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The self you take into medical dental school 2011
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c o n n e c t i n g p h y s i c i a n s t o h e a l t h
We will be using the audience response systme
(clickers )during this Session
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c o n n e c t i n g p h y s i c i a n s t o h e a l t h
The Self You Bring Into Medical/Dental School
Andrew Clarke, MD DOHSExecutive Director, Physician Health Program
John Palmer, DDS, MC, RCCDirector, Dental Professionals Advisory Program
This work is licensed under the Creative Commons Attribution-Noncommercial-Share Alike 2.5 Canada License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-sa/2.5/ca/
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c o n n e c t i n g p h y s i c i a n s t o h e a l t h
Objectives: We will…
• acknowledge the value of learning about ourselves
• become aware of how our strengths can beassociated with vulnerabilities
• begin to recognize some of the implications that our particular strengths and vulnerabilities have for us as (future) practitioners – individually – in relationships with others (pairs and small
groups)– collectively as a professional culture
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c o n n e c t i n g p h y s i c i a n s t o h e a l t h
Plan for this session
1. We will conduct a brief survey of your beliefs using the clickers.1. The results will be presented immediately so that you can
see how your personal beliefs compare with your colleagues’.
2. There are no “right” answers to these questions.3. No personally identifying information will be collected.
2. We will present some of the results from Monday’s small group sessions
3. We will hear some observations about the connection between strengths and vulnerabilities.
4. We will hear a story of personal strength and vulnerability
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c o n n e c t i n g p h y s i c i a n s t o h e a l t h
TURN ON YOUR CLICKERS NOW!
Ready, set…
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c o n n e c t i n g p h y s i c i a n s t o h e a l t h
Practice Question (wait for instructions)
Which Faculty are you affiliated with?A.DentistryB.Medicine
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c o n n e c t i n g p h y s i c i a n s t o h e a l t h
How well would you say that you know yourself?
A. Extremely well
B. Quite well
C. Not sure
D. Not very well
E. Hardly at all
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c o n n e c t i n g p h y s i c i a n s t o h e a l t h
How have you learned about yourself in the past?
Most of my learning about myself so far has come from:
A. Introspection (thinking by myself about my experiences)
B. Reflective dialogue with another about our experiences
C. Hearing others’ opinions of meD. Hearing an important story or fable and
thinking about how it might apply to meE. Answering survey questions, and seeing
how my responses compare to others’
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c o n n e c t i n g p h y s i c i a n s t o h e a l t h
Learning about ourselves is difficult
Becoming aware of our assumptions is a puzzling and contradictory task. Very few of us can get very far doing this on our own. No matter how much we may think we have an accurate sense of ourselves, we are stymied by the fact that we are using our own interpretive filters to become aware of our own interpretive filters.
- Brookfield S. Critically reflective practice. J. Contin. Educ. Health Prof. 1998;18(4):197-205.
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c o n n e c t i n g p h y s i c i a n s t o h e a l t h
Your Current Theory of Intelligence
Indicate your degree of agreement with the following statement: You can learn new things, but you can’t really change your basic intelligence.
Note – only four choices here. No "can't decide" option
A. Agree strongly
B. Agree somewhat
C. Disagree somewhat
D. Disagree strongly
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c o n n e c t i n g p h y s i c i a n s t o h e a l t h
Your aspirations as a learner
When studying for an examination, I usually aim to get 100%
A. Agree stronglyB. Agree C. Uncertain / no opinionD. DisagreeE. Disagree strongly
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c o n n e c t i n g p h y s i c i a n s t o h e a l t h
Abundance of success, or lack of failure?
• You've been successful students. You may not yet be skilled at learning from failure.
• Whether you are or not, is well correlated to the question we asked earlier about your theory of intelligence.
• If you believe intelligence is fixed, you’re at higher risk for having a maladaptive response to failure.
