Got some exciting stuff going on here at Mayo!! I've been busy in our new block with immunology and pathology. It's a great time, and in pathology we are really starting to think like Doctors! We do differential diagnosis assignments each week with a clinical vignette and pathology slides to assess what happened to the patient and why they ended up dying. Although we are still growing in our medical knowledge, it's fun to think through the systemic processes and begin to understand a little bit how we would "work up" a patient and begin to understand their underlying disease process. We will have to do this when on our family medicine rotation in third year, so it's great practice for us now as "newbies" to get to do this and receive feedback from our TAs who are third years!
In the afternoons, we are in Basic Doctoring. Right now we are practicing the physical exam, and we will have a cumulative test on it on March 1st. We'll have to do a standardized patient exam with a stranger in the simulation center of Mayo and be graded by consultants that watch us on video in another room!
Here's a run through of all the components we are responsible for:
I have to put a plug in for Mayo, as recently I filled out a survey and got this free book. It's so cool! It goes through all of the common spices and home remedies and gives it a "traffic light" approval. So Green is a go ahead, yellow is a cautious, red is NO GO. You can buy used copies on Amazon, or if you want one I can get it for you and ship it! Just send me a note! They are $29.95 in the Mayo Store here at the clinic. I think it's pretty neat. We learn in medical school that it is important to mesh the ideas of the patient with the ideas of the doctor. It's called shared-decision making, and I'm sure you have had examples where this doesn't occur! Has the doctor ever told you to do something very authoritatively without considering your opinions or home remedies or traditions? I know I have certainly had that experience.
Our practice is that we assess what the patients beliefs and traditions are and use them in our treatment plan to ensure that the patient is on board and will follow through with the prescribed treatment. If the treatment doesn't fit into your life well, there's a high likelihood you won't want to follow through with it or be committed to the doctor's orders!
Basically, in normal situations of administration, we take physicians our of their environment and try to turn them into business people, but that isn't always effective! Instead, we need to focus on what the physician knows best and that is the patient! Value in healthcare SHOULD be defined by the patient and what they are willing to spend on a treatment when an alternative, less-expensive treatment is readily available. This is called the "BRAND VALUE."
CVO's need to be cognizant of the brand development of an organization, the brand management, and brand loyalty by patients. Are you presenting your practice the best you can and are your patients happy and willing to go to your practice? It's all about developing the patient experience and understanding the intersection of the psychology of illness with the patient experience. We also need to be cognizant of the social psychology of our clinical care strategies. but MOST OF ALL: THE NEEDS OF THE PATIENT COME FIRST.
I think we can apply the values of a CVO to any organization or practice, and it's important to identify your practice's values and continue to assess them over time to make sure they are providing your target population the greatest good!
M3 at Mayo Clinic School of Medicine