean lack of empathy and compassion, which are essential traits of physician. In many countries, people visit a doctor or traditional healer expecting to be cured on the spot or to be given a medicine that will cure them after they leave. The ‘non-attachment’ approach to crisis will allow a clear ‘bird’s-eye view’ of the situation and will help the doctors to perform in more efficient manner. Trust is not vested in medical professionals the same in all cultures. In Spanish, the word personalismo captures an ideal balance of professionalism and warmth many people seek. ” aims to understand what people want from health care describes the capacity to respond to field. “ when inertia is predominant ; ignorance, inactivity, carelessness, and negotiate – in cross-cultural especially! Of values and expectations operating in some cross-cultural interactions goals and then become… the public.... Heart with the available resources at the cross-roads of life spiritual dictionary ’ building. 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