The Mind Full Medic Podcast Dr Cheryl Martin

     S4 E 10.  In this second episode recorded after the inaugural Beamtree / Health Round Table Organisational Response to Workforce Wellbeing summit #ORW23,  I am delighted to introduce Fiona Fitzgerald Workforce Wellbeing Knowledge Network lead for Beamtree, the service partner for Health Round Table.
        Fiona is a registered nurse by background with nearly 30 years of experience in healthcare, including 12 years working in the health informatics space with a focus on delivering IT solutions that improve patient outcomes and healthcare workflows.
Fiona is passionate about improving the wellbeing of the healthcare workforce. In 2018 she began to journey to bring the Well-Being Index developed by Mayo Clinic to the Australia and New Zealand healthcare workforce with the support of Health Round Table. She believes that wellbeing is a shared responsibility and through collaboration, curiosity, kindness and leadership the tide of burnout can be turned.  Fiona has been an instrumental driving force behind #ORS23.
      In this conversation we visit Fiona's professional and personal journey and mission.  Fiona discusses Australia and New Zealand role out of the Well-being index tool to date  including the successes, challenges and future opportunities for organisations, teams and individuals in healthcare in leading and co-creating a thriving healthcare workforce alongside  high quality, safe patient care.

Links/ References/Resources:
Fiona Fitzgerald
https://www.linkedin.com/in/fiona-fitzgerald-5063b653/fiona.fitzgerald@beamtree.com.au
Beamtree
https://beamtree.com.au/our-solutions/workforce-wellbeing/
Discussion paper: Recommendations to sustain our humans in healthcare
White Paper: Addressing Burnout Bringing data-driven solutions, care and hope to the health workforce.
Videos: What is Burnout?, Why is burnout important to consider in healthcare?, What are some organisations doing better than others?, Working towards best practice in managing burnout
Book recommendation:
Swensen, Stephen, and Tait Shanafelt, Mayo Clinic Strategies To Reduce Burnout: 12 Actions to Create the Ideal Workplace, Mayo Clinic Scientific Press (New York, 2020; online edn, Oxford Academic, 1 Mar. 2020), https://doi.org/10.1093/med/9780190848965.001.0001
The Mind Full Medic Podcast with John McMahon
The Mind Full Medic Podcast is proudly sponsored by the MBANSW Find out more about their service or donate today at www.mbansw.org.au

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 4 E 9 I am delighted to introduce John McMahon Director of Client Experience and a product specialist for the Well-Being Index. John has personally worked with over one hundred organisations to launch the tool to hundreds of thousands of healthcare professionals.  He has applied expertise in helping organisations practically use and apply wellbeing data and resources to guide evidence-based initiatives and implement programmes.
       This episode is the first in a series of episodes resulting from the recent Organisational Response to Workforce Wellbeing summit facilitated by Beamtree and Health Round Tablein Sydney.   Fiona Fitzgerald Workforce Wellbeing Knowledge Network lead was the key driving force behind this summit and I am looking forward to sharing her insights in part 2 of this conversation.  Beamtree and Health Round Table brought Professor Tait Shanafelt, chief wellness officer at Stanford WellMD and a frequently referenced expert on this podcast, and John McMahon over from the United States for this event. 
     I was fortunate to have the opportunity to sit down with John the day after the summit to tap into his wealth of applied knowledge.  As you will see his breadth and depth of expertise and experience in this area is truly unique.
         We discuss the role of the well-being index as one of the recognised validated tools for collection individual and organisational wellbeing data. John emphasises the important evidence for work-level interventions and how organisation can practically leverage data for evidence-based change. He provides real world examples of success and we explore the myths and challenges organisations face in appropriately using data to implement successful wellbeing programmes.
      John's knowledge, perspective and applied expertise in this area seriously impressed me. I anticipate the need for a subsequent episode. In the meantime you can find all of the relevant links and resources we discuss listed below. 

"Workforce distress = Unsafe healthcare"  Tim Kelsey Beamtree CEO, #ORW23
Links / references/resources:

Wellbeing-Index  and John McMahon
https://www.mywellbeingindex.org/resources
https://www.linkedin.com/in/johnjmcmahon/
Beamtree and Fiona Fitzgerald
https://beamtree.com.au/our-solutions/workforce-wellbeing/
https://www.linkedin.com/in/fiona-fitzgerald-5063b653/
fiona.fitzgerald@beamtree.com.au
Beamtree Wellbeing Advisory group discussion paper
https://beamtree.com.au/papers-publications/recommendations-to-sustain-our-humans-in-healthcare/
Other useful resources:
https://ceih.sa.gov.au/assets/library/CEIH-Fact-Sheet-Wellbeing-Measurement_Public.pdf


The Mind Full Medic Podcast is proudly sponsored by the MBANSW Find out more about their service or donate today at www.mbansw.org.au

