A Few Things of Interest: A Weekly Roundup: Topic = Physician/Surgeon Suicide

Since we couldn’t post recently, we’ll post one longer post now.

Weekly Roundup: Physician Suicide (in order of publication)

MacDonald, H. (2017). Crossing the Rubicon: Death in ‘The Year of the Transplant’. Medical history, 61(1), 107-127.
Rothenberger, D. A. (2017). Physician Burnout and Well-Being: A Systematic Review and Framework for Action. Diseases of the Colon & Rectum, 60(6), 567-576.
Currie, J., & MacLeod, W. B. (2017). Diagnosing expertise: Human capital, decision making, and performance among physicians. Journal of Labor Economics, 35(1), 1-43.
Shanafelt, T. D., & Noseworthy, J. H. (2017, January). Executive leadership and physician well-being: nine organizational strategies to promote engagement and reduce burnout. In Mayo Clinic Proceedings (Vol. 92, No. 1, pp. 129-146). Elsevier.
Kuhn, C. M., & Flanagan, E. M. (2017). Self-care as a professional imperative: physician burnout, depression, and suicide. Canadian Journal of Anesthesia/Journal canadien d’anesthésie, 64(2), 158-168.
Damasceno, K. S., de Sousa Barbosa, É., Pimentel, J. V. C., Júnior, A. G. T., de Meneses, A. C. P., Júnior, J. G., … & Biruel, E. P. (2017). Suicide among Physicians and Methodological Similarities of MEDLINE/PubMED and BVS/BIREME Open Access Bibliographic Databases: A Systematic Review with Metanalysis. Health, 9(02), 352.
Ho, C., Siegfried, J., Remo, K., & Laskin, J. (2017). P1. 05-060 Adherence to Surveillance Guidelines in Resected NSCLC: Physician Compliance and Impact on Outcomes. Journal of Thoracic Oncology, 12(1), S651-S652.
Shorter, E. (2017). Doctors and their patients: A social history. Routledge.
Stain, S. C., & Farquhar, M. (2017). Should doctors work 24 hour shifts?. BMJ, 358, j3522.


Dr. Pamela Wible

Our apologies for the low quality video.

Here’s another helpful  video by Dr. Wible:

Tools / Tips

What to do when your coworker tells you that they are suicidal:

  1. If the situation is serious, call 911  (or  the emergency number in your country). If you aren’t comfortable with that, or at least the Suicide Prevention Lifeline: tel:1-800-273-8255:  More information here: http://www.sprc.org/resources-programs/role-co-workers-preventing-suicide-sprc-customized-information-series
  2.  Do some research. Here are some examples:

3. Check in with the person, and invite them to have a conversation. Make some excuse to engage them.

4. Don’t ignore signs of trouble and assume HR will intervene.  Research whether your workplace has an employee assistance program. Some people with depression feel too emotionally exhausted to take these kinds of steps to help themselves, so just doing this can help them immensely.

5. A goal oriented approach often helps more than a problem-based approach, when helping people overcome depression.

6. Call your Employee Assistance Plan (EAP) phone number for advice.

These are only a few ways to help. We recommend that you research other ways to help and seek expert guidance as needed.



Research of the Week: On Physician and Surgeon Burnout

The following articles  include some very relevant research on phsycian and surgeon burnout.

