ABC of Clinical Resilience

Nottingham, UK

This edition first published 2021

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Library of Congress Cataloging‐in‐Publication Data

Names: Frain, Anna, editor. | Murphy, Sue (Physical therapist), editor. | Frain, John (John Patrick James), editor.

Title: ABC of clinical resilience / edited by Anna Frain, Sue Murphy, John Frain.

Other titles: ABC series (Malden, Mass.)

Description: First edition. | Hoboken, NJ : Wiley‐Blackwell, 2021. | Series: ABC series | Includes bibliographical references and index.

Identifiers: LCCN 2020054591 (print) | LCCN 2020054592 (ebook) | ISBN 9781119693437 (paperback) | ISBN 9781119693475 (adobe pdf) | ISBN 9781119693444 (epub)

Subjects: MESH: Interprofessional Relations | Empathy | Resilience, Psychological | Clinical Medicine

Classification: LCC RC46 (print) | LCC RC46 (ebook) | NLM W 62 | DDC 616–dc23

LC record available at https://lccn.loc.gov/2020054591LC ebook record available at https://lccn.loc.gov/2020054592

Cover Design: Wiley

Cover Image: © serts/E+/Getty Images

John Ballatt, FRCGP (Hon)Director, The Openings Consultancy, Leicester, UK

Julie Carlson, MSW, RCSWRegistered Clinical Social Worker Fraser Developmental Clinic, British Columbia, Canada

Nicola Cooper, MBChB, FAcadMEd, FRCPE, FRACP, SFHEAConsultant Physician & Clinical Associate Professor in Medical Education University Hospitals of Derby & Burton NHS Foundation Trust and Medical Education Centre, University of Nottingham, UK

Barry Evans, BMBS (Hons), MRCP (UK)Consultant Physician University Hospitals of Derby & Burton NHS Foundation Trust, UK

Anna Frain, MBChB, MRCGP, PGCert Medical EducationGeneral Practitioner Partner GP Teaching Fellow, University of Nottingham Graduate Entry Medical School Programme Director, Derby Speciality Training Programme for General Practice, Nottingham, UK

John Frain, MB ChB, MSc, FRCGP, DCH, DGM, DRCOG, PGDipCard, AFHEAClinical Associate Professor & GEM Director of Clinical Skills, Division of Medical Sciences and Graduate Entry Medicine University of Nottingham, UK

Susanne Hewitt, MBE, MBChB (Hons), FRCS, FRCEMConsultant Emergency Medicine University Hospitals of Derby & Burton NHS Foundation Trust, UK

Carrie Krekoski, RDH, BDSc (Dental Hygiene), MEdPractice Education Manager Office of the Vice President, Health University of British Columbia, Canada

Sue Murphy, BHSc (PT), MEdFaculty of Medicine, Department of Physical Therapy University of British Columbia, Vancouver Campus, Canada

Lynn Musto, PhD, RN, RPNAssistant Professor School of Nursing, Trinity Western University, British Columbia, Canada

Sarah Nicholls, BSc, BMBSJunior Doctor, Emergency Department Queens Medical Centre, Nottingham, UK

Betsabeh Parsa, BEd, MEdFaculty of Medicine, Department of Physical Therapy University of British Columbia, Vancouver Campus, Canada

Carla Stanton, BMBS, BMedSci, MRCGP, PgDip, DPDGeneral Practitioner Functional Medicine Doctor, Hertfordshire, UK

Victoria Wood, MAStrategic Lead, Health Systems Office of the Vice President, Health University of British Columbia, Canada

‘To err is human’ but so is to excel. Resilience recognises this. It is about bouncing back, regaining our shape – about not merely carrying on, but becoming more self‐aware rather than more self‐critical. Clinical resilience is not about standing apart from our patients but embracing the humanity we share and planning for the physical, emotional and cognitive effects our work has upon us. Our work is intense, and it is a paradox of modern healthcare systems that, despite the incredible treatment pathways and technological advances we have achieved, our most precious resource – those who deliver the care – report feeling increasingly burned out and unable to carry on.

We are human beings trying to help other human beings. Our professional role often requires us to be bigger than who we believe we are capable of being. When we fall short of this self‐imposed expectation, many of us feel we have failed, that we have let ourselves down as well as our patients and our colleagues. Though we must be aware of our limitations, we should not be bound by them.