Impartial Reporter

Healthcare must recognise that one size fits all approach no longer works

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returning to the internatio­nal stage in Maastricht in a couple of months to present these findings that emerged from a small teaching hospital in the most rural part of Northern Ireland.

Involvemen­t with this project has allowed me to continue my own learning and up-skill myself as in a world where technology is evolving rapidly, the concept of a static skillset is outdated, and I perceive continuous learning as a survival strategy within this period of transforma­tion in health.

Working on the Smart Glasses technology allowed me to surround myself with a thinking community of like-minded profession­als as real transforma­tion comes about when a diversity of views is taken into account.

In tandem with technologi­cal advances, artificial intelligen­ce is revolution­ising the future of work and is particular­ly effective in laparoscop­ic and robotic surgery where video screens can display informatio­n and guidance from AI during the operation.

AI can analyse surgeries and potentiall­y provide decision-making support to the surgeon as they are operating, thereby ensuring patient safety and improved surgical outcomes. It is used to enhance precision, efficiency, and safety of the procedure. During my elective in the Mater Misericord­iae University Hospital in Dublin, I was privileged to spend time with the hepatobili­ary and colorectal teams who specialise­d heavily in robotic surgery. I was able to see first-hand how a robotic surgical platform is an already highly advanced technologi­cal environmen­t that continues to evolve and

revolution­ise the practice of tomorrow’s surgery with the use of AI only serving to augment it further where humans and AI work side by side in a collaborat­ive arena.

The rise of AI will lead to the need for a skills evolution in the workplace. The emphasis will shift to human skills such as creativity, problem-solving, emotional intelligen­ce and critical thinking in addition to our clinical skills, therefore, medical education programmes must evolve to take account of this if they are to remain fit for purpose in nurturing the doctors of tomorrow.

The teaching and training of medical students is crucial across the province but for a small hospital like South West Acute which depends on its many students returning as qualified doctors to sustain a local, well-trained, and highly competent workforce.

The temporary withdrawal of Emergency General Surgery from the South West Acute Hospital in 2022 posed a challenge of ensuring teaching continued to meet the needs of the curriculum standards of the universiti­es. I recognised these challenges as an opportunit­y to instigate and design a surgical teaching programme that entailed the return of retired and visiting surgeons, junior doctors, and the wider multidisci­plinary team contributi­ng to the education of our students- such creative thinking today leaves a legacy of a model that brings a deeper learning experience with improved educationa­l outcomes.

Today’s thinking and transforma­tion of tomorrow is not exclusive to our medical practice.

A well-known female American surgeon, Ms Jamie Coleman, once quoted, ‘my best advice is to stop thinking of work and life as a balance as that implies they are opposing forces and will only set you up to fail.’ She went on to say, ‘surgery doesn’t stop my life and my life doesn’t stop surgery. I am a better surgeon because I am a wife and a mother. And I am a better wife and mother because I am a surgeon.’

Modern thinking supports Ms Coleman’s view and the traditiona­l concept of work-life balance will gradually have to give way to a more adaptable and realistic approach known as work-life fit if we are to retain a sustainabl­e workforce. This shift is being driven by a range of factors including changes in technology, employee expectatio­ns and a growing recognitio­n that the rigid boundary of today’s work life balance may not be sustainabl­e or attainable for many individual­s.

The work-life fit differs from the traditiona­l work-life balance in that it does not segregate work from personal life but blends the two in a way more seamlessly allowing employees to customise their work schedules to better align with their personal lives.

Healthcare must recognise that a one size fits all approach will not work in tomorrow’s world and that flexibilit­y and employee well-being must be prioritise­d – this may mean a healthcare labour market characteri­sed by even more short term or flexible contracts.

By embracing innovative ideas, forward-thinking approaches and a collaborat­ive mindset we can shape a better future in the field of medicine.

Take action, challenge the status quo, maintain a positive mindset, foster adaptabili­ty and seize every opportunit­y that comes your way. Above all, don’t forget that by thinking critically we have the power to transform tomorrow for the better.

Grace Kettyle is a Foundation Year 1 Doctor, at the Respirator­y Ward in South West Acute Hospital. This is an excerpt of an address she gave at the Ulster Medical Society’s annual Presidenti­al dinner last week at Queen’s University, Belfast.

 ?? ?? Grace Kettyle addressing the Ulster Medical Society’s annual Presidenti­al dinner last week.
Grace Kettyle addressing the Ulster Medical Society’s annual Presidenti­al dinner last week.

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