THE MIND FULL MEDIC PODCAST Dr Cheryl Martin

       In S3 E8 I am delighted to speak to Dr Adrian Plunkett, Consultant Paediatric Intensivist at Birmingham Children’s Hospital and Founder of the incredible Learning from Excellence ( LfE) platform about his work and the evolution of the platform to date. As testament to the global impact of the  "philosophy, practice and social movement", he has created, I am equally delighted to introduce my Emergency Physician Colleague at Royal Hobart Hospital, Dr Ray Siauw. Ray is our co-DEMT and recipient of the 2018 ACEM Wellbeing award for his work establishing the LEX platform inspired by Adrian's work at LfE. ( full Bios in episode) 
     This conversation is a wonderful testament to the power of momentum, inspiration and building coalitions and communities of practice to make positive change in healthcare.
     Adrian and Ray discuss the practicalities and challenges of "making things happen" and organisational change and innovation in healthcare.
    Adrian is also the co-host of the fabulous Being Better together podcast with Dr Chris Turner, founder of Civility Saves Lives, my guest in S3 E5( link below) and we continue our discussion of safety 2 thinking and practice in healthcare and the use and application of appreciation inquiry.
   I was keen to discuss Adrian's past, present and planned future research work adding to the qualitative and qualitative evidence to support positive feedback and appreciative practice in healthcare.
    I thoroughly enjoyed re-listening to this conversation and whilst acknowledging that we did perhaps only scratch the surface, there are undoubtedly pearls for pause and thought here I will return to again and again. 
Links/references/resources discussed in this episode:

Learning From Excellence ( LfE) website and platform:
https://learningfromexcellence.com

The Mind Full Medic Podcast with Dr Chris Turner
https://www.buzzsprout.com/1091279/10743593-the-impact-of-behaviour-on-individual-and-team-performance-and-why-civility-can-save-lives-in-healthcare-with-dr-chris-turner.mp3?download=true

Being Better Together Podcast
https://podcasts.apple.com/au/podcast/being-better-together/id1603984431?i=1000549511577
https://podcasts.apple.com/au/podcast/being-better-together/id1603984431?i=1000553324059

Dr Adrian Plunkett on Lfe SMACC Dublin 2017https://smacc.net.au/2017/02/learning-from-excellence/

Dr Ray Siauw ACEM wellbeing award video 2018
https://acem.org.au/News/July/A-Ray-of-Sunshine

Disclaimer: The content in this podcast is not intended to constitute or be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your doctor or other qualified health care professional. Moreover views expressed here are our own and do not  necessarily reflect those of  our employers or other official organisations. 