Chakravarti, A., Raazi, M., O’Brien, J., & Balaton, B. (2016). Anesthesiology Resident Wellness Program at the University of Saskatchewan: curriculum content and delivery. Canadian Journal of Anesthesia/Journal canadien danesthésie,64(2), 199-210. doi:10.1007/s12630-016-0773-0.
Cicchinelli, L. D. (2017). Comments from a Veteran Mission Surgeon. The Journal of Foot and Ankle Surgery,56(2), 223. doi:10.1053/j.jfas.2017.01.032
Deb, A. (2017). Practical Considerations in Addressing Physician Burnout. CONTINUUM: Lifelong Learning in Neurology,23, 557-562. doi:10.1212/con.0000000000000461.
Fumis, R. R., Amarante, G. A., Nascimento, A. D., & Junior, J. M. (2017). Moral distress and its contribution to the development of burnout syndrome among critical care providers. Annals of Intensive Care,7(1). doi:10.1186/s13613-017-0293-2.
Grocott, H. P., & Bryson, G. L. (2016). The physician at risk: disruptive behaviour, burnout, addiction, and suicide. Canadian Journal of Anesthesia/Journal canadien danesthésie,64(2), 119-121. doi:10.1007/s12630-016-0782-z.
Hirayama, M., & Fernando, S. (2016). Burnout in surgeons and organisational interventions. Journal of the Royal Society of Medicine. doi:10.1177/0141076816666810.
Mendelsohn, D., Despot, I., Gooderham, P., Singhal, A., Redekop, G., & Toyota, B. (2017). B.01 Impact of work-hours and sleep on well-being and burnout for physicians-in-training: the prospective RATE Study. Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques,44(S2). doi:10.1017/cjn.2017.72.
Meyer, R. A. (2017). Burned Out or Bummed Out. Journal of Oral and Maxillofacial Surgery. doi:10.1016/j.joms.2017.04.047
Nahai, F. (2016). When Love Is Not Enough. Aesthetic Surgery Journal. doi:10.1093/asj/sjw223.
Nguyen, M. C., & Moffatt-Bruce, S. D. (2017). Surgical Quality and Safety: Current Initiatives and Future Directions. The SAGES Manual Transitioning to Practice,125-144. doi:10.1007/978-3-319-51397-3_9.
Stein, S. L. (2017). The Changing Face of Surgery Today. Annals of Surgery,1. doi:10.1097/sla.0000000000002337.
Swendiman, R. A. (2017). Cognitive Dissonance in Training. Annals of Surgery,265(6), 1062-1063. doi:10.1097/sla.0000000000002145.
Winkel, A. F., Nguyen, A. T., Morgan, H. K., Valantsevich, D., & Woodland, M. B. (2017). Whose Problem Is It? The Priority of Physician Wellness in Residency Training. Journal of Surgical Education,74(3), 378-383. doi:10.1016/j.jsurg.2016.10.009.
Wuest, T. K., Goldberg, M. J., & Kelly, J. D. (2016). Clinical Faceoff: Physician Burnout—Fact, Fantasy, or the Fourth Component of the Triple Aim? Clinical Orthopaedics and Related Research®,475(5), 1309-1314. doi:10.1007/s11999-016-5193-5.



Blog Roundup: Various Topics

13181258_1043733419046112_1837823006_nThis week’s blog roundup consists of several different kinds of blogs of interest. We hope you enjoy the variety of perspectives presented here.

1. Orthobuzz – Sports Medicine Update- https://orthobuzz.jbjs.org/2017/05/31/sports-medicine-update/

2. TheraSport Physical Therapy- Strength Training and Conditioning-https://therasportpt.wordpress.com/2017/05/31/strength-training-and-conditioning/

3.Dr. Fitness -Achilles Tendonitis -https://drfitnessin.wordpress.com/2017/06/02/achilles-tendonitis/

4. Author Viswanath- Self- Talk Improves Sports Performance -https://viswanathauthor.wordpress.com/2017/06/02/self-talk-improves-sports-performance/

5. Tanzania Stories – Stability – https://tanzaniastories2.wordpress.com/2017/05/22/stability/

6. The Trotter Family- The Temporary Intimacy of Expat Life (and my search for rootedness) {A Life Overseas}-https://trotters41.com/2017/05/24/the-temporary-intimacy-of-expat-life-and-my-search-for-rootedness-a-life-overseas/

7.notanothertckblog -Depression and the TCK- https://notanothertckblog.wordpress.com/2017/05/27/depression-and-the-tck/

8.Mind, Body & Stomach- Pain & Health- https://mindbodystomach.me/2017/06/05/pain-health/

9. health1493- ACL and Meniscus Injuries – causes, symptoms, and treatment – https://health1493.wordpress.com/2017/05/18/acl-and-meniscus-injuries-causes-symptoms-and-treatment/

10. Dr. Jared Burch, Physical Therapist-Muscle Shortening: What is it, physiology behind it, how to use it -https://drburchphysicaltherapy.com/2017/05/22/muscle-shortening-what-is-it-physiology-about-it-how-to-use-it/

11.Nelsonecom -Advantages of orthopedic surgical treatment-https://nelsonecom.wordpress.com/2017/05/28/advantages-of-orthopedic-surgical-treatment/

12.pacificaorthopedicshuntingtonbeach – Advantages of orthopedic surgical treatment -https://pacificaorthopedicshuntingtonbeach.wordpress.com/2017/05/28/advantages-of-orthopedic-surgical-treatment/

13. Gary Forrest Edwards – -Dr. Gary Forrest Edwards: Chiropractic Orthopedics – https://garyforrestedwards.wordpress.com/2017/05/30/dr-gary-forrest-edwards-chiropractic-orthopedics/

14. CS Grit – Strum – https://csgrit.wordpress.com/2017/06/04/strum/

15. Crazy Nerds – What Not to Do – https://crazienerds.wordpress.com/2017/06/05/what-not-to-do/

16. Make it Ultra- How to Recover from a Mistake using G.R.O.W.T.H. – https://makeitultrapsychology.wordpress.com/2017/06/05/how-to-recover-from-a-mistake-using-g-r-o-w-t-h/

