During my five-year journey as an emergency medicine physician, I have experienced the adrenaline rush and ever-changing dynamics of the emergency department. Each shift offers a chance to make a meaningful impact on those around me. However, the demanding nature of this work can sometimes challenge my motivation, making it difficult to ensure that every shift is a great one.

Throughout the years, I’ve learned some essential rules that help me navigate the chaos of the emergency department while continuously growing as a physician and a human being.

Rule #1: Prioritize yourself

Our hustle culture often admires long hours, exhaustion, and workaholism. At times, I too used to be one of those workaholics, skipping meals, neglecting water intake, and even foregoing bathroom breaks in the name of patient care and sacrifice. However, I eventually realized that this approach led to physical and mental exhaustion, leaving me feeling inadequate.

Over time, I learned the importance of self-care. Taking care of yourself is not selfish; it’s necessary for your well-being. Prioritize getting enough sleep, eating well, and engaging in social activities. Starting each shift refreshed and energized will better prepare you to face any challenges that lie ahead.

Rule #2: Visualize your game plan

As Winston Churchill wisely said, “He who fails to plan is planning to fail.” Mentally visualize your ideal shift and the kind of care you want to provide. Physically, ensure you have all the necessary equipment, like your stethoscope and scrubs, prepared and ready.

Before the shift begins, review your assigned patient list and their medical information, including laboratory results and medications. Dedicate some time to prepare yourself mentally for the tasks ahead. Create a step-by-step plan for your shift, read up on any emerging medical research, and anticipate the likely cases you may encounter based on your assigned area (e.g., resuscitation unit vs. short-staying unit). This kind of game planning during your transit route can significantly boost your comfort and confidence once you start your shift.

Identify your preferred working style, set your goals and priorities for the shift, and create a game plan accordingly.

Rule #3: Communicate effectively

Collaboration is vital in the emergency setting, as we thrive on the team concept. As you enter your hospital or department, make an effort to foster effective communication with your colleagues, nurses, and support staff. Wave, say hello, and maintain respect for one another. During the shift, listen actively to everyone, be unbiased, and consider different perspectives to ensure a cohesive and coordinated approach to patient care. By being a team player and promoting open communication, you create an environment in which you, your patients, and your team can all thrive.

“Communication is power. Those who have mastered its effective use can change their own experience of the world and the world’s experience of them. All behavior and feelings find their original roots in some form of communication.”
– Tony Robbins

Rule #4: Keep learning and growing

Medicine is an ever-evolving field, and there is always something new to learn. Embrace the opportunity for continual learning during each shift. Take the time to read through your patients’ diagnoses and management options from reliable sources like Uptodate or WikEM to stay up-to-date with the latest medical advancements.

Additionally, keep an open mind during your shift and actively seek knowledge from experienced colleagues. Don’t hesitate to share your knowledge with your juniors as well. By continuously expanding your knowledge and skills, you not only improve patient outcomes but also grow as a medical professional. Remember, every source of knowledge is important, as you never know which piece of information might help you save a life someday.

Rule #5: Take breaks and delegate tasks

Taking regular breaks is essential, as working long shifts without breaks can lead to fatigue and compromised decision-making. Recognize the importance of recharging and refocusing during your shifts.

“There is virtue in work, and there is virtue in rest. Use both and overlook neither.”
– Alan Cohen

When appropriate, delegate tasks to your colleagues, trusting them to provide quality care in your absence. This not only prevents burnout but also promotes a healthier work environment and better patient care.

Rule #6: Reflect for continuous improvement

After each shift, take the time to reflect on your experiences. Review the cases you encountered, the decisions you made, and the areas where you could have improved. Learn from your mistakes, for as Henry Ford said, “If you always do what you always did, you will always get what you always got.”

Reflecting on your performance is integral to identifying areas for growth and creating a plan to enhance your future shifts.

Medicine is a calling that demands dedication, compassion, and continuous learning. By prioritizing self-care, embracing continual learning, and giving your best every time, you will direct your energy toward important and rewarding endeavors, ensuring remarkable shifts every time.

In the words of Eric Thomas, “Greatness is a lot of small things done well.” So, make a plan and work on the small things that lead to greatness. I wish you the best of luck on your journey to becoming a great physician.

Rida Jawed is an emergency medicine resident in Pakistan.