‘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 […]

Read More…

‘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 […]

Read More…

‘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 […]

Read More…

‘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 […]

Read More…

‘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 […]

Read More…

The ‘Deliberate Practice Mindset’

Performance improvement is an interest of mine. I have previously blogged and podcasted about the strategies I employed to lift my game (from rock-bottom) when working in an extreme environment – a South African township ED. I first became aware of ‘deliberate practice’ after reading an excellent St. Emlyn’s post last year. I had never encountered the concept before, but […]

Read More…

How to write off your paperwork. EMJ Blog.

Emergency medicine is one of those specialities where physicians of all grades have to make their own notes, even the consultants. Medical and surgical bosses have juniors to scribe at the ward round, secretaries to type up dictated clinic letters, assistants to type op notes (most of the time). EM consultants, like their junior colleagues, still […]

Read More…