17. Creatorspoint – Happy Me- https://ceatorspoint.wordpress.com/2017/06/05/happy-me/

18. Culture 99 – Intercultural Communicative Competence Conference, Prague, 22nd to 23rd June 2017-https://culture99.wordpress.com/2017/05/19/intercultural-communicative-competence-conference-prague-22nd-to-23rd-june-2017/

19. Edupliance- 5 tips to Stop Harrasment in the Workplace -https://culture99.wordpress.com/2017/05/19/intercultural-communicative-competence-conference-prague-22nd-to-23rd-june-2017/

20. Desu Blog- High and Low Context in Japan and Finland – https://bakagaijindesu.wordpress.com/2017/06/05/high-and-low-context-in-finland-and-japan/

21. Dr. John Flynn- The Irish Fight Clubs – https://johnflynn64travel.wordpress.com/2017/06/05/the-irish-fight-clubs/

22. Tips for the Medical Tourist- Quality-https://gaer2017.wordpress.com/2017/06/04/quality/

23. OKTHENWHATSNEXT- NHS and Private Healthcare- https://okthenwhatsnext.wordpress.com/2017/06/04/nhs-and-private-healthcare/

24. The junior Doctor- Patient Confidentiality is an Illusion -https://juniordoctorsite.wordpress.com/2017/06/04/patient-confidentiality-is-an-illusion/

25. Amos- Shin Splints. And Where to Find Them. How to Fix Them. Etc.- https://amosmag.com/2017/06/05/shin-splints-and-where-to-find-them-how-to-fix-them-etc/

26. Business Psychology -The Entrepreneur’s Wound – https://businessofbusiness.blog/2017/05/27/the-entrepreneurs-wound/

Research Update

Here are some interesting articles  from the research community recently:

Bokhari, R. (2016). Improving patient safety as a function of organizational ethics in the delivery of healthcare in Saudi Arabia (Doctoral dissertation, Duquesne University).
Hong, J. Y., & Yoo, E. K. (2016). Perception and Associated Factors on Patient Safety Culture of Care Helper in Nursing Facility. International Information Institute (Tokyo). Information, 19(11B), 5577.

Lee, C. T. S., & Doran, D. M. (2017). The Role of Interpersonal Relations in Healthcare Team Communication and Patient Safety: A Proposed Model of Interpersonal Process in Teamwork. Canadian Journal of Nursing Research, 0844562117699349.

Lillibridge, N., Botti, M., Wood, B., & Redley, B. (2017). An observational study of patient care outcomes sensitive to handover quality in the Post‐Anaesthetic Care Unit. Journal of Clinical Nursing.

Makkar, N., & Jain, K. (2017). To study the impact of design considerations on customer satisfaction in a dialysis facility of a super-specialty tertiary care hospital in Delhi, India. International Journal of Research in Medical Sciences, 5(6), 2563-2571.
Martinez, W., Lehmann, L. S., Thomas, E. J., Etchegaray, J. M., Shelburne, J. T., Hickson, G. B., … & Bell, S. K. (2017). Speaking Up About Traditional and Professionalism-Related Patient Safety Threats.
Merino-Plaza, M. J., Carrera-Hueso, F. J., Castillo-Blasco, M., Martínez-Asensi, A., Martínez-Capella, R., & Fikri-Benbrahim, N. (2017, April). Evolution of patient safety culture in a medium-stay hospital: monitoring indicators. In Anales del sistema sanitario de Navarra (Vol. 40, No. 1, p. 43).
Merkel, M. J., von Dossow, V., & Zwißler, B. (2017). Structured patient handovers in perioperative medicine: Rationale and implementation in clinical practice. Der Anaesthesist.
Muñoz, M. (2017). No Pass Zone: Call Light Response and Interdisciplinary Teamwork.
Ott, L. K. (2017). Shielding From Harm: What Can You Do? Speak Up. Journal of Radiology Nursing, 36(2), 136-137.
Paramalingam, V., Swift, S., Smith, O., Williams, M., Greco, P., Every, H., … & Baker, A. (2017). Improving Quality and Safety in the ICU through the Introduction of a Procedural Checklist and Pause. Canadian Journal of Critical Care Nursing, 28(2).
Piva, E., Sciacovelli, L., Pelloso, M., & Plebani, M. (2017). Performance specifications of critical results management. Clinical Biochemistry.
Villiers-Tuthill, A., Doulougeri, K., McGee, H., Montgomery, A., Panagopoulou, E., & Morgan, K. (2017). Development and Validation of a Cross-Country Hospital Patient Quality of Care Assessment Tool in Europe. The Patient-Patient-Centered Outcomes Research, 1-9.
Wollenhaup, C. A., Stevenson, E. L., Thompson, J., Gordon, H. A., & Nunn, G. (2017). Implementation of a Modified Bedside Handoff for a Postpartum Unit. Journal of Nursing Administration, 47(6), 320-326.

