Why Good Doctors Are Forced to Give Bad Advice?

Have you ever asked doctor the reason for your sickness? Or why it has occurred? If not asked anytime, do it when you go to doctor next time. They are afraid that they will lose patients, if they provide technically accurate response that is suitable for educated patients. Since only a small number of people behave in an “educated” manner, doctors hesitate to give good advice for a variety of reasons. The most important reason being first to survive

Clinic requires lot of patients to make it viable
After the completion of medicine, person will not be immediately appointed as a doctor in hospital as they are already preoccupied with well established and experienced doctors in good number. Moreover, there will be social pressure to earn money. So, a person after completion of medicine should establish small health center like clinic and provide treatment to people for some time period. In order to handle expenses like office rents, advance to place, pay salaries to attenders, cleaners, paramedic staff etc., he needs to invest a lot of money, for which he cannot depend on his family further because they had already spent so much money for his education to complete medicine. So, the only option left for him is to earn money by giving treatment to patients and to retain these patients i.e to make them comfortable to come to him in future for any health problem, so that he get more income to handle all his expenses. Even though he is good at his treatment or work, he needs to keep his patients comfortable in order to survive

There is peer pressure to be successful
For a person, to complete medicine he requires nearly eight and half years whereas an engineering graduate can complete education in four years. The person who completed graduation in any other field like engineering (except medicine) will get settled in a short span of time after completion of education. He owns almost everything like car, house etc., by himself, by the time a person completes MBBS and MD courses. So, the person after completing his medicine tries to establish a good practice as early as possible, since they feel they are already too late. This can be achieved by having a good medical practice, which means they need to cater to many kinds of educational backgrounds to come to them.

Patients do not cooperate with doctor
Doctors try to provide best treatment to patients by saying good things. However, there will be old-fashioned patients who are not educated and may strongly disagree with the suggestions given by doctors. For example when doctors suggest that consumption of citrus fruits like oranges reduces cold, old fashioned patients are not aware of this and claim that taking of these fruits causes cold. If Dalai Lama, a great peace preacher approaches Afghanistan terrorists and preach them about peace and its importance for few minutes, will they change their attitude? No. Similarly, attitude of old-fashioned people cannot be changed in 10-15 minutes even if doctor gives good advice. Many patients will follow old beliefs and circulates negative feedback on doctor’s treatment if they try to change their outdated beliefs. So doctors are afraid in confronting the beliefs of such patients and do not give scientific advice to them, as they could lose patients. Doctors provide treatment to patient based on their attitude and on how educated the patient is.

So, an educated person should ask a doctor for the cause of his health condition or sickness. Unless you establish that you are an educated person and only after the doctor is fully convinced that you are genuinely seeking a scientific opinion does the doctor give technically accurate (modern) diagnosis. If you do not convince the doctor that you are educated, you are likely to be treated as an ignorant villager.

The Darker Side Of Doctor and Drug Companies Relationships

The relationship between doctor and patient is the fulcrum of ethical medical practice. The unnecessary prescriptions of the medicine results in the increase burden on patients and decrease credibility of the doctors. One of my friends has shared a very interesting incidence about his visit to an orthopedic doctor for a knee injury. A very costly pain killer injection was prescribed to him. The poor person could not afford the cost of this injection and therefore, he visit to another doctor who immediately stopped all the medicines and asked to return all to the chemist, because it was not necessary for him.

Another aspect of the unethical medical practice was observed during mega conferences and events. Doctors are of the view that companies are making money and therefore they are pushing them hard towards unethical acts.

A case was reported in which organizers of the event have asked the representatives of the companies that if they want to exhibit their products they must pay check for Rupees 5000, 00 for a small stall. And for accommodation of their sponsored doctors at convention center or in hotels they must pay extra rental for at least three rooms.

There is also no formal system exist that how much fund they gathered during these events and even bribes from companies. It is like money making game where every body is getting the chance to buy new car, house and improve his bank account.

If the company wants to introduce its new product in the ward they must give some amount to the ward in charge approximately Rupees 5000 as a donation to the ward.

It is also seen that doctor reluctant to meet medical representatives and interestingly noted that a doctor ask fee for meeting with medical representative because he believed that the guy has taken his consultation time.

Companies always strive towards inclusion of their products in the hospital formulary (a list of number of selected products needs to be used in the hospital during the entire year).

This is very challenging task because it involves number of people in decision making. And in each step they must be obliged with some kickbacks and other unfair means to include their product in the formulary. Various companies are offering new model car to their important customers. These cars are usually on the lease and a monthly pay back offers to the leasing companies.

It is interesting to note that if the company feels that in a particular month desired sales are not meet, then they immediately stop payment and ask doctor that payment will re-start as soon as your prescription will reach to the desired level so as the sales.

