WPW – Week 6 RPR

“For wood to burn and release its light, it must be given space.” Zen teaching

Any concerns I may have had about losing momentum were easily laid to rest this week. The ED registrars leading on different projects are moving forward with a core energy that is a privilege to nurture.

It feels like the time is right to set up a new page tracking progress more formally than these end of week blog entries. Work for the week ahead.

Closing this weekend with the personal nourishment of attending a Peaceful Hearts retreat and understanding more deeply the roots of compassion.

WPW – Week 5 RPR

This week’s surprise lesson for me was experiencing how it can be quite stressful to be kind to oneself. Might sound paradoxical, yet this was my direct experience.

Simple practices – like letting the computer screen hibernate for the 5-7 minutes I have lunch, finishing my shift on time, allowing myself to not eat the fast food brought in by a well wisher and instead have a salad pre-prepared for work… Simple practices of self compassion and self care that should feel easy – but didn’t. Similar to the initial discomfort that comes when (re)learning a skill.

A big positive for the week – recognising this week’s ‘pause’ provided the team with the kind of time and space that nurtures psychological safety. Will this be at the cost of losing project momentum ? Or will individual and team motivation be boosted instead ? We will find out as the new week dawns …

WPW – week 3 RPR

The external growth this week has mostly been in the intellectual and physical energy domains. Notably – delivering the first session of a training program I am offering to ED clinicians interested in quality and clinical audit. And upgrading a proposed ED geriatric referral pathway to a patient flow pathway – shifting the central focus back to the patient.

Diminishing psychological safety at the organisation-ED interface has been the challenge for a second week running. I find myself coming back and taking refuge in the spiritual domain of our work – a purpose and perspective that helps me acknowledge the suffering without it becoming overwhelming.

Serenity to accept what I can not change, courage to make the changes I can, and experiential insight to recognise the difference. Compassion in practice.

WPW – week 1 RPR

Feels like a good week. The Europe wide research study our department is participating in connects us with a bigger picture and higher purpose, nourishes social engagement and provides a channel for physical action.

Also protected some 1:1 time with ED Quality Improvement Project registrars. Helped them understand the difference between medical research and quality improvement. Reinforced the importance of a moral compass – looking deeply and understanding where our (project) volition comes from.

Personal positive – concentrated most of my time and energy on my sphere of influence. Action and agency.

Personal area to grow – meeting people where they are, and not where I want/expect them to be ! Balancing the real life time pressure of delivering on research and departmental change while still providing young minds a safe space to learn.

Compassion in practice.

Start of a Journey #AnotherWay

It’s a little over three decades since I joined medical school and I find myself starting a new journey – exploring deep compassion in clinical practice.

I will be doing so through a Masters program “Human Factors in Patient Safety” offered by the Royal College of Surgeons of Ireland from this September. A little nervous, and very excited.

Human factors” can mean different things to different people. For me, it is about exploring how compassion influences the interdependence between human beings and clinical systems. Anyone who has experienced genuine compassion knows the effect it can have on clinical outcomes – how might it be possible to reproduce this at a “system” level ? And if we did, what kind of effect might it have ? In short – could there be #AnotherWay to how we deliver care ?

I hope to share what I discover over the coming months through this blog …

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#FEARLESS Compassion

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Friday, the 27th of May 2016, saw the launch of what was originally meant to be the first of five sessions on developing Compassion in Practice in the Emergency Department – a series we had named “Two Wings”. We had seven participants of different backgrounds, all international medical graduates, all motivated and gifted individuals. The session began with a shared lunch at restaurant close by – bringing back memories of a time when consultants would take their juniors out for a meal. We then moved on to our Post Graduate Education Centre where we watched a video and shared personal reflections on the common journey that connects us – bringing joy, relieving suffering and trusting our own music – either on a piano or in clinical practice.

I would love to have ended there but of course the journey into compassion is rarely that easy. Minutes before the session, what had been “we” (organisers) suddenly became an “I’. I won’t go into why my co-organiser got pulled – it still feels quite raw. Yet in the honesty of that rawness lies the challenge of compassion – and its strength.

Damian Roland, a respected colleague and friend, shared in a blog recently how there may not be that much for the NHS as a whole to learn from Leicester City Foxes incredible Premier League victory. For me as an individual though, it feels different. Against the odds, against conventional logic, with little money and up against the ‘big boys’ of the Premier League – a team comes out of nowhere and wins. A story to identify with – compassion in emergency care !

So my challenge for today is to uncover  #FEARLESS !

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