In this episode, Dr Will Duffin Education Lead for World Extreme Medicine discusses the concepts of ‘fear-based’ and ‘courage based’ medicine with senior leader and clinician Dr Kathy Ryan. Kathy is the Medical Director of Brisdoc Healthcare Services, the largest provider of primary care services including Integrated Urgent Care in the greater Bristol area, UK. Kathy is passionate about how we hold clinical risk and make good decisions and promotes ‘courage based medicine’ in everything that she does. There is a pressing need for this dialogue as we adapt to new working practices in the pandemic. The last medical, academic paper we could find on courage dates back to 1909! (Courage and Medicine, The Lancet) https://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2801%2911648-X/fulltext We explore: What has lead to a climate of fear in frontline healthcare What it is we are all afraid of Why being courageous is not about heroism or being fearless Some of Kathy’s most challenging clinical dilemmas How you can be sued twice and practice with even more courage than before Perfectionism and when this meets the reality of coalface healthcare How do I know when confidence becomes overconfidence? The power of self-compassion Whether appraisal is a valuable tool for self-awareness or an endless paper machine of competent doctors proving they are competent How you can explore fear and courage within your own clinical team Worksheet Downloads... You can watch this episode on the WEM Academy.

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