[Music]
[Applause]
hi good afternoon everybody my name is
nori and I thank you for coming the
opportunity to come here and talk to you
and just basically a little bit about my
thoughts on how you the public and it
can be involved in training people to
become doctors but before I get into the
crux of my talk I read it while I was
preparing that it’s important for a
speaker to find some way of connecting
with the audience and that one way to do
that might be to to tell a story so and
I have a story for you it’s quite
personal story it’s the story of my
first time so yeah I remember it quite
clearly so it was um it was a Thursday
afternoon and I know this because
Wednesday was once he’s tend to be
student night and I was feeling pretty
rough and so I kind of and I stepped up
and I went to the door and I knocked on
the door and I went in and she was lying
there on the beds
and I just looked up at me and he smiled
and he said you’ve never done this
before have you looked at the ground the
shipment had I said no no I haven’t and
I’m sure he could sense my anxiety my
heart was racing my palms are sweating
pretty much like we are today and then
and I remember like awkward like a nice
going towards the bed and then not
allowed to turn went to the curtain drew
the curtain will keep us away from
prying eyes and then well just to cut
what was a short story and a little
shorter basically what end of all of it
I was pretty pleased with myself she
seemed fairly satisfied and at least for
that evening I went to saw a flatmate
and I was like oh jazz you’ll never
guess what I’ve done today yeah oh yeah
I took blood from a patient a real
patient for the very first time
that’s right so my first time story was
the first time I take blood you know the
patient was a the the chap James and
pretty sure his name was and it was a
patient lying in a hospital bed and he
knew I was coming and so on and so forth
and I think that M James was pretty
brave to let me knowingly take blood
from him for the first time because up
until that point had only ever taken
blood from one of these and now this is
called a task trader and it’s
essentially just the plastic arm and
some fake blood in it and if you hit the
right spots the blood comes out and if
you don’t you try again and again and
again and again and again and so you get
it right so my question to you is would
you ever knowingly but the first time a
student or dr. perform a procedure we
all knew now in my current role I’m
responsible for teaching medical
students and people who are training to
become doctors and nurses and bear
witness to several many first times and
it’s got me kind of reflecting on my own
experience as a student and essentially
when I was at uni studying to become a
doctor I was also really keen triple
jumper and I used to dedicate in two
hours of every day practicing my events
I had a really dedicated coach who would
watch me critique my performance and
give me some feedback and I got quite
good at it but I recognized that I
didn’t spend this much time practicing
the skills that I needed to become a
doctor and it wasn’t for what of trying
I wasn’t a lazy student by any stretch
of the imagination
but if you think about it there are a
huge number of skills which a doctor
needs to to get good at in order just to
function in a daily basis so time is a
problem and not only that but sometimes
our just isn’t the opportunity to
practice in normal enormous number of
skills so this winter you’ll know
probably some of you’ve been suffered it
there’s been quite a bad flu crisis and
in a hospital that I work in
I often
Sunderland’s actually we’ve had to close
many of the wards to visitors and this
is also affected our students so they
haven’t been able to get in on the job
and learn on the job
also winter worst winter we’ve ever had
in terms of ma any admissions students
and haven’t had the opportunity to be
observed by doctors performing and
getting feedback the custard just isn’t
time patient care always has to come
first so how what do we do what do we do
that to kind of and get around this to
mitigate these barriers well we can use
a training technique a teaching tool
called simulation and you might have
heard of simulation being used to teach
pilots how to fly
you know they go in a flight simulator
and that looks just like the real thing
a picture of one here and if you’ve
never even seen a flight deck I can
imagine you I think you could imagine
that that’s what a real plane looks like
and it is on the inside it moves and
feels like the real thing and in
medicine we have guests we use
simulations as well that arm that I
showed you was one of such simulator and
M rather than could have lists all the
different kinds views I’m going to show
you a short clip of a really common kind
of simulation that we do now while you
watch this I would like you to kind of
ask yourself a couple of questions first
of all how realistic does the simulation
seem to you would you feel confident
that the doctor in the simulation is
ready to to treat you if you became
unwell second question is how
representative is the patient in the
simulation of youth if you were to
so what did you think
