{"id":47500,"date":"2020-05-13T10:51:58","date_gmt":"2020-05-13T09:51:58","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=47500"},"modified":"2020-05-20T12:26:01","modified_gmt":"2020-05-20T11:26:01","slug":"covid-19-will-this-second-phase-be-harder-than-the-first","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2020\/05\/13\/covid-19-will-this-second-phase-be-harder-than-the-first\/","title":{"rendered":"Covid-19\u2014will this second phase be harder than the first?"},"content":{"rendered":"<p><span style=\"font-weight: 400\">We are now entering the second phase of covid-19, the so called &#8220;recovery&#8221; stage, sandwiched between the crisis and rebuilding phase. As the frenetic pace of the last few weeks begins to slow down, doctors are drawing breath, reflecting and learning from their recent experiences. From what we hear from many approaching our service, and from the stories we hear from other healthcare professionals, there is a sense that despite facing considerable ongoing uncertainty, they do not want to return to the &#8220;pre-covid&#8221; days of working.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Doctors, who were dangerously close to burning out, have been given an unexpected chance to re-set their professional lives and work-life balance. They are valuing the return to team working, the reduction in intensity of work, the ability to stop and think with others and to connect with their colleagues in the real, and virtual world. They have experienced (many for the first time in their professional lives) the joy of professionalism, of being able to use their skills and make decisions without the constant need to &#8220;check things out&#8221; or make a record in their e-portfolio. They have even been spared the joyless task of completing mandatory training, and instead are being trusted to make their own choice of training needs, based on self-determined gaps. Paradoxically, in this virtual world some doctors are also experiencing a deeper sense of belonging than ever before, as daily huddles and virtual tea breaks connect them to each other in new and meaningful ways.<\/span><\/p>\n<p><span style=\"font-weight: 400\">So, while the first phase of covid has left many of us feeling fatigued, anxious, traumatised and grieving, there is also hope that the &#8220;new normal&#8221; may bring with it a fresh perspective on what matters and what we really need to do to thrive as doctors. The focus on workforce well-being by policy makers, politicians and employers has been gratefully received.\u00a0 Perhaps the legacy of covid-19 will be to drill home how important it is to look after ourselves and each other if we are to have any chance of looking after others as well.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Our three top tips for adjusting to a &#8220;new normal,&#8221; whatever that may look like for you and your team:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Adjust your expectations, give yourself time (many months) to adapt, do not expect to jump straight back into &#8220;life as normal\u2019 again<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Stay connected to your support networks and those you love; this is important to protect against mental health challenges following a crisis<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Make conscious choices about how you spend your time, for example how you separate work from the rest of your life, and mark in your diary 30 mins of &#8220;review-time&#8221; every 4-6 weeks to check in and make any adjustments needed<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li><a href=\"https:\/\/podcasts.apple.com\/gb\/podcast\/wellbeing-coping-with-covid-fatigue\/id283916558?i=1000473972782\"><strong>Listen to a BMJ podcast<\/strong><\/a> with\u00a0Caroline Walker about how to cope with feelings of covid fatigue as part of our wellbeing podcast series<\/li>\n<\/ul>\n<p><em><span style=\"font-weight: 400\"><strong>Clare\u00a0Gerada<\/strong>, Medical Director of NHS Practitioner Health\u00a0and Chair Doctors In Distress (registered charity).<\/span><\/em><\/p>\n<p><em><span style=\"font-weight: 400\"><strong>Caroline Walker<\/strong>, Psychiatrist and therapist at NHS Practitioner Health and Founder of The Joyful Doctor.<\/span><\/em><\/p>\n<p><em><span style=\"font-weight: 400\"><strong>Competing interests<\/strong>: None declared\u00a0\u00a0<\/span><\/em><\/p>\n<p><span style=\"font-weight: 400\">Visit <\/span><a href=\"http:\/\/www.practitionerhealth.nhs.uk\"><span style=\"font-weight: 400\">www.practitionerhealth.nhs.uk<\/span><\/a><span style=\"font-weight: 400\"> to access free and confidential support from NHS Practitioner Health.