405: Why Don’t You Talk About MD Burnout Anymore Nathan?

Why Nathan Doesn’t Talk About Physician BurnOut Anymore]

 

If you would rather skim and scan before you listen, I have created some short off-the-cuff notes for your convenience.

Want more info? Go to iPracticeByDesign.com for more resources.

To access Nathan’s physician-specific interview content on KindleUnlimited go to Nathan’s Amazon Author page here: http://www.amazon.com/author/nathaneckel

*****

KEY TAKEAWAYS FROM THIS EPISODE

 

What do you want the most in your life?

 

Why don’t you talk about Burnout (BO) anymore Nathan?

  • You’re a son
  • You’re a spouse
  • You’ve seen this your whole life

 

Why don’t you care about this?!?

 

I DO care! 

 

I’ve created resources

I’ve interviewed MD authors who wrote books on MD BO.

 

So why don’t you talk about it anymore?

 

The F word – NOT that one

 

“Where Focus goes energy flows”

 

I struggle with a half-empty view of life – and I need to willfully change my focus

 

I suggest you might also need to.

 

If you want to focus on more burnout, there are a bunch of great podcasts on burnout.

 

I realized – I DONT want to do a burnout podcast.

 

I don’t want to focus on that.

 

What DO you want to talk about?

 

The challenges of Medicine

The data

The end result of the root causes of unsustainability in healthcare = BO

 

We’ve all had jobs (including your job) where margin is cut, the pressure is growing, the good colleagues are quitting or leaving or moving or transferring, and we have to pick up the slack

 

How do we fix the unsustainable rotting core of the onion?

 

Remember Samurai Belushi from SNL in the 70s?

 

The core is like a rotten onion – I don’t want to peel each layer anymore.

 

The root = lack of predictable reimbursements.

 

This makes EVERYTHING unpredictable

 

That hospital that just shut down abruptly outside Philadelphia

 

Gruesome tale – King Solomon, the women, the baby and the sword.

 

This is where we are at in healthcare – it is unsustainable and if something does not give, the hospital dies from the bleeding.

 

HCAHPS “reviews” – what if patient thinks you’re a Motel 6 experience?

 

Meanwhile you have your head down trying to serve your list and the individual patients one by one.

 

On the micro level yes you are doing your job

 

On the macro level – if hospital is bleeding reimbursements, your job is at risk

 

I successfully avoid harping on the VA Governor who got into some well deserved controversy

 

Can we get rid of medical taboos (not related to the awful VA gov situation!)

 

Where do you want to go?

 

The wheel of life

 

Your health

Your finances

Your relationships

Your goals

Your personal time

Your legacy

 

What do you want?

 

Awkward silence for you to think about it.

 

If you could change ONE thing about your team if you had more margin, what would it be?

 

Listen again and fill in the blanks

 

What’s your point Nathan?

 

Space – Silence = margin

 

We need margin to solve our problems and challenges

 

Data Points from the Medscape Physician Survey 2018

 

% of time spent on paperwork and admin

% of time on patients

 

Physicians’ advice to other physicians for staying on schedule:

 

I don’t answer this because they are ridiculous, like:

1. “make sure your office doesn’t overbook you”

(easy when we elect a politician who adds millions of patients to your workload)

 

Why I don’t care whether you believe healthcare is a right or privilege

(hint – you paid the price to care for people)

 

2. “Take Fewer Breaks (if you currently take any breaks)”

 

What my dad told me that SHOCKED me about the right to go to the bathroom on demand.

 

You want to talk privilege vs human rights?

 

I personally believe that physicians should have the human right to be able to take a bathroom break whenever Nature calls, without shame or blowback.

 

More about the resources

I’ve interviewed Drs. Ruthann Russo, Christopher Burton, Naim El Aswad on their respective burnout books.

 

You can access the edited transcripts of my interviews FREE on Kindle Unlimited ($9.99/mo) or for $17.99.

 

All the authors reject the way admin and the “experts” expert-splain to MDs to be “mindful” or do yoga etc… they point to the systemic nature of this and the gaslighting MDs get.

 

Any job where the pressure is growing, where things are unsustainable, where things are sloping downward, burnout will be inevitable.

 

And the more we focus on that, the more burnout we will have to fight.

 

Unsustainable reimbursements is robbing Peter to pay Paul.  We are all outraged by lack of transparent pricing, because we all have grandmothers who lost their savings because of an ambulance ride, or some similar awful story.

 

It’s unacceptable. 

 

You know what else is unacceptable? 

