Millennials in Medicine: Doctors of the Future | Daniel Wozniczka | TEDxNorthwesternU

Millennials in Medicine: Doctors of the Future | Daniel Wozniczka | TEDxNorthwesternU

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00:09
I have a confession to make for years now I've had this deep dark secret my whole life really that I never told anybody but here and now I think I'm ready to tell the world so here goes my confession is that I am a millennial I know it's terrible that's the worst what was I thinking when I decided to become a millennial right I feel better already just having
00:40
told you guys though you know a Millennials were a cohort of people born from the early or middle 1980s up until about the early 2000s but that definition is pretty much the only thing that's agreed upon for our generation nevertheless you guys have probably heard a lot of negative thoughts and stereotypes about us you might have heard we're narcissistic or entitled that were lazy and unfocused that were addicted to our telephones and obsessed
01:11
with Instagram filters now some of that may be true but you don't really hear about the positives too much as we all know stereotypes don't tell a whole story about a person let alone a whole generation of millions so that being said allow me to actually introduce myself formally my name is dr. Daniel Anika my patients just call me dr. Dan that's what happens neither hard to pronounce polish last name I'm 29 years old and in a few days I'll be finishing
01:43
my internal medicine residency muscle finishing two masters degrees one in business my MBA and one the public health mph muscle medical researcher I published some peer-reviewed journals and outside of medicine I do a little bit as an entrepreneur I'm either the founder or expert advisor for a couple different healthcare startups last but not least I've worked as a congressional lobbyist which is pretty much exactly what you think it is on behalf of ACP the American contradictions they sent me down to Washington DC and I chatted with
02:14
congressmen or senators about different healthcare issues I bring all this up because some what I'm doing it really brings to light the positives of our generation as a whole for example the Millennials are the most educated generation we've ever had in America we're also the most diverse the decisions ever seen unsurprisingly were the most tech-savvy also but there's one particular positive attribute that normally talks about it pertains to the
02:46
workforce you can ask Millennials a very simple question what do you want to accomplish in your career they'll give you an answer that may seem simple but it's profound they'll all tell you they want to make an impact they want to change the world they want to innovate and what a beautiful mentality that is when you start your career so as we go forward this impact will drive forward the
03:17
Millennials people always ask me what's it like to be a doctor I always doing the same exact answer I love medicine couldn't do anything else I was that guy in kindergarten who knew he was going to be a doctor I want to leave as a story about why I love medicine so much a few weeks ago a patient come into my hospital really sick he's got an infection in both of his lungs that
03:48
infection is spread to his bloodstream so he's sick all over gets something called septic shock his breathing is so bad that the only way he can get oxygen is we put a tube down his mouth through his throat into his lungs so machine can beat for him his blood pressure starts to plummet a healthy blood pressure is like 120 over 80 this guy is 50 over 30 and dropping further I put a medicine called a
04:19
vasopressor to bring his pressure back up for that I got put a catheter into his jugular vein push it further into a subclavian and even further towards the edge of his heart doesn't work that well though his pressure keeps on dropping before my very eyes his heart stops beating he passes away we don't stop though one of my nurses literally jumps on top of the guy starts pressing onto his chest we get a crash cart we take these two paddles charge
04:51
him up to 600 volts electricity put on his chest and just like you see on television we shock him it works his heart starts to beat again we literally brought him back from the dead a few weeks after that this same guy his youngest daughter is getting married and he's able to walk her down the aisle on her wedding day I love medicine for
05:23
things like that I've only been a doctor for three years I've got hundreds of those stories already but even though I love medicine I don't really love my job I know that sounds like a contradiction but it's not normally talks about what really goes into the day-to-day work of a doctor how much of it has absolutely nothing to do with medicine for example I spend hours a day any given day
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filling out paperwork and forms for every hour I'll take care of a patient I'll spend two hours filling out forms then the reason for that is pretty simple those forms get submitted to an insurance company and it's based on those forms that the insurance company will reimburse the hospital will pay them and it doesn't really matter how great of a job you've done that patient if that form isn't filled out meticulously with all the details needed the hospital gets reimbursed less if at
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all hours of my day on forums but then it's that last part of my job is probably the worst after I've diagnosed my patient after I treat them then I have to navigate insurance companies to make sure that my patients get the medicine they need as we all know patients that can't afford their medicine that's a patient that's not going to take his medicine it breaks my heart I've got patients coming to me in the hospital for a second third fourth fifth sixth time for the same exact thing
06:58
simply because they can't get their pills and it's not just pills too I have to spend hours figuring out which surgeon I could sell my patient to or which dialysis center which nursing home hours of my day that's what it's really like to be a doctor these days guys on the national level things get even more complicated though all these slides are about to seeare from the Kaiser Family Foundation the amount that we as a nation pay per GDP for all healthcare is
07:30
astronomical higher than any other country what we get from it not only not better sometimes worse might be saying to yourself that this is always been this way right let's the American system no not really because you see as late as the 1980s what we were paying was on par with Canada with the UK with Europe it's only recently that these man-made systems have changed it the future sadly as you can see here even more bleak and
08:03