<\/span><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>We are now entering the second phase of covid-19, the so called &#8220;recovery&#8221; stage, sandwiched between the crisis and rebuilding phase. As the frenetic pace of the last few weeks [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2020\/05\/13\/covid-19-will-this-second-phase-be-harder-than-the-first\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":47204,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18907],"tags":[],"class_list":["post-47500","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-wellbeing"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Covid-19\u2014will this second phase be harder than the first? - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2020\/05\/13\/covid-19-will-this-second-phase-be-harder-than-the-first\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Covid-19\u2014will this second phase be harder than the first? - The BMJ\" \/>\n<meta property=\"og:description\" content=\"We are now entering the second phase of covid-19, the so called &#8220;recovery&#8221; stage, sandwiched between the crisis and rebuilding phase. As the frenetic pace of the last few weeks [...]More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/bmj\/2020\/05\/13\/covid-19-will-this-second-phase-be-harder-than-the-first\/\" \/>\n<meta property=\"og:site_name\" content=\"The BMJ\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/bmjdotcom\/\" \/>\n<meta property=\"article:published_time\" content=\"2020-05-13T09:51:58+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2020-05-20T11:26:01+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/bmj\/files\/2020\/04\/coronavirus_intensive_care_hospital.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"540\" \/>\n\t<meta property=\"og:image:height\" content=\"350\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"BMJ\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:site\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"BMJ\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2020\\\/05\\\/13\\\/covid-19-will-this-second-phase-be-harder-than-the-first\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2020\\\/05\\\/13\\\/covid-19-will-this-second-phase-be-harder-than-the-first\\\/\"},\"author\":{\"name\":\"BMJ\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\"},\"headline\":\"Covid-19\u2014will this second phase be harder than the first?\",\"datePublished\":\"2020-05-13T09:51:58+00:00\",\"dateModified\":\"2020-05-20T11:26:01+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2020\\\/05\\\/13\\\/covid-19-will-this-second-phase-be-harder-than-the-first\\\/\"},\"wordCount\":532,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2020\\\/05\\\/13\\\/covid-19-will-this-second-phase-be-harder-than-the-first\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2020\\\/04\\\/coronavirus_intensive_care_hospital.jpg\",\"articleSection\":[\"Wellbeing\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2020\\\/05\\\/13\\\/covid-19-will-this-second-phase-be-harder-than-the-first\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2020\\\/05\\\/13\\\/covid-19-will-this-second-phase-be-harder-than-the-first\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2020\\\/05\\\/13\\\/covid-19-will-this-second-phase-be-harder-than-the-first\\\/\",\"name\":\"Covid-19\u2014will this second phase be harder than the first? - The BMJ\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2020\\\/05\\\/13\\\/covid-19-will-this-second-phase-be-harder-than-the-first\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2020\\\/05\\\/13\\\/covid-19-will-this-second-phase-be-harder-than-the-first\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2020\\\/04\\\/coronavirus_intensive_care_hospital.jpg\",\"datePublished\":\"2020-05-13T09:51:58+00:00\",\"dateModified\":\"2020-05-20T11:26:01+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2020\\\/05\\\/13\\\/covid-19-will-this-second-phase-be-harder-than-the-first\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2020\\\/05\\\/13\\\/covid-19-will-this-second-phase-be-harder-than-the-first\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2020\\\/05\\\/13\\\/covid-19-will-this-second-phase-be-harder-than-the-first\\\/#primaryimage\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2020\\\/04\\\/coronavirus_intensive_care_hospital.jpg\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2020\\\/04\\\/coronavirus_intensive_care_hospital.jpg\",\"width\":540,\"height\":350,\"caption\":\"Hand out photo - Medical staff of intensive care unit of the Robert Pique military training hospital (HIA) is seen at work in the fight against the Covid 19 in Bordeaux, France, March 31, 2020. 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