realistic that fishing look like you is
that what you would be like in that
situation and it doesn’t look like me
that’s for sure okay so this question
about realism and simulation is
something that’s had medical educators
and researchers scratching their heads
for decades and decades now and as part
of my research I’m looking at realism
from the perspective of the learner and
what do they think is realistic people
who’ve never really been in the real
situation before but what I’ve come to
realize over the last couple of years
now that I’ve been doing this research
is that no one no one has looked at the
realism from the points of view of the
person who actually has to experience
what we do no one’s looked at realism
from the points of view of the patient
now in that simulation that was written
by a doctor for a doctor the patient the
mannequin was voiced by a doctor you
know where is the humanity where is the
real person in that today we’ve already
had two fantastic speakers earlier and
talked to us about their experiences and
interactions with healthcare and with
their their you know medical problems
and yet how you know how valuable would
it be for us as medical educators to
really harness that and that experience
that they have there’s those insights
that we we could you know the insights
we could gain from that so that’s why I
bring this topic which is small
simplistic a little bit niche to this
kind of public environments cuz I think
is that medical educators need to do
more to involve the public in our our
teaching in our practice be to find some
way to collaborate because whether you
have already or whether we’re probably
going to in the future have some
interaction with healthcare wouldn’t it
be great if you could bring your
expertise of your condition of your
interactions to the table so that people
can learn from them because at the end
of the day I think we all will have a
vested interest in helping those who
will someday be here to help
first of all I’d like to start with
saying that I’ve got the utmost respect
for you and and all the medical staff
and our doctor who really brings so much
work especially in this stormy and harsh
weather really actually a good point
that you brought out was that doctors
don’t actually only have to be trained
in medical procedures you know
performing procedures taking our blood
but also interacting with patients
because if someone is completely
freaking out because it’s the first time
getting blood taken our more serious
medical procedure being done you have to
as a doctor kind of quantitation down
and to interact them so I’ve got a
question for you what is the most common
fear that patients have when for example
you try to take blood from them most
people are scared a lot of people are
scared of needles and I do like the idea
of blood being drawn from them you know
what just to go back to your points for
interaction I think as doctors we’re
really bad at finding out what people’s
fears are and what people’s and concerns
are when it comes to that sort of thing
we kind of often just in there’s many
reasons for this but often just go and
get the job done and leave and I think
taking a little bit of time to find out
and what patients fears and concerns are
can do wonders for a doctor-patient
relationship so again as part of my kind
of rule I am trying to incorporate that
into my teaching but also into my own
practice as well so how important is
empathy for example for a doctor could a
psychopath be a doctor
in fact on that list it said that
psychopaths are actually really good
surgeons so yeah I was just gonna say
that I think he went into a hospital
you’ll find a huge number of the doctors
are probably psychopathic and in a good
way
they channel their psychopathy and yeah
definitely surgeons and who else would
like to cut people off and stitch that
together and so yes and what empathy is
hugely hugely important and I think as
as human beings sometimes we it’s really
difficult to be truly empathic it’s
really difficult to put yourself into
someone else’s shoes and understand what
they’re going through
and because we were all about our own
agenda often and the more stress you’re
under the more difficult that becomes I
think in something like medicine yes
it’s where it’s most important to be
empathetic it’s um it’s even it’s even
more difficult to do properly in it but
but yeah absolutely empathy is
everything because you probably don’t
want to be too empathetic as well
because then you would be kind of two
kinds of the patient and you won’t
actually get to the procedure we kind of
have to find the balance between empathy
and kind of this strict fast-paced work
of a doctor right yeah so that’s the
excuse anywho use I think that M
sometimes you yeah there is a balance
between time and understanding things
from the patient’s perspective but I
think medical practice is becoming as
realized that and it’s becoming more
person-centered and I think that can
only do it can only be good for the
health of the nation really perfectly
well we’ll leave it at that
anywhere everyone please a big thanks to
thank you very much honey [Applause]
[Applause]
