Simon Carley has us asking ourselves some confronting questions about our abilities in his SMACC Chicago talk ‘Are You as Good as You Think?’. Carley has us delve into our confidence, competencies and whats makes for a good self learning environment.

Initially Carley asks how good we think we are at driving? He then sites studies of Australian and European driver responses stating that 93% of Aussies and 69% europeans rate themselves as above average drivers. In using the example Carley suggests as individuals we are not particularly good at rating ourselves, while inexperienced people tend to rate themselves more highly then experienced people,  calling this illusory superiority cognitive bias.

Carley asked the question since you can’t have awesome without average, how do we measure ourselves?. He then talks us through the following tools and processes to establish better self learning and teaching processes;

Reflection Diaries - revisit it (clinically and physically), follow up.
Peer reviews: 1:1 feedback doesn’t work. It needs to planned with clear goals and objectives such as;
Clarify expectations
review logistics
focus lens
plan feedback
observe event (i.e teaching)
debrief and action
Clinical Feedback
Follow up - not just the exceptionally sick patients, but follow up with the routine ones.
Build Peer Reviews into your practice.

Carley finishes by asking us to choose on of the following items and commit to ourselves to making it happen within the month.

I am going to …
Organise Trainee Feedback
Focused 360 Assessment
Keep a Patient/Teaching Diary
Be Peer Reviewed
Develop Team Feedback
Follow up with Patients
Something Else
Nothing I am already Awesome!

What have you committed too?

Direct download: Simon_Carley.mp3
Category:general -- posted at: 6:00am AEST

Cliff Reid unites our passion of Critical Care in his SMACC Chicago talk Advice to Young Resuscitationist - It’s up to us to Save the World. Talking us through his advice to his former younger self, Reid sights mistakes, case examples, and essentially provides us with invaluable tips to nudge us along to Resus Mastery.

Reid offers the following advice to his former, younger self;

  • Your career and speciality is a journey and you chose your destination: Don’t be defied by the expectations of one chosen path. Have an appreciation of what other specialities can add and what you can learn from them. Leave your ego at the door.
  • Have a balance of confidence and competence. When something goes wrong you have to change something: Be it either yourself, your colleagues or the system.
  • Follow up on your hypothesis: You won’t know if you got it right or wrong and will not gain or learn from the experience.
  • Preserve comfort and dignity for your patients: 'No one knows how much you know, until they know how much you care' - Greg Henrey.
  • Protect yourselves: Think about the people around you and share your experience with them, chose your colleagues and where you work wisely.
  • Increase team cohesion - it is protective against burnout and compassion fatigue.
  • Be Aware: look after the tools of your trade, your body and mind. Try and maintain good physical health, and train your mind to be more effective under stress.
  • Remember society puts their trust in you - you only fail them when you fail to learn in them.
  • Every patient is a gift/lesson accept it with grace and gratitude.
  • Behave in the way you want to be remembered.
  • Keep perspective and enjoy the ride!