Physicians typically endure years of training by being put in a pressure cooker with no safety valve. They persist through sheer brute force and discipline within a highly regulated, high barrier to entry industry. The high stakes culture of medicine often lends to emotional immaturity and an inability to relate to most of the world around. Ironic and sad, given that one of the core principles in patient care is to demonstrate empathy towards the human condition. The information asymmetry that exists between patient and provider further puts more onus on the physician to have character and compassion. In addition to being out of touch with reality, physicians also grapple with the changing times. Technological advancements and accessibility of information through technology has influenced the way physicians learn and practice medicine. Physicians who are uncomfortable with technology tend to find it harder to keep up with the latest innovations and research that affects patient care.
I chose to do a rotation at a digital health startup because of the fear of being disconnected and clueless. Plus there are a few other beliefs of mine that I wanted to more fully explore during my time at Wellpepper:
- Understanding patients in the aggregate is important. Understanding what patients want, feel, and expect is not just an interesting data set, but is essential for me in providing optimal care. While a physician still deals with a patient one on one and the experience is influenced by patient characteristics, knowing the context in where the patient is coming from provides the best chance for an optimal encounter.
- Technology that enhances the patient-physician relationship is a top priority. The physicians I have respected the most have tier 1 communication skills and relationships with their patients. A good relationship can literally bend the physics of the situation (e.g. that’s why doctors who have good bedside manner don’t get sued).
- Technology that promotes value based care is the current landscape. It is no longer around the corner. Every stakeholder in healthcare is interested in improvement of care from an outcomes and cost perspective. Current practices in medicine are rapidly adapting in order to keep up.
- Betting against yourself is a great strategy for growth. Based on the culture of medicine, it has always been more important for me to implement care that is standardized and in service of saving a patient’s life rather than considering how he/she feels. Something as simple as a patient having to give five histories within the same hospital admission is normal to me and also has value due to the difficulties in eliciting accurate information. But what if I considered that a patient doesn’t want to hear the same question repeatedly and that ultimately effects his/her perception of care? What if their lives were saved but they didn’t believe that anyone truly cared for them in the hospitalization? Would this be a meaningful experience, or a shallow one sided win? Challenging the way I think, the way I was indoctrinated into thinking and behaving, is something I look forward to in this process.
In summary, I chose to do a rotation at Wellpepper because I have a growth mindset. I want to consciously be a part of the most exciting time in medicine, where the hard work of innovative and creative minds improve patient lives.