Thinking about how the same gesture can be received as incredibly compassionate or just- not- depending on the actor.
Ex- after 4 was in the ED, I took cookies to say thank you. The nurse cried. "No one does this."
But if an org leader did the same, likely different response. 1/
I appreciate that the meaning and receipt of the gesture depends a lot on the power and intention of the person making it.
An org leader can change difficult working conditions and chooses instead to bring cookies, that's incompetent compassion for workers.
2/
I think the best case is to work in a system in which clinicians are so well cared for, that even small gestures by leaders can be received as helpful and a kind of love.
To get to that place requires fixing structural healthcare workplace issues first.
3/
This means that the compassion competence of the act depends not just on the needs of the person receiving it, but also on the valence of the actor and their power to shift other underlying sources of suffering. @eawtrey@teresapestian#organizationalcompassion#compassionrounds
Next up: Fr218A- Agitation and feeding intolerance in children with medical complexity with @StocktonBev and Dr. Katherine Maddox!
Front row is Dr. Julie Hauer. The OG of this topic who wrote the book. If you don’t have it and you do #pedpc here is a link: bookshop.org/p/books/caring…
Julie Hauer did a study on gabapentin in children with Med complexity and feeding intolerance- remarkable response in sx. (That’s Julie’s head in front of the slide! I fan girl every time I interact with her.) ❤️ #hapc23#pedpc
Dr. Martin Bogetz, a bereaved father, sharing the legacy of his daughter Alyssa:
- an MSW who cared deeply about wellbeing
- the first non-physician associate program director in Peds at Stanford, who focused on supporting trainees
- sister of @jbogetz, #pedpc wonder ❤️ #hapc23
The inaugural Alyssa Bogetz lecture: Dr. Susan Block talking about the state of integration of #hapc and #mentalhealth
Alyssa died of AN. The educational fund was started in her honor @AAHPM w the appreciation that our field needs to grow to support people like her. #hapc23
"I think it's a miracle how far we've come." - Dr. Susan Block
We are the 6th largest subspecialty of the largest specialty in the US! #hapc#pedpc#hapc23
Next up! TH110B- A seat at the table: professional competencies define roles and value of psychologists in #pedpc! @PedsPCTF members @RachelKentor and Amanda Thompson & Sarah McCarthy! #hapc23
Competencies help standardize roles and practice requirements for #psychologists in #pedpc and highlight the important and unique contributions they bring to the interdisciplinary team. #hapc23
PPC Psychology workgroup was formed of 9 peds psychologists, then reviewed by 15 multidisciplinary stakeholders to create competencies. Here's how they did it: #hapc23
Next up: TH109B- Together is better: a combined #hapc and #psychiatry substance use disorder clinic for patients with advanced #cancer @AmericanCancer take note of this model #hapc23
@lauramakaroff thinking of special populations and your work!
Rates of concomitant SUD and #Cancer -
EtOH rates higher than opioids (similar to society)
Challenges in SUD+Cancer
- adherence & transportation issues
- stigma from med teams
- poor coping and PTSD
- mistrust of med system
- poor health literacy #hapc23#hapc#cancer
Point 1: Wellbeing of leaders predicts wellbeing of staff. There are indices that are specific to leaders. #hapc23
Point 2. Psychological safety is critical to team wellness. (@AmyCEdmondson)
Defn: If you speak up, there is not a threat that you will be punished.
When people need help, they ask.
People can process mistakes, dissent, name problems even when hard. #hapc23