Do you really need that surgery?
It seems, like in any specialty area, providers and organizations complete and bill for procedures and interventions which may (or may not) actually be needed for the patient to recover, health, or overcome some limitation. But how do we know which procedures should be completed, and which shouldn’t?
My guest this week, Dr. Ian Harris, from The University of Sydney’s School of Public Health —and an orthopedic surgeon himself— and I sit down to discuss this very topic. Reading his book, Surgery: The Ultimate Placebo, prompted me to reach out and see if he’d be willing to discuss the topic in more detail. And, lucky for us, he agreed. In his book, Dr. Harris challenges the idea of “standard practice” and completing interventions because everyone else does it that way.
What we cover in this Episode:
- Clinical reasoning and using evidence to make clinical decisions
- What is Placebo?
- Cognitive Bias and Heuristics and how they impact decision-making
- Ethics of research vs ethics of clinical practice
- Doing “something” because the patient is in pain
- The desire to treat
- Knowledge Translation
- Patient engagement & experience
Connect with Dr. Harris & Check Out The Book:
If you enjoyed this episode: Join Rafael E. Salazar II, MHS, OTR/L (Rafi), principal of Rehab U Practice Solutions and host of The Better Outcomes Show as he explores the possibilities of a new healthcare. Guests range from clinicians trying new techniques and treatments to executives and entrepreneurs exploring new service delivery methods, business models, and organizational structures. You can sign-up to receive new episodes delivered directly to your inbox by filling out the form at the top of this page. Learn more about Rehab U Practice Solutions by reading The Manifesto for a New Healthcare, or listen to Episode 000.
Are You Ready to Take Your Organization to the Next Level?
If you run a clinic or practice and are looking to develop a strategy that leverages best practices, new technology, and marketing/messaging in a way that maximizes patient engagement & retention, please reach out. We’d love to talk with you about how Rehab U Practice Solutions can help your clinic bring in more patients, retain them throughout their course of care, and create uniquely impactful patient experiences.
Rafael E. Salazar II, MHS, OTR/L (Rafi) is the Principal Owner of Rehab U Practice Solutions and the host of The Better Outcomes Show. He has experience in a variety of rehab settings, working with patients recovering from a variety of injuries and surgeries. Rafi has worked in a variety of settings, from orthopedic and musculoskeletal rehabilitation, to academia, and even healthcare consulting. He spent the majority of his clinical experience working at Charlie Norwood VA Medical Center, where he was the lead clinician and clinical education coordinator for the outpatient specialty rehab program. In this role, he treated many veterans with chronic pain and helped to establish an interdisciplinary pain management program. He has worked on projects ranging from patient engagement initiatives to marketing communication campaigns to a multi million dollar project assisting the State of Georgia’s Department of Behavioral Health and Developmental Disabilities transition individuals out of state institutions to community residences. He also has experience as a core faculty member at Augusta University’s Occupational Therapy Program, as a Licensed Board Member on the GA State OT Board, and he serves on the Board of Directors for NBCOT. He works to help healthcare clinics and organizations deliver uniquely impactful patient experiences by improving service delivery through training & advisement and through courses & training programs.