My problem when it comes to corporate hospital workplaces in cardiology in India is the toxicity that is prevelant in them because the corporate model is to fester competition & animosity among doctors to achieving revenue targets. Something that most doctors don't realize.

For a person who understands that productivity is directly proportional to healthy work environment in workplaces, it is seriously challenging to continue working in Indian corporate Healthcare where role of HR is subservient to management, quality of life is non-existent concept

Govt workplaces have there own shit & challenges and are not an alternative to pvt sector in this country.
In the end doctor is either left chasing revenue targets set by corporate management in pvt sector or indifferent mechanical entity in govt sector.

Ultimately it is the patient that looses by becoming a faceless case or number. It is just disheartening to see this. You can just gather how pathetic the work culture here is by seeing what NRI's are doing in cardiology in US vis a vis here.

You won't find any decent clinical or molecular or genetic or intervention research stemming out of country with probably one of the highest case burden in terms of ischemia/rhythm disorders/chanelopathies/RHD/inflammatory cardiomyopathies.

And this rot is systemic. It is so deeply set that those who are trying to fight it either end up getting throttled because either there is no space for them or they are forced to leave the country.

Knee jerk population pleasing actions like price capping don't solve these problems, they just worsen it by leaving doctors being pressurized by hospitals to somehow meet revenue targets or cost of procedures becoming increasingly unaffordable.

How do you explain to a coat tie MBA that to give a quality result we need to use quality hardware, quality hardware costs, just because they want to negotiate with companies for price, doesn't mean we can do away with the need of the hardware.

Its not like the procedure can't be done with another but the difference is between eating a cold pizza & freshly made pizza with handmade crust, fresh ingredients!!
That just because they have a revenue target doesn't mean we do procedures.

Older cardiologists who are in the business to pick their paychecks by piggyback riding on younger ones either by direct coercion or indirect don't allow for unity. They become hand in gloves with corporates & play fuck for the younger generation.

99% of corporate management telling doctors about revenue sheet, doesn't know what is the cost price of the skill of a decent intervention procedure. When it comes to themselves or their families they want the best but when it comes to treating that best they offer indencency.

They should fucking try to make a revenue sheet of the skill of doing a left main stenting, the positioning, the size assessment, correct stent deployment, the skill to respond to complications, multi-tasking while working on that beating heart & come to us & then talk.

There are 2 important skills in intervention cardiology - 1. Knowing when not to intervene 2. If intervention is required knowing how to intervene.
Working in Indian Corporate sector I now say there is a 3rd skill - Knowing how to resist Corporate pressure to intervene.

And it is the third skill that no medical school, course, degrees, fellowship or teacher ever teaches you. Nothing prepares you to deal with this rubbish of suited booted revenue sheet wielding cold rude MBA bosses.

These work places are a horror for the emotional health, physical health, personal health of their workers, and they are absolutely indifferent to this toxic environment. The workers are so engrossed in their survival crisis that they are also indifferent to this toxicity.

Its hightime that Indian corporate as well as govt healthcare sector & those who will continue to work in it ponder over the impact of toxic work environment on their personal & professional productivity for their own sake & those of their patients & healthcate at large.

On a side note I don't know whether this problem is specific to HR in corporate healthcare in India, but I have not seen a single HR Dept or HR head with spine atleast in Healthcare in India.