Doctor self care 2

Track 22
Saturday, October 28, 2023
10:35 AM - 12:30 PM
Meeting Room E3.4

Speaker

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Dr Margaret Kay AM
Senior Lecturer
The University of Queensland

Caring for doctors: for ourselves and for our colleagues

10:35 AM - 11:30 AM

Summary

This mini-workshop focuses on doctors’ health from the perspective of the family physician, recognising the importance of personal self-care and the need for expertise to care for colleagues.

Initially the evidence for improving the wellbeing of the doctor to enhance the care provided to patients will be outlined. A brainstorming activity will encourage participants to identify and challenge the myths that surround doctors’ health. The current doctors’ health evidence will be presented to enhance the participants’ existing knowledge.

Working together, strategies for addressing personal self-care across the many dimensions of wellbeing will be identified, recognising the barriers that family physicians can face when addressing their personal self-care needs. New research recognising how diversity in practice can strengthen resilience will be included. The importance of regular self-reflection and tools to enable this process will be underscored.

Small group work will engage participants in identifying the barriers that doctors experience when accessing care and feedback from groups will be supplemented with an outline of the current knowledge about these issues. These barriers preventing doctors seeking care exist for both mental and physical health concerns. Strategies for personally navigating these barriers will be discussed. Resources for assisting colleagues to navigate these barriers will be also be provided, establishing an understanding of the importance of collegial support.

As doctors are encouraged to have a family doctor, family doctors who provide this care need the key skills required to provide quality care for their doctor-patients. An evidence-based framework for delivering care to doctor-patients will be presented. The current legal landscape and responsibilities of mandatory reporting will be outlined. While outlining the importance of establishing boundaries to enable therapeutic relationships to thrive, the professional and ethical complexities that can arise when the patient is a doctor will be acknowledged.

Takeaways

1. Develop skills in self-reflection designed to enhance personal self-care strategies.
2. Describe the barriers to health access that doctors encounter.
3. Outline a framework for caring for the patient when the patient is a doctor.

Biography

Dr. Margaret Kay AM MBBS(Hons) PhD FRACGP DipRACOG GAICD is a general practitioner and Fellow of the Royal Australian College of General Practitioners. She holds an academic title as Senior Lecturer with The University of Queensland. Her PhD in Physician Health investigated doctors’ access to health care. Dr Kay has extensive experience in teaching physician health to students, junior doctors and senior colleagues. She has clinical and research expertise in both doctors’ health and refugee health and many of her peer-reviewed publications focus on doctors’ health. In 2022, she was awarded an Order of Australia for significant service to medicine, to medical education, and to migrant health.
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Dr Nena Kopcavar Gucek
COMMUNITY HELATH CENTRE LJUBLJANA

Violence in healthcare: How to keep our patients and our teams safe?

11:30 AM - 12:25 PM

Summary

BACKGROUND
Today, violence is a global problem that is rapidly expanding. Violence in the workplace occurs almost everywhere. Healthcare is exposed to particularly high risk as almost a quarter of all workplace violence occurs in the healthcare environment. Violent events leave negative consequences for all participants, patients, and healthcare workers. Although data may vary in different countries, in Great Britain 30% of doctors were exposed to violence. Verbal violence was experienced by
24.1% and physical violence by 2.1% of Japanese doctors. In the USA - between 35 and 80% of healthcare workers have been physically assaulted at least once in their career. 63.7% of Australian doctors confirmed the experience of violence in an anonymous questionnaire.
Our common goal is to prevent violent events and increase the role of patients in decision-making in the development of a culture of quality and safety.
LEARNING OBJECTIVES
Learning objectives:
At the conclusion of the session, participants will
1. Understand the importance of a safe working environment for the proper delivery of healthcare.
2. Be aware of possible outbursts of violence in their working environment.
3. Be able to recognize the signs of escalating violence.
4. Know how and when to use de-escalation in order to prevent violent events.
5. Take home some ideas for the safety plan in their own practice environment.

AIM
This workshop aims to address violence in healthcare, which escalated steeply during and after the COVID pandemic.
METHODS
Following a short introductory presentation participants will be able to discuss prepared vignettes and/or their own cases, focusing on their specific working environment and specific safety strategies. This will be followed by a plenary discussion and conclusion statements.

Takeaways

1. Understand the importance of a safe working environment for the proper delivery of healthcare.
2. Be able to recognize the signs of escalating violence.
3. Know how and when to use the de-escalation technique in order to prevent violent events.

Biography

Nena Kopcavar Gucek is a medical doctor and Ph.D., working as a family physician in the Community Health Center of Ljubljana. As an Assistant Professor, she is an active member of the faculty of the Department of Family Medicine, Medical School, University of Ljubljana. Frequently she is an invited lecturer at national and international scientific meetings, author and co-author of several scientific articles, and collaborates closely with patient associations and non-governmental organizations. For four years, she served as an elected vice president of UEMO. As a long-standing member and since 2019 also as one of the two co-convenors of WONCA World Special Interest Group for Family Violence, she is particularly interested in family relationships and was awarded a Ph.D. in 2015 for her research in family violence. For several years she has represented Slovenian family practitioners in the media. Currently the vice president of the Slovenian Association for Family Medicine.

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