ICN Victoria: Burrell on "Optimising your Non-Clinical Time"
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ICN Victoria presents Dr Aiden Burrell from the Alfred Hospital in Melbourne, talking on ways to optimise your non-clinical time as an intensive care trainee
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ICN Victoria: Burrell on "Optimising your Non-Clinical Time"
- 1. Optimising your non clinical time: a trainees perspective The goal and the journey
- 2. Definition of non clinical time Pass exams Do nothing Research for glory Teaching to give back Admin to rule Private for $$$$
- 3. Broader definition – what we do at work, outside of clinical work to get the most out of life The goal and the journey
- 4. Why am I doing this talk? I am no different to you….. I struggle with balance and being effective in…. Clinical busy Research and non clinical Organizing a fellowships and job Family 2.5 year old Exercise and sleep
- 5. What motivates us? • Buddha/Dahai lama 600BC “All men seek happiness and avoid suffering” • Christianity 1AD Heaven and eternal life • Renaissance humanism 1600AD “A man can do all things if he will". • Charles Darwin 1859 “Survival of the fittest” • Viktor Frankl 1946 ”The will to find meaning in life”
- 6. We are all seeking the same things – The GOAL We want fulfilment and happiness Wisdom Choice Insight Self awareness Connection with self, family, friends, work, planet
- 7. Many pathways to reaching the goal
- 9. Why I did a PhD Critical thinking, Curiosity, Leave a mark “Research is what raises us from being mere technicians to being doctors” Professor Paul Myles
- 10. How to do it Publication Cardiology Planned for 5-8 years Picked my supervisors Made plans, then had to change them Picked smart projects for maximum bang for buck Had to multitask, and be consumed by the endless black hole.
- 11. What have I learned so far? Worked because I have an interest Learned to be organized, and planning Good support network – at home and at work. Good supervisors! Would not do it during FICM exams.
- 12. Part 2: Surgical training
- 13. Surgical training 1, 2, 3, 4 years of training Initially exciting but…… Super-specialised Long and lonely hours Less role for non clinical work Realised that all this effort was distracting me form my goals Challenging to leave The answer……….?
- 14. Intensive Care
- 15. Part 3: Meditation and mindfulness
- 16. The relaxation response • Hypometabolic state • Decreased HR, RR • Changes in EEG (different to sleep) with focal increased neuronal activity
- 17. HR, RR, and fMRI changes during meditation NeuroReport 2000 11:1581±1585 8
- 18. Less burnout and emotional exhaustion less depersonalization More empathy with patients More emotional stability Improved total mood disturbance scores JAMA. 2009;302(12):1284-1293
- 19. John Kibat-Zinn “Paying attention on purpose, in the present moment, and nonjudgmentally, to the unfolding of experience moment to moment, as if your life depended on it Non religious, cultivation of attention
- 20. My meditation practice Combined concentration and mindfulness techniques Daily 20-45 mins Early morning Effects include: • Connection • Calmness • Self awareness • Self reflection • Improved mood
- 23. The non clinical goal and journey Work in progress Don’t have all the answers Readjusting my goals and projects Get it wrong regularly
- 24. Key messages Clarify your own goal for non clinical time Use your non clinical time fulfill as much as possible
Editor's Notes
- Part 2 of this evening is going to be broader in its scope. More about who we are as doctors, mothers, fathers, and humans beings. Show of hands who has thought of their non clinical time as a way to fulfil their lifes aims?
- Discussion with a senior person who told me as a trainee you can divide your time by the above domains. But this is limited
- A broader definition is one where work and non clincal work is satisfying who we are as human beings, what are values are
- I am just like you – I don’t have the answers – so we are all qualified Seeking out and doing your non clinical work is a persona choice – the right balance for you, according to your values.
- humans are limitless in their capacity for development, the concept led to the notion that people should embrace all knowledge and develop their capacities as fully as possible.
- We each have our own pathway to reach this goal, based on our unique selves. Now I m going to talk about several journeys that I have taken along this path. Some have been effective at reaching this goal, and some have been less effective.
- Cardiology was my area of interest
- ICU: broad range of clinical experience, new rapidly changing specialty, share the deevlopemtns of many specialties, improved work life balance, excitement every day, challenging patients and ethics and medicine and physiology etc.
- University lecturer introduced me to this 15 years ago
- We prescribe this for our patients, but don’t do it for our selves.
- In 5 long term meditators Meditation in same patient resulted in activation of attention (frontal and parietal cortx) and arousal and autonomic control (cingulate, amygala, midbrain, and hypothalamus) Responses weree focal, not global
- Before and after study, 8 weeks mindfulness in 70 GPs
- Hands up who is a parent I thought I had it all worked out, The my boy came along. All my previous ideas about ultimate goals and journeys suddenly changed It changed my ultimate goals Not about me, more about felix
- Constantly surprising me and letting me readjust