Happiness-Based Musculoskeletal Medicine - PowerPoint Presentation

Happiness-Based Musculoskeletal Medicine The Ideal Micropractice 1012015 AAPM&R National ConferenceJustin Berthold, DO – PM&R

Who am I? Justin Berthold, D.O. Physical Medicine & Rehabilitation Physician Focus on restoring function and quality of life Treat the whole person and not just the injury Rehabilitation Physicians of Pittsburgh – Founder The Children’s Institute of Pittsburgh – Medical Director of PM&R LECOM at Seton Hill – OMT Faculty

Ok, but Who am I?

How this all started…

How this all started… Gordon Moore, MD

Moore’s 4 Pillars of Success ACCESSPatients have unlimited access to the care and information they need, when they need it.INTERACTION Interaction between the patient and care team is deep and personal. The care team has “memory” of the patient.RELIABILITY The system exhibits high reliability in that it provides all and only the care known to be effective. VITALITY The practice has vitality: happy employees, a spirit of innovation and financial viability.

A Wise Mentor’s 3 Pillars of Success AVAILABILITYAFFABILITY ABILITY

Keep it SimpleWhat is an Ideal Micropractice?Why do such a thing?How to take the leap?Pearls and pitfalls Year 1 results

http://www.aafp.org/fpm/2007/0900/p20.pdf

What is an Ideal Micropractice?Key Principles High-quality, patient-centered, collaborative care Unfettered access and continuityExtreme efficiency

Let’s Keep it SimpleWhat is an Ideal Micropractice?Why do such a thing?How to take the leap? Pearls and pitfallsYear 1 results

Why Do Such a Thing? Why not? Unpredictable healthcare climatePatients deserve the best of meWill learn much more if I do thisSet up for a solid plan B

Burnout is commonly defined as loss of enthusiasm for work, feelings of cynicism, and a low sense of personal accomplishment. Physician Burnout

Physician Burnout A national survey published in the Archives of Internal Medicine in 2012 reported that US physicians suffer more burnout than other American workers.[1] This year, in the Medscape Physician Lifestyle Report, 46% of all physicians responded that they had burnout, which is a substantial increase since the Medscape 2013 Lifestyle Report, in which burnout was reported in slightly under 40% of respondents.

Physician Burnout In this year's survey, the lowest happiness scores at work belonged to radiologists (4.46) and, as expected, those on the front line of care: internists and emergency medicine physicians (both 4.50) and family physicians (4.52). Dermatologists (4.95) and ophthalmologists 4.85) had the highest scores for happiness at work.

In your job, you are running on the tracks of “the way we do things around here.” These are still not your tracks. You did not lay them. Burnout is when you figure out how to lay your own tracks or better yet, realize you are a four wheel drive vehicle – not a train on tracks. You can navigate any terrain you choose. - Dike Drummond MD (The Happy MD)

Let’s Keep it SimpleWhat is an Ideal Micropractice?Why do such a thing?How to take the leap? Pearls and pitfallsYear 1 results

Map out your value system – your practice will be a direct extension of you Seek advice (*not approval) from trusted family, friends, and mentorsCall yourself something, put an actual name to your visionStep forward and don’t look backHow to take the leap

Must have skills Medical knowledge/abilityCompassion/empathyBlue-collar work ethic/self-relianceNetworking/promoterOrganizational ability/motivator

“It’s the lack of faith that makes people afraid of meeting challenges, and I believed in myself.” - Muhammad Ali

Let’s Keep it SimpleWhat is an Ideal Micropractice?Why do such a thing?How to take the leap? Pearls and pitfallsYear 1 results

Pearls and Pitfalls Start the credentialing process as early as possibleNegotiate everything; cut start-up and operational costs wherever you canSupplement income if possible (teaching engagement, locums, etc.)Find trustworthy staff members and train them wellDesign protocols across the board (phone answering, medical procedures, etc.) Walk in the patient’s shoes (simulate your office experience)Stay true to your vision but always ready to adapt

Let’s Keep it SimpleWhat is an Ideal Micropractice?Why do such a thing?How to take the leap?Pearls and pitfalls Year 1 results

Year 1 results Community micropractice model has been well-receivedLocal publicity has helped to develop our brandReferral sources find value in our serviceHas spiraled into other opportunities (PM&R directorship position, consultation engagements, and more)Addition of a friend and colleague…

Thank you.