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In Episode 2 of Dinner Ladies Save the World, Sharon Friel speaks with Imogen Mitchell about Covid-19 and health care systems. Prof Imogen Mitchell is Director of the Medical School, Australian National University, and on secondment as Clinical Director of the Covid 19 response in the Australian Capital Territory, Australia. Sharon Friel is Professor of Health Equity and Director of the Menzies Centre for Health Governance In RegNet, Australian National University. They are both Dinner Ladies.
This exciting panel discussion covers a wide variety of questions, including; what is the definition of high risk patients in your clinic? What is your criteria for referal regarding pre-op patients? Who is in the multidisciplinary pre-op team? How long does each patient appointment last? How should we prioritise antihypertensives? Should anaesthetists be more involved in the postoperative care of patients? This piece is chaired by Dr Ar Kar Aun and features; Imogen Mitchell, Senior Staff Specialist, ICU, the Canberra HospitalDean, ANU Medical School, Vincent D'Intini, Senior staff specialist, Nephrologist, Alfred Hospital Melbourne, and Bobbie Jean Switzer, Professor of Anesthesiology and Director of Perioperative Medicine at Northwestern University in Chicago, Illinois. -- Brought to you by the Perioperative Medicine Special Interest Group (SIG) in association with the Australian and New Zealand Society for Geriatric Medicine and the Internal Medicine Society of Australia and New Zealand at the 7th annual Australasian Symposium of Perioperative Medicine. The Perioperative Medicine Special Interest Group (SIG) has three aims; improve patient safety and outcomes, share knowledge and collaborate with specialty groups, develop the specialty of perioperative medicine with various craft groups. For more information follow this link here: http://www.anzca.edu.au/fellows/special-interest-groups/perioperative-medicine
How important is it to triage the patient? Which triage tool should we use? How do we determine which of our surgical patients is most at risk? Which procedures carry the highest risks? What should our approach be towards managing patient deterioration? What about when it comes to acute clinical deterioration? What, in terms of research and technology, can we expect in the future to help us? The slides for this piece are here: http://www.anzca.edu.au/documents/03-imogen-mitchell_how-do-we-minimise-failure.pdf Presented by Imogen Mitchell, Senior Staff Specialist, ICU, the Canberra Hospital, Dean, ANU Medical School. -- Brought to you by the Perioperative Medicine Special Interest Group (SIG) in association with the Australian and New Zealand Society for Geriatric Medicine and the Internal Medicine Society of Australia and New Zealand at the 7th annual Australasian Symposium of Perioperative Medicine. The Perioperative Medicine Special Interest Group (SIG) has three aims; improve patient safety and outcomes, share knowledge and collaborate with specialty groups, develop the specialty of perioperative medicine with various craft groups. For more information follow this link here: http://www.anzca.edu.au/fellows/special-interest-groups/perioperative-medicine
A year ago there was no such thing as the Mastering Intensive Care podcast. Now there are 21 separate interviews, each of which have helped me and seem to have helped many of you to make improvements at delivering more compassionate, thoughtful and patient-centred intensive care. Without fail my guests throughout 2017 were excellent and I really enjoyed doing the interviews. And I promise to bring you the best content I can over 2018 too. Here are the final five of the best 2017 guests, to follow on from the first five in the last episode. This has been difficult as I have seriously enjoyed every one of my guests. I will upset some guests by not including them and I will upset some of you for not including your favourite guest. But nevertheless I have taken the five most downloaded episodes and mixed them with the five I enjoyed the most. Then I took what I considered the best excerpt of the conversation and put them in no particular order over two episodes. So enjoy listening to the best excerpts of the best episodes over the first year of Mastering Intensive Care. I hope it will inspire you to a fresh start in 2018 with some great perspectives for bringing your best self to work. If you’ve missed a few episodes over the year here is a chance to catch up with them and if you are totally new to the podcast here is a glimpse of what Mastering Intensive Care is all about. Andrew Davies ----------------- Resources from people, organisations and things mentioned in this episode: MIC Episode 9 with John Myburgh: http://masteringintensivecare.libsyn.com/episode-9-john-myburgh-the-importance-of-the-intensive-care-clinical-ward-round MIC Episode 12 with Julia Wendon: http://masteringintensivecare.libsyn.com/episode-12-julia-wendon-making-the-patient-the-centre-of-everything MIC Episode 20 with Jack Iwashyna: http://masteringintensivecare.libsyn.com/episode-20-jack-iwashyna-icu-adventure-camp-time-limited-life-support-trials-and-regular-talks-with-families-dassmacc-special-episode MIC Episode 10 with Imogen Mitchell: http://masteringintensivecare.libsyn.com/episode-10-imogen-mitchell-an-intensivist-and-dean-of-medicine-focused-on-communication-and-clinical-decision-making MIC Episode 2 with John Botha: http://masteringintensivecare.libsyn.com/episode-2-john-botha-exemplary-leadership-in-the-icu Mastering Intensive Care podcast on Libsyn: http://masteringintensivecare.libsyn.com/ Mastering Intensive Care podcast on Life In The Fast Lane: https://lifeinthefastlane.com/?s=mastering+intensive+care Mastering Intensive Care on Facebook: https://www.facebook.com/masteringintensivecare/ Andrew Davies on Twitter: @andrewdavies66 Email Andrew Davies: andrew@masteringintensivecare.com
