This Should Be the Best Time to be a Doctor, But It's Not
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Gretton ","isLoading":false},"cfarr":{"type":"authors","id":"3252","meta":{"index":"authors_1591205172","id":"3252","found":true},"name":"Christina Farr","firstName":"Christina","lastName":"Farr","slug":"cfarr","email":"cfarr@kqed.org","display_author_email":false,"staff_mastheads":[],"title":null,"bio":"Christina Farr (\u003ca href=\"https://twitter.com/chrissyfarr\">@chrissyfarr\u003c/a>) is the former editor and host of Future of You. She was previously with Reuters, covering digital health and Apple and before that, she reported for Venture Beat. Christina was born and raised in London and has graduate degrees from University of London and the Stanford School of Journalism. Farr’s work has appeared in a variety of publications, including the New York Times, the Daily Telegraph, the Bay Citizen and SFGate.com. She has appeared as a featured expert on NBC, ABC and Reuters TV, among others, and frequently speaks at health and technology conferences. 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But as a patient, it doesn't feel like the experience has changed much in the past five years.\u003c/p>\n\u003cp>During a recent visit to the doctor's office, I sat in a waiting room for thirty minutes filling out about 10 pages of paperwork about my family history (no changes there). I spent about ten minutes with my doctor, who stole occasional glances at me while glued to his computer screen (a worse experience, if anything).\u003c/p>\n\u003cp>But there were a few improvements: I scheduled my appointment online, and checked my lab results via a so-called \"patient portal,\" a secure, online system.\u003c/p>\n\u003cp>https://twitter.com/BHorblit/status/654407132654120960\u003c/p>\n\u003cp>Don't get me wrong, online scheduling is far more convenient than calling during work hours and leaving a voicemail. But I would hardly call these changes a \u003ca href=\"http://healthleadersmedia.com/content/SPR-311256/Creating-a-Patient-Experience-Revolution\" target=\"_blank\">\"patient experience revolution\u003c/a>,\" the buzz phrase I often hear at health care conferences.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But I'm in my late twenties and relatively healthy, so I posed the question to KQED readers on Twitter. Some of you said you now receive your medications via electronic refills. Others are routinely emailing and chatting with their doctor through patient portals.\u003c/p>\n\u003cp>https://twitter.com/beth_winegarner/status/654358883280928768\u003c/p>\n\u003cp>These changes may seem small and incremental. But I spoke with some experts who say that the experience of health care has actually transformed in ways that you and I might not expect.\u003c/p>\n\u003cp>\u003cstrong>What Else has Changed?\u003c/strong>\u003c/p>\n\u003cp>The team at \u003ca href=\"https://rockhealth.com/\" target=\"_blank\">Rock Health\u003c/a>, a San Francisco-based venture fund, \u003ca href=\"http://rockhealth.com/reports/digital-health-consumer-adoption-2015/\" target=\"_blank\">recently surveyed U.S. consumers\u003c/a> to find out how technology has impacted health care.\u003c/p>\n\u003cp>The survey found that 71 percent of people search for health information online. Almost half of these patients booked an appointment with a doctor with a pre-existing diagnosis in mind.\u003c/p>\n\u003cp>That's actually a major change that's giving people an opportunity to get more involved in their health, says Rock Health's managing director Malay Gandhi. It has also given rise to websites that disseminate medical information (\u003ca href=\"http://www.webmd.com/\">WebMD\u003c/a>,\u003ca href=\"https://www.healthtap.com/\"> HealthTap\u003c/a>) as well as online patient communities (\u003ca href=\"https://www.patientslikeme.com/\">PatientsLikeMe\u003c/a>, \u003ca href=\"https://www.crowdmed.com/\">CrowdMed\u003c/a>, \u003ca href=\"https://www.smartpatients.com/\">SmartPatients\u003c/a>).\u003c/p>\n\u003cp>https://twitter.com/djbressler/status/654359492151373824\u003c/p>\n\u003cp>\"People may not recognize this behavior as being directly related to their health,\" says Regina Holliday, a patient advocate from Grantsville, Maryland. \"But it's a huge shift that is changing how patients are treated -- for the better and the worse.\"\u003c/p>\n\u003cp>Holliday pointed me to a few trends that are bringing much-needed transparency to health care, such as shopping for health plans online. In the wake of the Affordable Care Act, patients are using policy recommendations sites (\u003ca href=\"https://www.getinsured.com/\">GetInsured\u003c/a>, \u003ca href=\"https://www.stridehealth.com/\">Stride Health\u003c/a>) before making a final selection on their health insurance.