What happens when it all goes wrong?

Question 1

Define resilience

Answer 1

An ability to withstand and bounce back from adversity. Enabling indiviuals to compartmentalise to maintain a good QOL

Question 2

What traits contribute to resilience?

Answer 2

Self-directedness (an ability to take responsibility, learn from mistakes and move on)

Co-operativeness

Harm-avoidance (low levels enable doctors to accept necessary risk and be less anxious)

Persistance (Don’t want to push too hard and burnout)

Question 3

Define Self-awareness?

Answer 3

Ability to reflect on working life, expectations and tolerance. This enables you to modify your traits and improve your resilience

Question 4

What are the most common health conditions in doctors?

Answer 4

Stress
Anxiety & PTSD
Depression
Addictions (behavioural, alcohol & drugs)
ADHD
Eating disorders

Question 5

Think of some consequences of health issues in doctors?

Answer 5

Poorly functioning teams
Poor patient care
Time off work
Impact on families & personal life

Question 6

Think of some barriers doctors have to seeking help?

Answer 6

Difficult to take time off
Heavy workload
Fear of stigma, career consequences & lack of confidentiality
Experience of how other colleagues got treated

Question 7

How can we help prevent mental health problems in doctors?

Answer 7

Reduce stigma
Change the image of it as failure
Mentoring and support
Workplace stress management strategies
Encourage reflection
Mindfullness

Question 8

What programme do we have to treat mental health problems in doctors in scotland?

Answer 8

NHS Practitioner Health Programme (PHP)

It’s an independant service that operates out of GP practices

Question 9

How might a PHP pathway go?

Answer 9

Telephone triage then assessment at PHP
Admitted for 4-6wks then discharged back to PHP
Follow up appointments with CBT or Group psychotherapy

Question 10

When it comes to Data protection what are the 6 principles of the General Data Protection Regulations:

Answer 10

Personal data must be:

• Processed lawfully, fairly & transparently
• Processed for specific, explicit purposes
• Adequate, relevant & limited to what’s needed
• Accurate & up to date
• Not be kept longer than necessary
• Secure

Question 11

What characteristics are protected under the 2010 Equality Act?

Answer 11

• Age
• Disability
• Gender reassignment
• Marriage & civil partnerships
• Pregnancy or maternity
• Race
• Religion/beliefs
• Sex
• Sexual orientation

Question 12

What conduct is explicitly prohibited under the 2010 Equality Act?

Answer 12

Direct Discrimination
Indirect Discrimination
Harassment
Victimisation

Question 13

Whats the difference between direct and indirect discrimination?

Answer 13

Direct - A treats B less favorably than others

Indirect - A applies a provision or practice to B based on B’s protected characteristic

Question 14

Define the duty of care:

Answer 14

To provide safe, effective medical care of a standard the patient has a right to expect from any reasonable, competent medical practitioner

Question 15

Define Negligence in civil law:

Answer 15

There must be a Failure in Duty of Care leading to resultant Foreseeable Damage