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c o n n e c t i n g p h y s i c i a n s t o h e a l t h
“To each one of you the practice of medicine will be very much as you make it – to one a worry, a care, a perpetual annoyance; to another, a daily joy and a life of as much happiness and usefulness as can well fall to the lot of man”
- Sir William Osler
The risks and benefits for you…
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c o n n e c t i n g p h y s i c i a n s t o h e a l t h
The kind of subjects you’ve been drawn toward
I’m drawn toward subjects where the right answer is always clear: where there’s less room for teacher bias to affect my evaluation.
A. Agree stronglyB. Agree C. Uncertain / no opinionD. DisagreeE. Disagree strongly
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c o n n e c t i n g p h y s i c i a n s t o h e a l t h
Shift in decision context from "pure" to "applied"
• There will cease to be “right” answers (more complexity, even chaos)
• You won’t be able to please everyone at the same time.
• Harder work, less appreciation.
Snowden, D. J., & Boone, M. E. (2007). A leader's framework for decision making. Harvard Business Review, 85 (11), 68-76.
http://xkcd.com/435/
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c o n n e c t i n g p h y s i c i a n s t o h e a l t h
My (future) professional identity
I think that the profession I’ve chosen represents a higher calling than other professions.
A. Agree stronglyB. Agree C. Uncertain / no opinionD. DisagreeE. Disagree strongly
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c o n n e c t i n g p h y s i c i a n s t o h e a l t h
The culture you’re about to be immersed in
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c o n n e c t i n g p h y s i c i a n s t o h e a l t h
Patients’ lives?
It is as important to ask patients about what is happening in
their lives as it is to ask about their physical complaints.
A. Agree stronglyB. AgreeC. Uncertain / no opinionD. DisagreeE. Disagree strongly
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c o n n e c t i n g p h y s i c i a n s t o h e a l t h
Think like patients?
Physicians and dentists should try to think like their patients in
order to render better care.A. Agree stronglyB. AgreeC. Uncertain / no opinionD. DisagreeE. Disagree strongly
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c o n n e c t i n g p h y s i c i a n s t o h e a l t h
Affectional ties
Physicians’ and Dentists’ affectional ties with their patients cannot have a significant place in professional practice.
A. Agree stronglyB. Agree C. Uncertain / no opinionD. DisagreeE. Disagree strongly
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c o n n e c t i n g p h y s i c i a n s t o h e a l t h
Patients’ personal experiences
Physicians and dentists must be attentive to their patients’ personal experiences.
A. Agree stronglyB. Agree C. Uncertain / no opinionD. DisagreeE. Disagree strongly
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c o n n e c t i n g p h y s i c i a n s t o h e a l t h
Empathy Declines
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c o n n e c t i n g p h y s i c i a n s t o h e a l t h
Plan for this session
1. We will conduct a brief survey of your beliefs using the iClickers.1. The results will be presented immediately so that you can
see how your personal beliefs fit into the context of your peer group.
2. There are no “right” answers to these questions.3. No personally identifying information will be collected.
2. We will present some of the results from Monday's small groups
3. We will hear some observations about the connection between strengths and vulnerabilities.
4. We will hear a personal story of strength and vulnerability
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c o n n e c t i n g p h y s i c i a n s t o h e a l t h
We asked you about your personal strengths
What is one strengthyou value in yourselfthat has helped you get here?
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c o n n e c t i n g p h y s i c i a n s t o h e a l t h
Here's what you said about your personal strengths
determined
open-minded
curious
compassionate
enthusiastic
efficient
humorous
creative
self-controlled
cooperative
0 20 40 60 80 100 120 140
119
41
39
21
17
15
13
11
10
9
Top ten responses (89% cumulatively)
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c o n n e c t i n g p h y s i c i a n s t o h e a l t h
We asked about what you value in colleagues
What strengthwould you value mostin a professional colleague?