hi good afternoon everybody my name is
nori and I thank you for coming the
opportunity to come here and talk to you
and just basically a little bit about my
thoughts on how you the public and it
can be involved in training people to
become doctors but before I get into the
crux of my talk I read it while I was
preparing that it’s important for a
speaker to find some way of connecting
with the audience and that one way to do
that might be to to tell a story so and
I have a story for you it’s quite
personal story it’s the story of my
first time so yeah I remember it quite
clearly so it was um it was a Thursday
afternoon and I know this because
Wednesday was once he’s tend to be
student night and I was feeling pretty
rough and so I kind of and I stepped up
and I went to the door and I knocked on
the door and I went in and she was lying
there on the beds
and I just looked up at me and he smiled
and he said you’ve never done this
before have you looked at the ground the
shipment had I said no no I haven’t and
I’m sure he could sense my anxiety my
heart was racing my palms are sweating
pretty much like we are today and then
and I remember like awkward like a nice
going towards the bed and then not
allowed to turn went to the curtain drew
the curtain will keep us away from
prying eyes and then well just to cut
what was a short story and a little
shorter basically what end of all of it
I was pretty pleased with myself she
seemed fairly satisfied and at least for
that evening I went to saw a flatmate
and I was like oh jazz you’ll never
guess what I’ve done today yeah oh yeah
I took blood from a patient a real
patient for the very first time
that’s right so my first time story was
the first time I take blood you know the
patient was a the the chap James and
pretty sure his name was and it was a
patient lying in a hospital bed and he
knew I was coming and so on and so forth
and I think that M James was pretty
brave to let me knowingly take blood
from him for the first time because up
until that point had only ever taken
blood from one of these and now this is
called a task trader and it’s
essentially just the plastic arm and
some fake blood in it and if you hit the
right spots the blood comes out and if
you don’t you try again and again and
again and again and again and so you get
it right so my question to you is would
you ever knowingly but the first time a
student or dr. perform a procedure we
all knew now in my current role I’m
responsible for teaching medical
students and people who are training to
become doctors and nurses and bear
witness to several many first times and
it’s got me kind of reflecting on my own
experience as a student and essentially
when I was at uni studying to become a
doctor I was also really keen triple
jumper and I used to dedicate in two
hours of every day practicing my events
I had a really dedicated coach who would
watch me critique my performance and
give me some feedback and I got quite
good at it but I recognized that I
didn’t spend this much time practicing
the skills that I needed to become a
doctor and it wasn’t for what of trying
I wasn’t a lazy student by any stretch
of the imagination
but if you think about it there are a
huge number of skills which a doctor
needs to to get good at in order just to
function in a daily basis so time is a
problem and not only that but sometimes
our just isn’t the opportunity to
practice in normal enormous number of
skills so this winter you’ll know
probably some of you’ve been suffered it
there’s been quite a bad flu crisis and
in a hospital that I work in
I often
Sunderland’s actually we’ve had to close
many of the wards to visitors and this
is also affected our students so they
haven’t been able to get in on the job
and learn on the job
also winter worst winter we’ve ever had
in terms of ma any admissions students
and haven’t had the opportunity to be
observed by doctors performing and
getting feedback the custard just isn’t
time patient care always has to come
first so how what do we do what do we do
that to kind of and get around this to
mitigate these barriers well we can use
a training technique a teaching tool
called simulation and you might have
heard of simulation being used to teach
pilots how to fly
you know they go in a flight simulator
and that looks just like the real thing
a picture of one here and if you’ve
never even seen a flight deck I can
imagine you I think you could imagine
that that’s what a real plane looks like
and it is on the inside it moves and
feels like the real thing and in
medicine we have guests we use
simulations as well that arm that I
showed you was one of such simulator and
M rather than could have lists all the
different kinds views I’m going to show
you a short clip of a really common kind
of simulation that we do now while you
watch this I would like you to kind of
ask yourself a couple of questions first
of all how realistic does the simulation
seem to you would you feel confident
that the doctor in the simulation is
ready to to treat you if you became
unwell second question is how
representative is the patient in the
simulation of youth if you were to
so what did you think
realistic that fishing look like you is
