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Stress and Positivity for GP Trainees

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by

Aman Arora

on 16 December 2014

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Transcript of Stress and Positivity for GP Trainees

Stress and Positivity for GP Trainees
Why this topic?
- Stress is increasing in General Practice.

- Stress is increasing in GP Training.

- Recognising and acting quickly is important.

What is stress?
How do we recognise it?
It's not all negative!
- Practical ways to help...

- Remembering why we do what we do...

- Introduce positive thinking...
Aims and Objectives
- Recognise signs of stress early.
- Practical ways to reduce stress.
- Introduction to Positive thinking?
- How to use Positive thinking in our work lives.
Interactive
- Reflect on your own situations.
- Tasks.
- Discussion board afterward.
Physical
- Aches and pains
- Diarrhoea or constipation
- Nausea, dizziness
- Chest pain, rapid heartbeat
- Loss of sex drive
- Frequent colds

Behavioural
Dr. Aman Arora
When have you felt
stressed?

a situation where demands on us
exceed our resources or ability to cope

- Time
- Experience/Knowledge
- Emotion

“the most stressful period humans have ever experienced”
“biggest issue that modern man has to deal with”
“biggest cause of illness”
“the issue that costs companies and our economies billions”

Cognitive
- Memory problems
- Inability to concentrate
- Poor judgment
- Seeing only the negative
- Anxious or racing thoughts
- Constant worrying

Emotional
- Moodiness
- Irritability or short temper
- Agitation, inability to relax
- Feeling overwhelmed
- Sense of loneliness and isolation
- Depression or general unhappiness

- Eating more or less
- Sleeping too much or too little
- Isolating yourself from others
- Procrastinating or neglecting responsibilities
- Using alcohol, cigarettes, or drugs to relax
- Nervous habits (e.g. nail biting, pacing)


Think of the answers
to these 3 questions:
1) Why did you become a doctor in the first place?

2) Why did you apply for GP Training in the first place?

3) What is your most positive experience as a doctor?
WHY?
What is Positive
Thinking?

- We have 60-70,000 thoughts a day.

- Some are positive, most are negative.

- Our mind follows our triggers and instructions.
That CBD 'Case Based Discussion' with my supervisor was terrible - I didn't demonstrate anything that I knew.....
Focus only on
the negatives....
That CBD 'Case Based Discussion' with my supervisor was terrible - I didn't demonstrate anything that I knew.....
Now focus only
the positives....
They've added 3 extra patients on my list!
Negatives...
Positives...
Practical Tips - PLAN, PLAN, PLAN
- Put things down on paper

- Goal-setting

- To-do-list

- 5 minutes night before / morning



Practical Tips - TALK TO OTHERS
- Be honest with yourself first, reflect on struggles/issues.

- Resist simply trudging along – ‘everything will sort itself out’.

- ES / TPD's / Colleagues.

- Resist the easy moan.

Have we met the aims?
- Recognise signs of stress early.

- Practical ways to reduce stress.

- Introduction to Positive thinking?

- How to use Positive thinking in our work lives.
Discussion Board Task
Evaluation
- Think of when you were most stressed, how it affected you and how you overcome it.

- Having done this presentation, would you now approach the situation any differently?

- Use the discussion board to share your thoughts, prior to the session next week.
Could you kindly complete the survey monkey evaluation for feedback on this interactive session. Many thanks and see you next week!
Further Reading
What is stress?
Below are some links that highlight and discuss stress amongst doctors and as GP's. You may wish to chose one or two to read before our session next week.

http://www.pulsetoday.co.uk/your-practice/battling-burnout/one-in-eight-gps-have-sought-help-for-stress-in-past-year/20003871.article#.VJBAkNK8BAo

http://www.patient.co.uk/doctor/burnout-in-the-medical-profession

http://www.support4doctors.org/detail.php/58/managing-stress-as-a-doctor?category_id=15

http://www.rcgp.org.uk/news/2013/june/85-percent-of-family-doctors-say-general-practice-in-crisis.aspx

http://www.gponline.com/gp-exodus-looms-stress-hits-15-year-high-dh-poll-reveals/article/1211968

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