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What obstacles to compassion were present and how did this impact effectiveness or fast recovery?

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What obstacles to compassion were present and how did this impact effectiveness or fast recovery?

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How could he have showed compassion to the patient/self in these circumstances?

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How could he have showed compassion to the patient/self in these circumstances?

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What are your takeaways for building your own self+other compassion practice before moving into phase 2?

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What are your takeaways for building your own self+other compassion practice before moving into phase 2?

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One concern is doctors might have a lot on their plate and am suffering from burnout. Making them learn another skill or adding things to their plate might tire them out even more.

The new system of healthcare emphasizes compassion, which might be different from how the old doctors are trained. How will this new system affect the healthcare system as a whole when we're the junior doctor as the senior doctor might see practices that are different from them. They might want us to revert to their practices and how will we balance compassion with the old practices?

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Burnout, easy to mistake compassion for empathy, if we keep resonating and empathizing with patient without compassion, we end up burning out. It is tricky balancing being empathically attuned to other people’s emotions and your own at the same time.

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Yes, definitely, in order to fully adress patients' concerns, we need to listen to them as there can be underlying causes behind their health conditions. To achieve the best patient outcomes in practising medicine, we need to fully listen to their concerns so as to elicit underlying socioeconomic factors or mental health conditions that can also affect their physical health

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1. How do we cultivate such an external environment to train / learn compassion - especially when having to battle lethargy and fatigue!

2. How do I intentionally do something that is supposed to come naturally? My experiences shape this intrinsic nature of mine, how do I know what I need to think /  see / feel to make myself more compassionate?

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Is compassion an essential capacity needed in practicing medicine? Why or why not?

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Is compassion an essential capacity needed in practicing medicine? Why or why not?

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Yes - improve patient outcome, and personal satisfaction when we make differences
Maybe no - being too involved in the patient's life or distress may affect you instead

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HELL YES. "Training in empathy is a good thing, but it goes only so far"

1. Practically, Compassion may help give you a fuller picture of the patient --> better trust between doctor and patient
2. When you really walk in another's shoes, you might pick up on certain things that may matter so much more to the patient -- sure a cure is important but acknowledging a fear / offering comfort might be so much more

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1. The nature of compassion is very fragile.
2. The process of cultivating compassion is just as important as the end product/value of compassion.
3. Building compassion is not an individual process; humans need an environment that facilitates actively practicing compassion.

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Grace Cheng
Gan Yu
Shivani Rao
Lee Yi Xuan
Isaac Ong
Welkin Hsu

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Concerns about practicing self- and other- compassion as a doctor

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Concerns about practicing self- and other- compassion as a doctor

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Self-compassion
- May feel selfish esp when it takes time and energy (capacity) away from focusing on other people who also need compassion
- If you are not able to help/treat/cure a patient (e.g. terminal illness), may feel like you don't deserve to give compassion to yourself

Other-compassion
- Finding the best way to show compassion to the patient
- Institutional and practical limitations (e.g. short amt of time to spend with a patient - difficult to listen well)

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- compassion is required to discover the true needs of the patient
- in certain scenarios of crises/emergencies, compassion may hinder what needs to be done

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- compassion can be easily lost sight of under stress
- compassion is not necessarily on the onus of the doctor; the climate and landscape is not within our control
- sometimes we are dictated by the healthcare climate and compassion

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Pamela, Abu, Vanessa, Yichen, Yong Zhi, YY🌳

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Is compassion essential in practicing medicine?

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Is compassion essential in practicing medicine?

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Other-compassion:
- There is more to a person than just their health condition
- Patients value the human connection
- We need to discern the appropriate amount and method of compassion for each situation

Self-compassion:
- For sustainability in our work
- For self-awareness and emotional regulation

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- doctors need to receive compassion as well
- patients want to be known, not judged
- need to be aware of internal mental state before being able to engage non-judgementally

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2. What do you personally believe - is compassion essential in practicing medicine? Why or why not?

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2. What do you personally believe - is compassion essential in practicing medicine? Why or why not?

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No
- No compassion is better than 'faked' or 'scripted' compassion, competence is more important (are they mutually exclusive?)
- Patients rather want to leave the office with an assurance that their problem is recognised and has a solution

Yes
- Without compassion, we might struggle to build a trusting relationship -> may not obtain the right diagnosis -> affect treatment
- Without compassion, we are no different from robots

BUT
- Depends on situation: when time is of the essence, it may be less pertinent to 'act' on the compassion you feel

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- Compassion is mutual and beneficial
- Compassion can be developed
-> requires practice, attentive listening, impt to let patient talk
- Compassion starts with self: being compassionate to others without compassion to self can lead to burnout
-> awareness of your inner state can help us understand that of others
- Everyone's experience is unique, even if you can resonate with some parts
-> Avoid cold empathy statements
-> It is a fine balance to be attuned to both yourself and the patient's

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1. Too much empathy without being kind to yourself will lead to burn out.

2. Compassion is fragile (under stressful circumstances, compassion tends to be lost).

3. Being compassionate is constant work, but letting the patient feel our compassion is tough work.

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- Limited cognitive bandwidth to remind oneself to practise compassion when other worries or commitments impose a large burden
- Becoming numb or desensitised due to the constant barrage of suffering seen

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- Yes, it is
- Building of therapeutic alliance with patient improves care
- Avoidance of burnout through recognition and appreciation of impact of work

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Eleanor, Gerald, Kaye Min, Lumi, Pierre, Dana

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Eleanor, Gerald, Kaye Min, Lumi, Pierre, Dana

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- Compassion requires deep listening which is often forgetten when time-pressed
- Awareness of our inner states can help us recognise the inner states of others
- Compassion is neither a constant entity nor a purely personal endeavour

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Yvonne
Yu Bin
Henry
Scarlett
Prashaad

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3. What are your concerns about practicing self and other compassion as a doctor?

