How can you juggle multiple physicians' competing demands?

In the same hand, recognize that some physicians (and patients!) have distinct preferences for text, voice, or face to face communication and work to respect those as expressed. Tough balance, I know! And doable, recognizing not everyone can get what they want all the time. As physicians, learning how to balance communication styles to reflect our expressive, others’ receptive, and professional normative preferences only helps us learn to serve our patients better.

You need to seek feedback from the physicians, your colleagues, and your patients, and use it to improve your performance, quality, and satisfaction

O mercado médico traz muitas oportunidades mas exerce atratividade e competitividade. N?o é um negócio que se concorre por pre?o, mas por valor e entrega. Os resultados s?o fruto da jornada, do meio. Será bem sucedido o profissional que se atentar ao crescimento e consolida??o da carreira mas que deve ao mesmo tempo observar as áreas e recortes específicos do mercado e / ou nicho de sua atua??o. No mundo atual, a preocupa??o com solu??es globais na prática da medicina tem despertado interesse, como e o caso da saúde pública, que teve seu grande ápice no Covid-19 e agora no pós crítico da pandemia. A tecnologia em.mediicna e crescente, mas n?o se exerce a profiss?o sem o caráter humano, Bia técnica e empatia. Fazem parte do cuidado e aten??o

To ensure optimal communication it is important to understand the physicians point of view and where s/he comes from. By showing interest and meeting them at their standpoint a better insight can be gained - this applies especially for clinical matters. A change being implemented without ?consulting“ the affected personnel will result in inefficient implementation and worsen the overall mood and communication

You need to show respect, appreciation, and recognition for the physicians' expertise, experience, and contributions. You also need to demonstrate your competence, reliability, and accountability for your work. Share your goals, challenges, and achievements with the physicians, and seek their feedback, advice, and support

And remember: the most important, urgent, and time-sensitive tasks are usually those that impact patient care. Most physicians only truly get upset when an unanticipated, incomplete, or poorly completed task results in the potential a patient suffers as a result (whether that suffering is big or small!).

Putting first things first is the key to being a successful physician and managing a complex and heavy patient load. Identifying which tasks need to be completed first should be daily priority number one. First identifying, then categorizing and then focusing on the critical bucket of Urgent and Important (I.e sick patients, critical labs and studies, etc..). Once those tasks are handled the focus can shift to the less urgent but yet important tasks of the day. Even though this seems intuitive, I have seen many struggle as they get sidetracked with less important tasks leading to poor outcomes. Learning how to focus on putting first things truly first is a critical step in becoming an excellent clinician and avoiding potential harm.

O mercado médico é competitivo por excelência. De profiss?o nobre a inigualáveis oportunidades expressa a vanguarda do conhecimento à disposi??o da sociedade. Neste sentido, é de se observar que a carreira médica vem passando por uma mudan?a provocada pelo nosso tempo. Com base nesta perspectiva entende se que as fun??es medicas est?o cada vez mais próximas dos avan?os tecnológicos porém deve se entender quais s?o as prioridades claras para cada uma das fases, desde o internato, a residência e a vida profissional dentro das especialidades e servi?os. Tudo deve estar acompanhado de conhecimento, profunda revis?o das práticas e atividades que podem ser de previs?o e plan?amento evitando ou até mesmo mitigado riscos e problemas aos pacientes

Give Yourself Permission to Say No. Learning to say NO is a skill. In fact, saying a skillful NO is simply not easy but extremely necessary for your overall well-being. Be firm and polite. If a request that is being asked of you is something you would be interested in the future, say so. Tell the person making the request that you are focused on another project or goal at the time but to be considered for it again in the future if still available.

Building a good relationship with physicians is necessary to ensure a smooth workflow and in the end guarantee best patient care. I value insight in daily routines (and problems/hurdles that come with it) as highly important as the physician can then give direct feedback to receive the support that s/he needs. Being able to talk openly and being direct when it comes to problem solving makes everything more efficient and in the end also benefits the patient.

Consulting Physicians clearly want to be heard and respected on their recommendations and ideas. When we are aligned things are quite simple. In situations where I clearly disagree on their recommendations I will always make every effort to listen carefully and understand their perspective. Often times I am relying on their particular expertise in their field to try to help guide my team through the treatment and care of a patient. If after discussion there is still significant disagreement then in a very respectful way I discuss concerns and perhaps try to find a middle ground. Even if one cannot be found I am always communicating through words and actions respect for their expertise as our shared expertise will help future patients.

To become an excellent physician one must be willing to learn from their own experiences of success and failure. Because we are working on fellow human beings it is sometimes difficult to be open and honest about failure and seeking help from our colleagues to learn and grow. Having a growth mindset includes keeping up to date to literature and meetings but also talking to colleagues and other experts in the field about your own failures as many of them have experienced the same failures and can help you to become better. It is only through deep and truthful introspection that we can truly become our best selves and the best physicians to our patients.

Worst case scenario for me is if everyone is talking past each other. Often the first step of ?talking about it“ is made quite early but then the conversation doesn‘t lead to anything helpful or peters out. This quite often happens because we lack insight and understanding of the opposite view. So not only talk about problems but gain insight, a bit of expertise, get educated on the opposites side so gaps in systems and processes can be better addressed.