 

Going after symptoms, instead of the root problem

Demonizing the people who are trying to make a bleeding system work another day for fewer people as best they can

Whistleblowing and authoring books that don’t even have the word “reimbursement” or HCAHPS in the index.

 

I want to draw attention to the root cause.

I want to turn things around – slowly, progressively, partially if necessary.

 

 

Did any of this resonate with you?

 

Would you please SHARE, APPLY and INVITE others to join us?

 

405: Why Don’t You Talk About MD Burnout Anymore Nathan?

Why Nathan Doesn’t Talk About Physician BurnOut Anymore]

 

If you would rather skim and scan before you listen, I have created some short off-the-cuff notes for your convenience.

Want more info? Go to iPracticeByDesign.com for more resources.

To access Nathan’s physician-specific interview content on KindleUnlimited go to Nathan’s Amazon Author page here: http://www.amazon.com/author/nathaneckel

*****

KEY TAKEAWAYS FROM THIS EPISODE

 

What do you want the most in your life?

 

Why don’t you talk about Burnout (BO) anymore Nathan?

  • You’re a son
  • You’re a spouse
  • You’ve seen this your whole life

 

Why don’t you care about this?!?

 

I DO care! 

 

I’ve created resources

I’ve interviewed MD authors who wrote books on MD BO.

 

So why don’t you talk about it anymore?

 

The F word – NOT that one

 

“Where Focus goes energy flows”

 

I struggle with a half-empty view of life – and I need to willfully change my focus

 

I suggest you might also need to.

 

If you want to focus on more burnout, there are a bunch of great podcasts on burnout.

 

I realized – I DONT want to do a burnout podcast.

 

I don’t want to focus on that.

 

What DO you want to talk about?

 

The challenges of Medicine

The data

The end result of the root causes of unsustainability in healthcare = BO

 

We’ve all had jobs (including your job) where margin is cut, the pressure is growing, the good colleagues are quitting or leaving or moving or transferring, and we have to pick up the slack

 

How do we fix the unsustainable rotting core of the onion?

 

Remember Samurai Belushi from SNL in the 70s?

 

The core is like a rotten onion – I don’t want to peel each layer anymore.

 

The root = lack of predictable reimbursements.

 

This makes EVERYTHING unpredictable

 

That hospital that just shut down abruptly outside Philadelphia

 

Gruesome tale – King Solomon, the women, the baby and the sword.

 

This is where we are at in healthcare – it is unsustainable and if something does not give, the hospital dies from the bleeding.

 

HCAHPS “reviews” – what if patient thinks you’re a Motel 6 experience?

 

Meanwhile you have your head down trying to serve your list and the individual patients one by one.

 

On the micro level yes you are doing your job

 

On the macro level – if hospital is bleeding reimbursements, your job is at risk

 

I successfully avoid harping on the VA Governor who got into some well deserved controversy

 

Can we get rid of medical taboos (not related to the awful VA gov situation!)

 

Where do you want to go?

 

The wheel of life

 

Your health

Your finances

Your relationships

Your goals

Your personal time

Your legacy

 

What do you want?

 

Awkward silence for you to think about it.

 

If you could change ONE thing about your team if you had more margin, what would it be?

 

Listen again and fill in the blanks

 

What’s your point Nathan?

 

Space – Silence = margin

 

We need margin to solve our problems and challenges

 

Data Points from the Medscape Physician Survey 2018

 

% of time spent on paperwork and admin

% of time on patients

 

Physicians’ advice to other physicians for staying on schedule:

 

I don’t answer this because they are ridiculous, like:

1. “make sure your office doesn’t overbook you”

(easy when we elect a politician who adds millions of patients to your workload)

 

Why I don’t care whether you believe healthcare is a right or privilege

(hint – you paid the price to care for people)

 

2. “Take Fewer Breaks (if you currently take any breaks)”

 

What my dad told me that SHOCKED me about the right to go to the bathroom on demand.

 

You want to talk privilege vs human rights?

 

I personally believe that physicians should have the human right to be able to take a bathroom break whenever Nature calls, without shame or blowback.

 

More about the resources

I’ve interviewed Drs. Ruthann Russo, Christopher Burton, Naim El Aswad on their respective burnout books.

 

You can access the edited transcripts of my interviews FREE on Kindle Unlimited ($9.99/mo) or for $17.99.

 

All the authors reject the way admin and the “experts” expert-splain to MDs to be “mindful” or do yoga etc… they point to the systemic nature of this and the gaslighting MDs get.

