Tips for new consultants

Cite this article as:
Tessa Davis. Tips for new consultants, Don't Forget the Bubbles, 2018. Available at:
https://doi.org/10.31440/DFTB.16153

The end of my training finally arrived and I’m preparing to move on to the next (and longest) stage of my career – being a consultant. I asked friends, and Twitter, for advice on becoming a consultant. Here’s a summary of the main #tipsfornewconsultants.

 

10 Thinks: A Message from Parents

Cite this article as:
Grace Leo. 10 Thinks: A Message from Parents, Don't Forget the Bubbles, 2018. Available at:
https://doi.org/10.31440/DFTB.16103

Recently JAMA Pediatrics featured an article from their ‘On My Mind‘ section by parent caregivers of children with chronic, complex medical conditions. The authors Angela Carosella, Alexis Snyder and Erin Ward worked with researches to survey and distill many of the challenges of being parents within the health care system. They suggest 10 ways that health care professionals might help parents caring with children with complex needs.

We thought these ideas were important to carry around with us in our day to day practice so we’ve summarised their key points into a A4 infographic poster ’10 Thinks’ below. We recommend you can also check out the original message and research here with their survey report here.

Jesse Spurr: Safe Debriefing at DFTB17

Cite this article as:
Team DFTB. Jesse Spurr: Safe Debriefing at DFTB17, Don't Forget the Bubbles, 2018. Available at:
https://doi.org/10.31440/DFTB.15914

This talk was recorded live on the final of DFTB17 in Brisbane. If you missed out in 2017 then why not book your leave for 2018 now. Tickets are on sale for the pre-conference workshops as well as the conference itself at www.dftb18.com.

Jesse Spurr needs very little introduction. Other than being involved in two of the greatest conferences out there (SMACC and DFTB18) Jesse also is co-founder and Editor-in-Chief of Simulcast.

Autism spectrum disorder (Part 3) – Is this autism?

Cite this article as:
Mary Hardimon. Autism spectrum disorder (Part 3) – Is this autism?, Don't Forget the Bubbles, 2018. Available at:
https://doi.org/10.31440/DFTB.15452

Charlie is sitting in the corner of your room and refuses to look or speak to you. He has no interest in you or your room. Mum wants to know…is he just naughty or is this autism? 

Michelle Davison: Making Meaningful Learning Experiences at DFTB17

Cite this article as:
Team DFTB. Michelle Davison: Making Meaningful Learning Experiences at DFTB17, Don't Forget the Bubbles, 2018. Available at:
https://doi.org/10.31440/DFTB.15916

This talk was recorded live on the final of DFTB17 in Brisbane. If you missed out in 2017 then why not book your leave for 2018 now. Tickets are on sale for the pre-conference workshops as well as the conference itself at www.dftb18.com.

Michelle is a powerhouse of paediatric education. She has leveraged her interest in both paediatrics and simulation to create EduAcute. At DFTB17 she talked about what fidelity in simulation actually means. Do we need to have the fanciest, most expensive mannequins to achieve our learning outcomes? It is all well and good playing with expensive toys but if our learners don’t actually learn anything other than “Wow, that mannequin was really realistic” then what was the point.

Jonny Taitz: Patient Safety at DFTB17

Cite this article as:
Team DFTB. Jonny Taitz: Patient Safety at DFTB17, Don't Forget the Bubbles, 2018. Available at:
https://doi.org/10.31440/DFTB.15912

This talk was recorded live on the final day of DFTB17 in Brisbane. If you missed out in 2017 then why not book your leave for 2018 now. Tickets are on sale for the pre-conference workshops as well as the conference itself at www.dftb18.com.

Autism spectrum disorder (Part 2) – why is this happening to me?!

Cite this article as:
Mary Hardimon. Autism spectrum disorder (Part 2) – why is this happening to me?!, Don't Forget the Bubbles, 2018. Available at:
https://doi.org/10.31440/DFTB.15447

You have been referred Charlie, a 2yo boy, by his general practitioner who suspects that he has autism. He attends your room with his mother who feels helpless surrounding this potential “label” that is being considered for her son. She has a list of questions however her first one is “why is this happening to me?” 

Natalie May: Everything Counts in Small Amounts at DFTB17

Cite this article as:
Team DFTB. Natalie May: Everything Counts in Small Amounts at DFTB17, Don't Forget the Bubbles, 2018. Available at:
https://doi.org/10.31440/DFTB.15910

This talk was recorded live on the final day of DFTB17 in Brisbane. If you missed out in 2017 then why not book your leave for 2018 now. Tickets are on sale for the pre-conference workshops as well as the conference itself at www.dftb18.com.

