A Design Thinking, Systems Approach to Well-Being Within Education and Practice Proceedings of a Workshop (2019) / Chapter Skim
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3 Breakout Session Discussions
3 Breakout Session Discussions
Pages 27-38
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From page 27... ...
Simon Fleming, past president of the British Orthopaedic Trainees' Association (BOTA) told the audience about a program called Hammer It Out, while Calli Schardein, a student at Oklahoma State University Center for Health Sciences, and a member of the Council of Osteopathic Student Government Presidents, talked about her advocacy for mental health in medical students.
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From page 28... ...
These small changes eventually become large changes, said Fleming: "If you change your specialty, you start to change hospitals and if you start to change hospitals, you change health care, and if you change health care, eventually, because everyone, everyone, has to interact with health care, that's how you change the world. And it all starts with personal change."
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From page 29... ...
After this scary situation was resolved -- the student survived -- Schardein knew she had to do something to improve mental health among medical students and to increase access to resources. She ran for vice-chair of the Council of Osteopathic Student Government Presidents of the American Association of Colleges of Osteopathic Medicine, and performed a survey of what resources were available on campuses, what initiatives were working, and what could be done better.
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From page 30... ...
There had been previous surveys about mistreatment in the field, but many of these surveys suffered from underreporting; BOTA pointed out the problems with these surveys and encouraged other organizations to put bullying "on their agendas." Schardein remarked about similar policies within the osteopathic profession, but the policies were not specific enough to be useful. For example, accredited schools were already required to have 24-hour access to mental health care.
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From page 31... ...
Making an effort to improve communication between health professionals does not only have benefits for the professionals themselves, but also the patients they treat. Fleming emphasized that in health care, there is always a patient, and initiatives should keep these patients and their perspectives in mind at all times.
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From page 32... ...
One participant also added that students can be powerful role models; when practicing health care professionals see students taking 5 minutes to breathe, focus, and visualize their next procedure, they may be interested in trying these techniques themselves. Change is happening, one breath at a time.
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From page 33... ...
Likewise, Ronald Kaluya of the Uganda Counseling and Support Service described the difficulties he and his colleagues face providing interventions in rural Uganda within villages that lack even the most basic of needs like clean water and medical care. Both Nyirenda and Kaluya collaborate with the National Board of Certified Counselors International Division, applying their train-the-trainer model for mental health counseling.
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From page 34... ...
This story, said Nyirenda, demonstrates the need for support and mental health counseling for health providers in Malawi. For example, newly graduated health care workers were choosing to stay in urban areas where the working conditions were not as difficult.
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From page 35... ...
Kaluya said he is uplifted by looking at the amazing progress they have made over the past 8 years in Bulike, and this keeps him going when times are tough. "A counselor is supposed to be the one standing when the whole community has fallen." -- Diana Nyirenda Finally, the participants discussed the issue of providing mental health counseling in communities that lack basic needs.
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From page 36... ...
By their very nature, they evolve and can be influenced by external forces. Finally, said Czaja, systems are incredibly complex, particularly in the world of health care.
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From page 37... ...
Whether or not an outside consultant is brought in, it is imperative that stakeholders from the system buy in to the process. Another participant added an observation that more and more systems engineers are working full-time in leadership positions in health care systems.
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