\u003c/p>\n\u003cp>In the next few years, Holliday sees potential for technology that helps doctors \"triage\" patients, and see those most in need first. She also hopes more doctors will join a movement to share their notes with patients. That program, known as OpenNotes,\u003ca href=\"http://www.bmj.com/content/350/bmj.g7785\" target=\"_blank\"> is rapidly spreading to hospitals and health systems \u003c/a>across the country.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I think health care has massively changed,\" said Holliday. \"But we don't recognize that sometimes, as we're impatient for the changes to happen faster.\"\u003c/p>\n\n","blocks":[],"excerpt":"How has the health care experienced changed for patients in the past five years? ","status":"publish","parent":0,"modified":1446683185,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":16,"wordCount":565},"headData":{"title":"Are Patients Seeing A Digital Health Revolution? | KQED","description":"How has the health care experienced changed for patients in the past five years? ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Are Patients Seeing A Digital Health Revolution?","datePublished":"2015-11-05T17:00:27.000Z","dateModified":"2015-11-05T00:26:25.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"52604 http://ww2.kqed.org/futureofyou/?p=52604","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/11/05/are-patients-seeing-a-digital-health-revolution/","disqusTitle":"Are Patients Seeing A Digital Health Revolution?","path":"/futureofyou/52604/are-patients-seeing-a-digital-health-revolution","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>I devote a lot of time to writing about how technology has the potential to transform health care. But as a patient, it doesn't feel like the experience has changed much in the past five years.\u003c/p>\n\u003cp>During a recent visit to the doctor's office, I sat in a waiting room for thirty minutes filling out about 10 pages of paperwork about my family history (no changes there). I spent about ten minutes with my doctor, who stole occasional glances at me while glued to his computer screen (a worse experience, if anything).\u003c/p>\n\u003cp>But there were a few improvements: I scheduled my appointment online, and checked my lab results via a so-called \"patient portal,\" a secure, online system.\u003c/p>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"singleTwitterStatus","attributes":{"named":{"id":"654407132654120960"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>Don't get me wrong, online scheduling is far more convenient than calling during work hours and leaving a voicemail. But I would hardly call these changes a \u003ca href=\"http://healthleadersmedia.com/content/SPR-311256/Creating-a-Patient-Experience-Revolution\" target=\"_blank\">\"patient experience revolution\u003c/a>,\" the buzz phrase I often hear at health care conferences.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But I'm in my late twenties and relatively healthy, so I posed the question to KQED readers on Twitter. Some of you said you now receive your medications via electronic refills. Others are routinely emailing and chatting with their doctor through patient portals.\u003c/p>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"singleTwitterStatus","attributes":{"named":{"id":"654358883280928768"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>These changes may seem small and incremental. But I spoke with some experts who say that the experience of health care has actually transformed in ways that you and I might not expect.\u003c/p>\n\u003cp>\u003cstrong>What Else has Changed?\u003c/strong>\u003c/p>\n\u003cp>The team at \u003ca href=\"https://rockhealth.com/\" target=\"_blank\">Rock Health\u003c/a>, a San Francisco-based venture fund, \u003ca href=\"http://rockhealth.com/reports/digital-health-consumer-adoption-2015/\" target=\"_blank\">recently surveyed U.S. consumers\u003c/a> to find out how technology has impacted health care.\u003c/p>\n\u003cp>The survey found that 71 percent of people search for health information online. Almost half of these patients booked an appointment with a doctor with a pre-existing diagnosis in mind.\u003c/p>\n\u003cp>That's actually a major change that's giving people an opportunity to get more involved in their health, says Rock Health's managing director Malay Gandhi. It has also given rise to websites that disseminate medical information (\u003ca href=\"http://www.webmd.com/\">WebMD\u003c/a>,\u003ca href=\"https://www.healthtap.com/\"> HealthTap\u003c/a>) as well as online patient communities (\u003ca href=\"https://www.patientslikeme.com/\">PatientsLikeMe\u003c/a>, \u003ca href=\"https://www.crowdmed.com/\">CrowdMed\u003c/a>, \u003ca href=\"https://www.smartpatients.com/\">SmartPatients\u003c/a>).\u003c/p>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"singleTwitterStatus","attributes":{"named":{"id":"654359492151373824"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>\"People may not recognize this behavior as being directly related to their health,\" says Regina Holliday, a patient advocate from Grantsville, Maryland. \"But it's a huge shift that is changing how patients are treated -- for the better and the worse.