T2. I think that service to the country should be at the core of all med schools curriculum in the country. Standardization of curriculums is a must so state owned med schools prioritize graduates who will remain in the country. #healthxph

T1. The Five Star physician comes to mind here. But we have to define who or what parasabayan md is. Most doctor started out with service to the nation at its core. Though this may change along the journey. #healthxph

Hello #healthxph ! Remo here joining chat from Physician night celebrations. #parasabayan

Keep your thoughts coming! Appreciate all of these. An inspiration. :) Thank you @jkatzaman.bsky.social @stephaniemiaco.bsky.social @helenvmadamba.bsky.social for joining this #healthxph chat. Have a good weekend everyone. Let's give time to ourselves and our families!

Oh, I almost forgot. Technology really helped me/us too. The various nudges on my watch / phone did remind me of what I need to do to change those unhealthy practices-diet, sleep, movement. #healthxph

My meeting and computer table is elbow high, so I'm forced to stand many minutes in the office. I go down to the wards via stairs during work breaks as an alternate to gym times. #healthxph

Used the tool on myself and ugh! I didn't like my assessment. #healthxph

A must. Very simple, but not easy to do. #healthxph

Interesting and well meaning Indeed. #healthxph

When I was still with the hospital admin, I pushed for gym/exercise time during work, office furnitures that promote standing and movement, team outdoor or sport activities. When I cannot win on policy, I start practicing my own. #healthxph

First, Physician wellness education is a must and not just an option. Second, working environment standards must be set. We advised patients against long hours of work, proper nutrition and even sleep or exercise. But our own work environment doesn't seem to allow us. #Healthxph

While individual physician effort are key improtant factors in changing these, the collective action of our societies and healthcare environment will either make or break individual efforts. #healthxph

I feel you doc. Same for my patients with LBP and osteoarthritis. It's kind of pretentious of me to advise weight loss and diet and move and exercise when I do not mirror those same practices. #Healthxph

Here's our T3: As a Collective, What Can Physician Societies and the Government Health Sector Do to Help Physicians Do Better in This Regard? #Healthxph

Mayo Clinic’s Program on Physician Well-Being has developed evidence-based assessment tools, including the Well-Being Index, which measures six dimensions of distress and well-being. This optimize physician satisfaction and performance, offers practical self-assessment strategies. #healthxph

Well, I got my own slap in the face feedback when I advised a friend, overweight patient with LBP and osteoarthritis to lose weight and move/exercise. I got that head to toe body scan look. I doubted my friend did follow my advise. #healthxph

Here's T2: What Can the Physician Do to Identify Their Own Lifestyle Changes to Improve Patient Outcomes? #healthxph

We all once believe physicians are superhumans, and they are not , or shouldn't be affected by the unhealthy practices that we advice our patients against. #healthxph

Thanks doc. #Healthxph

T1. Short answer, Yes . Based on more recent formal research and my 20 plus years of experience. The filipino culture is very strong on role modeling though various factors comes into play too. #Healthxph

This question hinge on the proposition that Physician's lifestyle practices impact patient outcomes. While its obvious that practices do impact outcomes, it's not uncommon to see physicians (me including) wish they have time to practice some of the advise they give to their patients. #healthxph

Let me start T1: Are Physicians' Lifestyle Changes Impacting Patient Healthcare Services? #healthxph

Hi steph! Yup, haven't started T1 yet! #Healthxph

Thank you Jim. Yes, this is really related and important. It impacts patient care too! #Healthxph

Hi #Healthxph ! Bonedoc here, you moderator for tonight. Who's online? @stephaniemiaco.bsky.social @helenvmadamba.bsky.social @docbuboy.bsky.social @endocrinewitch.bsky.social let's talk about physician lifestyles and impact on patient care!

This #HealthXPh Chat examines how physician's lifestyle practices impact patient care, how to change these practices individually, and collectively to address this challenge. remomd.com/the-mirror-e... @endocrinewitch.bsky.social @stephaniemiaco.bsky.social @helenvmadamba.bsky.social

Thank you Iris, everyone! Enjoy weekend! have a race to join tomorrow. #healthxph

Yup. For me it kind of relaxes my tired muscles, tissues. Cold baths are also good after duties that you had a lot of physical activity. #healthxph

T3. Item- Before: None. Now: Phone app to meditate or power nap. Routines: Take a bath always, pre and post duty. Then sleep if possible, before food, exercise. #healthxph

The calm before a storm. Never invoke it! #healthxph

T2. One I can recall based on 2 incidents I experienced, is never say bye to a patient without emphasizing a follow up schedule the night before discharge, 2-3 days after OR. Even if the OR went well. #healthxph

Others consider refusing tokens from patients a bad luck too, since they will always insist, so depends on individual's perspective. #healthxph

Internship, this is a very common. Not sure about ortho days. I don't recall refusing any good food given. Including pancit hahaha #Healthxph

T1. I have this habit of preparing all my duty equipments-drills, fixations sets, pins, tractions etc. before duty. Our dept, mandates this, but some jokingly tells its bad luck. Like preparing for a mass disaster. So thats why I'm a toxic duty guy. #healthxph

I vividly remember a duty with our chief, the night before an ITE. They jokingly told me that chief didn't top the the ITE because he went busy at the OR because of the trauma patients I admitted. #healthxph

Haha! Wala akong duty mates inaayawan. Laban lang lagi. Pero napansin ko mga seniors ko or hepe pag duty ako, mas prefer nila nasa or ako lagi as operator, so my toxicity is kept on checked. #healthxph

T1. I don't recall having specific "things" as charm. often though my chief or duty mates will tell me to "behave" or lie "low" or turn off my "toxic patients" charm. #healthxph

T1. I must say, I look around first on who's my duty mates. Hahaha. #Healthxph

Hi there Iris!. Hello everyone! Sorry I'm late. How's everybody? #healthxph

Thank you Helen for this topic and chat! Have a great weekend everyone! #Healthxph

T3. I'm leaning towards Self Awareness here. Knowing our core values require self awareness. Being a HCW in a broken system is almost always about making solomonic decisions , between competing values that our diverse humanity espouses. Those have direct impact on patient care. #Healthxph

Understandable. It takes courage and self awareness to know and accept this. I'm guilty of this too, but I've learned to hear out the perspective of others. There's a gem in this habit, even if just for our blind spots. #Healthxph

T2. Active listening. Communicating well. Balancing work and personal life. I score myself low on these. It's always been a struggle for me but I'm motivated to learn and relearn these. #Healthxph

T1. Well said Jim! Even for me these are "strengths" I aspire to everyday. And each day, I learn not only from successes but more so of my failure to practice these. #Healthxph

T1. Resilience. Patience.Consistency.Flexibility. Integrity. Just some of the virtues I try to learn and relearn everyday as a healthcare worker. #Healthxph

Definitely! Good day everyone! #Healthxph

Hi helen! Great work for your team! #Healthxph

This is my version of what comes into my feeds very often- "A doctor who sleeps in peace has either no debt, no family or no patient to take care of". Happy weekend everyone! #Healthxph

Thank you @jkatzaman.bsky.social @endocrinewitch.bsky.social @helenvmadamba.bsky.social @stephaniemiaco.bsky.social and everyone for joining this very interesting and thought provoking discussion. Let's do a part 2 or better a healthcare summit on this topic! #Healthxph

More moving forward questions for reflection: How can we balance financial sustainability with social responsibility? What innovative payment models could work in the Philippine healthcare setting? #Healthxph