Saturday, May 28, 2016

Overconfidence in the ED

Resultado de imagen de St Emlyn´s
St Emlyn´s - May 28, 2016 - By Chris Gray
"If you have ever worked as or with a doctor, you’ve probably encountered something called a multi-source feedback form, or a “360 appraisal”. It is part of the process for junior doctors to progress to the next stage of our training, and is often a valuable tool as an anonymous insight into what our senior doctor, nursing, and allied health professional colleagues think about us, both good and bad.
On my most recent feedback form whilst on a rotation outside of the emergency department, there were two comments with mention that I was bordering on overconfidence. The rest of the feedback was very positive, but it was these comments that really stuck with me. I wasn’t sure what I was doing to give the impression of overconfidence. Was I actually overconfident? How would I know? What could I do to improve? And really, the most important question – was it affecting my patients?
This post brings together my reflection over the last few months...
Screenshot 2016-05-28 08.04.02
Final thoughts
The feedback process has helped me to be more mindful of how I make management decisions for my patients. I’m more conscious of my ability to make mistakes, and measures I can employ to try to minimise overconfidence, without taking it too far and losing confidence. I know there will still be times when I’m more confident than I will should be, but hopefully will be able to recognise this when it happens."