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This piece from two years ago by @bykatewomersley & @KARipullone is a fantastic exploration of the problematic uses of the term âresilienceâ in postgraduate medicine. https://twitter.com/karipullone/status/1107762991049687041
As ever, an important term which describes properties of safe and sustainable systems has been repurposed by @NHS culture into a weapon to be turned on individuals. Weâve got a long history of doing it...
No blame culture? 
We operate a no blame culture here, and today weâre ânot blamingâ YOU for this particular problem.
We operate a no blame culture here, and today weâre ânot blamingâ YOU for this particular problem.
Human factors?
We found human factors to be an important contributor to this incident. In particular YOUR human factors were woeful.
We found human factors to be an important contributor to this incident. In particular YOUR human factors were woeful.
Resilience?
Building a resilient workforce is important for the safe delivery of patient care and, well letâs face it, YOUâRE just nor quite resilient enough.
Building a resilient workforce is important for the safe delivery of patient care and, well letâs face it, YOUâRE just nor quite resilient enough.
As @bykatewomersley & @KARipullone put it, training junior doctors in âresilienceâ to help them work in the @NHS isnât âresilience trainingâ itâs âcompliance trainingâ!
Resilient systems are built by workforces which are well cared for and able to operate in a climate of psychological safety: able to speak up when things arenât going as they should; facilitated to ask for help when situations become too much.
Resilient systems enable individuals to act at their professional bests. Individual âresilience trainingâ for professionals is at best rearranging deckchairs on the Titanic.
This is one of the things @welldoctors is passionate about: people arenât supposed to be resilient, systems are. Yoga and mindfulness might be good for you, but they donât create resilience in the @NHS. But, there is a paradox...
... whilst individual resilience doesnât create system resilience, individuals empowered by their organisations to work together and improve the ways they all do things is an important precursor to it. This is why movements like @civilitysaves and @15s30m are so important.
So, whilst #Resilient might be part of the @welldoctors name, itâs not because there is a problem with junior doctorsâ individual resilience. Rather, itâs because @welldoctors are part of the @NHSâs #Resilience solution.
