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Dr. Sara Gray: Debriefing in EM
Dr. Gray gave an illuminating talk on Debriefing in the Emergency Department. Some highlights:
- Steps:
- Prepare
- Pre-brief
- Debrief
- Deactivate staff - "who would be willing to share?"
- Use a shared mental model - "let's review what happened. What questions do you have?"
- Quick analysis - "what went well? what would we want to change?"
- Close the loop - summarize
- Obstacles:
- Finding the time
- Finding the space
- Finding trained facilitators
- Shifting the culture
- Important to make debriefing normal, a part of the culture, focus on the positive, have a champion, track outcomes, report back to the group any changes
Learn More / Training courses:
https://ca.ctrinstitute.com/workshop-descriptions/critical-incident-description/
https://badgeoflifecanada.org/training/cism-training/
https://thedebriefingacademy.com/
https://www.aptcanada.com/trauma-debriefing-training.html
https://infodebriefing.com/info-train-the-trainer-workshop/
More Info
Dr. Mamta Gautam: The Power of Resilience
Dr. Gautam gave an exceptional and inspiring talk that spoke to many of the Emergency Physicians who were both present and who watched the recording after the session.
Key Points:
- Stress is normal, physiological and psychological response, can help you keep going
- Distress is when you can't go about your usual routine
- Burnout: syndrome, work related, chronic overstress
- Burnout has 3 stages: 1) emotional exhaustion 2) depersonalization 3) reduced personal accomplishment
- Moral distress leads to moral injury - worse during covid pandemic
- Compassion fatigue: diminished ability to have compassion or empathize with others
- "Even the healthiest and strongest of us can become unhealthy in an unhealthy environment"
- Preventing burnout: health is shared responsibility of Individual, Culture and System factors
- Stress at work caused by mismatches between person and job:
- work overload
- lack of control and choice
- lack of reward and recognition
- lack of community and connection
- lack of fairness and respect
- conflicting values
Learn More
https://www.cma.ca/dr-mamta-gautam
Available upon request to ED physicians at McGill:
- Recording of session
- PDF of slides
More Info
Dr. Huma Ali: Peer Support
Dr. Ali gave an excellent presentation on the concepts of peer support in Emergency Medicine.
From the CMA Wellness Hub:
Five facts about peer support
- Most people want to connect with someone who understands them. That understanding often comes from similar experiences and can be reassuring when someone is stressed or uncertain. Peer support is rooted in the belief that everyone can recover from trauma, mental health or addiction issues, mistakes, burnout, depression, and other concerns.
- Peer support starts with an authentic human connection. Peer supporters share their own stories of similar experiences and how they got through them. They walk beside someone — not directing, but listening to and validating their feelings.
- While peer support complements clinical approaches, it is not clinical. Peer supporters do not provide diagnoses, recommend specific treatments or give other medical advice. They help colleagues discover and build on what works for them.
- Peer support improves outcomes. People who use peer support show improved coping and self-management skills, have stronger social networks and tend to be less isolated. Their symptoms are reduced, they use substances at a lower rate, they require shorter and fewer hospitalizations, and they have less need for intensive services.
- Peer support is growing and formalizing. More services are employing peer workers as a part of interdisciplinary care teams, and peer-led services continue to grow.
Adapted from the Canadian Mental Health Association: 5 things to know about peer support.
Learn More
https://www.welldocalberta.org
https://www.joshapiromd.com/peer-support
https://cmhawwselfhelp.ca/news/5-things-to-know-about-peer-support/
https://www.cma.ca/physician-wellness-hub/topics/peer-support
Available upon request to ED physicians at McGill:
- Recording of session
Inaugural Wins & Wellness Rounds
Dr. Rod Lim - Physician Wellbeing
For our first rounds, Dr. Rod Lim joined us to give an overview of the field of Physician Wellbeing in Emergency Medicine in Canada. He reviewed the most recent wellbeing survey of Canadian EPs, which took place prior to the Covid pandemic. Dr. Lim introduced all the basic concepts of Physician Wellbeing and showed ways in which small steps could be taken to improve wellbeing at a departmental level.
Available upon request to ED physicians at McGill:
- Recording of session
