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Doctors need to remain calm and cheerful, amidst the doom and gloom of COVID-19 pandemic. They may experience such discomfort over discussing this with their physician that they avoid the conversation entirely. It has no value here or hereafter, O Arjuna.”. The healthcare should move from ‘Volume-based’ to “Value-based’ model in the interest of society. The doctor’s dilemma during COVID-19 pandemic: Solutions from Bhagavad Gita. excellent selection of teachings from gita. Patients expect doctor empathy, understanding and paraphrasing. It is appropriate for doctors to communicate about the scarcity of personal protection equipments, but that should not discourage them from performing their duties. This way of finding a doctor and establishing an initial degree of trust is comparatively easy. & Liaison for International Affairs, Indian Radiology & Imaging Association [IRIA]. 1. Finally, it is important to mention the expectations people from different cultures may have about seeking second opinions. 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. In Spanish, the word personalismo captures an ideal balance of professionalism and warmth many people seek. “The mind alone is one’s friend as well as one’s enemy”. We want an expert’s opinion more than a connection, so we accept a bedside manner that may be less warm but is highly professional. Most respondents (78%) agreed that they expected a doctor to be the leader of the healthcare team. Being told that the diagnosis in inconclusive may be met with suspicion, mistrust, and frustration. If you have access to a journal via a society or association membership, please browse to your society journal, select an article to view, and follow the instructions in this box. Posted Feb 17, 2018 It is helpful to be prepared for what may appear to be a contradiction of values and expectations operating in some cross-cultural interactions. Dept. Set high standards: Even today, Medicine is the most respected profession. For reprint rights: Times Syndication Service. more) years later, we graduate not only as doctors, but also as scientists, policymakers, and writers. 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. The concept of civil society developed in the European philosophical and historical experience. 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. Equally, with the rapid progression of medical knowledge, diagnosis and treatment, there is an increasing expectation in society that patients have a right to be cured of all their illnesses, and relieved of all their symptoms. Those questions concerned the growing gap between what society has always expected of the medical profession—that doctors be available whenever needed and give priority to the interests of the patients in front of them at all times—and the expectations of medical students and new doctors—to have rich and balanced lives outside of the profession and to balance the health needs of the public with those of the … But no doctor can know everything, and any doctor can be wrong, so competence should include the willingness to admit when you are uncertain and to reevaluate or change course when necessary. Radiological Society of North America (RSNA). Ask about the family’s well-being, which is a question of great significance in collectivist cultures. Recent observers have stated that negotiating for these deliverables is one of the characteristics of a contemporary profession . Again, the degree to which a patient views a provider as an authority figure is influenced by culturally-based expectations. Athletes are those who participate in three or more varsity sports. Doctor’s decisions will become much more difficult if they attach themselves with the outcome of the treatment. In private practices, we expect to see a doctor’s educational and professional credentials displayed where we can view them. Many of us have come to expect doctors to be hurried and over-busy. However, with the growing focus on medical errors, the desire for second opinions is more and more common, especially for invasive procedures. The timeless teachings of the Bhagavad Gita offer profound knowledge about the nature and purpose of our lives and are useful for every human being, irrespective of their caste and creed. Doctors are expected to perform their obligatory duties in the best interest of patients, without worrying about the outcomes and circumstances. However, it is also very important to be prepared for an apparent contradiction in values and expectations from some families who will want a provider to take time to get to know them and demonstrate warmth, yet also be directive. Patients wish for doctors to decide should not be misinterpreted as patient’s dislike to express opinion or being involve in decision-making. Bhagavad Gita has described such a person with focused mind and steady wisdom as ‘Sthitapragya’. Expectations from Physicians Expectations from Physicians When in a Public Gathering Oftentimes, we hear such statements from lay people when there is / are a doctor / doctors in a crowd or public gathering. With the available resources at the COVID-19 frontline, Doctors need to provide the best treatment to every patient. Keep this in mind if the above section seems at odds with what follows. ‘When the going gets tough, only the tough gets going’; simply reminds us of the nature’s basic law of ‘survival of the fittest. 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. They should follow government guidelines regarding the pandemic and lockdowns as applicable to hospitals and clinics. Arise”. There is no experience with waiting for test results, no understanding of chronic disease, preventive medicine, or self-care. Bhagavad Gita can address the mind’s inner conflicts while treading the noble path to service and guide Doctor’s action during the pandemonium of COVID-19 pandemic. This issue is also related to the dimension of culture called power distance. In respect of a doctor's personal qualities, integrity was expected (94%), as was compassion (89%). Many of the hospitals we visited showed genuine commitment to delivering person-centred care, with registered nurses, doctors, other care professionals and healthcare staff pulling together to treat the people they cared for with compassion and respect… There is, however, a … In collectivist cultures, and in societies where a high power distance is the norm, patients are more likely to view providers as authority figures who conduct themselves with utter certainty. 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. 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. They did, however, agree on some key expectations that they felt that were unreasonable, but held by a majority Doctors also need to drive the inevitable change for building a better healthcare for tomorrow, as the dust settles over the COVID-19 crisis. There is some evidence that physicians' current dissatisfa… “Sever the ignorant doubt in your heart with the sword of self-knowledge. Act without fears: Doctors are vulnerable to infections which can instill fear, mainly if personal protection equipments are not available. Cultural responsiveness in health care describes the capacity to respond to the health care issues of diverse communities. 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. Effective cross-cultural communication begins with understanding values-based health beliefs and behaviors – including the expectations different cultures have for physicians. 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. Everyone has to fight their own battles to lead a productive and purposeful life and should be ready for tough times. It is true that the profession demands responsibilities than the past when the principle of a nurse was just to provide care and comfort. These teachings may bring courage and clarity in the minds of healthcare professionals as the long-drawn war against COVID-19 would require utmost patience and perseverance. They are not comfortable unless they feel a sense of control, and nothing signals this more than having a voice and being heard. The practice of medicine is distinguished by the need for judgement in the face of uncertainty. Hurried and over-busy sword of self-knowledge in present times thorough discussion of both the initial second! 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