 

Any job where the pressure is growing, where things are unsustainable, where things are sloping downward, burnout will be inevitable.

 

And the more we focus on that, the more burnout we will have to fight.

 

Unsustainable reimbursements is robbing Peter to pay Paul.  We are all outraged by lack of transparent pricing, because we all have grandmothers who lost their savings because of an ambulance ride, or some similar awful story.

 

It’s unacceptable. 

 

You know what else is unacceptable? 

 

Going after symptoms, instead of the root problem

Demonizing the people who are trying to make a bleeding system work another day for fewer people as best they can

Whistleblowing and authoring books that don’t even have the word “reimbursement” or HCAHPS in the index.

 

I want to draw attention to the root cause.

I want to turn things around – slowly, progressively, partially if necessary.

 

 

Did any of this resonate with you?

 

Would you please SHARE, APPLY and INVITE others to join us?

 

404: MDs/DOs/NPs > How To Get 100 Hours Margin This Year

How Do You Spell Love?  T.I.M.E. (and how to get the margin you need)

 

If you would rather skim and scan before you listen, I have created some short off-the-cuff notes for your convenience.

Want more info? Go to iPracticeByDesign.com for more resources.

To access Nathan’s physician-specific interview content on KindleUnlimited go to Nathan’s Amazon Author page here: http://www.amazon.com/author/nathaneckel

*****

KEY TAKEAWAYS FROM THIS EPISODE

 

How do you spell LOVE?

 

What would you do with 100 hours this year?

 

Is healthcare a right or privilege?

 

Are bathroom breaks for MDs a right or patient?

 

Where to pull your head out of (not THERE)

 

I meant YEAR not week LOL

 

A word of caution

 

If you theoretically save / practice by default, you will NOT save time

 

Make DESIGN your new DEFAULT, as often as you can

 

Apply as many elements as you can

 

Qualifiers:

  • Are you a patient Facing physician?
  • ER docs: you don’t get a pass, how this can also work for you
  • Are you willing to challenge
  • Are you willing to fight for this to work?
  • Fight for Margin instead of focusing on burnout

The good news & the not so good news

 

It SCALES… (but for whom?)

 

Does your life look like Bill Murray’s in Groundhog Day

 

Are there significant portions of repeat conversations that you repeat for different people?

 

Also: is the caregiver present for that conversation?

Also: is the spouse/partner/significant Other present for the conversation?

 

Did you go into medicine so you could repeat yourself all the time?

 

Where else does this happen?  Classical music perhaps

How my friend concert pianist taught Clair De Lune virtually via youtube videos bar by bar and broke through the time trap.

 

How it worked for Dr. F

 

How you can see for yourself – using the resources I’ve given you

You can use the Time Tool where you can see how much weekly time you’re spending on your #1 Frequently Answered Question.

 

How you can turn the Single Use Conversation into a Conversation On Demand (will cover in future episode) – it starts with the Time Tool

 

 

Did any of this resonate with you?

 

Would you please SHARE, APPLY and INVITE others to join us?

 

 

 

 

404: MDs/DOs/NPs > How To Get 100 Hours Margin This Year

How Do You Spell Love?  T.I.M.E. (and how to get the margin you need)

 

If you would rather skim and scan before you listen, I have created some short off-the-cuff notes for your convenience.

Want more info? Go to iPracticeByDesign.com for more resources.

To access Nathan’s physician-specific interview content on KindleUnlimited go to Nathan’s Amazon Author page here: http://www.amazon.com/author/nathaneckel

*****

KEY TAKEAWAYS FROM THIS EPISODE

 

How do you spell LOVE?

 

What would you do with 100 hours this year?

 

Is healthcare a right or privilege?

 

Are bathroom breaks for MDs a right or patient?

 

Where to pull your head out of (not THERE)

 

I meant YEAR not week LOL

 

A word of caution

 

If you theoretically save / practice by default, you will NOT save time

 

Make DESIGN your new DEFAULT, as often as you can

 

Apply as many elements as you can

 

Qualifiers:

  • Are you a patient Facing physician?
  • ER docs: you don’t get a pass, how this can also work for you
  • Are you willing to challenge
  • Are you willing to fight for this to work?
  • Fight for Margin instead of focusing on burnout

The good news & the not so good news

 

It SCALES… (but for whom?)

 

Does your life look like Bill Murray’s in Groundhog Day

 

Are there significant portions of repeat conversations that you repeat for different people?

 

Also: is the caregiver present for that conversation?

Also: is the spouse/partner/significant Other present for the conversation?

 

Did you go into medicine so you could repeat yourself all the time?

