Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

When it comes to positive change, physicians are their own worst enemy

Suneel Dhand, MD
Physician
February 14, 2016
Share
Tweet
Share

Physicians are an interesting and eclectic bunch of people who have sacrificed a lot to get to where they are. Just getting into medical school alone is an academic achievement to be proud of. And that’s just the start of the journey. What follows is one of the most rigorous courses of study in existence. Test after test, exam after exam. And when you’re finally done with medical school and have earned the right to be called “Dr.” (often a childhood dream) — you find yourself at the bottom of yet another career ladder as you slog your way through residency. Going through such an intense process means that most doctors are by their nature incredibly hardworking, mentally tough, independent-natured and freethinking.

We are of course also at a time in health care when all physicians, no matter what our specialty, are feeling the full force of change in almost everything we do. Some of these things are great, others not so much — for our patients too.

Over the last several months, I’ve written about a number of issues that are pertinent to the practice of frontline medicine. These range from how we can improve patient satisfaction and the health care experience, suboptimal information technology systems, to more subtle changes in the way that physicians work and are perceived by their counterparts and society at large. The response to these articles has been highly interesting to observe, and underscores a wider phenomenon in how physicians in particular, as opposed to many other professions, think and organize themselves.

Take for instance a series of articles expressing dismay at the fact that physicians are no longer being addressed by their true job title, but by the word “provider” instead. This culminated in an open letter to the American Medical Association and all State Medical Boards that was widely circulated online. The response to this letter ranged from full-fledged support, to almost as many comments and responses from physicians dismissing the idea — instead trying to divert attention to “more pressing” matters.

Then there’s the issue of health care information technology. If you were to ask any frontline physician (or nurse) almost anywhere in the United States, what their biggest daily frustrations are, health care IT will be at or near top of the list. Clearly there’s a problem that needs to be addressed.

However, several articles that have sought to bring attention to this, written by many other colleagues too, have been met with a shrug of the shoulders. They have attracted comments from physicians along the lines of; “It’s never going to change, so stop talking about it,” and “Discussing this is laughable.” Worse still, they often border on personal attacks on the author. I’m all for open discussion and am quite thick skinned, but it’s sad when we reduce ourselves to this level, especially when there’s probable large-scale agreement on most points.

Perhaps the Internet as a whole is more adept at giving a platform to the voices of the cynics and pessimists, neglecting the silent majority. When browsing through the comments sections of articles from a wide variety of different perspectives, some of the more bizarre opinions expressed are from supposedly experienced doctors who, quite frankly, should know better. The article on being called a provider was rejected by some physicians for being “last on the list of concerns compared to other problems.” While there is no doubt that other such pressing matters may indeed be very pertinent and higher in priority, an issue such as being called a provider is a highly symbolic one, which is actually very low hanging fruit to change.

In real-life realms too, when discussing any problems that health care is facing, my experience has been that as exceptionally intelligent and often times refreshingly rebellious individuals, physicians don’t align themselves easily with any given cause without picking holes in an argument and highlighting other unrelated problems. This is not necessarily an advantageous thing to do when it comes to getting things done.

With any agenda or argument that may have broad support, wherever and whoever it comes from, physicians would do well to remember three golden rules of affecting any kind of positive change. Firstly, change happens in small steps. Rome wasn’t built in a day, and neither will moving health care in a better direction happen overnight. Secondly, on any particular issue — never, ever make the perfect the enemy of the good. Even a tiny change in the right direction is better than no change at all. And thirdly, when you are seeking consensus and allies for your cause, someone who is 90 percent your friend is not your 10 percent enemy.

Suneel Dhand is an internal medicine physician and author of three books, includingThomas Jefferson: Lessons from a Secret Buddha. He is the founder and director, HealthITImprove, and blogs at his self-titled site, Suneel Dhand.

