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Year 3 FoPC > Tutorial 2 - Sustainability, Resilience and Occupational Health > Flashcards

Tutorial 2 - Sustainability, Resilience and Occupational Health Flashcards

1
Q

oxford dictionary defintion of resilience

A

the capacity to recover quickly from difficulties; toughness, or the ability of a substance or object to spring back into shape; elasticity

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2
Q

what is resilience

A

an emotion competence or a characterisitic that deals with negative effects of stree and promotes adaptation

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3
Q

principles encompassed by resilience

A

self-efficiency, self-control, self-regulation, planning and perseverance

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4
Q

TRUE/FALSE resilience is an acquired virtue/behaviour that requires continuous improvement

A

true

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5
Q

personal strengths underpinning resilience

A
  • high frustration tolerance
  • self acceptance
  • self belief
  • humour
  • perspective
  • curiosity
  • adaptability
  • meaning
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6
Q

behaviours supporting resilience

A
  • having and building support networks
  • ability to reflect
  • assertiveness
  • avoiding procrastination
  • developing goals
  • time management
  • work/life balance
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7
Q

sources of burnout

A

personal
- perfectionism, denial, avoidance, unwilling to seek help, being too conscientious

professional
- culture of invulnerability and presenteeism, blame culture

systemic
- overwork, chaotic work environments and lack of teamwork

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8
Q

signs of burnout in students

A
  • repeatedly failing or nearly failing
  • handing in work late
  • poor attendance
  • absence due to illness
  • behavioural issues
  • FtP issues
  • lack of engagement with course
  • poor communication with staff and peers
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9
Q

outcomes of resilience in practice

A

reflection
improvement
returning wiser and better

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10
Q

inital reactions in face of professional adversity

A

doubt, anger, fear, worry, misunderstood, sorrow, regret

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11
Q

factors aiding resilience

A
  • intellectual interest
  • self awareness and reflection
  • time managemnt and work/life balance
  • continuing professional developement
  • supportive relationships
  • mentors
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12
Q

3 targets of non-personal changes that can improve resilience

A

professional attitudes, societal attitude and structural changes

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13
Q

what model says that “doctors need to be suppported not trained in resilience”

A

unified model - a coping reserve that can be filled or emptied, personality and temperament form the internal structure

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14
Q

what is an occupational history

A

a chronological list of all the patient’s employment with the intention of determingin whether work has causes ill health, excerbated an existing health problem or has ill health impacted their capacity to work

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15
Q

what is a fit note

A

evidence of assessment by a doctor as to whether a patient is fit to work in general (i.e. not job specific).

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16
Q

after how long an absence is a fit note required

A

7 days

17
Q

purpose of a fit note

A

to facilitate earlier discussion about returning to work and about rehabilitation

18
Q

purpose of occupational health

A
  • prevent work-related ill health
  • advise on fitness for work and workplace safety
  • improve attendance and performance in the workplace
  • provide rehabilitation to help people return to work and advise of alternative work
  • promote health in the workplace and healthy lifestyles
  • conduct researhc into work related health issues
  • ensure compliance with health and safety regulations
19
Q

members of occupational health team

A

doctors, nurses, ergonomists, hygienists, physios, psychiatrists, therapists

20
Q

what can a doctor recommend to an employer in a fit note

A
  1. phased return to work
  2. altered hours
  3. amended duties
  4. workplace adaptation
21
Q

effect of unemployment on health

A

higher mortality, poorer general health, long-standing illnness, poorer mental health, pyschological distress, higher medical consultation

22
Q

definition of sustainability

A

ability to continue over a period of time

23
Q

national policy document about sustainability in the NHS

A

Realistic Medicine

24
Q

how to make the NHS more environmentally sustainable (Low Carbon Clinical Care)

A
  • substitute harmful chemical with safer alternatives
  • reduce and safely dispose of waste
  • switch to renewable energy
  • reduce water consumption
  • buy and serve sustainably grown food
  • safely manage and dispoe of pharmaceuticals
25
Q

benefits of low carbon clinical care

A

prevention of conditions worldwide
give patients greater responsibility in managing their health
leaner service design
use the lowest carbon technologies

26
Q

ways to reduce the need to travel

A
  • videoconferencing
  • one stop clinics for consultation, diagnosis and management plan
  • multiple clinics on the same day
27
Q

better ways to travel

A

car pooling, hybrid or electric, public transport or cycling

28
Q

features of The New GP Contract 2018

A

reduced workload
improved recruitment
additional members in practice team
effect is to reduce risk and promote sustainability

29
Q

suggested new definition of health

A

resilience, adaptation and self management in the face of physica, social and emotional challenges

Year 3 FoPC (2 decks)

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