Natalie May is one of the powerhouses behind that great British institution, St Emlyn’s. Having completed her emergency medical training in the UK she has moved to warmer climes and works as a Specialist in Pre-Hospital and Retrieval Medicine for Sydney HEMS as well as doing the odd job on the side for the local NETS service.

DFTB go to PEMFest18

Cite this article as:
Barnes, K. DFTB go to PEMFest18, Don't Forget the Bubbles, 2018. Available at:
https://dontforgetthebubbles.com/pemfest18/

Maybe you recognise the drill ……. you are tired, your frontline NHS job is tough,  there is a list of jobs as long as your arm at home, you still need to book transport to attend this conference, and you’re not sure if work will provide any study funding. But you decide to go for it. You’re pretty sure there’ll be someone to sit with – but too late now. Within five minutes of arriving you are infected – the space has a buzz, the crowd has a buzz and there is great coffee and little mini muffins (an army marches on its stomach), and it only gets better from there.

DFTB go to the Academy

Cite this article as:
Leo, G. DFTB go to the Academy, Don't Forget the Bubbles, 2018. Available at:
https://dontforgetthebubbles.com/dftb-go-academy/

Attending a first-time conference is a bit like watching a softball match as a much talked-about rising ‘star’ batter comes onto the field to face-off against a seasoned pitcher. Will they strike a home run or will they simply get struck out? Most want the batter to do well and may even expect it – but there is the sense of anticipation and uncertainty in the air until that moment in time when the bat and ball connect and the latter goes flying.

The Academy of Child and Adolescent Health held its official launch on the 1-2nd of March at the Royal Children’s Hospital in Melbourne and Henry and Grace were lucky enough to be able to attend. The ACAH is a non-profit organisation founded with the purpose of “promoting the health and well-being of every newborn, child and adolescent in order that they may reach their maximum potential”. This concept grew out from a RACP focus group though the ACAH is open to all health professionals. The conference focused on key issues related to child and adolescent health. It also explored the ways that the ACAH may be able to make a difference in the areas of education, policy making and advocacy.

Day 1:

Keynote

One of the highlights of the ACAH morning session was the keynote by Kim Oates. He discussed some of the key areas he thought the ACAH might address in the future including indigenous and refugee healthcare, domestic violence (and child maltreatment), patient safety, parenting support and culture in healthcare.

ACAH board and strategic directions

Of particular note during the morning session, the entire board came to the front and introduced themselves and fielded questions about the ACAH and their involvement to date. In the afternoon there was also a review of the strategic planning day which involved multiple paediatric subspecialty groups discussing some of the steps the ACAH might make to become a central hub that strengthens and utilises the skills and resources in these other organisations in addition to producing its own material.

Living with disability

The midday session featured a fantastic panel on navigating disability. One speaker who particularly impressed us with Jacki (Jax) Brown who spoke on how the way that disability affects and encompasses each individual uniquely. She also raised the importance of considering wheelchair accessibility of events, healthcare venues, work and public transport. Simply being labelled “Wheelchair Accessible” does not mean that a building is wheelchair friendly. Sometimes it might be a separate entrance around the garage which requires buzzer accessmaking the people using it feel excluded. Jax asked us to model inclusion and not ignore disability when we see it – but to respect people living with disabilities, remember that they have value and enable them to define for themselves who they are and what their identifies are. She also encouraged a move away from treating people with disabilities as passive receivers needing to ‘justify’ their needs, but rather to engage and work together with people with disabilities on the structure and social barriers that are causing problems for equity.

Asylum seekers, children in detention

The afternoon session was divided into a presentation from Megan Mitchell – the National Children’s Commissioner and a strategic planning session. This  encouraged delegates to add their thoughts regarding the future direction of the ACAH. Megan Mitchell’s talk focused on presenting the findings from the recent report into Asylum Seekers, Refugees and Human Rights. She pointed out that Australia has now been elected to the UN Human Rights council for the next three years and that this could be a critical time to uphold and support the human rights of asylum seekers, refugees and indigenous populations in Australia. After many years, Australia has finally committing to ratify OPCAT (Optional Protocol to the Convention Against Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment). OPCAT should apply to all places of detention in Australia, including prisons, juvenile justice and mental health facilities, and immigration detention. Megan shared her experiences talking with children in Australia and offshore centres ias well as some of the terrible conditions children have been subjected to – conditions such as having hygiene products withheld for misbehaviour and placing children in prolonged isolation for up to 20 hours a day. These methods of discipline have been teaching children that the abuse of others, especially those less powerful, is normal. It is also likely to be traumatising already vulnerable children and adolescents.

