Quiz…

Locus of Control

Locus of Control As the environment around you changes you can attribute success & failure to things you have control over Or to forces outside your influence Which orientation you choose can have a bearing on your long-term resilence What is your perception?

Locus of Control INTERNAL Outcomes within your control Determined by your hard work & decisions ‘Own destiny’ EXTERNAL Outcomes outside your control Independent of your decisions or hard work ‘Fate’

What are the advantages/disadvantages?

How does this work with patients?

Locus of Control Men & managers are more likely to have an internal locus of control As we grow older we generally move towards a more internal locus of control This is usually because we can have more influence on things going on in our lives And we learn what happens to us is often a result of what we do As people grow older they tend towards a more internal locus of control. This comes from the increased ability to influence things going on in their lives and the realization that much of what happens to them is a result of what they do.

Internal Locus Style Engage in activities to improve their situation Work hard to develop knowledge, skills and abilities Inquisitive to find out why things turned out that way Use that information to create positive outcomes moving forward

Develop your Internal Locus… and encourage your patients too! Recognise you have a choice, even if you choose to do nothing Set goals & grow your self confidence Practice decision making & problem solving Re-programme your inner voice But don’t bruise others…

Career Resilience Internal Locus is one of a range of useful attributes, Can you think of any others? Nt

Career Resilience Internal Locus is one of a range of useful attributes, others include Being Flexible & creative Having a Sense of purpose Optimism Courage & determination Minimising focus on blame or guilt Problem solving skills Capacity for emotional expression (positive & negative) Nt

It’s the way you look at it…

Another quiz…. Burnout questionnaire

Resilience v Stress

Resilience Psychological resilience is an individual's tendency to cope with stress and adversity Wikipedia 25/1/14 Dictionary.reference.com. What is it? Protective Factors.. How to learn to have it?

Another Definition Resilience is a dynamic process whereby individuals exhibit positive behavioral adaptation when they encounter significant adversity, trauma, tragedy, threats, or even significant sources of stress. What is Resilience ?. APA Help Center. Retrieved on 2013-04-16

What is stress?? What is it? Can you think of someone you have seen who is stress? What happened to them? How did you know? Have you ever been stressed? How did it feel? Can it be good? What helped you or helped them? What happens if you don’t have any stress?

When is it good??

What protective factors can you think of? What stressors ? Internal/workplace/society…

No problem it will be interesting…. Ok, If I have to… Oh no…..

Challenge or threat?

What happens to you at this end?

Burnout characterised by emotional exhaustion/depersonalisation/falling levels of achievement

Positive psychology : we need to do something about this!

High energy v low energy… pos v neg emotions> Survival/performance/burnout/relax replenish…

Reframing is improtantr

Factors that promote resilience The ability to cope with stress effectively and in a healthy manner Having good problem-solving skills Seeking help Holding the belief that there is something you can do to manage your feelings and cope Having social support

Factors that promote resilience Being connected with others, such as family or friends Self-disclosure of the trauma to people who care Spirituality Having an identity as a survivor as opposed to a victim Helping others Finding positive meaning in the trauma Candide (Pangloss/Leibniz)

What educational provision is there for NQGPs?

CPD: How will you know what education you will need? Some suggestion that certain health professionals find it more stressful when put in a situation that requires them to be a “self-directed learner”

Peer support Exists in most (but not all) areas

Mentoring…. Mentoring programme Being newly qualified: a “time of anxiety and uncertainty”, many professionals experience a “reality shock” (a time of disorientation) support is helpful to enable them to navigate this period of “transitional learning” (all from Morton-Cooper & Palmer, 2000 p89) Morton-Cooper, A & Palmer, A (2000) Mentorship, Preceptorship and Clinical Supervision – a guide to professional roles in clinical practice. 2nd edition. Blackwell Science.

What is a Mentor?

Definitions of mentoring? Support – listening, providing structure, expressing positive expectations, sharing ourselves, making it special. Challenge – setting tasks, engaging in discussion, heating up dichotomies, constructing hypotheses, setting high standards. Vision – modelling, keeping tradition, offering a map, suggesting new language, providing a mirror. Daloz, L (1986) Effective teaching and mentoring. Jossey-Bass, San Francisco

Severn Mentorship Programme “An organisation which offers structured mentorship is an organisation with more fulfilled, committed, resourceful and motivated employees, who will stay within that organisation” Cunningham I (2001)Mentoring: its role in changing the organisation culture. Centre for Self-Managed Learning, Middlesex University, Middlesex. Partnership between Severn Deanery School of Primary Care Severn Faculty RCGP PCTs With additional funding from the South West GP Trust Each NQGP can opt in to have access to a mentor for 2 years post-CCT Started with Swindon, Gloucestershire & Bath in 09, rolled out to Bristol & Somerset in year 2

So what happens? Administered by Severn Faculty RCGP Matching of NQGPs to mentors Confidential learning relationship between two doctors Time and space to reflect on career; but may be appropriate to bring in life events Initially face-to-face contact, but later could be telephone or email Experience elsewhere (eg Thames Valley Faculty RCGP) suggested initial contact at 6-8 weekly intervals

What do people use it for…? Appraisal & revalidation Keeping up-to-date and recording learning Jobs – locuming vs regular work Choosing a salaried post Maternity leave Career plans Issues in salaried posts Work relationships Clinical situations Stress Workload Negotiating Dealing with uncertainty Local educational facilities available

Questions?