Friday 27 June 2014

Feeling connected

Doctors are extremely busy people. So are many professionals. We go about our day attending to our patients, reduce our ever increasing pile of administration, run our practices and juggle our personal lives. When our patients need us in an emergency they have no idea there may be quite a few with similar needs on the same day. And nor should they. We are quite skilled at triaging, attending to the problems at hand and delivering as much as needed for our patients. But there does come a time when we would like to raise the white flag and say, STOP! Just for a minute, so we have a chance to breathe and an opportunity to recharge.
I have taken myself away for a weekend of solitude and reflection, a moment to take stock and assess where I currently am in my career and where I am heading. Giving my all, as doctors do, can lead to needs to escape and energise. And so here I am in a coastal location, remembering who I am and what is important to me. 
This is no new revelation. Doctor’s mental health and wellbeing relies on the notion that we all need a break, we all need to listen to our bodies and minds, and pro-actively manage our needs for our own health and the health of the patients we are responsible for. So, why do we find it hard to get away?
Part of it is the realisation that at the end of the day, many of us are small business owners, managing staff, and scrutinising cash flow. We are not only responsible for our patients but also for our staff and our obligations under tax law. We work to pay our college fees, medical indemnity and other professional liabilities we incur as doctors. We juggle our time amongst our clinical duties and our business requirements. We can, quite easily, forget that we are like other doctors, feel isolated and overwhelmed, and before we know it, consumed by worry and insecurity.
Medical training does not equip us with business skills, yet many of us are small business owners. At times I truly believe that learning all the branches of the facial nerve was inconsequential when compared to learning how to pay the BAS on time or service overdrafts. But this is real life post fellowship. The answer? Becoming and staying connected to your peers, and asking and receiving help.
The RANZCP strongly advises we form peer review groups post training in order to discuss clinical cases and obtain feedback and support. Obviously very important but way too narrow for most of us in private practice. In my time since fellowship I have forged and cherished some very strong relationships with peers that have nothing to do with discussing complex cases of schizophrenia, or the latest views on using antidepressants in bipolar depression. As a small business owner and sole director, my most valuable mentors are those who have done it before me, who are honest enough to admit their mistakes and can tell it like it really is. They have helped me understand how to run a practice in ways my training did not prepare me for.
And now, through social media I feel connected to other health professionals including doctors who have similar creative pursuits to mine. I have discovered a group of doctors who have a passion for writing, as do I. Now that registrar days are over I have pursued other areas of learning that matter to me. This has transpired into a feeling of connectedness, contribution to a community, asking for help and truly learning. 
As I embark upon my weekend of solitude and throw myself into finishing my first novel, I thank those who I have met and who have supported me to learn how to take a break, how to follow my passions, and how to actually make it happen. You know who you are. See you when I get back to reality.