Although there were bumps in the road to get to the actual interview I think a lot of important information was covered. We talked about the main differences she saw between public and private healthcare, barriers between doctors and patients, the stereotypes given the barriers, and how she has learned to give bad news effectively.
I found that when she was talking about the differences she has seen between public and private healthcare, she brought up some of the barriers and stereotypes we later talked about. Even though she is a good doctor she can be frustrated by communication barriers and her knowing that her patients do not hear anything after she says the initial bad news of the diagnosis can be disheartening and concerning especially if they patient does not pay attention and misses what they have to do.
She said that some of her patients do not want to do what she is telling them to do or do not believe their diagnosis. This was confusing to me. Although understanding that changing your whole lifestyle can be very difficult and the thought of being useless during pregnancy can be hard for a mom. If you think of it from the perspective of the mother it is more understood but I can see how the barriers form. While she was talking about this you could definitely see she took the side of “doctor always right”.
Now in private healthcare she is more likely to see patients who are more proactive during their pregnancy. These are the women that found out they had a high risk pregnancy and chose to seek alternative advice which means they should be more proactive. Where she worked previously, the women who were her patients were forced to see her (not all of her patients in public healthcare were like this)
It was interesting interviewing my mother, although she was not the one I planned to interview her stances on healthcare were still very interesting and on a topic I am interested in.
I had to interview my mother due to Hurricane Matthew knocking down the original interview’s parent’s house. My mother is a high risk obstetrician specializing in diabetes. She has worked in both public and private healthcare which is something I focused on in the interview. If you see my mother as a patient, you have a problem with your pregnancy either the mother or the baby. She mentioned that she has noticed since moving to private practice she has seen more ownership with her patients. She said that the patients want to be there and are more likely to do what they tell them to do rather than when she worked in a public health system. When she worked in a public system those patients were forced to see her and were less likely to do what she recommended or not show up at all, not that all patients were like that just most of the ones she saw. One example she gave me was of a woman who had diabetes and was obese and my mother gave her an action plan for her pregnancy (because being overweight and diabetic can be fatal to the mother and child) the woman said she was not going to do it because that was not a real problem for her. I then asked about communication within her profession. She agreed it was very important and you have different communication between patients, nurses, and other physicians. She said with patients you always need to speak slowly and give the bad news upfront to make sure they did not think you were hiding something. She said often with bad news once they hear it they shut down and you will have to go over it a few times as well as give them paper recourses so they can read about it later. Since bad news was a common theme throughout what she said I made it into a question and asked since her job was to deliver bad news then find a way to fix it, how was the easiest way to do it? She said everything she did before as well as making sure you are speaking slow and breaking it down as easiest as possible. Communication barriers are a big problem for her she said mostly due to the fact that people shut down or the language barriers. They have to get translators or translating phones sometimes which can make the patient more nervous but ultimately help the patient. It was a very informative interview while Matthew hit our house.
I am going to be interviewing a high risk obstetrician from Jacksonville, Florida. She did her undergrad at Clemson University in South Carolina then medical school at the Medical University of South Carolina in Charleston. After she then went to the University of Florida and after completing all 18 years of extended school she moved to Texas before coming back to Jacksonville to work at a private firm.
Being a high risk obstetrician is a very stressful and rewarding job, communication is key in times of emergency. Her specialty is genetic testing and counseling during pregnancy. She works with many different people in her field as well as the many families that seek her as a physician means there is something potentially serious within the pregnancy, which makes communication key in explaining what is wrong and how it can be handled. This is one of the reasons I chose her.
I am interested in going into the medical field which is why I wanted to interview her. I know she has worked in public and private institutions so her perspective on the two will be interesting.
Four important questions I find important from the guide would be:
1.Why did this line of work interest you and how did you decide to go into this field?
I think that the first question is a good way to “break the ice” with the person you are interviewing. It is a question that they obviously know a lot about and can easily talk about without going below surface level details.
What advice would you give to someone who is interested in the field of ….?
The second question is important because hopefully we are going to be interviewing someone that is in a field that is interesting to us so asking this question benefits us as the interviewee.
Can you describe what your typical day looks like? Your responsibilities at this establishment?
What about your job is the most satisfying to you?
Asking the third question can help us get to know the interviewee better as well as the fourth question which can be a nice way to end the interview on a good note.