I’ve recently started a job centered on EBM, accountability, and ongoing professional development. Transitioning from a preceptor role to that of a formal learner has been a meaningful shift. It’s been refreshing to focus on absorbing knowledge without needing to DIY some QA/QI.
The idea of learn -> do -> teach is supposed to continue as you settle into your career. Data is transient for 2 main reasons: 1) if you don't use it you lose it; 2) new and revised information is becoming available daily. You'll never know it all, even if you act like one.
"This world is no place of rest. Our work should never be done. And it is the daydream of ignorance to look forward to that as a happy time when we shall wish for nothing more and have nothing more to accomplish." Dr. Mütter.
"Place no dependence on your own genius, even if you possess it. If you have great talents, industry will improve them. If you have but moderate talents, industry will supply their deficiency. Nothing is denied to well-directed labor," ends Dr. Mütter's Marvels by C. Aptowicz.
I've read several books on death/dying and grieving since. Favorites include Atul Gawande's "Being Mortal", Paul Kalanithi's "When Breath Becomes Air", and Sherwin Nuland's "How We Die: Reflections of Life's Final Chapter." Every day I'm grateful to work as a paramedic.
John Dewey said "we do not learn from experience. We learn from reflecting on experience." You should endeavor to be mindful & avoid hindsight bias, but receiving constructive criticism from mentors & QA/QI is vital to stay UTD w/EBM & discourage complacency within your practice.
3. Empathy is the most evidence-based treatment we have, and the most difficult skill to master.
Apply it to your patients, their loved ones, and yourself.
Eight months ago I started my job as a #paramedic after graduating with a bachelor in emergency services specializing in #criticalcare. Here are some of the things I've learned.
2. Trust, but verify. Regardless of level, regardless of the importance of the information.
2.b. Don't get upset when others do the same to you, even (especially) when you come in with all of your evidence and clinical prowess.
@JaceMullen@geeky_gillon I distinctly remember a scenario where the thing I needed was broken x 3. Back up plans 2 and 3 out the window, what are you doing?
Adapt and overcome 👌
Maybe this is a strength of paramedic training. Every third training scenario is ‘you are working with a brand new member of staff. You attend an RTC with 7 patients. Back up is 99minutes away. Your ambulance is on fire.’
Sounds much more sustainable! Conferences can be exhausting -- I've missed out on several social networking opportunities because of the energy expended during the day. I hope that never really falters & I don't get too comfortable in any given CE class. Learning takes work!
I would like to make a plea for conferences to be hybrid for always. #RACS21 has been wonderful for #DiversityandInclusion- people with caring responsibilities, those who live remotely, in insecure work, or whose old hips make walking the BIG conference centres difficult.
Excited to share that on May 2 I graduated with a Bachelor of Science in Emergency Services, specializing in Critical Care with a Biology minor & Latin honors. Job hunting for a place that's passionate about #EBM! Hope to do both 911 and MICU IFT. #EMS#Graduate
@rbarishansky Herd immunity should be priority, and it's protecting your patients and employees. Greater good and it doesn't impede individualism because there are other places to work.