Sustainability, Resilience And Occupational Health- Tutorial 2 Flashcards
What conditions do medical students have a higher prevalence for than the rest of the population?
Depression and anxiety
What was the recommendation made to the GMC about medical students moving from uni to the foundation programme in 2014?
That they need to have resilience and coping techniques to help them face difficult times in their careers progress as well as clinical skills and knowledge
Name 3 ways in which medical schools can promote wellbeing
1= delivering group exercises on how to deal with stress
2=providing and promoting online resources on keeping healthy
3=providing sessions and opportunities for mindfulness, meditation, physical excercise and yoga
What is resilience in 1 sentence?
An emotional competence that deals with the negative effects of stress and promotes adaptation
Is resilience a character trait or a learned behaviour?
Both. It requires continuous improvement
Name 4 examples of behaviours which support resilience please
Building/having support networks Reflective ability Assertiveness Avoiding procrastination Developing goals Time management Work life balance
What’re the 3 categories in the sources of burnout?
Personal, professional and systemic
Name 1 example of burnout in each of the three categories of burnout
Personal= perfectionism, denial, avoidance, micromanaging, unwilling to seek help + being too conscientious
Professional=culture of invulnerability, culture of presenteeism +blame culture/headache
Systemic=overwork, shift work, lack of oversight, chaotic work environments, lack of teamwork, fractured training
How might burnout present in students? Give 3 examples please
Repeatedly failing or nearly failing Handing in work late Poor attendance Absence due to illness Behavioural issues Fitness to practice issues Lack of engagement with the course Poor communication with staff, peers and patients
What may resilience lead to? Give three answers please
Lead to reflection
Lead to improvement
Lead to returning wiser and better
Name 4 factors which aid in resilience
Intellectual interest Self awareness and self recognition Time management and work balance CPDs Support including team working Mentors
What 3 other things make a difference apart from resilience when dealing with the negative effects of stress?
Professional attitudes
Societal attitudes
Structural changes
Name 2 places that students can get help if they need it?
Counselling services and student welfare officer
What does an occupational history seek to understand?
If the Px’s work has contributed to or exacerbated ill health
What time period does an occupational history (OHx) cover?
Leaving school till present
What does an OHx try to illicit?
If there’s been any chemical or hazard exposure eg stress or overworking or adverse working environments
What 4 options does the doc have on a fit form?
Phased return to work
Altered hours
Amended duties
Workplace adaptations
What type of patients might need got be referred to occupational health?
Those who are off work for longer periods of time or who have more complex needs
When is a fit note required?
If the Px has been off more than 7 consecutive days, including non working days
Is the fit note legally binding on an employer?
Nope
What can OH do?
They can require an organisation to make any changes reasonable for the size of the organisation
Name 3 examples of how unemployment is harmful to health please
Higher mortality
Poorer general health
Poorer mental health
Higher medical consultations, medical consumption and hospital admission rates
What’s sustainability?
The ability to continue over a period of time
What has the SDU (sustainability development unit) for the NHS shown?
That a short term, reduction in emissions is technically feasible without compromising standards of care
