CREATIVITY IN MEDICAL PRACTICE WHAT PATIENTS EXPECT?

*Dr.T.V.Rao. MD

Creativity involves the power to create and bring about change. Creativity involves originality, imagination, inspiration, and inventiveness. The visionaries and pioneers in medicine have always looked for innovative solutions to improve the practice of medicine. From the earliest days, medical training was based on an apprenticeship / internship model, in which Junior Doctors learned the art from senior practitioners. Even with the evolution of modern medical colleges, which offered future physicians a rigorous common training, once doctors entered the real world they essentially did as they pleased. Consequently, there were pronounced differences in approaches to common problems from one clinician to another, which made few to be successful in delivering the desired results. The best that you can for each individual patient many well- qualified doctors ultimately were not delivering their patients the best care available. We are investing much in resources for making acceptable and successful Doctors. The clear goal is ensuring that all patients truly receive the very best care available, as doctored by rigorous scientific studies. This discrepancy between what patients should be receiving and what patients are actually receiving is the major focus of quality reform, and reflects the new recognition that there are truly preferred approachespathwaysto guide disease management.

These pathways are not meant to represent a rigid schedule reflexively applied to each patient, but are intended as a summary of the best available data, a useful design to guide further medical decisions. The renewed emphasis on quality has also resulted in a new found appreciation for the role of experience and repetition in patient care. Study after study has shown that the best physician to treat a particular problem is the one who has treated it the most; it means every teacher is not competent to deliver the best content to the students as few are really talented to deliver the desired training. Adding to the existing problems, Medical profession is de merited with commercial interests, many other consideration in allotment of Medical seats. Our failure to nourish and sustain inquisitive physicians seems particularly tragic because medicine has traditionally attracted some of our brightest and most imaginative individuals. Even at the height of the information technology boom, as an example, there were still more medical colleges applicants than there were spaces to train them. But if current trends continue, many of these creative minds will head elsewhere, while those who stay will risk becoming stultified by repetitious routine. Several medical schools and colleges and a handful of foundations have recognized this emerging problem. It is responsibility of the Academicians who run the Universities in India and many emerging Nations to care to produce better professionally talented Doctors. But as well-intentioned as these efforts are, simply changing the curriculum isn't likely to fix the underlying problem. Unless ever-savvy medical students perceive that inquisitive thinking is truly valued in clinical medicine, and

unless exasperated physicians are inspired to believe that they have the ability to change some aspect of the way medicine is practiced, nothing is going to change. We may lose the best hope we have of defeating the terrible diseases that now plague us, as patients losing confidence in the Modern medicine and many switching to alternative Medicine, and refusing to undergo costly investigations, even some write in the death will they should not be put on Ventilator as they all know many Doctors do investigate and experiment the patients with commercial conflicts rather than genuine idea of diagnosing a condition. The demand for Medicine may not continue eternally unless we create confidence in the patients. We are loaded with much of communicated knowledge rather than foundations in knowledge many think e-resources can be a short cut to save their ignorance. Everyone who wishes to become a Doctor / Physician and planners in Medical education must continue to cultivate novelty and originality, rather than penalize it. Imagination is perhaps the most essential trait that medicine, and medical insurers, must again learn to recognize and reward. Even with the best algorithms and the brightest computers, the future of health care ultimately depends upon the creativity of the hardy men and women still entrusted with its delivery. The problem is, most of these reform efforts, while critically important, only capture half the picture. Efficiency isn't everything, and unless we learn to cultivate creativity as avidly as we pursue consistency, future generations of patients may find themselves stuck with the same basic treatments they're receiving today. It will be the same medicine, just served quickly in modern locations with exuberant

costs without any utility of advances in Medicine. As patient populations and needs grew, the requirement for consistency and precision took priority, and now clinicians approach common problems in much the same way as one another. The rigorous training and skills associated with providing expert medical care today leaves little room for individualization, but by fostering creativity among its practitioners, society will benefit from the innovation and ground-breaking discoveries realized by those entrusted to provide the best care possible. If we do not understand the right criticism and expectations as said by one of the patient I want my doctor to be well-trained in Clinical skills and visual observation so they can take a good history. But most of all I want the correct diagnosis based on sound science without that, wed be back with the leeches and lobotomies. We are heading to a situation that our patients think .Many a times it is trial and error method adopted by doctors on our patients. Email doctortvrao@gmail.com