"Nutrition in medicine is a human factors issue" Dr Maryam Makowski
In S3 E 7 I am delighted to welcome Dr Maryam S. Makowski, Ph.D., FACN, NBC-HWC to the podcast. Dr Makowski is a clinical assistant professor in the Stanford University Department of Psychiatry and Behavioral Sciences, the Associate Director of Scholarship and Health Promotion of the Stanford Medicine WellMD & WellPhD Center, and a nutrition and physician well-being coach at Stanford University. 
          Prior to joining Stanford, she served as a scientific associate at Toronto General Hospital-University Health Network in Toronto, and as an advisor to Air Canada rouge pilots and cabin crew on optimal nutrition for fatigue mitigation. Over the course of her career, she has authored many highly cited scientific papers on nutrition and well-being.
    In this conversation we discuss her career and research trajectory particularly looking at how  nutrition, hydration and other lifestyle factors including how sleep  might influence cognitive performance initially in pilots and most recently applying this to doctors and in healthcare. We discuss in more details what Maryam refers to as the four pillars:  hydration, meal composition and timing and strategic use of caffeine and how we might optimise these and mitigate shift work related fatigue, We discuss the specific challenges and barriers to these that doctors encounter in their practice.  Maryam describes the complex interplay of nutrition and hydration with stress, sleep and mood/cognitive performance.
      Whilst acknowledging the growing research evidence is increasingly substantive in this area it is not conclusive and no one size fits all.   Knowledge of circadian rhythms and individual thresholds is essential in tailoring interventions and strategies discussed. 
       I find Maryam's work fascinating, highly relevant and am impressed by the organisational change her team have been able to advocate for on the back of research.  I encourage you to think about you own approaches and how you might optimise these and also advocate for you colleagues in your own place of work.
References / Links:
Dr Maryam Makowski - research links
https://twitter.com/maryammakowski?lang=en
https://pmj.bmj.com/content/92/1090/478.short
 Makowski MS, Trockel MT, Menon NK, Wang H, Katznelson L, Shanafelt TD. Performance Nutrition for Physician Trainees Working Overnight Shifts: A Randomized Controlled Trial. Acad Med. 2022 Mar 1;97(3):426-435. doi: 10.1097/ACM.0000000000004509. PMID: 34753859. Makowski MS, Shanafelt TD, Hausel A, Bohman BD, Roberts R, Trockel MT. Associations Between Dietary Patterns and Sleep-Related Impairment in a Cohort of Community Physicians: A Cross-sectional Study. Am J Lifestyle Med. 2019 Sep 10;15(6):644-652. doi: 10.1177/1559827619871923. PMID: 34916885; PMCID: PMC866989Recommended Reads:
Feeling Great David D Burns MD
https://www.amazon.com/stores/page/E0B7C5D5-CD14-405B-BD0A-253F8D94A3B4?channel=db-website
Brain Changer Felice Jacka
https://www.panmacmillan.com.au/9781760556518/
Disclaimer: The content in this podcast is not intended to constitute or be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your doctor or other qualified health care professional. Moreover views expressed here are our own and do not  necessarily reflect those of  our employers or other official organisations.  

           Welcome to this very special mash up podcast edition with my previous guests Dr Andrea Austin MD and Dr Dan Dworkis MD on RECOVERY.

Dr Dan Dworkis MD  Emergency Physician Host of The Emergency Mind Podcast and Author of The Emergency Mind book ( full bio S2E8)

Dr Andrea Austin MD  Emergency Physician Simulation Educator and Host of The Revitalising Doctor Podcast. ( full bio S2E14)

"There is no performance without recovery"

        This is part 2 of a three part series recorded across our podcasts with a focus on recovery.
In part 1 we explore "micro"-recovery and opportunities for brief and short term recovery and reset 'in the moment' on shift. In this episode we look at what Dan has aptly termed "meso-recovery" discussing how we might approach recovery pre, post and between shifts to allow us to maintain and sustain our performance and our wellbeing.  We discuss what this has looked like for us in the past, where we are at present and what it might look like at its best. I'm conscious I am speaking to relative experts in this space who have put significant time, energy, attention and intention into the "work" of recovery.  I think despite this however all of us would concede this is still very much a work in progress.
       Both Andrea and Dan have valuable perspective to share from their personal journeys to date and whilst we acknowledge that this is going to look slightly different for individuals, there are some great pearls, tools and strategies to take to your next run of days ON and OFF.
In the final part of the series we look at longer term cycles of "macro"-recovery in our approach to periodisation of work, play, rest and optimising performance, wellbeing and longevity of practice. 
         This recording and connecting with two incredible clinicians and now friends on their side of the planet, was a life highlight for me and this topic is Mind Full Medic Podcast core content. Enjoy!


