Leadership, nhs

Music

Up until this week I’d considered the concept of ‘team work’ to be within the context of sport. Organisations such as the NHS have also adopted it however I’d never really thought about it within the context of music.

My daughter has recently started learning the glockenspiel and plays in the school band.  She’s pretty good – yes I’m bias but she can play the Star Wars theme tune note perfect and with no sheet music. Come on, that’s good!

Anyhow I digress…. The kids have a completion coming up so having been rehearsing hard.  This particular morning the parents were treated to a performance of how they were getting on.  At the end the teacher explained to us some of the non technical skills they were learning in addition to the actual music.

I found it fascinating.

There were 5 main features:

  1. Focus – the kids were told to ignore any waving or shouting from the audience. By ignoring any distractions they were to walk to their positions looking professional. Focused on the music ahead.
  2. Tempo – each piece of music has a particular speed restriction.  Knowing it means everyone in the band adheres to it, neither going too fast or too slow.  The team goes along at the correct speed
  3. Leadership – keeping an eye on things is the band leader or the conductor.  The band members are advised to look to the conductor to ensure they are playing at the correct speed and at the right time.  The conductor themselves has the job of keeping everything harmonious and on time.
  4. Vision – is it what the composer wanted? Does it sound like what was envisaged for the piece.  The conductor can only do their job right if the various parts have the correct notes, in the correct section and aligned perfectly.
  5. Resilience – when it all goes bit pear shaped can you listen to what’s going on around you to pick it up again?

Point 5 I found the most interesting concept. It essentially spoke to me about the idea of silo working that I’m seeing at work.  What I liked about it in this context was while everyone has their own part/instrument to play, they are taught to listen to the other band members to guide them when they get lost or play a wrong note.  They don’t just give up and stop playing.  They get right back into the music and continue to contribute.

I think we need more of this in the NHS.  I do accept there are those out there trying to do this but they are still in the minority.  I have yet to fathom why.

While I was mulling this Kenny Dalgliesh came on Sunday Brunch.  Amongst the many questions asked of King Kenny (my husband tells me I’m legally required to refer to him by this name) he was asked what is was like to change from being a player to a manager?

In his very matter of fact way he explained that essentially he wasn’t part of that world anymore.  He noted that when he’d walk into dressing rooms the conversation would stop.  It was fine though.  He understood the change from playing with your mates to being the one who makes the tough decisions and enforces the rules.  Sure you can have the banter but at the end of the day the players look to their manager for guidance.

I see this in my work.  I am the big bad rota meister. I am also the one who constantly goes on about having structure and action plans. I am the one who walks into a room and the conversation stops.

However these days I have a choice of rooms to go into.  There are some that require the direction of a conductor.  And then there are those full of composers trying to create the vision.

At the end of the day the choice is clear for the NHS – we can collectively create beautiful music or continue to tolerate a big old noisy mess.  I am optimistic that the answer will be music to our ears…..

Uncategorized

Danger Zone

Today was a great day.  I flew a plane!

Ok, not an actual plane, I’d booked a session in a simulator next to Glasgow Airport.  For those who don’t know I am a recovering flying phobic.  A couple of years ago I decided to do something about it and went on Virgin’s ‘Flying without Fear’ course.  It was quite an eventful day but one I credit with literally putting a rocket up me to overcome my fear.

https://sparklystar55.com/2016/10/24/i-believe-i-can-fly/

Now of course my fear of flying was merely a symptom. The underlying cause was a crappy anxiety gene that manifested itself in panic attacks.  While you can’t do much about how you’re made up you can modify how things are expressed.  What helped in my case was that I also inherited a ‘don’t tell me I can’t do that’ gene.  Although my family will often say it’s just sheer bloody mindedness.  Whatever you call it it’s something that has got me where I am today and in particular into the seat of a Boeing 737 simulator.

I had decided after my exhilarating flight over Birmingham I would sign up for flying lessons.  Here’s the thing about phobias though, they don’t just go away overnight.  The control freak in me was only happy with learning to fly a big jet engine and by the way, only on sunny days with no wind.

As it turns out that’s not really something that we have in Scotland.  Oh, we do have the planes, just not the weather.  Apparently you also can’t just pitch up and ask for a flying lesson.  Something about training, cost, blah, blah, blah.  Whatever……

So I started doing some research.  I discovered most people start with small planes.  Tiny. Little. Two seater planes. No, not for me thanks very much!

To be honest I wasn’t entirely sure why I had this slight obsession about learning to fly.  A fair amount had happened since the course reinforcing just how far I’d come.  I’d flown my first solo transatlantic flight to Nashville.  I’d dealt with a medical emergency on a flight back from Gran Canaria. First time I’d cannulated someone and given IV opiates at 30,000 feet.

Mostly it was that I’d started enjoying the whole flying experience. There is a whole other world up above the clouds.  The views, the stillness. It’s just beautiful.