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3. What are your concerns about practicing self and other compassion as a doctor?

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- Desensitisation: Sheer volume, workload etc that may drive us away from practicing it regularly
- Can be a Herculean effort at times
- Having your compassion misinterpreted / misconstrued as something else

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What are your concerns about practicing self and other compassion as a doctor?

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What are your concerns about practicing self and other compassion as a doctor?

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- time; difficult to do it especially when most of our time is spent in hospital
- lack of feedback; not sure if patients truly feel recognised by our empathetic responses
- compassion is not a routine response

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Concerns about practicing self and other compassion as a doctor

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Concerns about practicing self and other compassion as a doctor

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Time constraint to practice compassion

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Concerns about practising self and other compassion

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Concerns about practising self and other compassion

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In certain situations, it might be difficult to be compassionate (if we are restricted by workload, timelines, etc.) -> we might feel that we did not do enough for our patients and when we look back we might feel guilty about it.

Lack of self-compassion - relatively easier to be compassionate to others than to yourself. On further introspection, being able to be self-compassionate may help us be more genuine in being compassionate towards others as well.

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1. Practice deep listening because patient wants to feel known and understood.
2. Remind ourselves not to make judgments or show less empathy because of patient's choices (e.g. smoking)
3. Be mindful about your own emotional experiences in the face of patient's distress. Compassion =/= empathy

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Is compassion essential in medicine? Why?

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Is compassion essential in medicine? Why?

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Yes - everyone's needs are very different and it's important to be compassionate towards their different needs and act accordingly. It's also important for therapeutic alliance as patients come to us with their vulnerabilities and worries and as clinicians we need to be able to understand and support them.

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What are your concerns about practicing self and other compassion as a doctor?

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What are your concerns about practicing self and other compassion as a doctor?

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Is compassion essential in practicing medicine?

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Is compassion essential in practicing medicine?

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Yes. People come to see the doctor for reassurance and to learn more on how it's gonna impact the individual. It is important to put yourself in the shoes of the patient to see why they come and see you. We need to be able to connect to the patient in the deeper level to be able to help the patients.

AI and computers might eventually outperform humans in diagnostic, but in medicine (comfort always) --> We need to provide reassurance and compassion to the individual to give holistic care to the patient.

Healing is also a stepwise process and it's not all about the diagnostic/medicine given. We also need to convince the patient and encourage them to take their medicine so as to help the patient get better.

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Compassion essential in practicing medicine? Why or why not?

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Compassion essential in practicing medicine? Why or why not?

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Compassion helps to us to understand patient's perspectives. better understand patient's needs.
Compassion could lead to empathy burn out

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Concerns of practicing self compassion as a doctor

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Concerns of practicing self compassion as a doctor

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- TIME
- Environment
- Institutional
- Bottom of the food chain
- Learn ways to adapt ourselves to these constraints and still show compassion?

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1. Trying to empathize leads to burnout
2. Balance between showing empathy + action to really show that - even being present is an action
3. People withdraw when they first "fail" at empathizing

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1. Deeply listening to their worries/thoughts without injecting your own experiences

2. Self compassion is important but difficult! Be kind to yourself

3. Triad of compassion: notice others' suffering, resonate with their suffering (in some way), acting on your compassion to translate the resonance into action

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- Yes
- Holistic care → not just about physical/medical illness but about alleviating patient's emotional stresses
- Health is beyond the body → socioeconomic factors
- helps to connect with and understand patients more →gain more insight on how to help them.
- Prevention of our own burnout →positive working environment, trust, feeling more rewarded
- Self-compassion is super important! Take care of yourself so that you can take care of others

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To be compassionate about others, you need to take care of your personal well-being first.

Compassion can be consciously cultivated.

Compassion =/= empathy. You can feel for the patient (empathy) but cannot handle it (compassionate). Compassion requires action.

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Recognize
Resonate
Take action

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What are your concerns about practicing self and other compassion as a doctor?

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What are your concerns about practicing self and other compassion as a doctor?

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1. Recognition (or the lack thereof) - of our own/others' state of mind. If we are unable to pick up the need for compassion, we will not be to demonstrate it.
2. We may be too stressed to address our own emotional needs, and as a result cannot show compassion to others.

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- It's important to try to understand patients without judging them
- Definition of compassion →  3 things: noticing, resonating, action
- Factors of compassion: people don't always display compassion due to constraints that are out of our control
- Compassion as a personal value vs the role that the institution can play
- Compassion alleviates the emotional distress caused by empathy

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What do you personally believe - is compassion essential in practicing medicine? Why or why not?

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What do you personally believe - is compassion essential in practicing medicine? Why or why not?

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Compassion is not needed to PRACTICE medicine, but it is needed to practice GOOD medicine.

Our ability to show compassion might be limited by our circumstances, but we do recognise that we will be better practitioners if we can make the effort to show compassion.

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1. We need to be compassionate towards ourselves before we can be compassionate towards other people. We can't neglect our own emotions if we want to be compassionate.

2. "The challenge is to create conditions where compassion is MOST LIKELY to arise, but not necessarily to expect it to manifest the same way every time". Situations in which compassion arise is unpredictable as there many factors that are involved.

3. Some patients will not find solace in shared experiences, especially if they perceive their experiences to be significantly different in any aspect (eg degree of pain).