tag:blogger.com,1999:blog-3227160671897218195.post2519211666526920963..comments2008-04-24T02:04:51.832+02:00Luis Pareras M.D., Ph.D.http://www.blogger.com/profile/16575222342526855913noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-3227160671897218195.post-26917238947116821122008-04-24T02:04:00.000+02:002008-04-24T02:04:00.000+02:002008-04-24T02:04:00.000+02:00Health care professionals have an intense training in strategy. It is just a question of re-focusing the issue.<BR/><BR/>Let's think about "clinical problema solving", or more specifically "complex medical problem solving" (a old chronic pluripatological patient).<BR/><BR/>As a medical doctor you are constantly applying strategy. Following yuor example:<BR/><BR/>#1 Understand the drivers that influence your future profits... The objective of this first step is to learn why can we have better or worse results.<BR/><BR/>Consider your profit as "healing the patient". So clinical translation:<BR/><BR/>#1 Understand the patient signs and symptons and available test results, and from your clinical knowledge consider the most probable scenario (diagnosis) but also the most dangerous (although improbable).<BR/><BR/>#2 Understand your environment, both the general environment (economic, social, technological…).<BR/><BR/>A clinical translation:<BR/><BR/>#2 Understand the patient enviroment, his social resources, his basal health status. And also your resources. Are you in a tertiary hospital or in a rural primary care setting?<BR/><BR/>#3 Understand your scope...<BR/><BR/>Clinical translation:<BR/><BR/>#3 Understand what problems are priority and which ones doesn't need to be adressed by the moment.<BR/><BR/>...<BR/><BR/>#4 Understand the resources you use, and your capabilities.<BR/><BR/>Clinical translation:<BR/><BR/>#4 Are you able to manage all the potential scenarios? Will you need the help of other specialists? Which specialists? Do you know how to obtain that help in the time needed for the patient?<BR/><BR/>...<BR/><BR/>#6 Formulate your strategy. After detecting the opportunities and threats around, and knowing about your capabilities today, you can define how you should compete in the future.<BR/><BR/>clinical translation...<BR/><BR/>#6 Formulate your strategy. Practicing medicine is not only about taking decisions in the present but much more about having a plan in advance for the different scenarios. It is not as playing a videogame (fast response) but as playing chess (planning future threaths and their solutions).<BR/><BR/>In brief, clinicians develop a lot of abilities and a strong mind framework useful for making a strategy and taking critical decisions with limited information in a uncertainly scenario. <BR/><BR/>And that is what business is all about!Dr. Bonishttp://www.blogger.com/profile/04834650474055907221noreply@blogger.com