icn victoria: burrell on "optimising your non-clinical time"
TRANSCRIPT
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Optimising your non clinical time: a trainees perspective
The goal and the journey
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Definition of non clinical time
Pass examsDo nothingResearch for gloryTeaching to give backAdmin to rulePrivate for $$$$
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Broader definition – what we do at work, outside of clinical work to get the most out of life
The goal and the journey
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Why am I doing this talk?I am no different to you….. I struggle with balance and being effective in….Clinical busyResearch and non clinicalOrganizing a fellowships and jobFamily2.5 year oldExercise and sleep
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What motivates us?• Buddha/Dahai lama 600BC“All men seek happiness and avoid suffering”• Christianity 1ADHeaven and eternal life• Renaissance humanism 1600AD“A man can do all things if he will". • Charles Darwin 1859“Survival of the fittest”• Viktor Frankl 1946”The will to find meaning in life”
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We are all seeking the same things – The GOALWe want fulfilment and happiness
Wisdom
Choice
Insight
Self awareness
Connection with self, family, friends, work, planet
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Many pathways to reaching the goal
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Part 1: Scientific thinking/research
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Why I did a PhDCritical thinking, Curiosity, Leave a mark
“Research is what raises us from being mere technicians to being doctors” Professor Paul Myles
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How to do itPublication Cardiology Planned for 5-8 yearsPicked my supervisorsMade plans, then had to change themPicked smart projects for maximum bang for buckHad to multitask, and be consumed by the endless black hole.
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What have I learned so far?
Worked because I have an interestLearned to be organized, and planning Good support network – at home and at work.Good supervisors!Would not do it during FICM exams.
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Part 2: Surgical training
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Surgical training1, 2, 3, 4 years of trainingInitially exciting but……Super-specialised Long and lonely hoursLess role for non clinical workRealised that all this effort was distracting me form my goalsChallenging to leave
The answer……….?
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Intensive Care
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Part 3: Meditation and mindfulness
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The relaxation response
• Hypometabolic state• Decreased HR, RR• Changes in EEG
(different to sleep) with focal increased neuronal activity
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HR, RR, and fMRI changes during meditation
NeuroReport 2000 11:1581±1585 8
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Less burnout and emotional exhaustion less depersonalizationMore empathy with patientsMore emotional stabilityImproved total mood disturbance scores
JAMA. 2009;302(12):1284-1293
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John Kibat-Zinn
“Paying attention on purpose, in the present moment, and nonjudgmentally, to the unfolding of experience moment to moment, as if your life depended on it
Non religious, cultivation of attention
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My meditation practiceCombined concentration and mindfulness techniquesDaily 20-45 minsEarly morning Effects include:• Connection• Calmness• Self awareness• Self reflection• Improved mood
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Part 4: Parenthood
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The non clinical goal and journey
Work in progressDon’t have all the answersReadjusting my goals and projectsGet it wrong regularly
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Key messages
Clarify your own goal for non clinical time
Use your non clinical time fulfill as much as
possible