Thread by @DrJaneMunro

It's been a while now we've been thinking about how & what we might do to improve the health & wellbeing of our doctors (& others) across a whole hospital.
So many people across @RCHMelbourne, Australia & internationally have had input.
@DrEricLevi @catherinecrock
1/20

We're in the final stages of scoping things and planning. We're still pondering & keen on input....

The Twitter community has been amazing.
Thank you!

⭐️Thriving, not just surviving or taking a dive is what we've aiming for.⭐️
2/20

Hmmmm but ....so what really helps Doctor's Thrive?
Community, belonging, respect, sleep, manageable workload, keeping the humanity in healthcare, autonomy, a safe positive environment, protective personal factors, great teams, systems that don't bring them to their knees...3/20

Hmmmm but ....so what really helps Doctor's Thrive?
Community community community? (I think this is so protective) 4/20

So I think the focus should be:
Keep humanity in healthcare
Kindness -reduce incivility & bullying
Build community, reduce loneliness
Joy in work
Call out bad behaviour #callitout
Senior Doctors will need to lead this
We need to act collaboratively
No one owns Dr's health! 5/20

We created the healthcare system, we can freaking well remodel it.
Improve autonomy
Respect for staff and each other at the centre of what we do.
Industrial issues are central and systemic issues to be addressed included proactive gender equity issues
6/20

For doctors in training - their focus is - rostering, pay overtime, secure jobs, longer contracts, flexibility, autonomy.
Proactively actually managing doctors who are bullies or act with incivility etc
7/20

We need to make it a safe space - a safe hospital for everyone, including our patients, who lose out when doctors are burnout or rude to each other.
Quality of care falls ++ when doctors are burnout... and patient and their care is at the heart of what we do.
8/20

Looking after each other, as a community, as colleagues, is also pretty close to a lot of doctors hearts.
No one wants to lose a colleague, often a friend to suicide, and many have.
We're pretty committed to improving this. 9/20

And it's going to take all parts of the healthcare system to be involved from med student thru to retired docs
Unis, hosps, GPs, Dr health services, MDOs, AMA, Govt, MH peak bodies, Collegesetc
But we need Doctors to lead this.
Lots have, but we have to step up as a group. 10/20

And then...here...is the very long list of different things I've collected along the way of things we might introduce...obviously not all 😮feel free to add:
Leadership training & support
All Heads of dept - management & leadership training & support
Coaching
Breaking Bread 11/20

Wellbeing champion in each Dept
Increase awareness - campaign
Reduce stigma
MH policies, individual support and treatment access
Good effective equitable work design
Map and address at risk staff (groups)
Town Halls
Measure it (Vic wide/ Aust wide?)
Measure it internally
12/20

Feedback (options ++)
Schwartz Rounds
Gathering of Kindness - plays and program @GoKindness_
Debriefing and support​
CEO sit down and chew the fat monthly meeting with DITs
The RCH Compact
HMO managers - training and support (and employing the right people)
Pay overtime
13/20

Gender equity committee - focus culture changes, balanced leadership, male champions of change and parental leave for both genders.
Medical Staff Associations events to build community - breakfasts, social, trivia night.
The Stanford Model @StanfordWellMD
14/20

Communication within the hospital
Know your Village (hospital) - photos and bios on intranet,
Facebook Work like Ambulance Victoria
Peer Support programs (Internal)
Promotion of external support programs like peer support AMA Vic ​
Kindness stations in public areas 15/20

Kudos boards
Shout outs
Hangry trolleys
Bathrooms with supplies
After-hours healthy food access
On call rooms where needed stocked and allocated
Breast feeding rooms
Random acts of kindness -Buckets of kindness
@compassionrevo3
Prep and training for exams
Mentoring program
16/20

Alumni links and mentoring
Mentoring programs
Psychological first aid
Distress hotline
How to support colleagues in distress
What to do if there's an AHPRA claim - you/colleague (how to support them)
EAP but "better"
17/20

Trainee in difficulty program
Vulnerable at different points program w supports (return mat leave, ageing proceduralist, retiring Dr, injured or sick worker, Dr in distress)
Know where to refer Drs @VDHP3, list of psychiatrists and GPs etc.
Story slams -empathy & support
18/20

Pets at work
Have your own GP
Skilled debriefing in a variety of forms
On site -Dr, psychologist, clinic?
Off site -referral services
Allocated paid day off for preventative healthcare
Hatches, matches, dispatches
Mindfulness classes
Classes for staff -yoga, gym, meditation
19/20

Exercise & training together
Training about personal factors in performance & stress management
Training about sleep
Physical health
Mental health awareness programs
Training for Exec around these issues​
Staff choir
Staff events to build community
Add yours here...⭐️⭐️⭐️
20/20

@JudkinsSimon @DrEricLevi @catherinecrock @inquisitiveGyn @anneelizpowell @BethanRichards3 @venessb @VDHP3 @DocHealthQLD @Caitweets @traceymtay @snouzin @KymJenkins36 @eyerait58 @drtessak @rpcounat @leannejrowe @crazysocks4Docs @JessieMaeD @drHelenschultz @andrewjtagg

@M_Kay_Dunkley @DrMukeshH @carrie_kollias @DrPieterPeach @RCHAnaesthesia @hungryObGyn @MyaCubitt @drnikkistamp @jilltomlinson @NeelaJan @Nishaobgyn @JessicaL82 @Jess_C_Abbott @jaeleaskehan @georgie_harman @georgiedent @ChurchillTrust @CPMC_Aust @ClareGerada @downstatedoctor

@amavictoria @ama_media @amapresident @DFTBubbles @MJA_Editor @JPCHonline @TheRACP @DrJackiSmall @compassionrevo3 @DanchinMargie @DrSarahMcNab @DrSallyCockburn @drkerrynphelps @pauleleftheriou @erwinloh

@JennyMikakos @DanielAndrewsMP @GregHuntMP @JulianHillMP

@ShahinaBraganza @GongGasGirl @ketaminh @susanjeanreid @NatsforDocs @DrJoLow @DrJenGunter @choo_ek @darakass @dr_ashwitt @drruthmitchell @Connankf @DrSteveRobson @hypoxicchicken @DrPhoebeStewart @SimonStafrace

@JuliaGillard @PatMcGorry @beyondblue @RACGP @TheRACP @RACSurgeons @ranzcog @RANZCP @docranjana @RanaAwdish @ANZCA @ANZCA_FPM

@GrantBlashki @blackdoginst @EverymindAU @Global_EM @sophiescott2 @croakeyblog @AmyCorderoy @yourAMSA @yourAMSArural