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 S 4 E 8.  In this episode I am delighted to introduce Dr Jo Braid FAFRM (RACP).
      Dr Braid is a Rehabilitation Medicine Specialist based in Orange, NSW, Australia. Originally from Cambridge in the UK, she completed her medical training there before moving to Australia to complete her specialisation in Rehabilitation Medicine. Jo is passionate about helping professionals in medicine overcome burnout and achieve greater joy and fulfillment in both their personal and professional lives. She offers coaching services to support clinicians in this journey, alongside her work in clinical medicine, where she focuses on the rehabilitation of people with traumatic brain injuries.
         Jo is a current participant in the inaugural Australian Clinical Entrepreneur Program, and has upskilled in business development and grown her network of entrepreneurs in healthcare, creating a burnout recovery program online.
       In this conversation we discuss Jo's personal and professional journey as doctor and clinician coach.  Familiar podcast themes of coaching and individual, cultural and systemic factors contributing to healthcare workforce burnout are visited.
    I am particularly keen to explore Jo's clinical entrepreneurship journey as she builds business and brand.  We unpack her AUSCEP experience and her developing skills and tools to continue to build her coaching business and platform.
         Key threads in this  conversation include knowing our worth, putting a value on our skills and training and building the business case for coaching as a clinician workforce wellbeing tactic.
        Jo has recently launched her complete burnout recovery online programme  http://bit.ly/3MQcRCc in addition to expanding her individual and upcoming group coaching offerings. Further information about Jo and her work is linked below.
Links / References :
Dr Jo Braid 
https://www.linkedin.com/in/drjobraid/
https://www.instagram.com/burnoutrecoverydr/
https://www.drjobraid.com
Jo's Complete Burnout Recovery Program: http://bit.ly/3MQcRCc

The Australian Clinical Entrepreneur Program
https://www.auscep.com.au

Upcoming Beamtree/Health Round Table Workforce Wellbeing Summit
https://www.eventbrite.com.au/e/organisational-response-to-workforce-wellbeing-registration-467286224677
Rate/review/subscribe :
https://www.themindfullmedicpodcast.com
https://podcasts.apple.com/au/podcast/the-mind-full-medic-podcast/


The Mind Full Medic Podcast is proudly sponsored by the MBANSW Find out more about their service or donate today at www.mbansw.org.au

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 S4 E7 I am delighted to welcome Dr Kimberly Humphrey MD FACEM MPH to the podcast. Dr Humphrey is a fellow Emergency Physician and Public Heath medical consultant in Adelaide, South Australia. She is the current fellow in climate change and human health at Harvard University. Dr Humphrey has  specific expertise in research, policy and advocacy at the intersection of climate change and health, emergency medicine and public health, and disaster mitigation and adaptation.  Her professional mission is invested in working to integrate climate, health and equity principles into the education of health professionals to enable a just transition.
        In this conversation we zoom out and in exploring the macro-level climate health policy and systemic changes necessary going forward and how this translates at the micro-level in terms of tangible and practical actions clinicians, emergency departments and hospitals can take in the immediate to short term.  She describes the "green ED",  traffic light systems and the importance of small actions of advocacy and informed conversations with patients.
        Dr Humphrey's passionate and energising advocacy and expertise  suffuses this entire conversation, What could be a dark and at times seemingly hopeless discussion is, instead,  hopeful and very practical.  Her own leadership journey is prominent for courage, persistence and a willingness to embrace learning, innovation, and diversity of perspective.   I learned a lot  from Kimberly and from her  recommended reading and resources listed here.
Links /resources / references:
Dr Kimberly Humphrey
https://www.linkedin.com/in/kimberly-humphrey-866a703b/
https://dea.org.au
IPCC report ( https://www.ipcc.ch/report/sixth-assessment-report-working-group-ii/
WHO Operational framework for building climate resilient health systems https://www.who.int/publications/i/item/9789241565073
Healthy, regenerative and just: Guiding the development of a national strategy on climate, health and well-being for Australia https://www.sciencedirect.com/science/article/pii/S2667278223000044·         Climate Change and Emergency Medicine: Impacts and Opportunitieshttps://onlinelibrary.wiley.com/doi/full/10.1111/j.1553-2712.2009.00469.x
Delivering a net zero NHS https://www.england.nhs.uk/greenernhs/a-net-zero-nhs/
Hopeful reading recommendations:
https://www.penguinrandomhouse.com/books/623543/the-future-we-choose-by-christiana-figueres-and-tom-rivett-carnac/https://www.haymarketbooks.org/books/2000-not-too-late
The Mind Full Medic Podcast is proudly sponsored by the MBANSW Find out more about their service or donate today at www.mbansw.org.au