Most of the time doctors keeping attendance register with him to note down date and time of the medical representatives and also the number of months he prescribed certain medications by the influence of the companies.

Not only is that doctor also asked for a payment for delivering presentation on disease management and even for the product.

There is no limit for this temptation towards prescribing the medicine. The question is that how to deal this situation. I am sure that there should be some strict measures and laws against this barbarian act of medical practice.

Doctors Cite Integrity As #1 Trait They Look For in an Industry Representative

Ever wonder what your doctors want from you? We asked that very question of over 350 doctors in a survey in January of 2008. The answer was integrity!

Not excellent selling skills or disease state knowledge but integrity. Another study, The 2006 Access Report, surveyed 663 high prescribing physicians and found that integrity ranked as the second most important trait they looked for in an industry representative. Their first choice was they wanted a sales representative to understanding of the appropriate use and role of the product relative to other treatment options. Integrity is a vital trait for a pharmaceutical, medical device or biotech representative to possess in today’s competitive market place.

TAP Consulting wondered just what integrity meant to a doctor, so we asked 25 doctors that question.. During 25 phone interviews in spring of 2008 we asked doctors what integrity in a sales representative meant to them. The overwhelming top answer was follow-up! 57% of doctors reported good follow-up as the primary characteristic of a sales representative with high integrity. Follow-up is simply doing what you say you are going to do. If you told the doctor on your last call that you would bring patient education brochures in then make sure you have them on your next call. If you agreed to bring some samples back by the office at the end of the day, make sure you follow through. Below you will find Three Strategies That Will Improve Your Follow-up.

1. Take Good Post-Call Notes
I don’t care how smart you are or how smart you think you are, no one can remember everything they told all 235 doctors. If you don’t write down exactly what you agreed to do in your notes chances are very slim that you will remember to follow through. I recommend a section at the end of your call notes called Next Call Strategy. In that section you should write down your goals for the next call and any follow-up that is required. If the doctor asked for you to review the “Price Study” with him and you always have that in your trunk then the note will just remind you to take that study into the call with you. If you agreed to bring in patient education brochures that you need to order from the home office, then you will need to order those by phone before you leave the parking lot and make sure they are placed in the trunk when the shipment comes in.

2. Always Under Promise and Over Produce
By that, I mean don’t commit to a date that is going to be difficult to make. If you think it will take you three days to accomplish what the doctor asks then tell her you will have it in four days. Give yourself extra time to complete the task requested by the doctor. If you know you can’t accomplish the task by the date requested then let the doctor know you can not fulfill their request. If you think it might be really difficult to accomplish the task by the desired date and you are relying on someone else such as the home office or a printer tell the doctor you doubt you can get it to them by that date but you will do your best. Don’t commit to the date just tell the doctor you will do your best. Many times we needlessly back ourselves into a corner to try and meet a nearly impossible deadline when the best approach is to be honest (integrity) and realistic with the doctor. The doctors we spoke to didn’t say they gave extra points for getting things done early, they just said they expected the representative to exhibit good follow-up skills which is doing what you say you are going to do!

3. Establish a Reliable Follow-up System
Their will be requests by your customers that require follow-up outside of your normal territory activities. For example, you may have a doctor ask you what they need to do to become a speaker for your company. If you don’t know, you will have to make a call to your District Manager or the person in the home office that handles adding doctors to your Speakers Bureau. This goes beyond just adding a note to your Next Call Strategy. In this case you need to have a system that will remind you to get the information and place that information in the call notes for that doctor. Some representatives carry a legal pad with them and write down any “To Do” items that need follow-up. Others use outlook to remind them or have a “To Do” list that pops up on their computer. Whatever the tool you choose use it to remind you to follow-up on those important commitments you’ve made to you customer.

Now that you know what is most important to your doctors and how to improve in that area, let’s begin to implement in your territory and watch your credibility and your sales go up.

Bio Jim Price
Jim Price has been in the healthcare industry for over eighteen years. His experience encompasses numerous pharmaceutical and surgical sales positions As a practice management consultant, Jim has worked with physicians to improve a variety of practice issues from workflow to marketing. He has also advised hospitals on vendor consolidation and procedure efficiencies.

Most recently, Jim served as Director of North American Training and Development for Novartis Ophthalmics. In this position, he was responsible for the training and development of Sales Representatives and Area Sales Managers for the North American markets.

Currently, Jim provides contract training and consultation services for clients in the pharmaceutical, biotech and medical device industry, including: Novartis Ophthalmics, Pfizer Consumer Health, Alimera Sciences, Alliant Pharmaceuticals, Eisai, NovaVision and Ciba Vision.

As a presenter at The Society of Pharmaceutical and Biotech Trainers, Jim has been able to share his extensive experience with other sales training professionals.

