{"id":50042,"date":"2021-04-09T17:45:22","date_gmt":"2021-04-09T16:45:22","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=50042"},"modified":"2021-04-09T17:45:22","modified_gmt":"2021-04-09T16:45:22","slug":"working-hard-or-hardly-working","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2021\/04\/09\/working-hard-or-hardly-working\/","title":{"rendered":"Working hard or hardly working?"},"content":{"rendered":"<p><span style=\"font-weight: 400\">Striking the right work-life balance can be difficult for the best of us\u2014and is a dilemma medical students and doctors alike are also constantly trying to figure out. Gone are the days where foundation year doctors (or house officers as they used to be known) work in excess of 100 hours each week, neglecting social and family commitments and\u2014perhaps most importantly\u2014rest. We are no longer spending most of our waking hours physically at work. Thankfully, nowadays newer legislation protects workers from these long hours. In theory, we should now have more time\u2014but there are now so many extra things that doctors are expected to do in order to progress through their careers (have publications, prizes, audits, and be a &#8220;well-rounded&#8221; individual with interests outside of medicine) for which there is no specific allocated time during a working day.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">On the <\/span><a href=\"https:\/\/podcasts.apple.com\/gb\/podcast\/sharp-scratch\/id331561304#episodeGuid=https%3A%2F%2Fsoundcloud.com%2Fbmjpodcasts%2Fworking-hard-or-hardly-working\"><span style=\"font-weight: 400\">latest episode<\/span><\/a><span style=\"font-weight: 400\"> of <\/span><a href=\"https:\/\/www.bmj.com\/sharpscratch\"><span style=\"font-weight: 400\">Sharp Scratch, <\/span><\/a><span style=\"font-weight: 400\">the team were joined by Greta McLachlan, Higher General Surgical Trainee and Leadership Fellow at Cleveland Clinic London, to talk about their social lives, maintaining a work life balance, and training less than full time.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The panel had a varied approach to how they used their free time. Lily shared that she thought she had a good work-life balance, \u201cthough perhaps too much \u2018life\u2019!\u201d, she joked. Whereas Kayode expressed a habit he has fallen into of filling every space in his diary\u2014and described picking up extra shifts or accepting new projects rather than taking the opportunity to rest and unwind. But do all these extras count as work, or life?\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">\u201cIt\u2019s all work to me\u201d, said Kayode, \u201cif it\u2019s not sleep or watching Netflix, I count it as work.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400\">On reflection, the panel became aware that we have been brought up within a system that has commodified extracurricular activities and things anyone else might do for &#8220;fun,&#8221; as &#8220;worthwhile&#8221; or\u00a0 &#8220;useful.&#8221; Medical students may often catch themselves thinking, \u201cI\u2019ve just done X, Y or Z, I should probably get a certificate for it. It would look good in my portfolio&#8230;&#8221;<\/span><\/p>\n<p><span style=\"font-weight: 400\">Everyone says medicine is competitive. We now ask why some students, such as Kayode, see the only source of rest or relief as sleep or passively watching TV. \u201cI think this might stem from my own feelings of inadequacy and wanting to remain competitive. I must get that extra publication. I must get that prize. I must show that I have an active interest in music, otherwise this could become a wasted journey.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400\">Greta speaks of her work at the Cleveland clinic and how much she has enjoyed and learned from setting up a branch here in the UK. She recognises the flexibility pursuing a LTFT training pathway has given her to pursue a portfolio career. LTFT is now increasingly being utilised with some specialties not requiring trainees to give specific \u201cvalid\u201d reasons. This option is becoming more alluring for many trainees\u2014perhaps as a result of a desire to pursue more life outside medicine.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Although many doctors desire to have a more positive work-life balance, break-taking habits at work still remains a popular topic of contention. Kayode and Lily noted that in their part time jobs as a healthcare assistant (HCA) and carer respectively, they have noticed nurses and other allied health professionals are much better at taking scheduled breaks and allowing themselves a protected opportunity to rest. Greta suggested that this may be to do with the type of self-selective personality that may be drawn to a career in medicine, and how the selection process is aimed to find &#8220;resilient&#8221; individuals who are also highly competitive, and perhaps with a slight tendency to strive for perfection. This can mean medics may find it more difficult to walk away from a seemingly never ending list of jobs, or deem it important enough for them to have a sit down and a hot drink.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Greta finishes with a James Tomlinson quote, \u201cmedicine is difficult \u2026 but it shouldn\u2019t be hard.\u201d There are many systemic factors we have no control over but there are things we can do to make things easier for ourselves and our colleagues. Make sure you are enjoying yourself in and outside of work. Finally, \u201cAlways have a lunch break and have some water.