{"id":39244,"date":"2017-05-25T14:12:05","date_gmt":"2017-05-25T13:12:05","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=39244"},"modified":"2017-06-07T08:45:23","modified_gmt":"2017-06-07T07:45:23","slug":"doctors-of-tomorrow-need-to-stop-failing-our-patients-and-ourselves","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2017\/05\/25\/doctors-of-tomorrow-need-to-stop-failing-our-patients-and-ourselves\/","title":{"rendered":"Daniel Grant: We the doctors of tomorrow need to stop failing our patients and ourselves"},"content":{"rendered":"

\"\"<\/a>Being a doctor should be about being human, and yet it is one of the most dehumanising jobs of all. As I sat in NESTA\u2019s People Powered Health conference<\/a> recently and learnt about all the amazing individuals and organisations dedicated to empowering people to take control of their own health, I couldn\u2019t help thinking that somewhere along the line we\u2019ve made a terrible mistake.<\/p>\n

We always talk about the doctor-patient relationship\u2014the need to work with, relate to, and help the person in front of us. As doctors we see a variety of people in various settings at key points in their lives. We\u2019re in a unique position to suggest change and for them to engage with their health. We can nudge them to healthier lifestyles and guide them to personalised and effective treatments. We can empower them to ensure that they enjoy\u00a0the maximum quality of life for as long as possible. We can, but we don\u2019t.<\/p>\n

As a junior doctor I\u2019m frustrated. I work in an environment that suffocates my ability to treat individuals<\/em>. I spend 95% of my time with the computer instead of the patient. I identify them by their bed number or by their illness, I treat their results remotely, and at best have a brief clinical chat and a hand hold. I treat patients like patients and not people.<\/p>\n

There are many reasons why this is the case, but fundamentally medicine has gone in a direction that’s taken it away from personal care in favour of depersonalised guidelines, academic elitism, and bureaucratic complexities that simmer behind the scenes. It\u2019s clear that if the NHS is to survive, then we need to be joining the wider quest of keeping people healthier for longer.<\/p>\n

None of this is new, and yet we do very little while all around us other parts\u00a0of the wider healthcare sector are striving to make serious adjustments. The problem is that doctors are the keystone to this success\u2014the crucial\u00a0point of contact that sets a patient down these branching pathways\u2014and yet we rarely do this.\u00a0We don\u2019t easily look outside the NHS for solutions and in so doing we fail ourselves, we fail our patients, and we fail healthcare.<\/p>\n

Of course, most of this isn\u2019t our fault and I know that most doctors share these frustrations, but it is never too late to strive for change. I’d start by looking at these three\u00a0things:<\/p>\n

\u2022 The role of a doctor.<\/strong> It must<\/em>\u00a0change. Period. If we continue to have a hierarchical system whereby newly qualified doctors barely use a single skill they\u2019ve accrued at medical school then we\u2019re doing something wrong. If the majority of a junior doctor\u2019s job is doing tasks that you don\u2019t need a medical degree to do, then we\u2019re wasting a generation’s skills. We need to be using our resources correctly, both in terms of technology and staff, so that we can free up the doctor to spend more time with the people he or she is treating.<\/p>\n

\u2022 Medical school.<\/strong> The medical school bubble\u2014full of type A, highly strung, high achieving, multitalented individuals\u2014is an unhealthy environment. Being a doctor is all about communication so why don\u2019t we focus more on drama, rhetoric, and philosophy? We often champion having \u201cwell rounded\u201d individuals and pluck them from school into medicine, where we then bash them into a square hole and knock the creativity and individuality\u00a0out of them. In a discipline that needs to be more about communication and empathy, this is a disaster.<\/p>\n

\u2022 The environment.<\/strong> This needs to change not just for the sake of healthcare staff and their low morale, but for the patients. They can\u00a0feel dehumanised because we don\u2019t talk with them, we sit them in bays, we dress them in gowns, and allow them to stare at nothing. We make them feel like they are machines on a conveyor belt, when they should be treated as individuals.<\/p>\n

In the wider world\u00a0there is a remarkable amount of progress happening to empower individuals both before and at their time of need. This kind of work can lift the burden on the NHS drastically and should be embraced. If doctors are not at the forefront of this movement then we are in danger of becoming a glorified “one stop shop” and middleman to the wider world. It’s inevitable that our role will change, so why not make sure it’s on our terms?<\/p>\n

If we\u2019re allowed to communicate properly and engage the creative aspects of our nature, then we can begin to effect change and change what it means to be a doctor in the 21st<\/sup> century. If we can keep ourselves relevant, then we can help to ensure that every single person\u2019s healthcare is the best it can be.<\/p>\n

Daniel Grant<\/strong> came to medicine as a graduate, having previously\u00a0worked in the arts and sports industries. He has special interests in preventative medicine and space medicine.<\/em>
\n\u00a0
\nCompeting interests:<\/strong> I have read and understood BMJ policy on declaration of interests and declare the following interests: None.<\/p>\n","protected":false},"excerpt":{"rendered":"

Being a doctor should be about being human, and yet it is one of the most dehumanising jobs of all. As I sat in NESTA\u2019s People Powered Health conference recently […]<\/p>\n

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