Image credit: Shutterstock.com

Prev

A psychiatrist shares her 5 secrets to love

February 14, 2016 Kevin 4
…
Next

The games drug companies play can dramatically raise costs for patients

February 14, 2016 Kevin 16
…

Tagged as: Primary Care

Post navigation

< Previous Post
A psychiatrist shares her 5 secrets to love
Next Post >
The games drug companies play can dramatically raise costs for patients

ADVERTISEMENT

More by Suneel Dhand, MD

  • The dream patient that makes a doctor very happy

    Suneel Dhand, MD
  • When the family wants to speak to the doctor

    Suneel Dhand, MD
  • 3 reasons why patients are unhappy

    Suneel Dhand, MD

Related Posts

  • Are patients using social media to attack physicians?

    David R. Stukus, MD
  • The risk physicians take when going on social media

    Anonymous
  • It is our job to change the rhetoric on who physicians are

    Simran Kripalani
  • Beware of pseudoscience: The desperate need for physicians on social media

    Valerie A. Jones, MD
  • Medicare’s historic proposal to change how it pays physicians

    Bob Doherty
  • When physicians are cyberbullied: an interview with ZDoggMD

    Monique Tello, MD

More in Physician

  • Why evidence-based management may be an effective strategy for stronger health care leadership and equity

    Olumuyiwa Bamgbade, MD
  • The gift we keep giving: How medicine demands everything—even our holidays

    Tomi Mitchell, MD
  • From burnout to balance: a neurosurgeon’s bold career redesign

    Jessie Mahoney, MD
  • Why working in Hawai’i health care isn’t all paradise

    Clayton Foster, MD
  • How New Mexico became a malpractice lawsuit hotspot

    Patrick Hudson, MD
  • Why compassion—not credentials—defines great doctors

    Dr. Saad S. Alshohaib
  • Most Popular

  • Past Week

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • How New Mexico became a malpractice lawsuit hotspot

      Patrick Hudson, MD | Physician
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • Why helping people means more than getting an MD

      Vaishali Jha | Education
    • Why public health must be included in AI development

      Laura E. Scudiere, RN, MPH | Tech
  • Past 6 Months

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • Why flashy AI tools won’t fix health care without real infrastructure

      David Carmouche, MD | Tech
  • Recent Posts

    • Why helping people means more than getting an MD

      Vaishali Jha | Education
    • How digital tools are reshaping the doctor-patient relationship

      Vineet Vishwanath | Tech
    • Why evidence-based management may be an effective strategy for stronger health care leadership and equity

      Olumuyiwa Bamgbade, MD | Physician
    • Why health care leaders fail at execution—and how to fix it

      Dave Cummings, RN | Policy
    • Residency match tips: Building mentorship, research, and community

      Simran Kaur, MD and Eva Shelton, MD | Education
    • From Founding Fathers to modern battles: physician activism in a politicized era [PODCAST]

      The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 12 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • How New Mexico became a malpractice lawsuit hotspot

      Patrick Hudson, MD | Physician
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • Why helping people means more than getting an MD

      Vaishali Jha | Education
    • Why public health must be included in AI development

      Laura E. Scudiere, RN, MPH | Tech
  • Past 6 Months

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • Why flashy AI tools won’t fix health care without real infrastructure

      David Carmouche, MD | Tech
  • Recent Posts

    • Why helping people means more than getting an MD

      Vaishali Jha | Education
    • How digital tools are reshaping the doctor-patient relationship

      Vineet Vishwanath | Tech
    • Why evidence-based management may be an effective strategy for stronger health care leadership and equity

      Olumuyiwa Bamgbade, MD | Physician
    • Why health care leaders fail at execution—and how to fix it

      Dave Cummings, RN | Policy
    • Residency match tips: Building mentorship, research, and community

      Simran Kaur, MD and Eva Shelton, MD | Education
    • From Founding Fathers to modern battles: physician activism in a politicized era [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

When it comes to positive change, physicians are their own worst enemy
12 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...