An Interesting talk by the Berman Institute

Today we thought we would share an interesting video on ethics presented by the Berman Institute.

Here’s the description as written on their Youtube site: “How should we respond to patients who make racist, sexist or otherwise offensive comments? How should we respond to patients who make a request, based on bigotry, for a different health care provider? What are the key ethics and professionalism considerations to bear in mind when thinking about an appropriate response to these questions? Drs. Joe Carrese, Ellen Durant, Ali Thayer, and James Page discuss these questions, drawing on their own experiences.”

What do you think?  Share your comments below.

Why You Won’t Find Psychologists or Psychiatrists On Our Current Team…

Some of you may be surprised that in improving team dynamics and cross-cultural communication within the context of patient care and medical professional well-being, we don’t have any Psychiatrists or Psychologists on our team. In this post, we’ll explain why this is our current model.

1. The first reason why we don’t have any Psychologists, Psychiatrists on our current team is because we partner with departments and individuals at the clients’ locations that specialise in those fields. We also work with Social Work and HR teams in conjunction with the aforementioned departments and our direct clients’ departments. Example: If our client is the Department of Radiation Oncology at an institution, we connect to their department and any other department that would be able to collaborate with us and our client to develop strategies to overcome the problems at hand.

2. Along with point 1, we prefer to tap into existing systems and resources that our clients have in place and save the client money. We don’t want the client to have to pay expensive consulting fees for mental health professionals when they have exceptional individuals working with them on their staff.

3. Moreover, we have noticed that many Physicians and Surgeons are wary of seeking the help of mental health professionals, because of concerns regarding renewals of licences and the way that seeking mental health looks on their record. Some even suffer silently, because they are worried about losing the permission to do their jobs. When it comes to patient care, it’s easier for them to collaborate with other professionals.

4. At present, we are taking a slightly different approach to cross-cultural communication and well-being, in that we are focusing on a language and cultural approach. Our model takes things from interpersonal communication, diversity and linguistic angles, focusing on strategies to build teams and prevent breakdowns that can lead to more serious situations and the need for mental health professionals’ guidance. Also, we help our clients ‘clean up’ in the aftermath of a messy situation involving language, culture or diversity, and develop tools for avoiding the same situation in the future. In all of these cases, we regularly collaborate with mental health professionals, but our lens is more focused on the culture and communication piece.

5.  As language and culture professionals, we focus on consulting and coaching, not counselling. Here are a few definitions for your consideration:

  • Coaching: Coaching develops leadership, strategy, relationships and communication through facilitation, accountability, listening, and challenge.
  • Consulting: Giving expert advice, strategies, expertise, and experienced opinions to clients on decisions and situations of importance. Consultants are specialists in their field.
  • Counselling: Helping people resolve psychological or mental health problems, through licenced mental health counselling.

Again, let it be very clear: We do not offer psychological, psychiatric or other mental health counselling in our sessions. We also do not offer therapy.

So what is our focus more specifically? 

The main focus is on helping each client navigate and enhance cross-cultural relationships, improve communication with peers and patients. We also use the aforementioned language and cultural tools to foster positive environments that improve well-being and efficiency in medical teams.

Our coaching/consulting relationship is a partnership which:

  • Unlocks a potential to maximise performance.
  • Allows the client flexibility
  • Encourages accountability
  • Helps clients learn by doing
  • Inspires creative thinking, growth, and strategies
  • Provides structure, advice and guidance

Our Responsibilities When Working With Clients:

1. Ask questions, encourage, advise, challenge, make requests and listen.
2. Keep you on track with your goals, values and vision.
3. Value clarification, identifying plans of action, and examining modes of operating.
4. Giving feedback and empowering actions.
5. Provide and facilitate sessions.
6. Customise sessions to fit each client’s need.
7. Demonstrate 100% commitment to the process.

Responsibilities of the Client:
1. Expect Your Best – Give Your Best Effort.
2. Be Willing to Change and Take Action.
3. Be Open to Feedback.
4. Do the Required Homework.
5. Let Your Coach Know How You Feel About the Process.
6. Be Committed and Focused.
7. Request Adjustments as Needed to Help Your Learning.
8. Understand That You Will Grow.
9. Be Willing to Step Up to Face the Challenge.

Will Coaching Really Help?
Check out this helpful article from the Harvard Business Review for more information: https://hbr.org/2015/04/will-that-cross-cultural-coach-really-help-your-team.

To learn more about us and our model, please visit our website.

©Allison J. Weaver Consulting, LLC 2017