This week we recorded a podcast inspired by a recent publication in the EMJ. Esther Murray aka @EM_Healthpsych is a psychologist working in London.
Her recent paper on whether the experiences of medical students might precipitate moral injury during their pre-hospital experiences gives an insight into how we all cope with and respond to the clinical work we do. Some of the work we do is traumatic, painful and morally difficult to rationalise. We are witness to the very worst aspects of some of our patient’s lives and there may be a price to pay.
I was delighted to explore some of the concepts around moral injury in this podcast and would really recommend that you read the paper 1 and consider whether this is something that can affect ourselves and our colleagues. The paper is open access at the moment so there is no excuse not to 😉
Although the paper is based on a small number of participants from only one aspect of the healthcare system it does recognise this limitation and alludes to future work with different groups of clinician.
What is Moral Injury?Esther describes ‘moral injury’ as a concept emerging from work with military veterans. It is used to describe the psychological sequelae of ‘bearing witness to the aftermath of violence and human carnage
Ep 92 - The Teaching Course Copenhagen Day 1
Ep 91 - Critical Appraisal Nugget 7: Relative risk, Absolute risk and NNT in 5 minutes
Ep 90 - Top Ten Trauma Papers 2016
Ep 89 - March 2017 Round Up
Ep 88 - ED transfers. Patient, Preparation and People.
Ep 87 - Critical Appraisal Nugget 6: Retrospective and Prospective studies
Ep 86 - Critical Appraisal Nugget 5: Journal Clubs
Ep 85 - Top tips for chest drains.
Ep 84 - Critical Appraisal Nugget 4: Intention to Treat
Ep 83 - The Teaching Course in NYC Round Up
Ep 82 - Apparent Life Threatening Events in Babies
Ep 81 - Difficult Conversations with Children in Critical Care with Liz Crowe
Ep 80 - EuSEM Half Time Talk
Ep 79 - Critical Appraisal Nugget: Selection Bias
Ep 78 - Intro to EM: Upper GI bleeding
Ep 77 - Critical Appraisal Nugget 2: Blinding and Masking in clinical trials
Ep 76 - Communication workshop with Liz Crowe (SMACC DUB)
Ep 75 - Critical Appraisal Nugget 1: Randomisation
Ep 74 - ED Handover in the resus room: A panel discussion at SMACC DUB. (Part 2)
Ep 73 - ED Handover in the resus room: A panel discussion at SMACC DUB. (Part 1)
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