 

Where else does this happen?  Classical music perhaps

How my friend concert pianist taught Clair De Lune virtually via youtube videos bar by bar and broke through the time trap.

 

How it worked for Dr. F

 

How you can see for yourself – using the resources I’ve given you

You can use the Time Tool where you can see how much weekly time you’re spending on your #1 Frequently Answered Question.

 

How you can turn the Single Use Conversation into a Conversation On Demand (will cover in future episode) – it starts with the Time Tool

 

 

Did any of this resonate with you?

 

Would you please SHARE, APPLY and INVITE others to join us?

 

 

 

 

403: Why Single-Use-Conversations (SUC) Are Public Enemy #1

If you would rather skim and scan before you listen, I have created some short off-the-cuff notes for your convenience.

Want more info? Go to iPracticeByDesign.com for more resources.

To access Nathan’s physician-specific interview content on KindleUnlimited go to Nathan’s Amazon Author page here: http://www.amazon.com/author/nathaneckel

*****

KEY TAKEAWAYS FROM THIS EPISODE

This episode will strike to the root of millennia-strong traditions of physicians and patients.

 

I don’t believe in knocking traditional medicine.

 

I respect the values and methodologies of traditional medicine.

 

However I believe we need to challenge the traditions of traditional medicine.

 

Do you remember that Bill Murray movie where he repeated the exact same day over and over?

 

You don’t ever repeat the exact same day, but I would imagine if you are a patient facing physician – that you have several conversations that are 50%, 80% even 90% similar.

 

The key issue with these Frequently Answered Conversations is that they don’t scale the right way.

 

Patients have it made with their $30 deductible.

 

Because they have you repeating yourself all day long.

 

As a designer I look at this and wonder how this could possibly work.  It is not sustainable.

 

It IS scalable – in the wrong direction.

 

What other profession or arena of life does the more educated, valuable, time-poor, and expensive hourly rate be repeating themselves?

 

Does the Bank CEO give new hire orientation?

 

Does the five star general give the motivational speech for basic training?

 

Does the president of the USA conduct the exit interviews for retiring government employees?

 

These are ridiculous examples, but doctors are repeating themselves all day.

 

Single Use Plastics are horrible for the environment. They are unsustainable.

 

Likewise – Single Use Conversations are unsustainable for your current environment.

 

What if you shifted your energy from avoiding burnout to gaining margin?

 

From playing not to lose toward going full out and growing your breathing room.

 

If you were to take your repetitive conversations and shift them onto your patients while going deeper with them, what would that do for your personal reputation among your patients?

 

If you’re a clinic owner/partner, what would this do for your clinic’s brand?  What would it do for its actual value over time?

 

If you’re an executive or department head, what would this do for your reimbursements if your personnel had more margin?

 

If you’re intrigued, stay tuned to this podcast, because I will be showing you how this works.

 

Finally, an example from the world of web design.

 

When we go to a website, and ask a question, most likely it’s already been asked.

 

Most likely there is a FAQ section where we can go and read the answer quickly.

 

We don’t need to bother the site owner.  She doesn’t need to direct us to the answer, or mail it to us, she does zero extra work.

 

I’m suggesting that you begin playing with this idea of how can you as a physician answer the main question – and shift the time burden over to the patient who is likely eager to learn. 

 

Same thing with their caregiver or partner or spouse who might not be in the room with you and the patient.  Who might need to otherwise call your office for clarification, and interrupt your other patient visits.

 

Can a systems and sustainability solution work for you?  It can if you are willing to fight for the margin.

 

 

Did any of this resonate with you?

 

Would you please SHARE, APPLY and INVITE others to join us?

Why Single-Use-Conversations Are Public Enemy #1

If you would rather skim and scan before you listen, I have created some short off-the-cuff notes for your convenience.

Want more info? Go to iPracticeByDesign.com for more resources.

To access Nathan’s physician-specific interview content on KindleUnlimited go to Nathan’s Amazon Author page here: http://www.amazon.com/author/nathaneckel

*****

KEY TAKEAWAYS FROM THIS EPISODE

This episode will strike to the root of millennia-strong traditions of physicians and patients.

 

I don’t believe in knocking traditional medicine.

 

I respect the values and methodologies of traditional medicine.

 

However I believe we need to challenge the traditions of traditional medicine.

 

Do you remember that Bill Murray movie where he repeated the exact same day over and over?

 

You don’t ever repeat the exact same day, but I would imagine if you are a patient facing physician – that you have several conversations that are 50%, 80% even 90% similar.