TAP Consulting was created to leverage Jim’s extensive experience in physician/representative interactions. The courses offered by TAP Consulting have been designed specifically for the pharmaceutical and medical industry. Drawing on over 500 physician/rep role plays and feedback gathered from physician focus groups, Jim has been able to translate this knowledge into courses which are real time, actionable and drive results.

TAP offers courses in understanding your physician customer, basic and advanced selling skills, selling with clinical reprints and leadership training. Contact Jim Price for more information on TAP services.

Nomination of Top Doctors in America

How to find the top specialists in your area
There are many things to consider when looking for a top specialist in your area. First, it’s best you make sure they’re board-certified in the specialty field pertaining to your medical needs. In addition, it’s a good idea to make sure they have special expertise in the condition/procedure you desire. For specialists who are highly recognized by their patients and peers, their status can usually be obtained by conducting a solid search.

Forget the yellow pages; instead spend some time online browsing for a particular specialist in your area. A good idea is to make sure the specialist you find has been researched from a company who specializes in physician background reports or has rigorously reviewed the physician’s profile.

Top Doctors Nomination Process
Though there is no universal agreement to which organizations/magazines conduct these top doctor surveys, one thing is for sure: It’s best to rely on the accuracy of organizations who not only specialize and conduct surveys as a continuous daily operation year- round, but also cross-reference their information with highly specialized doctor credential information databases with the help of their own proprietary applications for optimal results.

Referrals – Finding a specialist who has special expertise in your condition/surgical procedure, and with solid credentials is key. Use caution with any referral agencies who are free, accept fees from doctors, or who are connected with a hospital.

Top Doctors Methodologies
While some organizations continue the traditional surveys asking doctors, “If one of your loved one’s needed medical attention, which of your peers would you choose,” others have adopted more sophisticated technologies for better overall top doctor analysis.

Cutting Edge Technology
In this day and age, doctors are trained using advanced surgical technologies such as minimally invasive surgery, tele-surgery, robotic assisted surgery, and many others. With minimal incisions being made, it’s said that within ten years, some of today’s surgical procedures will be considered barbaric.

The Future of Medicine
Like with any other service/product that’s introduced to the market place, through trial and error it takes time to perfect the product. And like robotic assisted surgery, since 2000, it’s been off to a solid start. Many doctors agree that robotic assisted surgery has many promises and eventually will be the way most surgical procedures are conducted.

Doctors – How To Trust Them, When To Trust Them?

When some of your beloved is not well, you try to go to one of best doctors.
You spend a lot but results are not worthwhile. Then there is one obvious question in your mind and that is “How do I know if I got the treatment right, or how do I believe that this doctor is the one for me.”

Sometimes it becomes quite hard to believe doctors as one does not get well soon or even after a long treatment. People, in this frustration, keep changing the doctor for a hope that the last doctor was not up to the standards and the new one will cure easily.

So in these situations, we have some guidelines for you to avoid some of the common mistakes.

Well, first of all, always try to know which doctor you are going to. If possible try to find out if he is a certified doctor actually or not. This process takes times and one can not just go and ask doctor when he needs a doctor. It becomes a stupid question that time. It is all about being aware.

Secondly when you visit the doctor try to search Internet for information about your disease. It will help you to understand what is wrong with you.
Now a day, this is very common. So do not be late in knowing about what is wrong with you.

When you find a good doctor, trust him, if result are not good even after sometime do not just switch over to other doctor by quitting the treatment of one in between.
It kills the therapy ethics. So trust your doctor and let the treatment complete.

A good doctor will always try his level best to protect you, help you to recover as soon as possible. So its good to trust them, however there are so many, who just work for dollars and are most probably fake one.

5 Things a Doctor Should Ask Or You Should Tell Your Doctor

During medical consultation it is important and critical for the doctor to ask the right question and ask it on the right manner in order to get you talking and give him the information that he needs. Most of the time your doctor is working hard in order to get all the pieces of the puzzle in order to diagnose your condition properly. Don’t hesitate to answer what your doctor ask or if you feel that the doctor is not asking the right question feel free to tell them the following helpful information:

1. OTC Over the Counter Medications. Tell your doctor about the medications that you are taking. Ask your doctor if it is okay to continue these medications.

2. Fatigue- What kind of work are you into, does it bring you to fatigue that could be the cause of what you are feeling.

3. Personal Problems with financial and relationship. Do you have any family or financial problem that is bothering you.

4. Depression or Anxiety. Do you have any depression or anxiety condition that your doctor needs to know about.

5. Drug Use. Are you using any drug, legal or illegal.

You are aware of important things about your symptoms as well as health history. Tell your doctor what you think she needs to know and don’t hesitate to ask doctor a question about anything in return, even if it makes you feel embarrassed or uncomfortable. This will make sure that your physician gives the best help that you deserve.