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Yes, we can improve performance in 60 minutes! Sport Psychology principles and its application to performance in the OCS

Yes, we can improve performance in 60 minutes! Sport Psychology principles and its application to performance in the OCSE. Dr. Kirsty Forrest Ian Maynard, Ph.D Joanne Butt, Ph.D Dr. Brian Nicholson. Overview of the Research Project. Project initiation Getting started ….

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Yes, we can improve performance in 60 minutes! Sport Psychology principles and its application to performance in the OCS

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  1. Yes, we can improve performance in 60 minutes! Sport Psychology principles and its application to performance in the OCSE Dr. Kirsty Forrest Ian Maynard, Ph.D Joanne Butt, Ph.D Dr. Brian Nicholson

  2. Overview of the Research Project • Project initiation • Getting started …. • Aims of the project • Funding • For medical students KF

  3. Objectives of the Session • Sport psychology • Performing under pressure • Elite sport and preparing for OSCE • Overview of the 6-week intervention • Cognitive and somatic anxiety intervention • Activity 1 • Develop awareness of our own responses to stress • Activity 2 • (a) Cognitive restructuring • (b) Cue controlled relaxation JB

  4. Performing Under Pressure • Mentally and physically prepared • Manage emotions • Do not let uncontrollable factors affect their performance • Able to focus and refocus • Have high levels of self belief JB

  5. Psychological Skills Training for OSCE • Intervention Overview • Completing the CSAI-2 • Cognitive and somatic anxiety, and self confidence • Develop awareness • Responses to stress IM

  6. Psychological Skills Training for OSCE • Cognitive anxiety & self confidence • Controlling the controllable factors • Cognitive restructuring • Building confidence • Planning and focusing • Somatic anxiety • 6-stage process of applied relaxation • Systematic desensitisation • Coping responses IM

  7. Session Progressive Relaxation 15 – 20 mins 2 3 Release-Only Relaxation 5 – 7 mins 4 Cue-Controlled Relaxation 2 – 3 mins 5 Differential Relaxation 60 – 90 secs 7 Rapid Relaxation 20 – 30 secs 8 9 APPLICATION TRAINING 10 Figure 1. The different components of applied relaxation with approximate time to get relaxed at various stages IM

  8. Intervention Examples • Activity 1: Developing awareness of our own responses to stress • Activity 2: • (a) Cognitive restructuring • (b) Cue controlled relaxation IM

  9. Developing Awareness What characteristics do elite sport and OSCE/your world share? JB

  10. The mirror of sport and preparing for the OSCE What characteristics do elite sport and OSCE/your world share? • High pressure situations • Demand for results • Performance is critically evaluated • Continuous need for improvement • Performance edges are critical • Personal accountability for performance • Good communication JB

  11. Recognising when you are under stress • Common Early Warning Signs • Mental (e.g., inability to concentrate, difficulty in making rational judgements) • Emotional (e.g., state of anxiety, increased moodiness, angry outbursts) • Physical (e.g., tense muscles, erratic breathing, cough/colds) • Behavioural (e.g., increased or decreased sleep, social withdrawal) Activity 1: see Booklet p. 7 JB

  12. Activity 2a: Cognitive Restructuring • Countering • Identifying negative thoughts • Thought stopping cue • Reframing Activity 2: see Booklet p. 10-13 IM

  13. Examples: OSCE Negative Self-Talk I don't know what to expect Its so difficult getting through so many stations I hope I say the correct things I shouldn't have asked that question Identifying Negative Thoughts and Expectations IM

  14. Involves briefly focusing on the undesired thought and then using a cue or trigger to stop the thought and clear it from your mind. Cues or triggers can be mental or physical (e.g., saying the word 'stop' to yourself, clenching your fist) Thought Stopping IM

  15. COUNTERING – OSCE SpecificReframing Negative Self-Talk to Positive Self-Talk IM

  16. Activity 2b: Progressive Relaxation • Stage 3: Cue Controlled Relaxation • Focus on breathing • Use of 'cue' words e.g., 'relax', 'loose' etc IM

  17. Changes in CSAI-2 Scores: Pre and Post Intervention Intensity Range : 9-36 Direction Range: -27 to +27 - Understanding your own scores JB

  18. Summary • Psychological skills intervention: Successful transition from sport to medicine [OSCE] • Multi-modal Stress Management Training Programme (6 weeks) • Focus on managing cognitive and somatic anxiety, and improving self confidence • Provided examples of cognitive restructuring and cue-controlled relaxation JB

  19. Final Comments Summary of the project Benefits for the medical students Future work Thank You for Listening KF

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