\"\u003c/p>\n\u003cp>Holliday pointed me to a few trends that are bringing much-needed transparency to health care, such as shopping for health plans online. In the wake of the Affordable Care Act, patients are using policy recommendations sites (\u003ca href=\"https://www.getinsured.com/\">GetInsured\u003c/a>, \u003ca href=\"https://www.stridehealth.com/\">Stride Health\u003c/a>) before making a final selection on their health insurance.\u003c/p>\n\u003cp>In the next few years, Holliday sees potential for technology that helps doctors \"triage\" patients, and see those most in need first. She also hopes more doctors will join a movement to share their notes with patients. That program, known as OpenNotes,\u003ca href=\"http://www.bmj.com/content/350/bmj.g7785\" target=\"_blank\"> is rapidly spreading to hospitals and health systems \u003c/a>across the country.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I think health care has massively changed,\" said Holliday. \"But we don't recognize that sometimes, as we're impatient for the changes to happen faster.\"\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/52604/are-patients-seeing-a-digital-health-revolution","authors":["3252"],"categories":["futureofyou_452"],"tags":["futureofyou_648","futureofyou_80","futureofyou_613"],"featImg":"futureofyou_61713","label":"futureofyou"},"futureofyou_46097":{"type":"posts","id":"futureofyou_46097","meta":{"index":"posts_1591205157","site":"futureofyou","id":"46097","score":null,"sort":[1444667195000]},"guestAuthors":[],"slug":"this-should-be-the-best-time-to-be-a-doctor-but-its-not","title":"This Should Be the Best Time to be a Doctor, But It's Not","publishDate":1444667195,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>\u003cem>This is an op-ed from Cosima Gretton, a doctor who has worked part-time at Bay Area health-technology startups.\u003c/em>\u003c/p>\n\u003cp>There’s a huge disparity going on in healthcare. The digital health hype is at an all time high. It seems like every day, I read a new article stipulating that technology is ‘revolutionizing healthcare.’\u003c/p>\n\u003cp>But inside hospitals, the story is very different.\u003c/p>\n\u003cfigure id=\"attachment_47483\" class=\"wp-caption alignright\" style=\"max-width: 329px\">\u003cimg class=\" wp-image-47483\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/Screen-Shot-2014-09-28-at-22.59.28-784x600.png\" alt=\"The author Cosima Gretton. \" width=\"329\" height=\"252\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/Screen-Shot-2014-09-28-at-22.59.28-784x600.png 784w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Screen-Shot-2014-09-28-at-22.59.28-400x306.png 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Screen-Shot-2014-09-28-at-22.59.28.png 938w\" sizes=\"(max-width: 329px) 100vw, 329px\">\u003cfigcaption class=\"wp-caption-text\">The author Cosima Gretton. \u003ccite>(Cosima Gretton)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>I work as a doctor at a well-known hospital in London. Technology is changing rapidly in other sectors, but health care is having a hard time keeping up. Outdated IT systems are compounding the stress that doctors already experience in their daily lives, as well as making it more difficult to interact with patients. In the U.S., \u003ca href=\"http://www.forbes.com/sites/johngoodman/2014/09/11/why-are-doctors-so-unhappy/\">a recent survey found\u003c/a> that only six percent of doctors are satisfied with their jobs, in part due to the poorly-implemented \u003ca href=\"http://ww2.kqed.org/futureofyou/broken-medical-records\">electronic medical record systems\u003c/a>.\u003c/p>\n\u003cp>This situation may get worse before it gets better. In the U.K., where I work, there is a \u003ca href=\"http://www.theguardian.com/society/2015/sep/18/junior-doctors-new-contract-cut-pay-40-per-cent\">current row \u003c/a>over contracts that would \u003ca href=\"//www.buzzfeed.com/robertwarren/8-reasons-you-should-support-junior-doctors-going-1vc2s\">increase working hours while cutting our pay\u003c/a> by as much as 40 percent. Globally, there’s a huge lack of doctors: the U.S. alone will \u003ca href=\"https://www.aamc.org/newsroom/newsreleases/426166/20150303.html\">face a shortage\u003c/a> of between 46,000 to 90,000 physicians by 2025, according to the Association of American Medical Colleges. It's a supply and demand problem: It takes more than a decade of expensive training for doctors to care for the growing pool of aging patients.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Unfortunately, all this discontent impacts on patient care: \u003ca href=\"http://www.theatlantic.com/health/archive/2015/10/the-misery-of-a-doctors-first-days/408004/\">tired, unhappy people don’t make the best physicians. \u003c/a>And with more doctors \u003ca href=\"http://www.npr.org/sections/health-shots/2015/07/19/423882899/siren-song-of-tech-lures-new-doctors-away-from-medicine\">leaving the profession\u003c/a>, the workload for those that remain may become untenable. Greater workload means less time spent with each patient, or the prioritization of only the very unwell over others who may also be in need.