 

The key issue with these Frequently Answered Conversations is that they don’t scale the right way.

 

Patients have it made with their $30 deductible.

 

Because they have you repeating yourself all day long.

 

As a designer I look at this and wonder how this could possibly work.  It is not sustainable.

 

It IS scalable – in the wrong direction.

 

What other profession or arena of life does the more educated, valuable, time-poor, and expensive hourly rate be repeating themselves?

 

Does the Bank CEO give new hire orientation?

 

Does the five star general give the motivational speech for basic training?

 

Does the president of the USA conduct the exit interviews for retiring government employees?

 

These are ridiculous examples, but doctors are repeating themselves all day.

 

Single Use Plastics are horrible for the environment. They are unsustainable.

 

Likewise – Single Use Conversations are unsustainable for your current environment.

 

What if you shifted your energy from avoiding burnout to gaining margin?

 

From playing not to lose toward going full out and growing your breathing room.

 

If you were to take your repetitive conversations and shift them onto your patients while going deeper with them, what would that do for your personal reputation among your patients?

 

If you’re a clinic owner/partner, what would this do for your clinic’s brand?  What would it do for its actual value over time?

 

If you’re an executive or department head, what would this do for your reimbursements if your personnel had more margin?

 

If you’re intrigued, stay tuned to this podcast, because I will be showing you how this works.

 

Finally, an example from the world of web design.

 

When we go to a website, and ask a question, most likely it’s already been asked.

 

Most likely there is a FAQ section where we can go and read the answer quickly.

 

We don’t need to bother the site owner.  She doesn’t need to direct us to the answer, or mail it to us, she does zero extra work.

 

I’m suggesting that you begin playing with this idea of how can you as a physician answer the main question – and shift the time burden over to the patient who is likely eager to learn. 

 

Same thing with their caregiver or partner or spouse who might not be in the room with you and the patient.  Who might need to otherwise call your office for clarification, and interrupt your other patient visits.

 

Can a systems and sustainability solution work for you?  It can if you are willing to fight for the margin.

 

 

Did any of this resonate with you?

 

Would you please SHARE, APPLY and INVITE others to join us?

402: Even More About iPracticeByDesign

 

If you would rather skim and scan before you listen, I have created some short off-the-cuff notes for your convenience.

Want more info? Go to iPracticeByDesign.com for more resources including FULL shownotes.

To access Nathan’s physician-specific interview content on KindleUnlimited go to Nathan’s Amazon Author page here: http://www.amazon.com/author/nathaneckel

*****

KEY TAKEAWAYS FROM THIS EPISODE

*****

I have seen it all

 

What is PBD?

 

Why am I doing this?

 

What do I want to encourage?

 

I hope that you will choose to build MARGIN

 

We live in an increasingly busy, hostile, class conscious world.

 

You studied, borrowed, worked, took on liability because you believe in serving others.

 

Your political views do not matter to me whether you believe in healthcare as right or privilege

 

About the prior episodes

 

This podcast EP 1-400 was known as BeTheTalk

 

I interviewed TED/x speakers for a year daily

 

You might be able to get a few tips on connecting to patients from some of those episodes.

 

My father has just closed his rural family medicine clinic after 40 years, sending me into full midlife crisis.

 

They don’t make MDs like they used to?

 

I got to see my entire life the “good old days” of medicine

 

The secret – those days are still here

 

The ingredient =  margin

 

If I can help you become a sustainability thinker, you can begin to design your practice.

 

What do you call alternative medicine that works?

 

I support Traditional Medicine

 

Your highest value =  safety | science

 

I do not pot shot Traditional Medicine

 

I respect it.  I understand there is a protocol and I understand they need to be respected in order to influence the overall system.

 

I do challenge the traditions of traditional medicine.

 

TM is like air traffic control, daily flying landing and managing 1000s of safe flights each day, each hour.

 

If you want margin for your life – you will also need to ethically challenge the traditions of traditional medicine.

 

Traditions like:

How you learned to interact with patients when rounding.

 

When I rollout these ideas to practicing physicians, I am surprised at the response.

 

My dad started writing down ideas in his own practice.

 

Stay tuned for resources and workshops that can literally walk you through these ideas.

 

Maybe you have colleagues, boss, NPs, others who need margin also

 

The good news: you are scaling yourself

The bad news: you are scaling yourself in the WRONG DIRECTION

 

Why does the most learned, most expensive person (you) have to repeat yourself and say the same conversation with different patients many times weekly, even daily.

