Reflective Practice Groups
Lesley Dawson & Andrew Wilson
© PRIME Partnerships in International Medical Education
Reflective Practice Groups
Transforming the unbearable into the bearable together
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-Schwartz Round – Gaza
-Compassion Circle
Schwartz Rounds
Inspiration for Schwartz Rounds
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Ken Schwartz was Boston healthcare lawyer whose experiences as a patient when terminally ill with lung cancer led him to write
“small acts of kindness made the unbearable bearable”
He noted the value of healthcare workers engaging with him as a person and displaying empathy
Schwartz Rounds
The Purpose of Schwartz Rounds
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To explore the challenges and rewards that are intrinsic to providing care
Not to solve problems or to focus on the clinical aspects of patient care
Schwartz Rounds
Piloted in NHS by the King’s Fund
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-Provide a monthly one-hour session
-For staff from all disciples
-To discuss difficult emotional and social issues arising from patient care
Schwartz Rounds
Piloted in NHS by the King’s Fund
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-Provide staff with structure time
-and a confidential safe space
-to talk about the social, ethical and emotional challenges of looking after patients and their families
Schwartz Rounds
The Purpose of Schwartz Rounds
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To explore the challenges and rewards that are intrinsic to providing care
Not to solve problems or to focus on the clinical aspects of patient care
Personal experience of Schwartz Rounds
As a member of ADAPT (Physiotherapists in Global Health)
A number of us who worked in Gaza shared our experiences and feelings
Open to other PTs and PT students
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Reflective Practice Groups
Compassion Circles
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Balint @ Bevan
Compassion Circle in the early pandemic for admin/reception staff.
Reflective Practice Groups
Compassion Circles
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“Our human compassion binds us the one to the other – not in pity or patronizingly, but as human beings who have learnt how to turn our common suffering into hope for the future.”
Nelson Mandela (1918-2013)�Former President Of South Africa
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Reflective Practice Groups
Compassion Circles
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An array of compassion Circle and Care Space types 60minutes, 20minutes, 10minutes, and 5minutes
Collected together elegantly and nicely scripted @
https://compassionpractices.net
Reflective Practice Groups
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20minute Care Space – For us all - Now
“The word ‘listen’ contains the same letters as the word ‘silent’.”
Alfred Brendel (born 1931)�Austrian Pianist, Poet And Author
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Introduction Welcome + Why is this important?
[2 minutes]
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Round 1: “One thing going well at the moment, inside or outside of work”
(As a round)
[3 minutes]
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Round 2: “[NAME] what is going on for you at the moment?” [1-minute intro + 4 minutes]
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Round 3: “What I appreciate about you or what you said is....” [2 x 30 seconds]
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Round 4: “How can you take more care of yourself”
[4 minutes]
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Round 5: “What one thing will you do to care for yourself?” (As a round)
[3 minutes]
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Round 6: Grounding exercise to end
[2 minutes]
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