\u003c/p>\n\u003caside class=\"pullquote alignright\">“Outdated IT systems are compounding the stress that doctors already experience in their daily lives, as well as making it more difficult to interact with patients.\"\u003cbr>\n\u003ccite>Dr. Cosima Gretton \u003c/cite>\u003c/aside>\n\u003cp>In my hospital, for example, there are 19 different software systems across the departments, few of which communicate data with each other. This quadruples the administrative work that doctors do and reduces time spent with patients.\u003c/p>\n\u003cp>Compounding the crisis is the fact that core medical education has not been upgraded for the 21st-century. As a graduate medical student, working part-time with health technology startups on both sides of the Atlantic, I was amazed to find such a disparity between my medical school curriculum and the technology for patients and doctors already on the market.\u003c/p>\n\u003cp>\u003cstrong>So What Can We Do?\u003c/strong>\u003c/p>\n\u003cp>To begin with, medication education needs a major upgrade and rebrand to attract the next generation and improve the doctor-patient relationship.\u003c/p>\n\u003cp>One potential solution lies in post-graduate education. Some recent initiatives are moving in the right direction, adapting the profession for the future and making it more attractive to young doctors.\u003c/p>\n\u003cp>At the \u003ca href=\"http://www.sibleyhub.com/about/\">John Hopkins Sibley Innovation Hub in Maryland\u003c/a>, they have trained over 200 doctors in design thinking, giving them time and skills to innovate and improve the system that they work in. Harvard Medical School recently overhauled its curriculum to \u003ca href=\"http://www.thecrimson.com/article/2015/9/2/hms-curriculum-major-revamp/\">include a new focus on health policy and regulation. \u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_50939\" class=\"wp-caption alignleft\" style=\"max-width: 292px\">\u003cimg class=\" wp-image-50939\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/eric-topol-409x600.jpg\" alt=\"Dr. Eric Topol has advocated for a practice style that is more inclusive of patients. \" width=\"292\" height=\"428\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/eric-topol-409x600.jpg 409w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/eric-topol-400x587.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/eric-topol.jpg 530w\" sizes=\"(max-width: 292px) 100vw, 292px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Eric Topol has advocated for a practice style that is more inclusive of patients. \u003ccite>(Ed Uthman/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>We also need to see a more drastic shift in consultation styles, shifting away from paternalistic medicine and more toward the patient. Consumer-facing technology giants like Apple are driving this further, putting diagnosis and management of many diseases into the patient’s hands.\u003c/p>\n\u003cp>One physician who is leading the push to a \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/07/31/inside-dr-eric-topols-modern-black-bag/\">more patient-centric practice is Eric Topo\u003c/a>\u003ca href=\"http://ww2.kqed.org/futureofyou/2015/07/31/inside-dr-eric-topols-modern-black-bag/\">l\u003c/a>, a cardiologist and author of 'The Patient Will See You Now.' Topol told me that many of his patients use a smartphone-based \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/05/06/can-a-smartwatch-help-prevent-a-heart-attack/\">heart monitor called the AliveCor.\u003c/a>\u003c/p>\n\u003cp>“My patients think they are having a major arrhythmia, they put their fingers on their phone sensors, realize they are OK and don’t go to the doctor,\" he told me. \"When they do, armed with their information, the doctor becomes more of a co-pilot in managing their care.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Finally, the potential for technology and a new era of genomic medicine to bring about a radical change in the way we deliver services is huge. It’s an exiting time to be in healthcare, but it sure is a \u003ca href=\"http://www.theguardian.com/healthcare-network/views-from-the-nhs-frontline/2015/sep/21/new-junior-doctors-contract-changes-everything-i-signed-up-for\">difficult time to be a doctor\u003c/a>. It's time we changed that.\u003c/p>\n\n","blocks":[],"excerpt":"There’s a huge disparity going on in healthcare. The digital health hype is at an all time high. But inside hospitals, the story is very different.","status":"publish","parent":0,"modified":1444667195,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":18,"wordCount":796},"headData":{"title":"This Should Be the Best Time to be a Doctor, But It's Not | KQED","description":"There’s a huge disparity going on in healthcare. The digital health hype is at an all time high. But inside hospitals, the story is very different.