1. Quiz…

2. Locus of Control

3. 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?

4. 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’

5. What are the advantages/disadvantages?

6. How does this work with patients?

7. 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.

8. 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

9. 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…

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

11. 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

12. It’s the way you look at it…

13. Another quiz….
Burnout questionnaire

15. Resilience v Stress

17. 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?

18. 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

19. 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?

20. When is it good??

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

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

27. Challenge or threat?

28. What happens to you at this end?

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

31. Positive psychology : we need to do something about this!

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

34. Reframing is improtantr

36. 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

37. 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)

42. What educational provision is there for NQGPs?

43. 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”

44. Peer support
Exists in most (but not all) areas

45. 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, p89)
Morton-Cooper, A & Palmer, A (2000) Mentorship, Preceptorship and Clinical Supervision – a guide to professional roles in clinical practice. 2nd edition. Blackwell Science.

46. What is a Mentor?

47. 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

48. 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

49. 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
Experience elsewhere (eg Thames Valley Faculty RCGP) suggested initial contact at 6-8 weekly intervals

50. 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

51. Questions?