Well that’s the most asked question by a junior doctor in his early twenties with mind going away from studies, and has no more interest as he used to have during his high school/college.
Many factors do play a role here; hormonal is the key condition that makes a person go Hayward. The next factor is the urge to experience new things and adventures. So let me not discuss in depth.
Coming on to the main question- How to concentrate- Answer to this is difficult, as much advice I give it would not overcome the desires in you. But since you have realized the issue in you, I think you can make an effort to overcome it.
So, the first and foremost task is to prioritize your issues. Start writing your issues randomly on a white paper/MS word!!, then still and sort out them based on priorities. Make a sincere effort to follow it. The list may contain few of things which I consider the main things in this context- parent, friends, Facebook, habits, opposite gender and the list goes to lesser important things.
Generally, as medical students, we believe that hard work, understanding and memorizing, memorizing are the key ingredients to doing well on tests, but when it is crunch time only. Exhaustion, sleep deprivation, and a sense of constant, harried activity have come to epitomize the life of medical students.
Wellness is defined as a state of psychological and physical well-being. I like to think of it as a state of balance in one’s life. Residency inherently has stressors that threaten this balance, such as abnormal sleep patterns, high stress, and a heavy workload.
The quest for wellness is to bring your life back to a balance to enhance your general happiness, work, relationships, friendships, hobbies, spirituality, and other interests. Being well is not just avoiding depression and burnout, but involves a greater overall enjoyment of our lives, which can help make us better doctors, better partners, and better friends to others and to ourselves.
Although there is no way to escape the stressors of residency, we can try to avoid more serious effects such as burnout, depression, and impairment. Burnout is a syndrome of decreased enjoyment and effectiveness at work. There are 3 components: emotional exhaustion, depersonalization, and a sense of low personal accomplishment. Symptoms of burnout include loss of interest at work, feelings of fear, avoidance, isolation, anger, loathing for work, exhaustion, inability to concentrate, anxiety, insomnia, irritability, increased use of alcohol or drugs, body pain, nausea, divorce, broken relationships, and disillusionment.
How Can I Enhance my Wellness?
To maintain your sense of balance, you must make time for what is important to you. Make a list of priorities (family, work, research, friends, exercise, cooking, hobbies, etc) and order them. Decide for yourself what is the most important thing outside work that you need to maintain balance, and then give that to yourself! Studies show that physicians who maintain wellness categorize their wellness practices in 5 general areas:
- Relationships: this category includes relationships with friends, family, colleagues, and community;
- Religion/spirituality: this includes involvement in organized religion as well as meditation or prayer;
- Self-care: make time to take care of you! This category includes hobbies, exercise, good nutrition, avoidance of drugs and alcohol, personal counseling and treatment of depression. Don’t forget to have fun!
- Work: we need to find ways to make our work more meaningful and satisfactory for ourselves. Ideas include suggesting shift schedules that are more circadian friendly, adopting a night float system, debriefing difficult cases with others at work, and planning wellness events with other residents; and
- Approaches to life: it’s important to be generally positive about the journey you are on, maintaining balance, and focusing on your successes.Each of us is different, but here are some quick ideas for enhancing your personal wellness:
- Develop a personal philosophy and prioritize your goals;
- Maintain healthy relationships and set aside time with those people to talk about your feelings;
- Take care of yourself by eating right, exercising, sleeping when you can, and doing the things that make you YOU!
- Find something about each day that brings you joy, including joy at work, such as a positive patient interaction or learning pearl;
- Block off times in your schedule for important things such as family time, exercise, or social events, and make sure you prioritize them;
- Appreciate your accomplishments and growth during this time;
- Learn to say “no” to commitments that are not important to you (although they may be important to someone else), so that you can say “yes” to those that are important to you; and
- Learn where your resources are and don’t hesitate to use them.
Finally, I can’t overemphasize the importance of talking! Every one of us needs confidantes with whom we can be honest about our feelings. Whether with a senior, colleague, spouse, friend outside of medicine, clergy member, or a counselor, it is important to talk. Take advantage of the resources that are available at your school or hospital.
I hope that all of you can look back on residency as I do, as a journey that has been challenging, rewarding, and full of contributions to my own personal wellness. This how I believe we could overcome the difficulties in residency in medical school. This a practical way which I personally believe that
“This is Practical, not theory or story”…
All the best, hope to know the results of this….