Helping yourself

Develop structured daily routines: This includes setting wake up and sleep times, mealtimes, and exercise times. Practice sleep hygiene by setting bedtimes and liming screen time prior to going to sleep.  

As a novice healthcare manager, I recall the shock I felt after my supervisor screamed at me for no apparent reason. She then called another colleague and told him how horrible she felt but she never apologized to me. As I progressed to C-suite leadership, I realized I had the power to model the behaviors I wanted to see. The Joint Commission Sentinel Event on Harassment warned of behaviors that can undermine a “culture of safety.” Disruptive behaviors such as verbal outbursts, uncooperative attitudes, refusing to complete assigned duties, and intimidating behaviors such as physical threats undermine the safety of our team and our patients. Since the #MeToo movement and resulting Time’s Up and Time’s Up Healthcare campaigns, we are beginning to see more research on the types of harassment that create unsafe work environments for our patients and employees. Most recently, Dr. Esther Choo and colleagues published “Sexual Harassment between Health Care Workers and Safety Culture,” identifying cases of sexual harassment and their impact on staff and patient safety. There seems to have been little progress made toward the national high reliability healthcare system we strive to become but we have the power to change this.

The COVID-19 pandemic has been a challenging time for healthcare and for health professions educators. But there are opportunities for innovative approaches to our clinical and educational work, and for reflection on the systems of training and workforce development. The pandemic has brought a sharp focus on leadership and change.

In episode #4 Victoria Brazil speaks with Professor Liz Armstrong, Director of the Harvard Macy Institute, about ‘silver linings’ – the opportunities for innovation and creativity – from the challenges of the COVID-19 pandemic. Liz describes the plans for running the June Leaders program online, and how interactivity and small group work are being supported. She tells us about a preliminary exercise the scholars have completed – focused on their own ‘silver linings’ – and how (paradoxically) ‘staying at home’ seems to have fostered more community, collaboration and patient focused care. And finally – Liz and Vic ponder on broader issues of change and innovation in healthcare, and take lessons from Elon Musk and SpaceX !

Watch out for new episodes this year which will be announced on our blog and our Twitter, LinkedIn, and Facebook social media channels.

Did you know that the Harvard Macy Institute Community Blog has had more than 220 posts? Previous posts have included interviews with Alice Fornari, Louis Pangaro, and Victoria Brazil!

How do I engage learners in a remote, online, or virtual environment? This is a question rolling around in the minds of many health professions educators who have over the last few months made significant pivots given the COVID-19 pandemic. Zoom, among other web conferencing technologies, has become an essential tool for educators, learners, and peers to connect and facilitate synchronous learning experiences. However, integrating Zoom alone is not enough. To create significant learning experiences, consider the three tips offered below!

Martin & Bolliger describe Moore’s three types of interaction in effective online courses: (1) learner-to-learner interaction, (2) learner-to-instructor interaction, and (3) learner-to-content interaction and provide strategies to increase engagement.