“The one by whom others are not agitated and who is not agitated by others, who is free from joy, envy, fear, and anxiety, is also dear to Me”. Unreasonable Expectations of the Health Care System Although asked to provide examples of both reasonable and unreasonable expectations of the health care system, Councils focused most of their time on reasonable expectations. Member, Committee for International Radiology Education (CIRE). Role theory is the sociological study of role development, concerned with explaining what forces cause people to develop the expectations of their own and others' behaviors. Bhagavad Gita has described such a person with focused mind and steady wisdom as ‘Sthitapragya’. Faith thrives in an environment of enthusiasm backed with evidence. It is deemed the most responsive approach. Along with advances in medical care, there has been a great shift in the expectations of patients - and their willingness to complain about any perceived shortfall in their care. Further, the Company does not make any warranty as to the correctness or reliability of such content. The concept ofcivil society has much broader significance for the development of democracy around the The Bhagavad Gita, however, mentioned that the doctors should treat all patients with the same lens of impartiality. In recent times, as the practice of medicine gradually became the industry of healthcare, there are increasing incidences of violence against the doctors and decline in the trust. Are we fighting COVID-19 pandemic or the Corona-virus? Protection against COVID-19: An INTEGRATED HEALTHCARE APPROACH. Section Editor, Apollo Medicine. High expectations among the public of the benefits of medicinal cannabis are being disappointed because doctors are unwilling to prescribe it in the knowledge that there is … Arise”. Posted Mar 01, 2010 Doctors take responsibility for these judgements and their consequences. The inner conflicts in doctor’s mind may adversely impact the chances of winning this unique war against the unseen enemy. more) years later, we graduate not only as doctors, but also as scientists, policymakers, and writers. “Physician heal thyself” is a common phrase from biblical times, which believed that physicians could better cure the disease, if they heal themselves. It is helpful to be prepared for what may appear to be a contradiction of values and expectations operating in some cross-cultural interactions. With the available resources at the COVID-19 frontline, Doctors need to provide the best treatment to every patient. It was a dialogue between Lord Sri Krishna and great warrior prince, Arjuna about 5,000 years ago on a battlefield, when Arjuna faced similar dilemmas. Dr. Nitin P Ghonge @ A breath of fresh air. Love and respect for nature is an important lesson for the humanity, where doctors can lead. The strange thing is many people disagree with society. Act with conviction:  It is important to realize that having faith is not inferior to cultivating knowledge. Doctors cannot expect complete control over the clinical outcomes, but they can have control over their own actions which should be performed in the best possible manner. “I look upon all creatures equally; none are less dear to me and none more dear”. We may even respond with greater confidence if we deem a physician’s alma mater to be an esteemed medical institution. 091-9811135957 . It is true that the profession demands responsibilities than the past when the principle of a nurse was just to provide care and comfort. Father of our nation, Mahatma Gandhi has often acknowledged its profound effect on his life’s decisions – “When disappointment stares me in the face and all alone I see not one ray of light, I go back to the Bhagavad-Gita”. The concept of civil society developed in the European philosophical and historical experience. High power distance in a society means people adhere to their proscribed place on the social ladder. This cross-sectional descriptive study population was made up of adult volunteers who were randomly selected at four types o… Doctors are expected to perform their obligatory duties in the best interest of patients, without worrying about the outcomes and circumstances. The public perception. Excelling and dedication to one sport is insufficient. This issue is also related to the dimension of culture called power distance. This certainly does not mean lack of empathy and compassion, which are essential traits of physician. It is appropriate for doctors to communicate about the scarcity of personal protection equipments, but that should not discourage them from performing their duties. Posted Feb 17, 2018 Summarizing the solutions:  In this mystical circle of life, the material world often discard the wisdom of one generation as absurdities in the next generation and even vice versa. “Equanimity of mind is Yoga. Doctors need to understand that the majority of patients like to contribute their opinion and get involve in decision making even though they wanted doctors to make decisions. Email ID    drnitinpghonge@gmail.com                drnitinghonge@rediffmail.com. It has no value here or hereafter, O Arjuna.”. The physician acts more as an expert offering guidance than an authority figure (except in the case of emergency). Senior Consultant Radiologist and Academic Coordinator, Though, treatment protocols for COVID-19 are presently struggling between ‘evidence-based approach’ and ‘limited experience’ with use of Hydroxychloroquine in viral infections. However in contrast to the perception of the … The culturally responsive physician anticipates this scenario and is proactive. Lack of personalized approach, sub-optimal communication/counseling, high healthcare costs and un-realistic expectations from medical sciences are few key reasons. Being told that the diagnosis in inconclusive may be met with suspicion, mistrust, and frustration. Trust is not vested in medical professionals the same in all cultures. In choosing a primary care physician at an HMO, we want to read about the credentials of physicians on the organization’s website before we choose our primary doctor. The tough times will soon pass. Trust is not vested in medical professionals the same in all cultures. Again, the degree to which a patient views a provider as an authority figure is influenced by culturally-based expectations. Set high standards: Even today, Medicine is the most respected profession. We should accept change as a central rule of our existence on this planet. Bhagavad Gita is much more than a religious text, as it offers insight into every aspect of life and is universally relevant. With high hopes that Doctors respond to their calling, resolve their dilemmas with timeless teachings of the Bhagavad Gita and rise to the occasion, during this once in a lifetime crisis. Observe your discipline. Women may set themselves unachievable goals and then become… by Marcia Carteret, M. Ed. The healthcare should move from ‘Volume-based’ to “Value-based’ model in the interest of society. It’s not enough for you to be in a sport for fun or to get in shape. People visit doctors to take advantage of their education, training, and experience. How to balance an expert’s authoritative stance with being receptive to things like traditional remedies isn’t always abundantly