CME 30/06/16 - Performance Under Pressure Workshop

“A three-hour workshop on Psychological Skills Training (PST) was delivered to Emergency Department Registrars at Sir Charles Gairdner Hospital on 30 June 2016. The workshop was run by two Psychologists (Mark Oostergo and Philip Temby) from Executive Functions. The workshop covered a range of theory and practical activities which aimed to build individual awareness and develop psychological skills that can be employed in stressful situations to maintain optimal performance. It encompassed an introduction to PST, a review of the stress response, and a tailored Personal Performance Plan (PPP) for Emergency Physicians. The PPP includes key psychological skills consisting of visualisation, arousal management, self-talk, and recovery techniques such as progressive muscle relaxation. Selected references covered in the workshop are listed below. Further information about the workshop can be obtained by contacting Executive Functions at mark.oostergo1@gmail.com or philip.temby1@gmail.com.”

Resources:

Performance Psychology Skills for Emergency Medicine:

Jeremy’s CME talk on Stress Innoculation Training from 2/2016
Stress Inoculation Training by Mike Lauria 12/2015 from EMCrit
- Enhancing Human Performance in Resuscitation Part 1: Going With The “Flow” by Mike Lauria 12/2014 from EMCrit
- Enhancing Human Performance and Flow in Resuscitation Part 2: The Tao of Resuscitation Performance by Mike Lauria 3/2015 from EMCrit
- Enhancing Human Performance in Resuscitation Part 3 – Performance-Enhancing Psychological Skills by Mike Lauria 11/2015 from EMCrit
- Potential role for psychological skills training in emergency medicine: Part 1 – Introduction and background. Lauria, M. J., Rush, S., Weingart, S. D., Brooks, J., and Gallo, I. A. (2016) Emergency Medicine Australasia
Stress Inoculation Training by Rob Rogers 12/2014 from TheTeaching Course
Stress by the University of Adelaide
Journal of Performance Psychology: Issue 7 – Studying High Performance Teams – Profiling and understanding the metal demands of the Emergency Physician
- “The Journal of Performance Psychology is an online peer-reviewed journal committed to the dissemination of relevant and timely research in the field of performance psychology.”
Code Calm on the Streets: Mental Toughness Skills for Pre-Hospital Emergency Personnel 1st Edition
- “Code Calm on the Streets provides the concepts and psychological skills for performance enhancement in medical emergencies for pre-hospital emergency personnel. It is clear that those who choose such a career already possess special character, and it is tested on a daily basis. Whether in routine care or emergency situations, each response provides the opportunity for touching and changing patient lives. Code Calm can help you do this with greater confidence and competence.”
The Nine Mental Skills of Successful Athletes

Visualisation and Mental Practice:

What surgeons can learn from athletes: mental practice in sports and surgery. Cocks M, Moulton CA, Luu S, Cil T. J Surg Educ. 2014 Mar-Apr;71(2):262-9

Controlled Breathing and Progressive Muscle Relaxation (HighRes App):

High Res
- App “developed by the Australian Department of Veterans’ Affairs. The app offers a range of Cognitive Behavioural Therapy (CBT) tools, based on the Department of Defence’s BattleSMART program. This includes progressive muscle relaxation, challenging thoughts and healthy sleep.You can use these tools to ‘test’ and ‘adjust’ your physical, cognitive, emotional and behavioural reactions to stress. This would be particularly helpful for managing the daily stresses of service life, deployment, transition to civilian life and life post-service.You can also use the tools as part of performance training. Through regular use of the tools, you can ‘optimise’ your performance and build your resilience to stress. The app helps you test your resilience by taking a resilience survey, set performance goals and keep track of your progress over time.”

Mindfulness: