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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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Presentation Transcript
slide1

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

KF

objectives of the session
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

performing under pressure
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

psychological skills training for osce
Psychological Skills Training for OSCE
  • Intervention Overview
    • Completing the CSAI-2
      • Cognitive and somatic anxiety, and self confidence
    • Develop awareness
      • Responses to stress

IM

psychological skills training for osce6
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

slide7

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

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

IM

developing awareness
Developing Awareness

What characteristics do elite sport and OSCE/your world share?

JB

the mirror of sport and preparing for the osce
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

recognising when you are under stress
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

activity 2a cognitive restructuring
Activity 2a: Cognitive Restructuring
  • Countering
    • Identifying negative thoughts
    • Thought stopping cue
    • Reframing

Activity 2: see Booklet p. 10-13

IM

identifying negative thoughts and expectations
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

thought stopping
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

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

IM

changes in csai 2 scores pre and post intervention
Changes in CSAI-2 Scores: Pre and Post Intervention

Intensity Range : 9-36

Direction Range: -27 to +27

- Understanding your own scores

JB

summary
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

final comments
Final Comments

Summary of the project

Benefits for the medical students

Future work

Thank You for Listening

KF