Links :
Part 1 :
https://soundcloud.com/emergencymind/episode-65?utm_source=clipboard&utm_medium=text&utm_campaign=social_sharing

Part 3 :
https://therevitalizingdoctor.buzzsprout.com/1971016/10826506

Previous podcast  episodes:
Dr Andrea Austin
https://www.buzzsprout.com/1091279/9346577-falling-back-in-love-with-emergency-medicine-2-0-with-dr-andrea-austin.mp3?download=true
The Revitalizing Doctor Podcast
https://therevitalizingdoctor.buzzsprout.com
 Dr Dan Dworkis
https://www.buzzsprout.com/1091279/8711930-the-emergency-mind-applying-knowledge-under-pressure-with-dr-dan-dworkis.mp3?download=true
The Emergency Mind Podcast
https://www.emergencymind.com/podcast

Disclaimer: The content in this podcast is not intended to constitute or be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your doctor or other qualified health care professional. Moreover views expressed here are our own and do not  necessarily reflect those of  our employers or other official organisations.

  Welcome back to S3 E6.  Returning further inspired, motivated and equipped with more knowledge, tools and specific training from my trip to California for Stanford's Chief Wellness Officer Course last month, I am delighted to speak to Dr Joanna Sinclair, a clinician leading the change and charge in organisational wellbeing in healthcare on this side of the planet.
        Dr Sinclair is an Anaesthetist living and working in New Zealand with a career-long interest in doctors’ health and wellbeing. Since early 2020 she has been the Senior Medical Officer Wellbeing Lead at Counties Manukau Health, working with the Organisational Development Team, and is the hospital lead for the Health Roundtable Workforce Wellbeing Improvement Group. She works to improve the wellbeing of healthcare workers at an organisational level, and has been instrumental in bringing Schwartz Rounds to her organisation to further support staff and promote compassion in healthcare.   Jo has undertaken additional training in coaching and mentoring, critical incident stress management, and communication. She is co-chair of the ANZCA Wellbeing Special Interest Group.
      In this conversation we discuss why investing her time and energy in improving  her colleagues' wellbeing has become a professional mission.   Specifically we discuss :
        - The role, scope and purpose of a wellbeing organisational clinical lead
        - Building the business case and "buy in" to appoint this leadership role.
        - The importance of local data to drive local solutions
        - Bridging silos, "asking, listening and empowering" and building coalitions of colleagues
        already doing great wellbeing work
     Jo tells us about some of the initiatives, in their overarching strategy, which have worked well  including Schwartz rounds, an initiative with focus on building community and cultivating self-compassion for all healthcare staff.  I hope that much of her important work is no longer viewed as novel in the coming years as we embed these roles into our healthcare systems of the future.  Clinician wellbeing is a key strategic priority and ultimately patient safety and care demands it.
Links/References/Further Reading:
Dr Joanna Sinclair
https://www.linkedin.com/in/joanna-sinclair-92a8bb1b3
https://twitter.com/josinclanz
Books
https://www.harpercollins.com/products/we-are-all-perfectly-fine-jillian-horton?variant=39325418586146
Schwartz Center for Compassionate Healthcare
https://www.theschwartzcenter.org/programs/schwartz-rounds/
Health Round Table /Beamtree White Paper on Burnout
https://beamtree.com.au/wp-content/uploads/2021/12/Inaugural-White-Paper-Addressing-Burnout.-Bringing-data-driven-solutions-care-and-hope-to-the-health-workforce.pdf
Stanford WellMD/PhD
https://wellmd.stanford.edu
Disclaimer: The content in this podcast is not intended to constitute or be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your doctor or other qualified health care professional. Moreover views expressed here are our own and do not  necessarily reflect those of  our employers or other official organisations.  