 

Do you ever feel like Bill Murray in Groundhog Day?

 

Plug in and we will connect you to resources & tools.

 

Tools that will calculate the time you’re spending weekly and even annually what you’re spending on a given Single Use Conversation.

 

My bias is with medicine

Been married to medicine for over a decade.

 

Funny backstory

We are dating in residency

In fellowship my wife was in same school as my dad attended for med school.

 

So she looks up my dad in the yearbook

 

She saw something else (you need to listen to hear this!!!)

 

So I never felt like I needed to do or wanted medicine.

 

I became a performing artist instead

Retired early and became a sustainability designer and adjunct professor of a graduate program.

 

You can get the margin you need to extinguish burnout (coming soon – future episode).

 

Are you burned out?  I do care, even though I focus on margin.

 

I saw the sacrifices. I still do.

 

If you are struggling with BO reachout to me.  I will listen to you.

 

I am the author of Open Source Instructional Design – Successfully Mentoring SMEs

 

This was about empowering experts to understand and apply the basics of design thinking for better training and content.

 

Avatars for this podcast – physician,  clinic owner/partner, physician or other executives

 

I care about reimbursement situation

 

I care about educating and empowering patients and voters

 

I care about transparent pricing (as does everyone) – and I also understand that’s the only option besides closing the hospital for underpayment.

 

Maybe you hear my heart for what you’re doing.

Maybe you hear some hope for your future.

 

With intentionality – you WILL make a way.

 

You have done amazing things.

 

There will be a point in this podcast where you probably WONT like what I have to say.

 

I will also talk about reimbursements.

 

You say “I don’t care about HCAHPS/ reimbursements”

 

My perspective = sustainability perspective = it IS your problem

 

To fix healthcare and it’s toxic culture, we have to work together

  • We have to educate patients
  • We have to educate voters
  • We have to empower objective reporting / auditing instead of subjective reviewing

 

Until we fix at the source, this will just band aid.

 

You know certain ailments need much deeper work than a bandaid

You know there’s a recuperation period needed for that deeper work.

 

Did any of this resonate with you?

 

Would you please SHARE, APPLY and INVITE others to join us?

 

 

Even More About iPracticeByDesign

 

If you would rather skim and scan before you listen, I have created some short off-the-cuff notes for your convenience.

Want more info? Go to iPracticeByDesign.com for more resources including FULL shownotes.

To access Nathan’s physician-specific interview content on KindleUnlimited go to Nathan’s Amazon Author page here: http://www.amazon.com/author/nathaneckel

*****

KEY TAKEAWAYS FROM THIS EPISODE

*****

I have seen it all

 

What is PBD?

 

Why am I doing this?

 

What do I want to encourage?

 

I hope that you will choose to build MARGIN

 

We live in an increasingly busy, hostile, class conscious world.

 

You studied, borrowed, worked, took on liability because you believe in serving others.

 

Your political views do not matter to me whether you believe in healthcare as right or privilege

 

About the prior episodes

 

This podcast EP 1-400 was known as BeTheTalk

 

I interviewed TED/x speakers for a year daily

 

You might be able to get a few tips on connecting to patients from some of those episodes.

 

My father has just closed his rural family medicine clinic after 40 years, sending me into full midlife crisis.

 

They don’t make MDs like they used to?

 

I got to see my entire life the “good old days” of medicine

 

The secret – those days are still here

 

The ingredient =  margin

 

If I can help you become a sustainability thinker, you can begin to design your practice.

 

What do you call alternative medicine that works?

 

I support Traditional Medicine

 

Your highest value =  safety | science

 

I do not pot shot Traditional Medicine

 

I respect it.  I understand there is a protocol and I understand they need to be respected in order to influence the overall system.

 

I do challenge the traditions of traditional medicine.

 

TM is like air traffic control, daily flying landing and managing 1000s of safe flights each day, each hour.

 

If you want margin for your life – you will also need to ethically challenge the traditions of traditional medicine.

 

Traditions like:

How you learned to interact with patients when rounding.

 

When I rollout these ideas to practicing physicians, I am surprised at the response.

 

My dad started writing down ideas in his own practice.

 

Stay tuned for resources and workshops that can literally walk you through these ideas.

 

Maybe you have colleagues, boss, NPs, others who need margin also

 

The good news: you are scaling yourself

The bad news: you are scaling yourself in the WRONG DIRECTION

 

Why does the most learned, most expensive person (you) have to repeat yourself and say the same conversation with different patients many times weekly, even daily.

 

Do you ever feel like Bill Murray in Groundhog Day?