that what you would be like in that
situation and it doesn’t look like me
that’s for sure okay so this question
about realism and simulation is
something that’s had medical educators
and researchers scratching their heads
for decades and decades now and as part
of my research I’m looking at realism
from the perspective of the learner and
what do they think is realistic people
who’ve never really been in the real
situation before but what I’ve come to
realize over the last couple of years
now that I’ve been doing this research
is that no one no one has looked at the
realism from the points of view of the
person who actually has to experience
what we do no one’s looked at realism
from the points of view of the patient
now in that simulation that was written
by a doctor for a doctor the patient the
mannequin was voiced by a doctor you
know where is the humanity where is the
real person in that today we’ve already
had two fantastic speakers earlier and
talked to us about their experiences and
interactions with healthcare and with
their their you know medical problems
and yet how you know how valuable would
it be for us as medical educators to
really harness that and that experience
that they have there’s those insights
that we we could you know the insights
we could gain from that so that’s why I
bring this topic which is small
simplistic a little bit niche to this
kind of public environments cuz I think
is that medical educators need to do
more to involve the public in our our
teaching in our practice be to find some
way to collaborate because whether you
have already or whether we’re probably
going to in the future have some
interaction with healthcare wouldn’t it
be great if you could bring your
expertise of your condition of your
interactions to the table so that people
can learn from them because at the end
of the day I think we all will have a
vested interest in helping those who
will someday be here to help
first of all I’d like to start with
saying that I’ve got the utmost respect
for you and and all the medical staff
and our doctor who really brings so much
work especially in this stormy and harsh
weather really actually a good point
that you brought out was that doctors
don’t actually only have to be trained
in medical procedures you know
performing procedures taking our blood
but also interacting with patients
because if someone is completely
freaking out because it’s the first time
getting blood taken our more serious
medical procedure being done you have to
as a doctor kind of quantitation down
and to interact them so I’ve got a
question for you what is the most common
fear that patients have when for example
you try to take blood from them most
people are scared a lot of people are
scared of needles and I do like the idea
of blood being drawn from them you know
what just to go back to your points for
interaction I think as doctors we’re
really bad at finding out what people’s
fears are and what people’s and concerns
are when it comes to that sort of thing
we kind of often just in there’s many
reasons for this but often just go and
get the job done and leave and I think
taking a little bit of time to find out
and what patients fears and concerns are
can do wonders for a doctor-patient
relationship so again as part of my kind
of rule I am trying to incorporate that
into my teaching but also into my own
practice as well so how important is
empathy for example for a doctor could a
psychopath be a doctor
in fact on that list it said that
psychopaths are actually really good
surgeons so yeah I was just gonna say
that I think he went into a hospital
you’ll find a huge number of the doctors
are probably psychopathic and in a good
way
they channel their psychopathy and yeah
definitely surgeons and who else would
like to cut people off and stitch that
together and so yes and what empathy is
hugely hugely important and I think as
as human beings sometimes we it’s really
difficult to be truly empathic it’s
really difficult to put yourself into
someone else’s shoes and understand what
they’re going through
and because we were all about our own
agenda often and the more stress you’re
under the more difficult that becomes I
think in something like medicine yes
it’s where it’s most important to be
empathetic it’s um it’s even it’s even
more difficult to do properly in it but
but yeah absolutely empathy is
everything because you probably don’t
want to be too empathetic as well
because then you would be kind of two
kinds of the patient and you won’t
actually get to the procedure we kind of
have to find the balance between empathy
and kind of this strict fast-paced work
of a doctor right yeah so that’s the
excuse anywho use I think that M
sometimes you yeah there is a balance
between time and understanding things
from the patient’s perspective but I
think medical practice is becoming as
realized that and it’s becoming more
person-centered and I think that can
only do it can only be good for the
health of the nation really perfectly
well we’ll leave it at that
anywhere everyone please a big thanks to
thank you very much honey [Applause]
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