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ABC of Clinical Resilience


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       Library of Congress Cataloging‐in‐Publication Data

      Names: Frain, Anna, editor. | Murphy, Sue (Physical therapist), editor. | Frain, John (John Patrick James), editor.

      Title: ABC of clinical resilience / edited by Anna Frain, Sue Murphy, John Frain.

      Other titles: ABC series (Malden, Mass.)

      Description: First edition. | Hoboken, NJ : Wiley‐Blackwell, 2021. | Series: ABC series | Includes bibliographical references and index.

      Identifiers: LCCN 2020054591 (print) | LCCN 2020054592 (ebook) | ISBN 9781119693437 (paperback) | ISBN 9781119693475 (adobe pdf) | ISBN 9781119693444 (epub)

      Subjects: MESH: Interprofessional Relations | Empathy | Resilience, Psychological | Clinical Medicine

      Classification: LCC RC46 (print) | LCC RC46 (ebook) | NLM W 62 | DDC 616–dc23

      LC record available at https://lccn.loc.gov/2020054591 LC ebook record available at https://lccn.loc.gov/2020054592

      Cover Design: Wiley

      Cover Image: © serts/E+/Getty Images

      John Ballatt, FRCGP (Hon) Director, The Openings Consultancy, Leicester, UK

      Julie Carlson, MSW, RCSW Registered Clinical Social Worker Fraser Developmental Clinic, British Columbia, Canada

      Nicola Cooper, MBChB, FAcadMEd, FRCPE, FRACP, SFHEA Consultant Physician & Clinical Associate Professor in Medical Education University Hospitals of Derby & Burton NHS Foundation Trust and Medical Education Centre, University of Nottingham, UK

      Barry Evans, BMBS (Hons), MRCP (UK) Consultant Physician University Hospitals of Derby & Burton NHS Foundation Trust, UK

      Anna Frain, MBChB, MRCGP, PGCert Medical Education General Practitioner Partner GP Teaching Fellow, University of Nottingham Graduate Entry Medical School Programme Director, Derby Speciality Training Programme for General Practice, Nottingham, UK

      John Frain, MB ChB, MSc, FRCGP, DCH, DGM, DRCOG, PGDipCard, AFHEA Clinical Associate Professor & GEM Director of Clinical Skills, Division of Medical Sciences and Graduate Entry Medicine University of Nottingham, UK

      Susanne Hewitt, MBE, MBChB (Hons), FRCS, FRCEM Consultant Emergency Medicine University Hospitals of Derby & Burton NHS Foundation Trust, UK

      Carrie Krekoski, RDH, BDSc (Dental Hygiene), MEd Practice Education Manager Office of the Vice President, Health University of British Columbia, Canada

      Sue Murphy, BHSc (PT), MEd Faculty of Medicine, Department of Physical Therapy University of British Columbia, Vancouver Campus, Canada

      Lynn Musto, PhD, RN, RPN Assistant Professor School of Nursing, Trinity Western University, British Columbia, Canada

      Sarah Nicholls, BSc, BMBS Junior Doctor, Emergency Department Queens Medical Centre, Nottingham, UK

      Betsabeh Parsa, BEd, MEd Faculty of Medicine, Department of Physical Therapy University of British Columbia, Vancouver Campus, Canada

      Carla Stanton, BMBS, BMedSci, MRCGP, PgDip, DPD General Practitioner Functional Medicine Doctor, Hertfordshire, UK

      Victoria Wood, MA Strategic Lead, Health Systems Office of the Vice President, Health University of British Columbia, Canada

      ‘To err is human’ but so is to excel. Resilience recognises this. It is about bouncing back, regaining our shape – about not merely carrying on, but becoming more self‐aware rather than more self‐critical. Clinical resilience is not about standing apart from our patients but embracing the humanity we share and planning for the physical, emotional and cognitive effects our work has upon us. Our work is intense, and it is a paradox of modern healthcare systems that, despite the incredible treatment pathways and technological advances we have achieved, our most precious resource – those who deliver the care – report feeling increasingly burned out and unable to carry on.

      We are human beings trying to help other human beings. Our professional role often requires us to be bigger than who we believe we are capable of being. When we fall short of this self‐imposed expectation, many of us feel we have failed, that we have let ourselves down as well as our patients and our colleagues. Though we must be aware of our limitations, we should not be bound by them.

      A recurring theme of this book is the need in healthcare for greater kindness. Not kindness as simply an emotional feeling – important though this is – but intelligent kindness, the kindness that motivates us to be cooperative rather than competitive with one another; to feel connected, thoughtful and with a sense of kinship towards other people. This connectedness starts with thoughtfulness towards ourselves,