 

Plug in and we will connect you to resources & tools.

 

Tools that will calculate the time you’re spending weekly and even annually what you’re spending on a given Single Use Conversation.

 

My bias is with medicine

Been married to medicine for over a decade.

 

Funny backstory

We are dating in residency

In fellowship my wife was in same school as my dad attended for med school.

 

So she looks up my dad in the yearbook

 

She saw something else (you need to listen to hear this!!!)

 

So I never felt like I needed to do or wanted medicine.

 

I became a performing artist instead

Retired early and became a sustainability designer and adjunct professor of a graduate program.

 

You can get the margin you need to extinguish burnout (coming soon – future episode).

 

Are you burned out?  I do care, even though I focus on margin.

 

I saw the sacrifices. I still do.

 

If you are struggling with BO reachout to me.  I will listen to you.

 

I am the author of Open Source Instructional Design – Successfully Mentoring SMEs

 

This was about empowering experts to understand and apply the basics of design thinking for better training and content.

 

Avatars for this podcast – physician,  clinic owner/partner, physician or other executives

 

I care about reimbursement situation

 

I care about educating and empowering patients and voters

 

I care about transparent pricing (as does everyone) – and I also understand that’s the only option besides closing the hospital for underpayment.

 

Maybe you hear my heart for what you’re doing.

Maybe you hear some hope for your future.

 

With intentionality – you WILL make a way.

 

You have done amazing things.

 

There will be a point in this podcast where you probably WONT like what I have to say.

 

I will also talk about reimbursements.

 

You say “I don’t care about HCAHPS/ reimbursements”

 

My perspective = sustainability perspective = it IS your problem

 

To fix healthcare and it’s toxic culture, we have to work together

  • We have to educate patients
  • We have to educate voters
  • We have to empower objective reporting / auditing instead of subjective reviewing

 

Until we fix at the source, this will just band aid.

 

You know certain ailments need much deeper work than a bandaid

You know there’s a recuperation period needed for that deeper work.

 

Did any of this resonate with you?

 

Would you please SHARE, APPLY and INVITE others to join us?

 

 

401: Get Ready > iPracticeByDesign with Nathan Eckel

EP401 – Get Ready for Practice By Design with Nathan Eckel

 

If you would rather skim and scan before you listen, I have created some short off-the-cuff notes for your convenience.

 

Want more info? Go to iPracticeByDesign.com for more resources.

To access Nathan’s physician-specific interview content on KindleUnlimited go to Nathan’s Amazon Author page here: www.amazon.com/author/nathaneckel

*****

KEY TAKEAWAYS FROM THIS EPISODE

Ultimately – For real change to happen in healthcare, someone needs to say some unpopular things that no one will like.

 

Here are a few of those unpopular things, before you invest your time!

 

1. physicians and administrators need to work together.

2. we need to treat causes not symptoms

3. the whistleblowing insiders talking about the lack of price transparency and other symptoms need to dig deeper and provide solutions that address the root causes of why those issues exist in the first place

4. Politicians must be held accountable for irresponsible promises.

 

About this podcast

 

From 401 onward I am changing this podcast to Practice By Design

  • I am born/married to medicine
  • Do you care about making healthcare sustainable?
  • Healthcare is bleeding to death

 

WHO it’s for – MDs, Partner/Owners, Executives, and Patients/Voters

 

WHY it is – Because healthcare is bleeding to death, and everyone downstream from increasingly disliked hospital executives on down are feeling the pinch

 

What it is NOT – this is NOT a burnout podcast.  This is NOT a place where we blame and shame and attribute ill.  This is NOT a place to highlight symptoms.

 

What it IS –

Nathan Eckel is a designer NOT a doctor, although he’s seen it his entire life as a son and a spouse of medicine. Design and sustainability thinking has a lot to offer the unsustainable world of american healthcare.   Things are so unsustainable economically, relationally, politically, that an outside perspective from a designer not a doctor might bring clarity and perspective. 

 

I believe that there are design centered opportunities to partially mitigate and slow the bleeding of healthcare. 

 

For patient facing physicians willing to rethink their patient interactions, they could easily save 100 hours this year.

 

For executives trying to breakeven on reimbursements, they could rethink ways to educate, empower, and partner with patients and voters in their community for sustainable, objective reporting instead of subjective HCAHPS reviewing.

 

Ultimately – For real change to happen, someone needs to say some unpopular things that no one will like.

 

Here are a few of those unpopular things, before you invest your time!

 

1. physicians and administrators need to work together.

