Olympians and Comedians #PerformanceLDN

Traditionally, human factors and performance psychology are low down the priority list (or non-existent) in medical training. Students graduate from medical school with ‘academic-style’ mindsets, arguably ill-prepared for the practical, performance-dependent branches of medicine. In short, our training predisposes us to the yips. But change is afoot. On 24th June, I attended the London Performance Psychology Symposium at the Blizard Institute, close to the […]

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Primary Survey July 2017

Last winter was a difficult Winter for Emergency Medicine (EM), ED and the staff who work within them. The unacceptable pressures that faced us have only partly gone away and many of us have probably not fully recovered. Stress levels were high, dissatisfaction wide spread, the patients kept coming, and few appeared to leave. As […]

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‘My Mental Toughness Manifesto’ Part 4: PROCESS

Everything in aviation we know because someone somewhere died… We have purchased, at great cost, lessons literally bought with blood… We cannot have the moral failure of forgetting these lessons and have to relearn them.” Sully Sullenberger Pilot of Flight 1549, ‘The Miracle on the Hudson’ All frontline healthcare warriors will bear scars from emotionally distressing […]

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‘My Mental Toughness Manifesto’ Part 3: PERFORM

  ‘Practice’ is about building a skillset, and fostering a way of life (via ‘immersion’) that serves to strengthen perception of one’s available resources when crunch time arrives. However, reality dictates that certain scenarios are impossible to prepare for, particularly in the emergency medicine arena. The more chaotic the workplace, the higher the frequency of unavoidable threat appraisals. Therefore, it is […]

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Primary Survey April 2017

This month’s primary Survey is written by Mary Dawood. Don’t forget to visit the journal site to see more and keep in touch with us on Social Media. Also, don’t forget to listen and subscribe to our podcast to keep you up to date on the journal and topics in emergency medicine. Organ Donation in […]

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‘Why tomorrow’s patient needs a digital NHS’

Dr Robert Lloyd @PonderingEM is our MC – he’s talking of the front line challenges in the NHS #DHLcollaborate pic.twitter.com/7cCmubkm82 — Keith Grimes (@keithgrimes) February 22, 2017 On February 22, the EMJ blog team were well represented at #DHLcollaborate. This was the one-year ‘summit’ of DigitalHealth.London, an organisation (funded in large part by NHS England) designed to accelerate the uptake of digital technology in […]

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‘My Mental Toughness Manifesto’ Part 2: PRACTICE

In MMTM Part 1, two-step cognitive appraisals were explained. This process dictates whether one enters a challenged or threatened mindset in the event where an immediate performance is required under acute stress. Feeling challenged, of course, is one of the two chief components of a mentally tough individual. “I am 100% committed” “I feel challenged” In this post, we will […]

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‘My Mental Toughness Manifesto’ Part 1: Understanding Cognitive Appraisals

It has been an exciting period for me recently. Last month I was at the International Special Training Centre (ISTC) in Pfullendorf, Germany, where I had the honour of speaking to a group of Special Operations Combat Medics in-training from eleven nations across NATO. Staying at the base, meeting the guys, and contributing to their fantastic 26-week course was […]

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