James Stempien

Monday, May 28, 2018 • 10:45 - 12:15
Track 4 - WE ALL SCREW UP SOMETIMES
Track Chair: Dr. James Stempien

We All Screw Up Sometimes - Dr. Doug Sinclair

Description: I am a panel member reviewing common pitfalls in diagnostic thinking that result in medical error, by reflecting on the video of Dr. Pat Croskerry, and using examples from my ED practice

Learning Objectives:

  1. understand how cognitive thinking can affect patient assessment and treatment
  2. develop practical strategies to minimize diagnostic error during a clinical shift
  3. understand health system issues as a component of diagnostic error

Pearls:

  1. utilize self-reflection as a mitigation strategy
  2. de-construct cases to learn about cognitive bias
  3. understand your own patterns of fatigue to maximize good decision making

Biography: Just completed 8 years as Executive VP and Chief Medical Officer at St Michaels Hospital and continuing to practice Adult and Pediatric EM

We All Screw Up Sometimes - Dr. Sam Campbell

Description: Panel Member

Learning Objectives:

  1. Consider competing pressures to maintain patient flow/provide good care while avoiding mistakes

Pearls:

  1. Take a break once a shift
  2. Stop and think!
  3. Review your thought process each time

Biography: Chief of Emerg at the Halifax Infirmary

Cheated out of a noble prize on numerous occasions

We All Screw Up Sometimes - Dr. Constance LeBlanc

Description: We aim to share experiences in error and allow docs to learn from and share their experiences rather than hide them and feel shame.

Learning Objectives:

  1. Recognize and accept that to err is human
  2. Transforming error into learning

Pearls:

  1. Share your mistakes and near misses
  2. Learn from them with others
  3. Take care of yourself at these times

Biography: Professor, Department of Emergency Medicine

Associate Dean, Continuing Professional Development and Education Research

Dalhousie University

Second Victim Syndrome - Dr. Nadim Lalani

Description: A discussion of second victim syndrome in the context of physician error and what can be done to mitigate its effects

Learning Objectives:

  1. Describe what second victim syndrome is
  2. Understand factors that promote vulnerability of physicians
  3. Enact mitigation strategies that promote resilience

Pearls:

  1. Second victim syndrome is real and can have deadly consequences
  2. Physician identity has a large part to do with our vulnerability to emotional events
  3. Self awareness around key determinants of resilience will enable physicians to thrive in spite of these disruptive events

Biography: I am an ER physician although that is a small label in my life. I am a human being and father foremost. I am passionate about building people into the best version of themselves. Although I have a medical education background I now use professional coaching as a vehicle to enable medical types to win at medicine and at life.