Overall verdict after day 1:

Although the ACAH provided no ground-breaking change in terms of the experience compared with more traditional conference – we still enjoyed it. The talks were, for the most part, on-point. There was a good buzz and question time for every talk was filled without difficulty.

 

Day 2

If the first day of the conference is like the time a batter comes to the plate, the second day of a conference is the bottom half of the game. It’s all about finding and keeping the lead. It’s also a nice part of the game because there’s momentum to play off and you’re more familiar with and more invested in the delegates and topics as whole.

Human Digital Interface of Healthcare

This morning session opened with Gareth Baynam discussing digital diagnosis and the search for answers for children suffering from rare diseases. Kath Carmo discussed the value of telemedicine used by the NETS team in retrieval to help guide support and make decisions about transfers. She also explained the importance of retrieval of sick kids in having equitable access to healthcare. James Dromey’s talk was focused on future digital platforms and the way that healthcare can work with IT and tech companies to create new software and hardware to help with preventative medicine and provide education for both healthcare workers and families. He honed in on the importance of product development which doesn’t just ‘sound’ like a good idea – but which is user-centred and has both proof of concept and sustainability.

Advocacy & Global Health

The second session was an intriguing look into how the American Academy of Paediatrics, the UK RCPCH and the Paediatric Society of Australia and New Zealand have grown and developed their role in advocacy and global health. The importance of engaging members and using multiple different approaches in advocacy was stressed. Another element in the early afternoon session was a thoughtful speech from Dame Quentin Bryce who officially launched the ACAH and reaffirmed key areas in need of advocacy such as indigenous health, adolescent health, supporting research and the value in engaging whole families in care for children.

Safe Spaces for Children

The last session for the meeting was broad but interesting –  relating to the areas of social media, dealing with violence and providing a legal perspective on children and media. In particular, Donna Cross shared the interests of CoLabforKids and discussed the need to appreciate the nuances of managing screen time and social media. It is not enough to simply say that children should only have X amount of screen time; rather it is important to also look at the quality of the time and use. For example –  Is it watching movies in the car or is it with grandma reading an interactive online story book? The latter is much more likely to be beneficial to learning. On the topic of cyber-bullying and social media use – Donna made a great analogy to water safety. Swimming pools are both beneficial but dangerous. Children and adolescents need training, supervision, appropriate barriers and supports to safely enjoy and utilise them.

Overall Impressions

The ACAH launch was relatively small but filled with many experienced and respected individuals. There was a keen sense of anticipation in the air and thoughtful debate around key issues of advocacy. There were a number of strong speakers but I particularly liked disability panel and thought it worked well. It was very good to see patient and family representation at the conference. The ACAH team also showed a willingness for transparency and utilising a grass-roots approach. This was seen through the opportunity for discussion during and between the conference about the ‘where to from here’ and brainstorming of opinions about areas for priority and methods that might be employed. The majority of delegates were paediatric consultants although a few GPs also attended. It would be good to see further diversity in the board, speakers and delegates across health professionals given the aim and goals of the ACAH. The conference validated, in my mind, both the great need and opportunity for an organisation like the ACAH and I found myself registering for membership by the end of it. Whilst they may have won the game, there are many more matches to come. It will be of the great interest to follow how the ACAH board and members make good on their intentions from this launch in the next few months.

For more on the ACAH or to join membership check out www.acah.org.au

 

Bec Nogajski: Better Supervision at DFTB17

Cite this article as:
Team DFTB. Bec Nogajski: Better Supervision at DFTB17, Don't Forget the Bubbles, 2018. Available at:
https://doi.org/10.31440/DFTB.14554

This talk was recorded live on the first day at DFTB17 in Brisbane. If you missed out in 2017 then why not book your leave for 2018 now. Tickets are on sale for the pre-conference workshops as well as the conference itself at www.dftb18.com.

Norman Swan: Breaking boundaries in medicine at DFTB17

Cite this article as:
Team DFTB. Norman Swan: Breaking boundaries in medicine at DFTB17, Don't Forget the Bubbles, 2018. Available at:
https://doi.org/10.31440/DFTB.15288

This talk was recorded late on the second day of DFTB17 in Brisbane.

Norman Swan is a multi-award winning broadcaster and producer. He has one three Walkey awards for national journalism and in 1989 he was given the Michael Daly award, Australia’s highest prize for science journalism. In this amazing talk he takes us through his formative years as a junior doctor, on to his role in exposing the scientific fraud of Dr William McBride, and beyond.