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"This Should Be the Best Time to be a Doctor, But It's Not","datePublished":"2015-10-12T16:26:35.000Z","dateModified":"2015-10-12T16:26:35.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"46097 http://ww2.kqed.org/futureofyou/?p=46097","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/10/12/this-should-be-the-best-time-to-be-a-doctor-but-its-not/","disqusTitle":"This Should Be the Best Time to be a Doctor, But It's Not","nprByline":"Cosima Gretton ","path":"/futureofyou/46097/this-should-be-the-best-time-to-be-a-doctor-but-its-not","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>This is an op-ed from Cosima Gretton, a doctor who has worked part-time at Bay Area health-technology startups.\u003c/em>\u003c/p>\n\u003cp>There’s a huge disparity going on in healthcare. The digital health hype is at an all time high. It seems like every day, I read a new article stipulating that technology is ‘revolutionizing healthcare.’\u003c/p>\n\u003cp>But inside hospitals, the story is very different.\u003c/p>\n\u003cfigure id=\"attachment_47483\" class=\"wp-caption alignright\" style=\"max-width: 329px\">\u003cimg class=\" wp-image-47483\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/Screen-Shot-2014-09-28-at-22.59.28-784x600.png\" alt=\"The author Cosima Gretton. \" width=\"329\" height=\"252\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/Screen-Shot-2014-09-28-at-22.59.28-784x600.png 784w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Screen-Shot-2014-09-28-at-22.59.28-400x306.png 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Screen-Shot-2014-09-28-at-22.59.28.png 938w\" sizes=\"(max-width: 329px) 100vw, 329px\">\u003cfigcaption class=\"wp-caption-text\">The author Cosima Gretton. \u003ccite>(Cosima Gretton)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>I work as a doctor at a well-known hospital in London. Technology is changing rapidly in other sectors, but health care is having a hard time keeping up. Outdated IT systems are compounding the stress that doctors already experience in their daily lives, as well as making it more difficult to interact with patients. In the U.S., \u003ca href=\"http://www.forbes.com/sites/johngoodman/2014/09/11/why-are-doctors-so-unhappy/\">a recent survey found\u003c/a> that only six percent of doctors are satisfied with their jobs, in part due to the poorly-implemented \u003ca href=\"http://ww2.kqed.org/futureofyou/broken-medical-records\">electronic medical record systems\u003c/a>.\u003c/p>\n\u003cp>This situation may get worse before it gets better. In the U.K., where I work, there is a \u003ca href=\"http://www.theguardian.com/society/2015/sep/18/junior-doctors-new-contract-cut-pay-40-per-cent\">current row \u003c/a>over contracts that would \u003ca href=\"//www.buzzfeed.com/robertwarren/8-reasons-you-should-support-junior-doctors-going-1vc2s\">increase working hours while cutting our pay\u003c/a> by as much as 40 percent. Globally, there’s a huge lack of doctors: the U.S. alone will \u003ca href=\"https://www.aamc.org/newsroom/newsreleases/426166/20150303.html\">face a shortage\u003c/a> of between 46,000 to 90,000 physicians by 2025, according to the Association of American Medical Colleges. It's a supply and demand problem: It takes more than a decade of expensive training for doctors to care for the growing pool of aging patients.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Unfortunately, all this discontent impacts on patient care: \u003ca href=\"http://www.theatlantic.com/health/archive/2015/10/the-misery-of-a-doctors-first-days/408004/\">tired, unhappy people don’t make the best physicians. \u003c/a>And with more doctors \u003ca href=\"http://www.npr.org/sections/health-shots/2015/07/19/423882899/siren-song-of-tech-lures-new-doctors-away-from-medicine\">leaving the profession\u003c/a>, the workload for those that remain may become untenable. Greater workload means less time spent with each patient, or the prioritization of only the very unwell over others who may also be in need.\u003c/p>\n\u003caside class=\"pullquote alignright\">“Outdated IT systems are compounding the stress that doctors already experience in their daily lives, as well as making it more difficult to interact with patients.\"\u003cbr>\n\u003ccite>Dr. Cosima Gretton \u003c/cite>\u003c/aside>\n\u003cp>In my hospital, for example, there are 19 different software systems across the departments, few of which communicate data with each other. This quadruples the administrative work that doctors do and reduces time spent with patients.