Combined SIG meeting is on failure this morning.

I failed to log in on time! 🤣
#combisig21 talking about failure in research projects... but what is failure? How can you fail in research? Isn't research about improving our knowledge? Isn't a negative study actually a good thing but that we frame it in the wrong way?
"I roll with things pretty well" - I'm with you @DrDanSchumacher
"Failure is part of life" @SaleemRazack

I think in medicine, we see death as a failure. But it's not. Death is also part of life.
Did I just hear @sherbino quote Seneca? 🤣
How do we normalise failure? Good question.

To fail is human - none of us is perfect. We recognise this in church. But I'm wondering where and when did the chase for perfection become pervasive in society? And in medicine?
"Failure is only failure if you keep it to yourself"

Agreed. Keeping secrets festers. It is better to have transparency so you can get help.
"Failure is only a failure if you fail to learn"

I've seen plenty of this over my lifetime!
"A failed project does not mean failed scholarship"

Reminds me of this tweet:
"A failed project does not make a failed scholar"

As above - if there such thing as a failed project? How do we define failure in Medicine?
Shame research in medicine - @BreneBrown meets medicine.

@WillBynumMD.
Failure CV - this is the second time I've heard about this in the #MedEd context.

I started mine.

I'll need to dig it out and update it.🤣
The time, energy and emotional capital.

And we're not given the time to reflect TBH.

Other thoughts - Balint, Schon Reflective practitioner.

A lot of what is being talked about reminds me of Daring Greatly
Shame as fire. Interesting metaphor.

When I think of fire, I think of a refining fire. Something that actually makes us better, and more pure.

I wonder how they are using the metaphor.
Good questions. Why does risk of failure -> risk of shame?
Theory of self-conscious emotion. What does this theory say?

Negative event->two self-representations (now and future). Cognitive dissonance arises when we feel shame and guilt. Shame is about who we ARE, built is about what we've DONE.
I can see now how my faith protects me from shame.

As a Christian, I know that I am not perfect: "We all have sinned and fall short of the glory of God" (Rom 3:23)
Hmm... missed the last 10 minutes through home interruptions!

Got to love lockdowns! 🤣
Frames of reference. As a Christian, I know I'm not perfect, and that I'm redeemed through Christ.

But for non-Christians, how can you deal with these thoughts? Having missed the bits in between, I'll have to look up the paper.
This is from Google scholar. scholar.google.com/citations?user…
Realistic expectations; adaptive perfectionist; #GrowthMindset
The shame of the nation in failing Indigenous people.

I agree.

Also think that there is a great shame in the way Chinese Australians have been treated under the #whiteaustralia policy, but this is not at the front of Australia's consciousness. #EndRant
FPM representation low.

On a personal level, I was trying to set up an outreach pain clinic to Healesville. (Historically this is where Coranderrk reservation is/was.)

Unfortunately, it's never got off the ground, and I'm leaving Eastern Health pain next month.😩
A different pathway into medicine.

Study dentistry first in case you're not good enough for medicine. How does that work?
I've seen this slide before.

I wonder if the person who designed put on a copywrite?🤣
Backlash against advocacy.

The more I'm digging, and more I'm reading about race in Australia and around the world, the less surprised I am.🤷‍♂️
College of Dermatology got funding for an indigenous trainee.

Well done.
I remember Penny Stewart from RPA. 😂
What can we do?

Good tip - go and meet the Aboriginal liaison officer.

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More from @DrAndrewHuang

3 Oct
blinki.st/c87019b62fd6?b…
Another book by Gottman of the @GottmanInst.

We can all improve our relationships.
Seven principles in total. Let's see where this goes.
blinki.st/c87019b62fd6?b…
We form love maps of information on our partner. It contains our partner's and our own aspirations and life philosophies.

Love maps are dynamic too. They change over time and with the season of life we go through. e.g. having kids can change your map.
Read 6 tweets
3 Oct
blinki.st/c87019b62fd6?b…
This book by John Gottman of @GottmanInst will be interesting. They're trying to answer this question: "What's the secret to having a happy, healthy, and close relationship with another person?"

Let's see what they've got to say...
Gottman set up the "Love lab". Must have been an observational study. What they found was that how the couples communicated was not important, not what was said.
blinki.st/c87019b62fd6?b…
Gottman developed the concept of a "bid". A Bid is an attempt to establish an emotional connection and can be verbal or non-verbal. It's a way of saying "Hey, I'd like to connect with you".

Gottman found that responses fell into three categories.
Read 16 tweets
2 Oct
Well done to the trainees to write to @ANZCA. Need to empower and engage the next generation. They are the future leaders.

#CombiSIG21
🤣

I'm pretty sure Myat came to Viva coaching.

Also, I'm hearing skips. @rseglenieks has used Powerpoint to record his presentation. You can record one slide at a time. Learnt this myself. Better than one take in some ways.
Who took this photo? Bigeminy and hypotensive. Glad it's not my anaesthetic! 🤣
Read 16 tweets
30 Sep
Some stream of consciousness thoughts this morning to unload my mind before I start my real "thinking" today...
We really do have a discomfort with some numbers in medicine. Yesterday, I had a patient on a tracheostomy and I asked for cuff to be put down and ventilator changed so he could talk to me. Sats dropped to 88% and stayed there. My priority- understanding the patient wishes...
Others discomfort - sats below 90%. I could literally feel the discomfort in the room.
Read 10 tweets
23 Sep
blinki.st/c87019b62fd6?b…
Nice racism - how progressive White people perpetuate racial harm.

This should be good.
"“nice” progressive white people frequently perpetrate the most racial harm in cross-racial spaces. They objectify Black people and people of color, enact daily racist microaggressions, & center their own feelings of shame when called out – that is, they make it all about them."
blinki.st/c87019b62fd6?b…
Wow, diAngelo isn't mincing words at all.
Read 20 tweets
23 Sep
Some thoughts on @Tobin_MedEd @UniMelbMDHS DME talk on EPAs
My time in Echuca having to write up other ppls (the previous term's interns) discharge summaries, whilst a crap experience, did teach me to navigate the medical record and find information very quickly.
Supervision in undergraduate medicine... was very thin on the ground when I went to medical school. We used to watch each other take histories and examine, possibly more for emotional support than peer feedback. Very rarely did anyone watch us take this vital clinical skill.
Read 6 tweets

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