the decades to come where our nation will pay for Medicare expenditures is going to skyrocket it could virtually bankrupt the entire nation now all these things all these pressures both in the day to day personal level doctor as well as on the national they make things more stressful for doctors in a job that's already stressful you're literally doing life-and-death decisions so these new pressures will there be new quality metrics or doctors being told to see
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more patients in less time spending more time to fill out forms surgeons are being told hey buddy you got to hurry up those operations squeeze in a few more cases all these things come at a cost I don't mean financial right now we've an epidemic physicians committing suicide every single year in America we lose between 300 to 400 doctors who take their own life
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that's a doctor a day on average that's an entire graduating medical school class gone every year no one talks about this though who's most at risk it's the female doctor a female doctor is 2.3 times more likely to commit suicide than a female in the general population that's medicine these days guys there was a great great study published
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in Medscape in 2012 they asked 24,000 doctors a simple question if you could go back in time and change careers knowing then what you know now would you still choose medicine what would you do to some something else you guys on the results 54% of doctors said they would stick with medicine half of us either can't or don't want to do this anymore
10:09
that's the sad truth that no one talks about so where do we go from here what are the Millennials what's a what's a twenty nine-year-old doctor in Chicago just starting out going to do the answer I have for you is both incredibly simple and very complex we fight the system we fight the system for ourselves for our families for our patients for the generations yet to come I want to tell you guys exactly how we're going to be
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doing this we here in this room we probably wouldn't think of a business excuse me I don't think the hospitals a business right the rest assured in our capitalistic society there's a lot of people who do just that every business is boss into CEO what would you guys think of a basketball coach that never took a jump shot in his life what about a principal that never taught a classroom what about an automobile CEO that doesn't know how to drive a car I
11:13
mean I'd have low expectations for all these people right but that's what we've been doing for decades the people who are running our hospitals know nothing about medicine they run it as an old-fashioned business looking Excel spreadsheets maximizing profits there was a study that compared this published in the journal social science and medicine 2011 they compared all the hospitals that were run by a normal businessman as opposed to a couple that were actually run by doctors
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so what some business training the hospitals that were run by doctors in almost every single quality metric we had whether it be cost of care medical errors length of stay what-have-you and almost all the metrics the outperform the other hospital by 25% or more shocking right no not really but that's what we've been doing for decades on the national level it gets even worse the people running our healthcare laws our policy they're not doctors either
12:16
we've got 435 people in the hospital positives we've got 100 in the Senate 535 total would you believe me if I told you that only 3% of our elected officials are doctors or scientists but these are the people making our laws despite the fact that we know how contentious a thing healthcare is the past few decades that impact that I mentioned the Millennials be making that
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aspiration had changed the world it's not going to be coming with medicine itself it's going to be coming in the system that we have right now we have the revolution of the business trained doctor the rise of the MD and ba 15 years ago we had 30 medical schools who offered a joint MD MBA degree nowadays
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it's doubled to 665 the reason is obvious medical schools know that we don't have to just train new soldiers to be in the trenches with the Train brand new generals going forward that impact the millions be making will be to take over hospital administration to run hospitals to go into medical entrepreneurship to go into politics and make laws that actually make sense for our country and don't bankrupt us that is how the upcoming generation of doctors will change healthcare
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they'll be saving lives and so I think health care itself I want to end by talking to some of the younger Millennials directly cuz yeah I'm a millennial I'm 29 but I'm on the older side you know I'm finishing residency in a few days and I'm finishing my MBA mmph a lot of Millennials that might be watching this they're probably 18 19 20 still and if you're that young you want to be a doctor you still got a lot of years of training and education ahead of
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you four years of college four years of medical school and at least three years of residency I want to speak directly to you for a second because you're going to hear the older generation tell you medicines not worth it don't become a doctor medicines changed guys you're going to hear that I'm here to tell you the opposite medicine is freaking awesome alright nobody has a better gig than the guy who devotes his
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life to saving the life of his fellow man I promise you I don't care if you're climbing to the top of mountains or diving to the bottom of the ocean I don't care if you're a rock star selling out concerts coast to coast I don't even care for an astronaut going to outer space nobody has a better job the person devoted to saving lives we need young talented inspired creative minds to come into medicine not to be dissuaded away from it and what a beautiful time it is to come in because we will be that
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generation that changes it that improves the system the problems we have in medicine are not intrinsic to patient care they're man-made systems for past generations don't let anyone dissuade you away from your dream become a doctor I want to end with this quote this is a quote it's inspired me through a lot of all-nighters in med school it's inspired me through a lot of 24-hour shifts in my
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residency I hope they'll continue to inspire me as I strive to make that impact than my generation so hopes to make quote is this those of us that are crazy enough to think we can change the world we're the only ones that sent a chance of actually doing it thanks so much guys [Applause]

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