clear. However, while some of these expectations are well-justified, others seem quite unrealistic. In the U. S., it is very common for patients to seek a second opinion, though there is often awkwardness between patient and doctor during this conversation, and some doctors do get defensive. This way of finding a doctor and establishing an initial degree of trust is comparatively easy. The greater part of a worker’s day is spent in the work environment, so not surprisingly employees want good relationships with the people whom they spend the majority of their time with: their immediate co-workers, other employees, supervisors and bosses. Access to society journal content varies across our titles. Doctors who don’t ask for patient input about their health concerns may be considered disconnected and unresponsive. The dimension of culture that we call “individualism vs. collectivism” applies here. Having faith is not opposed to being reasonable or scientific. Doctoral students’ career expectations principles and responsibilities Introduction There are now more PhD students in the UK than at any time in the past, of whom only a small fraction are likely to pursue traditional academic careers. For some people, the crowded schedules of esteemed specialists is actually reassuring – proof of sorts that we are lucky to be the patient of such a highly sought doctor. Doctors looking after the non-COVID patients should follow the same approach. Our beloved Prime Minister, Narendra Modi has strongly pitched the Bhagavad Gita as “India’s biggest gift to the world”. So the question becomes, do we offer patient-centered care only to those who expect it and understand how to be actively engaged in the process? If a woman and/or her partner’s expectations are very different from the reality, it can make it harder for them to adjust to life with a new baby. Patients/families from cultures that respect physicians as authority figures, and who tend to be high context communicators focused on preserving harmony, will be far less likely to admit wanting a second opinion. Ask about the family’s well-being, which is a question of great significance in collectivist cultures. This is the time to set high standards for the society in terms of professional commitment, moral obligations, work discipline, compliance with guidelines and good personal health. The Bhagavad-Gita is the eternal message of spiritual wisdom from ancient India which can answer questions about our lives and existence. Unless, there are specific compelling reasons, doctors should continue to provide their services without any fears of catching the infection or harassment. “They all attain perfection, when they find joy in their work”. The ‘non-attachment’ approach to crisis will allow a clear ‘bird’s-eye view’ of the situation and will help the doctors to perform in more efficient manner. “Don’t worry with what you are going to do. The Doctors need to set high standards for the society in terms of professional commitment, moral obligations, ethics, work discipline and good personal health. With huge hopes that the COVID-19 pandemic soon goes down the history as triumph of human’s indomitable spirit and determination, who are indeed God’s finest creation. They should follow government guidelines regarding the pandemic and lockdowns as applicable to hospitals and clinics. Associate Editor, British Journal of Radiology. Being asked, “What do you believe has caused your illness?” suggests to a patient perhaps that their opinion is equal to the doctor’s, and culturally speaking, this is impossible. In this cross-cultural communications article we will take a look at one area that is commonly problematic – patients’ expectations of physicians. Factually, the stress is the outcome of inability to efficiently handle the assigned roles and responsibilities. Society is a worldwide voice that tells us what is isn't acceptable to do. Mobile No. Keep this in mind if the above section seems at odds with what follows. The pandemonium of COVID-19 pandemic has presented unprecedented set of dilemmas for the doctors across the globe, as emphasized in my previous blog. Bhagavad Gita can certainly address the inner conflicts in Doctor’s mind and may offer help to resolve their ethical dilemmas during the COVID-19 pandemic. The values that doctors embrace set a standard for what patients expect from their medical practitioners. “The mind is restless and difficult to restrain, but it is subdued by practice”. Societal expectations • General standard of behavior that individuals who live within a society are expected to uphold • Unique set of normal behavior • Universal social behavior • … The above teachings of the Bhagavad Gita can enlighten the doctors to efficiently handle their dilemmas and continue their selfless service to society during the COVID-19 crisis. They should develop equanimity and evenness of mind and treat everyone equally. Handling the Stress: In modern society, ‘workplace stress’ has almost become a norm and symbolic of stature in the society. Cultural responsiveness in health care describes the capacity to respond to the health care issues of diverse communities. The vast majority of science, technology, engineering, medicine and Mahatma Gandhi referred to Bhagavad Gita as a ‘spiritual dictionary’ for better decision-making at the cross-roads of life. Change is inevitable:  As in life, the only thing constant in Medicine is Change. Basic sanitation and cleanliness should be promoted by doctors, as their social responsibility. Many trainee doctors and medical students believe these values have been put at risk by changes to working patterns, training, limited financial resources, and patient and political expectations. If we have the benefit of a recommendation from someone we know, all the better, but often that isn’t available. Finally, it is important to mention the expectations people from different cultures may have about seeking second opinions. The battlefield is often seen as a metaphor for the experience of life and the narrative structure an allegory for the dualistic nature of the self. “Sever the ignorant doubt in your heart with the sword of self-knowledge. It is important to realize that the outcome of human’s action is not only dependent on the work but also on lot of related factors and circumstances. Society’s Expectations: (I) Society wants to view doctors only as healers with expectations of caring, compassion, confidentiality and dignity. We train physicians to LEARN – listen, explain, ask, repeat, and negotiate – in cross-cultural encounters especially. “For the protection of the good, for the destruction of the evil and for the establishment of dharma (righteousness), I (the Lord) am born from age to age.”. Many Americans bristle at doctors telling them what to do if it feels like being given orders, unless of course the patient has asked for a medical directive. In private practices, we expect to see a doctor’s educational and professional credentials displayed where we can view them. Express opinion or being involve in decision-making is practiced expectations of society from doctors the workplace and their impact employee. Not random, they are not random, they are your calling ” blog: https:,... 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