2. we need to treat causes not symptoms

3. the whistleblowing insiders talking about the lack of price transparency and other symptoms need to dig deeper and provide solutions that address the root causes of why those issues exist in the first place

4. Politicians must be held accountable for irresponsible promises.

Of the four groups of healthcare – the Patients, Physician/Providers, People in Charge, and Politicians, it is the politicians who need to be accountable to the patients, physician providers and people in charge.  They make money by making promises at patient expense, to the detriment of physician/providers’ livelihoods, family relationships and personal emotional relational and spiritual health.  Not all promises are probable or even possible.  Making irresponsible promises that cannot be fulfilled is crueler than having the restraint to avoid making popular irresponsible promises.

 

MISSION

It is my hope that by giving MDs the opportunity to get the margin that comes by practicing by design (not default) many will learn the language of the boardroom and take a role in governance and common-sense policymaking so that we can have sustainable expectations and fulfillment of healthcare we need. Including the transparent pricing that everyone wants.

 

Did this resonate with you?

Would you please SHARE, APPLY and INVITE others to join us?

Get Ready > iPracticeByDesign with Nathan Eckel

EP401 – Get Ready for Practice By Design with Nathan Eckel

 

If you would rather skim and scan before you listen, I have created some short off-the-cuff notes for your convenience.

 

Want more info? Go to iPracticeByDesign.com for more resources.

To access Nathan’s physician-specific interview content on KindleUnlimited go to Nathan’s Amazon Author page here: www.amazon.com/author/nathaneckel

*****

KEY TAKEAWAYS FROM THIS EPISODE

Ultimately – For real change to happen in healthcare, someone needs to say some unpopular things that no one will like.

 

Here are a few of those unpopular things, before you invest your time!

 

1. physicians and administrators need to work together.

2. we need to treat causes not symptoms

3. the whistleblowing insiders talking about the lack of price transparency and other symptoms need to dig deeper and provide solutions that address the root causes of why those issues exist in the first place

4. Politicians must be held accountable for irresponsible promises.

 

About this podcast

 

From 401 onward I am changing this podcast to Practice By Design

  • I am born/married to medicine
  • Do you care about making healthcare sustainable?
  • Healthcare is bleeding to death

 

WHO it’s for – MDs, Partner/Owners, Executives, and Patients/Voters

 

WHY it is – Because healthcare is bleeding to death, and everyone downstream from increasingly disliked hospital executives on down are feeling the pinch

 

What it is NOT – this is NOT a burnout podcast.  This is NOT a place where we blame and shame and attribute ill.  This is NOT a place to highlight symptoms.

 

What it IS –

Nathan Eckel is a designer NOT a doctor, although he’s seen it his entire life as a son and a spouse of medicine. Design and sustainability thinking has a lot to offer the unsustainable world of american healthcare.   Things are so unsustainable economically, relationally, politically, that an outside perspective from a designer not a doctor might bring clarity and perspective. 

 

I believe that there are design centered opportunities to partially mitigate and slow the bleeding of healthcare. 

 

For patient facing physicians willing to rethink their patient interactions, they could easily save 100 hours this year.

 

For executives trying to breakeven on reimbursements, they could rethink ways to educate, empower, and partner with patients and voters in their community for sustainable, objective reporting instead of subjective HCAHPS reviewing.

 

Ultimately – For real change to happen, someone needs to say some unpopular things that no one will like.

 

Here are a few of those unpopular things, before you invest your time!

 

1. physicians and administrators need to work together.

2. we need to treat causes not symptoms

3. the whistleblowing insiders talking about the lack of price transparency and other symptoms need to dig deeper and provide solutions that address the root causes of why those issues exist in the first place

4. Politicians must be held accountable for irresponsible promises.

Of the four groups of healthcare – the Patients, Physician/Providers, People in Charge, and Politicians, it is the politicians who need to be accountable to the patients, physician providers and people in charge.  They make money by making promises at patient expense, to the detriment of physician/providers’ livelihoods, family relationships and personal emotional relational and spiritual health.  Not all promises are probable or even possible.  Making irresponsible promises that cannot be fulfilled is crueler than having the restraint to avoid making popular irresponsible promises.

 

MISSION

It is my hope that by giving MDs the opportunity to get the margin that comes by practicing by design (not default) many will learn the language of the boardroom and take a role in governance and common-sense policymaking so that we can have sustainable expectations and fulfillment of healthcare we need. Including the transparent pricing that everyone wants.

 

Did this resonate with you?

Would you please SHARE, APPLY and INVITE others to join us?