I had the challenging experience this week of talking to some medical students about resilience. Like others, I have had to endure victim blaming and often useless resilience 'training',so I was glad to receive good feedback and emails of thanks. Here's what I think worked: (1/n)
1) airing concerns early on. At the beginning I asked what people thought of 'resilience training'. There was a loud and pretty unanimous response covering victim blaming, shifting responsibility and pointlessness. This seemed to help with credibility and visibly.... (2/n)
...helped with scepticism.

2) talking about the role of the individual versus the organisation. As a group we agreed that there is a (?limited) role for the individual.

3) making a word cloud of resilience concerns. We used menti for this. A couple of students... (3/n)
...commented that it was really cathartic to both write the concerns anonymously and see that others shared the same concerns. Biggest theme was fatigue.

4) breaking down 'burnout' into component parts - exhaustion, depersonalisation, reduced personal accomplishment. (4/n)
By breaking it down we were able to focus on specific components to avoid burnout. Lots of useful discussion in group including brief discussion of empathy fatigue. More on this layer.

5) I surveyed lots of early career docs on what they thought helped and shared this. (5/n)
These practical tips were well received. In particular, they really liked the idea of actively identifying role models and mentors. The idea of an empathy role model really resonated - I have personally found it help with depersonalisation. (6/n)
6) finishing on resilience as a team sport. We previously covered the role of the individual and the institution. We then discussed how we can act to improve the resilience of others. We watched the great 'double tap' clip from @sbattrawden which they liked (7/n)
Conclusion: I think having good education on resilience is possible as long as the tutor remains self-aware and focuses on practical aspects as much as possible. The word cloud seemed to be an unexpected hit.

(8/8)
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