Technology and digitalisation: They don’t care…

Certain developments of medicine are absolutely disliked by us doctors.  But wishing for something to disappear, doesn’t make it go away.

Technology and digitalization are here and they are here to stay. While in the last decades instruments of artificial intelligence mostly assisted and supported doctors, soon they’ll start to replace doctors.

Both of them don’t care, that doctors did an unbelievable job in the last decades.

Technology and digitalization don’t care that there are extremely experienced radiologists, who could discriminate bronchial carcinoma from calcification better than all of their colleagues. Very soon, Watson will take care of that. They are faster, have terabytes (meaning centuries!) of experience. Who wants to compete with that? Thanks radiologists, we don’t need you anymore.

Technology and digitalization don’t care that there are extremely gifted surgeons, who invested decades of their lifetime to learn one operation technique, which now they are the best at with the lowest complication rates. Now we’ve got the DaVinci, that sutures a grape in a freaking bottle. A bottle!! More precise results, less complication rates and they don’t sleep. And we shouldn’t fool anybody, especially not ourselves: Today, everyone is saying they don’t want to be operated on by a robot. That’ll change, once patients figure out how much better they are at operating.

My generation of physicians denies and fights the possibility that doctors will be replaced by robots.

The next generation of physicians will spend most of the time teaching robots to be, think and act like a physician.

The really exciting question is, whether after that we’ll need human physicians how we know it. I don’t have an answer. But I doubt it.

Medicine 4.0: Does The Patient Profit, Too?

The digitalization of medicine is going forward rapidly. I am a big fan myself. 

Thanks to my smartphone and well-aligned apps, my clinical workflow is in order and guarantees easy access to relevant information.   
But these tools don’t replace good, patient-focused medicine. They are no more than tools. Used in the wrong manner, they can be a not only a distraction but an obstacle to good medicine. 

Upcoming Webinar: Productivity in Medicine

My 3 Most Important Tools

Time is the most precious resource we have. In the upcoming webinar I share my most important tools I use to ensure that I use my time efficiently.


I invite you to join me in this webinar. You will learn the tools I use


  • to effectively communicate with colleagues and collaborators
  • to manage “input” (things I like to keep or remember)
  • to access medical information quickly
  • create a workflow with maximum productivity



Spots fill up quickly, so you should register to reserve your spot.





Stop Wasting Your Time With These Three Habits And Save One Hour Per Week.

Time is a precious resource. It is the most valuable resource we have, because as opposed to money and energy it can not be won back. Once it is lost, time is gone forever. So especially in the hospital I am quite intentional on how I spend my time.

And I am even more intentional about how not to spend it. Here are three things to cut out of your life to spend enormous amounts of time.

Become A Problem Solver By Asking The Right Question.

Every day I come across several problems that I am not responsible for:

  • Personal computer in the doctor’s room is slow.
  • Printer is out of toner.
  • Biopsy gun is broken.
  • Two out of three elevators don’t seem to work.
  • The only closet in the physician’s office is filled with old patient files.

All of these common problems not only cause delay in our workflow but lead to great frustration in your team. By choosing your reaction to all of these issues you make a great decision between ongoing frustration and improving the quality of your work.  

Stop The Madness: Four Ways To Reduce Frequent Phone Calls… you can focus on the important tasks again.

Mobile phones for doctors have changed the clinical routine tremendously. The pager is gone and everybody can be reached whenever he is at work. Is this a progress? I am not sure.

Turns out that the threshold to contact doctors in semi-important issues is close to an all-time-low while the number of calls and hence interruptions is close to a peak.  

Organize Your Workflow On The Ward With This Strategy And Get Things Done!

Basically, there are two strategies of spending your day on the ward:

Courtesy of
  1. Go with the flow and look what’s coming up.
  2. I have a well-structured plan. When unexpected things come up, I modify my plan.

I am a big fan of strategy number 2. Over the years I have learned that structuring your day gives enormous value to the patient, the nurses and myself. With the right plan, you can get more things done and don’t have to put out fires all day long. Here is my plan:


In this post I would like to share with you how you can plan your day proactively and an ideal schedule of your own.  I have created an excel template, that you can download for free here.

Click Here For Your Template.

So here is how to create a schedule for yourself and the day on the ward.

How To Be Your Patient’s Hero: Listen.

I don’t know about you, but I have a big problem listening to patients. I mean real listening.

Our daily workload increases all the time, our days become more and more procedure- and action-focused.

Over the years I’ve gotten more and more effective in getting things done. I am totally focused on my stuffed to-do-list and listening closely to a patient rarely is on it.

Rarely do I ask an open-ended question and just wait for the patient to talk for a little while. Usually I just ask for complaints, 1-2 minutes of closed-ended questions and I am off to the next task.

4 Principles For A Focused Handover.

Since lack of time is a major concern in every hospital, I’m quite amazed how time is wasted during handovers. Anecdotes and stories not only distract us from the important facts but cause major delays.

I am not against a joke or story from time to time, I like a friendly atmosphere at work. But I prefer a focused, concentrated handover and a little bit of smalltalk afterwards, if time allows it.

Over the years I have come to learn that there are 4 main principles for a focused handover. Here they are: