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! 🤣
Critical incident debriefing. Risk of harm apparently.

I would say that everyone is different, and deals with incidents in a nuanced and highly individualised way.

None of us is the same, and trying to do the same thing for everyone smacks of quantitative responses.
In short, one size does not fit all.

#EndRant
If you're going to do critical incident debriefing, I'd suggest you need the:
Right debriefer for the
Right incident for the
Right individual at the
Right time.
4 responses to a critical incident.
Denial
Discounting
Distancing
Constructive

Reminds me - is laryngospasm without a drip a critical incident? And what is the response of our craftgroup?
"Everyone's an expert with retrospect"

I think the Americans call this Monday morning quarterbacking. 🤣
Debriefing is not dangerous.

@LizCrowe2 is going to town on the Cochrane review.

Again, I see this as an inappropriate application of quantitative research methodologies.
@LizCrowe2 If you don't debrief, people will tea-brief.

🤣
Safety 1, safety 2. Is there a safety 3? (This is a serious question)
Hot debriefs- who does it?

This reminds me of the importance of therapeutic alliances/ educational alliances (Tellio)/ importance of listening and empathy.
I've just realised that I do something very similar to a hot debrief with the pain registrar after each outpatient consultation. 😂

I call it coaching (and helping them get better at interacting with patients who have chronic pain).
Perfect is the enemy of good.

Done is better than perfect.
Emotional responses. Was this a form of critical incident debriefing??

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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
1 Oct
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
Read 30 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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