\u201d<\/span><\/p>\n<p><b><i>Olukayode Oki<\/i><\/b><i><span style=\"font-weight: 400\">, Fourth year medical student, University of Dundee.<\/span><\/i><\/p>\n<p><b><i>Nikki Nabavi<\/i><\/b><i><span style=\"font-weight: 400\">, Editorial scholar, The BMJ, and fourth year medical student, University of Manchester.<\/span><\/i><\/p>\n<p><b><i>Competing interest: <\/i><\/b><i>The authors wrote this piece in their \u2018free\u2019 time.<\/i><\/p>\n<p><i><span style=\"font-weight: 400\">&#8212;<\/span><\/i><\/p>\n<p><span style=\"font-weight: 400\">Listen to the episode on <\/span><a href=\"https:\/\/open.spotify.com\/episode\/6djOTSrGqz4upNVlwzsEus?si=puFqYdolRiSnOieBqBMoew&amp;context=spotify%3Aepisode%3A6djOTSrGqz4upNVlwzsEus\"><span style=\"font-weight: 400\">Spotify<\/span><\/a><span style=\"font-weight: 400\"> or <\/span><a href=\"https:\/\/podcasts.apple.com\/gb\/podcast\/sharp-scratch\/id331561304#episodeGuid=https%3A%2F%2Fsoundcloud.com%2Fbmjpodcasts%2Fworking-hard-or-hardly-working\"><span style=\"font-weight: 400\">Apple pods<\/span><\/a><span style=\"font-weight: 400\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">&#8212;<\/span><\/p>\n<p><span style=\"font-weight: 400\">Sharp Scratch episodes to recommend:<\/span><\/p>\n<p><a href=\"https:\/\/open.spotify.com\/episode\/6G7smdYsxpyTt9U6nxwmMf?si=dVselHMlRVm5tjUW36g5Fw\"><span style=\"font-weight: 400\">How competitive are you?<\/span><\/a><\/p>\n<p><a href=\"https:\/\/podcasts.apple.com\/gb\/podcast\/sharp-scratch\/id331561304?i=1000457544704\"><span style=\"font-weight: 400\">Making ends meet<\/span><\/a><\/p>\n<p><a href=\"https:\/\/podcasts.apple.com\/gb\/podcast\/sharp-scratch\/id331561304?i=1000474986632\"><span style=\"font-weight: 400\">Leaving medicine<\/span><\/a><\/p>\n<p><a href=\"https:\/\/podcasts.apple.com\/gb\/podcast\/sharp-scratch\/id331561304?i=1000507863892\"><span style=\"font-weight: 400\">Naps &amp;\u00a0 nightshifts<\/span><\/a><\/p>\n<p><a href=\"https:\/\/podcasts.apple.com\/gb\/podcast\/sharp-scratch\/id331561304?i=1000446267661\"><span style=\"font-weight: 400\">Surviving the night shift<\/span><\/a><\/p>\n<p><span style=\"font-weight: 400\">&#8212;<\/span><\/p>\n<p><span style=\"font-weight: 400\">The <\/span><a href=\"https:\/\/www.bmj.com\/sharpscratch\"><span style=\"font-weight: 400\">Sharp Scratch<\/span><\/a><span style=\"font-weight: 400\"> Panel:<\/span><\/p>\n<p><b><i>Nikki Nabavi<\/i><\/b><i><span style=\"font-weight: 400\">, The BMJ, University of Manchester<\/span><\/i><\/p>\n<p><b><i>Olukayode Oki<\/i><\/b><i><span style=\"font-weight: 400\">, Fourth year medical student, University of Dundee.<\/span><\/i><\/p>\n<p><b><i>Lily Copping,<\/i><\/b><i><span style=\"font-weight: 400\"> Fourth year medical student, Barts and The London School of Medicine and Dentistry.<\/span><\/i><\/p>\n<p><b><i>Greta McLachlan,<\/i><\/b><i><span style=\"font-weight: 400\"> Higher General Surgical Trainee and Leadership Fellow at Cleveland Clinic London<\/span><\/i><\/p>\n<p><span style=\"font-weight: 400\">Follow us on Twitter:\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Panel: <\/span><a href=\"https:\/\/twitter.com\/nikkixnabavi\"><span style=\"font-weight: 400\">@nikkixnabavi<\/span><\/a><span style=\"font-weight: 400\">\u00a0 <\/span><a href=\"https:\/\/twitter.com\/lilycopping\"><span style=\"font-weight: 400\">@lilycopping <\/span><\/a><a href=\"https:\/\/twitter.com\/teekayoki\"><span style=\"font-weight: 400\">@teekayoki\u00a0<\/span><\/a><\/p>\n<p><span style=\"font-weight: 400\">Guest: <a href=\"https:\/\/twitter.com\/geemclachlan?lang=en\">@GeeMcLachlan<\/a><\/span><\/p>\n<p><span style=\"font-weight: 400\">Brought to you by: <\/span><a href=\"https:\/\/twitter.com\/bmj_latest?ref_src=twsrc%5Egoogle%7Ctwcamp%5Eserp%7Ctwgr%5Eauthor\"><span style=\"font-weight: 400\">@bmj_latest<\/span><\/a> <a href=\"https:\/\/twitter.com\/bmjstudent?lang=en\"><span style=\"font-weight: 400\">@BMJStudent<\/span><\/a><\/p>\n<p><span style=\"font-weight: 400\">Sponsored by: <\/span><a href=\"https:\/\/twitter.com\/mps_medical?lang=en\"><span style=\"font-weight: 400\">@MPS_Medical<\/span><\/a><\/p>\n<p><span style=\"font-weight: 400\">Instagram\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Brought to you by: <\/span><a href=\"https:\/\/www.instagram.com\/bmj_student\/?hl=en\"><span style=\"font-weight: 400\">@BMJ_Student<\/span><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Striking the right work-life balance can be difficult for the best of us\u2014and is a dilemma medical students and doctors alike are also constantly trying to figure out. Gone are [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2021\/04\/09\/working-hard-or-hardly-working\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":66,"featured_media":49402,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[224],"tags":[],"class_list":["post-50042","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-students"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Working hard or hardly working? - 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\/2021\/04\/09\/working-hard-or-hardly-working\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Working hard or hardly working? - The BMJ\" \/>\n<meta property=\"og:description\" content=\"Striking the right work-life balance can be difficult for the best of us\u2014and is a dilemma medical students and doctors alike are also constantly trying to figure out. 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