Do you seek the relative at the bedside’s help by asking them their opinion on whether their loved one is getting better or not? Do you even have families at the bedside on your ward round? Do you listen as much as you can in your end of life discussions? Professor Imogen Mitchell, a senior intensivist and Dean of Medicine from Canberra, Australia, sees talking to our patient’s families as one of the privileges of working in intensive care. She is a huge supporter of having families at the bedside for the clinical ward rounds and is a passionate believer in exposing our own vulnerability in family meetings, particularly by listening to the patient and their family’s stories first. Imogen has also consistently placed communication with the multi-disciplinary intensive care team at the forefront of great clinical care. Now as one of the senior women in Australasian Intensive Care, Imogen is also passionate about the gender inequity in intensive care training and also in consultant intensivist positions. She has felt the frustration of being a woman in intensive care when she has noticed behaviours that in retrospect she has wondered whether men would ever have been subjected to. Imogen also struggled to find the perfect mentor earlier in her career, perhaps because of the scarcity of female intensivists at the time. She now wants to make sure young female medical students and intensivists come to understand that intensive care can be an excellent career for both genders. Imogen is thoughtful, intelligent, compassionate and considerate. She has been a leader for most of her career, making her the ideal person to give us advice on leadership, communication, decision-making, the training of young doctors, and debriefing to manage stress. In this interview, Imogen starts with how she came to fancy intensive care over her initial desire to be a histopathologist, and ends with some great “life” tips for less experienced clinicians. This podcast was created to help and inspire intensive care clinicians to improve the care we give to our patients by providing interesting and thought-provoking conversations with highly respected and experienced clinicians. In each episode, Andrew Davies, an intensivist from Frankston Hospital in Melbourne, Australia, speaks with a guest for the purpose of hearing their perspectives on the habits and behaviours that they believe are the most important for improving the outcomes of our patients. Things like bringing our best selves to work each day, optimal communication, coping with stress and preventing burn out, working well in a team, and interacting with patient’s families and the many other health professionals we deal with on a daily basis. The podcast is less about the drugs, devices and procedures that can be administered and more about the habits, behaviours and philosophies that can help intensive care clinicians to master the craft of intensive care. Please send any comments through the Life In The Fast Lane website, facebook (masteringintensivecare), twitter (@andrewdavies66) or by simply emailing andrew@masteringintensivecare.com.
Imogen Mitchell’s SMACC Chicago talk 'Morphing the Recalcitrant Clinician’ talks us through the steps to engage the reluctant physician when implementing change. Imogen initally touches on the stages of physician engagement from aversion, to apathy, to engaged and then outlines the steps to morphing the reluctant physician. 1. Seek out a clinical champion 2. Establish a common purpose/vision 3. Standardise what is standardisable 4. Communication, communication, communication 5. Work out barriers and overcome them 6. Deal with the ‘Whats in it for me?’WIFM
Dr Amara Nwosu discusses social media and palliative medicine. He focuses on his recent blog published on the EAPC website about his study about the use of Twitter to evaluate communication about palliative care on social media. ‘Social media and palliative medicine: a retrospective 2-year analysis of global Twitter data to evaluate the use of technology to communicate about issues at the end of life’ by Nwosu AC, Debattista M, Rooney C, et al published in BMJ supportive & palliative care2015;5(2):207-12. http://spcare.bmj.com/content/5/2/207 EAPC Blog - Social media and palliative medicine: An opportunity for community and professional engagement https://eapcnet.wordpress.com/2015/08/17/social-media-and-palliative-medicine-an-opportunity-for-community-and-professional-engagement/ EAPC Blog: With great power comes great responsibility: Using Facebook to explain palliative care - Dr Leeroy William https://eapcnet.wordpress.com/2015/08/12/with-great-power-comes-great-responsibility-using-facebook-to-explain-palliative-care/ Palliative Medicine Teaching - Facebook and Twitter https://www.facebook.com/PallMedEd https://twitter.com/PallMedEd E-Hospice: Discussion of palliative care on Twitter is largely positive, and increasing - Dr A Nwosu http://www.ehospice.com/uk/Default/tabid/10697/ArticleId/12212/ E-Hospice: Harnessing social media to enhance hospice care #learnhospice http://www.ehospice.com/uk/Default/tabid/10697/ArticleId/11617/ E-Hospice: Social media and palliative care http://www.ehospice.com/uk/Default/tabid/10697/ArticleId/10009/ Symplur and the Heathcare Hashtag project - Dr Mark Taubert http://blogs.bmj.com/spcare/2015/08/16/symplur-and-the-heathcare-hashtag-project/?q=w_spcare_blog_sidetab Palliative social media - Mark Taubert et al http://spcare.bmj.com/content/4/1/13.abstract?sid=95d81aaf-38ce-4e34-943e-bce5b3763321 Why don't end-of-life conversations go viral? A review of videos on YouTube. Imogen Mitchell et al http://spcare.bmj.com/content/early/2015/07/16/bmjspcare-2014-000805.abstract?sid=16527997-aa5a-4ae7-be1a-bcbfa3a40024 Copyright Dr Amara Nwosu, KingAmi Media 2015. www.amaranwosu.com Music by Bensound http://www.bensound.com/royalty-free-music
Treating the mind AND the body. Imogen Mitchell on putting the 'person' back in 'patient'.
Imogen Mitchell critiques our relationship with MET. How current medical and nursing education is propagating junior staff reliance.