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c o n n e c t i n g p h y s i c i a n s t o h e a l t h
Here's what you value in each other
cooperative
open-minded
compassionate
enthusiastic
Helpful
loyal
humorous
diplomatic
creative
determined
0 10 20 30 40 50 60 70 80 90 100
92
57
35
24
19
12
11
10
7
6
Top ten responses (89% cumulatively)
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c o n n e c t i n g p h y s i c i a n s t o h e a l t h
We asked what you think patients value
What strength would patients value mostin a treating physician or dentist?
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c o n n e c t i n g p h y s i c i a n s t o h e a l t h
Here's what patients would value in you…
compassionate
helpful
open-minded
loyal
determined
efficient
hopeful
enthusiastic
curious
modest
0 50 100 150 200 250
192
37
19
14
10
8
6
6
5
5
Top ten responses (97% cumulatively)
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c o n n e c t i n g p h y s i c i a n s t o h e a l t h
Why is any of this important?
• The context for your learning will change radically in the next four years – the "right answer" may not be clear.
• For some of you, your lack of experience with failure (i.e. success) may become a vulnerability.
• The professional culture may take your strengths, and expose them as vulnerabilities.
• This may lead to cynicism and a decline in your ability to empathize with colleagues, patients and yourself.
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c o n n e c t i n g p h y s i c i a n s t o h e a l t h
Plan for this session
1. We will conduct a brief survey of your beliefs using the clickers.1. The results will be presented immediately so that you can
see how your personal beliefs fit into the context of your peer group.
2. There are no “right” answers to these questions.3. No personally identifying information will be collected.
2. We will present some of the results from Monday's small groups
3. We will hear some observations about the connection between strengths and vulnerabilities.
4. We will hear a personal story of strength and vulnerability.
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An Anecdotal Perspective:Dental Profession Advisory
Program
Dr John Palmer, DDS, MC,RCCDirector, Dental Profession Advisory Programme August 27th 2009
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Freud’s observation:
• The two chief tasks in life are:– To love – To work
• Succeed at both and you will have a successful and satisfying life.
33
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IQ v. EQ : That is the question:
• Emotional Intelligence (1995) Daniel Goleman• EQ predicts life success
more accurately than IQ.• EQ is not simply innate,
it can be developed.
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Strengths that can tumble into liabilities:
• Independence (grandiosity) – a need to be in control (actively, by aggressive control and competitiveness, or passively, by opting out).
• Perfectionism – a driven need to be perfect in every way – technically productive but personally and interpersonally destructive.
• Tendency to “hyper-focus” (obsess) and lose the bigger picture.
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Tension between professional practice and life process issues.. • Professional practice– involves the
scientific method, clustering around concrete, discrete, predictable outcomes.
• Life process -involves ambivalence around complex issues (in relation to self and others), experimentation, and the incorporation of feedback.
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“I certainly have been thrust
into unknown territory.
I am used to being in total
control
of my life. All of a sudden,
I have no control over what is
going on.”
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“It has been the scariest, most
difficult time
of my life and, without professional
support
(and family support), I literally may
not have
made it through this alive.”
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So what relevance does this have for me as a medical/dental
student?
1. During your training you will face significant stressors.
2. The coping choices you make will tend to match your temperament and become a fixed pattern over time.
3. The self-awareness you develop, practice, and manage will be a “make or break” factor in your life trajectory.
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Establish or reinforce a durable platform to build on………..
• Self-monitoring and management.• Peer and/or community support• Development of spirituality• Make use of services available
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c o n n e c t i n g p h y s i c i a n s t o h e a l t h
Plan for this session
1. We will conduct a brief survey of your beliefs using the clickers.1. The results will be presented immediately so that you can
see how your personal beliefs fit into the context of your peer group.
2. There are no “right” answers to these questions.3. No personally identifying information will be collected.
2. We will present some of the results from Monday's small groups
3. We will hear some observations about the connection between strengths and vulnerabilities.
4. We will hear a personal story of strength and vulnerability
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c o n n e c t i n g p h y s i c i a n s t o h e a l t h
Thanks!Questions and Comments?