In S 3 E 4 I am delighted to welcome  Dr Chris Turner to the podcast.  Dr Turner is a consultant in Emergency Medicine at University Hospitals of Coventry and Warwickshire in England.  He is also the co-founder of Civility Saves Lives ( https://www.civilitysaveslives.com ) a grass roots organisation dedicated to raising awareness of the impact behaviour has on individuals, teams and organisations.  He has given two TEDx talks on the impact of rudeness on teams and his work has resonated widely and globally.   He is also the co-host of the podcast Being Better Together, a collaboration with the Learning from Excellence team (https://learningfromexcellence.com)
      In this conversation Chris relays his own professional journey and experience as healthcare leader and a safety and quality lead.  His story of a very challenging start to his consultant career, the powerful impact of a trusted mentor and critical friend, and the evolution of skills and expertise from this experience to his future work is powerful.  He joins the dots in retrospect here.
      He describes the spectrum of approaches to improving safety and quality and mitigating  risk in the challenging, complex, every-changing healthcare environment.   These span the traditional Safety I approach of focussing on what and why things go wrong through to the safety II approach ensuring as much as possible goes right.
        His own work in this area focusses on the impact of behaviour on individuals teams and organisations. He explains the "science of civility" which forms the basis for much of this work.   He emphasises that, with few exceptions, we do not set out to behave badly to each other and misunderstandings can arise when we "listen to be right not to do right"
   He describes and explains his use of  Appreciative Inquiry in his work more recently as a tool to engage colleagues and drive innovation and positive change.
     Chris shares some great examples and lessons from his own leadership journey to date.  I left this conversation with many pearls and with an optimistic resolve to remain curious, listen with intent to understand and start small but continue to dream big.


Links / References :

Civility Saves Lives
https://www.civilitysaveslives.com
The impact of Rudeness on Teams Dr Chris Turner  TEDx Exeter
 https://youtu.be/4RUIhjwCDO0

Being Better Together Podcast
https://www.civilitysaveslives.com/podcast
Learning From Excellence ( LEX)
 https://learningfromexcellence.com

Disclaimer: The content in this podcast is not intended to constitute or be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your doctor or other qualified health care professional. Moreover views expressed here are our own and do not  necessarily reflect those of  our employers or other official organisations.  

 I interrupt a brief podcast hiatus from bonny Scotland to bring you some exciting information about a pilot mentoring project Mentor MD inspired by previous S3 podcast guest, Paediatric Emergency physician, clinical leader and coach, Dr Sarah Dalton and her coaching partner at Capstan Rita Holland.  I am delighted for The Mind Full Medic podcast to support the pilot project and contribute as a mentor.  You will recognise some previous incredible podcast guests in the mentor line up Dr Todd Fraser co-founder of the Osler platform, Dr Amandeep Hansra, co-founder of Creative Careers in Medicine and Dr Kim Hansen, Emergency Physician, Chair of the Emergency Medicine Foundation and Advancing women in Emergency Medicine committee.  See links to previous episodes below.

   The pilot will take place Friday June 3 2022  07:45-09:00 AEDT on a virtual platform.
In this short trailer episode listen to Dr Sarah Dalton describe the concept and idea behind Mentor MD and register using the link below.  Regular podcast listeners will recognise many of the themes we may discuss. I look forward to joining some of you then!
Mentor MD brief
Twenty-four mentees are allocated to eight experienced and outstanding clinician mentors to address various challenges and opportunities across a range of interest areas including:
Medical Podcasting​Health Systems​Health Data Analytics​Clinical Entrepreneurs​Being Well and Flourishing at Work​​Medical Leadership​Career Transitions​Transition to Retirement​Clinician as CoachQuality & SafetyClinical Researcher/Academic​How to register for Mentor MD / More information:

https://events.humanitix.com/mentor-md
https://capstan.com.au/be-mentored/
Other Links references:

Podcast Episodes with Mentor MD mentors

Dr Amandeep Hansra
https://www.buzzsprout.com/1091279/8616316
Dr Kim Hansen
https://www.buzzsprout.com/1091279/4895300
 Dr Todd Fraser
https://www.buzzsprout.com/1091279/10064044
Friday June 3 2022  is also Crazy Socks 4 Docs Day
Find out more about this years' event here :
https://www.crazysocks4docs.com.au
Listen to my conversation in S2E4  with Dr Geoff TooGood ( founder of CRS4D)
https://www.buzzsprout.com/1091279/8360533

Disclaimer: The content in this podcast is not intended to constitute or be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your doctor or other qualified health care professional. Moreover views expressed here are our own and do not  neces