So back to my flying simulation – with all this positive affirmation in my head I thought it would be a breeze.  What I didn’t expect was the old familiar anxiety feelings to resurface.  So much so I nearly didn’t go. Ridiculous really!

However I applied the same strategy as I do when on an actual plane – I told them I had until recently had a fear of flying.  It seems one of their instructors also had this and now teaches people how to fly.

We started with a short talk on the principals of flying.  I was then given the option of going in the 737 or being taught in the simulator for little planes.

I have to say the flight deck of a 737 is quite impressive.  So many buttons and dials.  I decided however I wanted to fly properly so we headed back to the smaller one.

I know! I was as surprised when I said I’d prefer the two seater plane.

As I sat on the simulated runway of Glasgow Airport I could not only hear the noise of real life planes landing but feel it too.  It only added to the experience.  I may’ve been feeling teeny tiny but I was raring to go!

The next hour was spent flying around Loch Lomond, practicing banking, going up and down.  I took off (quite easy) and landed (not so easy) a few times.  To make it more interesting at the end wind, rain and low cloud cover was added.  I managed to land but forgot to use the peddles to steer once I’d got on the ground.  It finished with a rather flamboyant 360 spin.  I still managed to walk out the simulator in one piece though.

Whatever your particular phobia is I would urge you to push yourself to overcome it. There is a world of opportunities out there if you can.  For me, it’s been about coming out my comfort zone and into the Danger Zone……

education, geriatrics

A Whole New World

Three exciting things happened this week – I hosted my first ever Journal Club on Twitter, I attended the BMA Women in Medicine event and also presented at the Geriatrics for Juniors conference in Newcastle.

All very different but all with one thing in common – bringing people together.

My feeling over the past few months is that within healthcare there has been a creeping return to silo working. Whether it’s staffing on a ward area, the rota or teaching it all feels like people are in self preservation mode. It was nice to be pulled out of that for a while and see what was going on in the wider world

I’m not sure how many of you still run journal clubs at work?  They’re something that seem to have fallen out of fashion. I’ve got to be honest, in the past I didn’t like them.  For those who are unfamiliar, the premise was that some unfortunate soul was nominated to present a ‘topical’ paper at a lunchtime meeting.  This paper would then be dissected by the audience.  It was an opportunity for scientific ‘show pony-ism’ for the statistically minded. Usually I forgot to read the paper and when I did there seemed to be far too many statistics which I didn’t understand. I learnt nothing.

Years later I have come to appreciate their value in appraising evidence which is clinically relevant to my day to day work. I am still not keen however on the traditional design of a Journal Club.

What the @GIMJClub guys have done is take the same principal – ‘have paper, now discuss….’ and refreshed the format for a wider social media audience (#genmedjc)

In the week leading up to the Journal Club the paper and its supplementary links were shared across several social media platforms.  This allowed people the time and the flexibility to read it on a device of their choosing.  I must admit though, I still printed it off and sat with a pink highlighter pen – old habits!

The discussion was fast paced and hugely interesting. I learned loads!  The bonus part was it allowed people from all over the UK to take part from the comfort of their own home.

Using Storify, I was able to capture the main points reflecting a happy couple of hours of educational community.

https://storify.com/Sparklystar55/iqcode-journal-club

This energy followed me to the Women in Medicine BMA event a couple of days later (#BMAWomenMedicine). The workshops I found the most useful were those on Less Than Full-Time (LTFT) working.  It struck me that people were somewhat left to get on with it when it came to LTFT working.  As someone who has trained and currently works, correction, is paid less than full time it is a subject close to my heart.  We are seeing a change in the workforce with more people choosing to work flexibly where possible.

The BMA have recognised this and have introduced the concept of ‘LTFT Champions’. An informal go-to person to ask advice on the practicalities of LTFT working and to also  provide local guidance.  It’s something I’m looking to introduce to Forth Valley in the coming months.

To round off the week I was asked to present at the Geriatrics for Juniors conference (#G4J17).  The guys at @AEME are heroes of mine. Not only have they advanced Geriatric education they have raised the profile of the speciality a million fold.

On a cold Saturday in Newcastle ~200 mostly junior doctors attended a day of very entertaining presentations on the different facets of Geriatrics. To my mind this reflects the growing interest in our speciality, which I hope ultimately translates into more people training as Geriatricians.

What continues to impress me most about @AEME is that they not only recognised the need for a different way to deliver Geriatric teaching but they went out and did it.  They also managed to attract like-minded individuals to give up their time and contribute too – whether through a Connect event, a Podcast or their newly formed Mentor network.  Silo working just does not exist in their world.

Now of course you don’t have to go to these lengths to get out and talk to people. Pick up the phone, email (yes, I said it; its still a convenient communication tool), grab a coffee together or meet up with other specialty colleagues before a lunchtime meeting. One of my colleagues is trying to do this very thing by booking an area next to the lecture theatre.

Either way just get out there, people. You’ll be amazed by what you find….