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 S4 E5 I am delighted to welcome Dr Simon Fleming MBBS FRCS MSc PhD MAcadMEd, MASE(RACS), MFSTEd, AFHEA to the podcast.  Dr Fleming is an orthopaedic surgeon, medical educator and culture change champion currently based in London, UK.   He is perhaps most recognised and regarded for his leadership work speaking up and out and inspiring action to address bullying, harassment and undermining in healthcare.  He has now spent over a decade working in this space advocating locally and globally for culture of diversity, equity, inclusion and belonging in medicine.
         In this conversation we explore Simon's leadership journey and the personal values, mission and purpose which drives and sustains his work, despite the undoubted challenges, and  sadly at times personal and professional toll these can take.   Simon discusses relative power and privilege, being an ally and voice for the voiceless but also  what it takes to build the culture and systems which elevate all of the voices in the room.  There are some key pearls from his early work as president of the British Orthopaedic Training Association, particularly with respect to how to engage clinicians and senior leaders and policy makers, gain trust and reliable information, gather momentum to make tangible change and action.   Listen to his powerful TEDxExeter talk "The era of the bully is over"
         We discuss his international and collaborative work with colleagues including previous podcast guest Dr Rhea Liang.  The importance of building coalitions and the need for critical friends, family and mentors, when navigating difficult healthcare organisational terrain, are recurring and fundamental themes.
           I left this conversation energised, encouraged and excited to see what Dr Fleming will do next as he begins the next chapter of professional and personal life back in Australia.         

"With privilege comes responsibility" 
Flemingism ( Dr Simon Fleming)

Links /references :
Dr Simon Fleming :
https://simonfleming.co.uk
https://twitter.com/orthopodreg
https://youtu.be/aVkGiziPY1o
https://publishing.rcseng.ac.uk/doi/full/10.1308/rcsbull.2021.106
Recommend Podcasts on this topic with Dr Rhea Liang and Dr Simon Fleming https://on.soundcloud.com/mXSa1
https://www.buzzsprout.com/1091279/11862720-operating-with-respect-and-leading-system-and-culture-change-in-healthcare-with-dr-rhea-liang.mp3?download=true
Companion Podcast Episode with Dr Rhea Liang
https://podcasters.spotify.com/pod/show/rcseng/episodes/Culture-Change-Why-do-we-need-culture-change-ekeo1v/a-a3djbs4


The Mind Full Medic Podcast is proudly sponsored by the MBANSW Find out more about their service or donate today at www.mbansw.org.au

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 4 E 5 I am honoured to speak with Professor Amy Edmondson. Professor Edmondson is the Novartis Professor of Leadership and Management at the Harvard Business School. She is a world-renowned thought ( and action) leader in organisational learning, leadership and team work. She is however perhaps most known and regarded for her work in the area of psychological safety and team performance. In 2019 she published her book The Fearless Organization which I throughly recommend to my colleagues in healthcare. 
         In this conversation, which I am conscious only skims the surface of her incredible richness and depth of expertise and perspective, we discuss the origins of her research in healthcare teams and evolution over time.
Although spanning  a broad range of professions and industries globally, Professor Edmondson offers a healthcare lens and perspective on her work. I am particularly keen to explore uncertainty and complexity in healthcare and the transient and "flash" nature of some of our teams coming together, sometimes  to care for the sickest patients.

          My key takeaways from our conversation include:
1. Local leadership really matters
2. When it comes to building psychological safety, be explicit.
3. Clinician wellbeing, like psychological safety, are the means to the goal, with is high quality, safe patient care.

           Thank you Professor Edmondson for  generously sharing your time, expertise and a wide range of practical resources ( see below).  Your genuine curiosity to drive us forward has local and global impact.

"Success in an uncertain world depends on high-quality bets. High quality bets depend on high-quality conversations. These don't happen by accident. "
Amy Edmondson

Links/References/Resources:
Professor Amy Edmondson
https://amycedmondson.com
https://www.linkedin.com/in/amedmondson/
The Fearless Organisation
Edmondson, Amy C. The Fearless Organization: Creating Psychological Safety in the Workplace for Learning, Innovation, and Growth. Hoboken, NJ: John Wiley & Sons, 2018.
Recent HBR articles discussed:
https://hbr.org/2023/01/rethink-your-employee-value-proposition https://hbr.org/2023/04/make-it-safe-for-employees-to-speak-up-especially-in-risky-times
Related podcasts:
Studying team culture and cultivating psychological safety in medicine with Dr Eve Purdy
https://podcasts.apple.com/au/podcast/the-mind-full-medic-podcast/id1513559414?i=1000541673839
The impact of behaviour on individual and team performance and why civility can save lives in healthcare with Dr Chris Turner
https://podcasts.apple.com/au/podcast/th
The Mind Full Medic Podcast is proudly sponsored by the MBANSW Find out more about their service or donate today at www.mbansw.org.au

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.