\u003c/p>\n\u003cp>Compounding the crisis is the fact that core medical education has not been upgraded for the 21st-century. As a graduate medical student, working part-time with health technology startups on both sides of the Atlantic, I was amazed to find such a disparity between my medical school curriculum and the technology for patients and doctors already on the market.\u003c/p>\n\u003cp>\u003cstrong>So What Can We Do?\u003c/strong>\u003c/p>\n\u003cp>To begin with, medication education needs a major upgrade and rebrand to attract the next generation and improve the doctor-patient relationship.\u003c/p>\n\u003cp>One potential solution lies in post-graduate education. Some recent initiatives are moving in the right direction, adapting the profession for the future and making it more attractive to young doctors.\u003c/p>\n\u003cp>At the \u003ca href=\"http://www.sibleyhub.com/about/\">John Hopkins Sibley Innovation Hub in Maryland\u003c/a>, they have trained over 200 doctors in design thinking, giving them time and skills to innovate and improve the system that they work in. Harvard Medical School recently overhauled its curriculum to \u003ca href=\"http://www.thecrimson.com/article/2015/9/2/hms-curriculum-major-revamp/\">include a new focus on health policy and regulation. \u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_50939\" class=\"wp-caption alignleft\" style=\"max-width: 292px\">\u003cimg class=\" wp-image-50939\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/eric-topol-409x600.jpg\" alt=\"Dr. Eric Topol has advocated for a practice style that is more inclusive of patients. \" width=\"292\" height=\"428\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/eric-topol-409x600.jpg 409w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/eric-topol-400x587.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/eric-topol.jpg 530w\" sizes=\"(max-width: 292px) 100vw, 292px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Eric Topol has advocated for a practice style that is more inclusive of patients. \u003ccite>(Ed Uthman/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>We also need to see a more drastic shift in consultation styles, shifting away from paternalistic medicine and more toward the patient. Consumer-facing technology giants like Apple are driving this further, putting diagnosis and management of many diseases into the patient’s hands.\u003c/p>\n\u003cp>One physician who is leading the push to a \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/07/31/inside-dr-eric-topols-modern-black-bag/\">more patient-centric practice is Eric Topo\u003c/a>\u003ca href=\"http://ww2.kqed.org/futureofyou/2015/07/31/inside-dr-eric-topols-modern-black-bag/\">l\u003c/a>, a cardiologist and author of 'The Patient Will See You Now.' Topol told me that many of his patients use a smartphone-based \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/05/06/can-a-smartwatch-help-prevent-a-heart-attack/\">heart monitor called the AliveCor.\u003c/a>\u003c/p>\n\u003cp>“My patients think they are having a major arrhythmia, they put their fingers on their phone sensors, realize they are OK and don’t go to the doctor,\" he told me. \"When they do, armed with their information, the doctor becomes more of a co-pilot in managing their care.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Finally, the potential for technology and a new era of genomic medicine to bring about a radical change in the way we deliver services is huge. It’s an exiting time to be in healthcare, but it sure is a \u003ca href=\"http://www.theguardian.com/healthcare-network/views-from-the-nhs-frontline/2015/sep/21/new-junior-doctors-contract-changes-everything-i-signed-up-for\">difficult time to be a doctor\u003c/a>. It's time we changed that.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/46097/this-should-be-the-best-time-to-be-a-doctor-but-its-not","authors":["byline_futureofyou_46097"],"categories":["futureofyou_452"],"tags":["futureofyou_190","futureofyou_80","futureofyou_613"],"featImg":"futureofyou_47484","label":"futureofyou"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. 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But is this once sleepy suburb ready for them?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. 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You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED MindShift: How We Will Learn","officialWebsiteLink":"/mindshift/","meta":{"site":"news","source":"kqed","order":"2"},"link":"/podcasts/mindshift","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5","npr":"https://www.npr.org/podcasts/464615685/mind-shift-podcast","stitcher":"https://www.stitcher.com/podcast/kqed/stories-teachers-share","spotify":"https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"}},"morning-edition":{"id":"morning-edition","title":"Morning Edition","info":"\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. 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On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. 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