Why You Feel Like You Suck Even Though You're Doing A Great Job

Aisyah (not her real name) was frustrated.

Last night’s shift made her feel like she never even went to nursing school.

She had a patient with ESRD who was about to go for dialysis at 0800. She was monitoring his blood pressure, and at 0445 it was at 166/89. When she came back at 0545, it was 168/98.

She started to get nervous. She wanted to call the M.O., but a note left by the nephrologist stated to only notify is systolic is over 200 and diastolic 100. 98 was pretty close to 100, so Aisyah started to panic.

It was then that Aisyah realized that the note actually said to call at diastolic > 115.

At 0725, the M.O. came over. Although he was nice about it, he told Aisyah that she should’ve called when diastolic was above 90.

If Aisyah could kick herself, she would. Even though that happened last night, she is still thinking about the mistake feels bad about it. She feels that she should’ve known better, should’ve talked to her coworkers about it, should’ve made a better decision about the note…


Does this sound familiar to you? Do you seem to finally be doing well at work, only to make a mistake that bogs you down and makes you miserable, long after it’s happened? Do you feel like you’re a bad doctor/nurse/pharmacist?

You have impostor syndrome.

Impostor Syndrome

It is the feeling of being a fraud, a fake, and people are going to find out. It’s fine for people who are undercover secret agents or quacks, but it’s a terrible feeling for people who are trying to make the world a little better.

“There are an awful lot of people out there who think I’m an expert. How do these people believe all this about me? I’m so much aware of all the things I don’t know.” - Dr. Chan, Chief of the World Health Organization

You’re actually doing a good job, but you don’t feel that way. Left unchecked, this will harm your mental health and affect your career.

Focus on providing value

What do people/the ward sister/the HOD think of me? They must think I’m an idiot!

We say this to ourselves time and time again.

The rule of thumb is that if you’re so concerned about what other people think, you’re not focusing on your work enough.

Focus on providing value. Show up, do your best work. Provide value to your patients, colleagues, departments.

Stop comparing yourself to others

Respect your own experiences. You went to nursing/med/grad school. You studied extremely hard for this. You sacrificed a ton of your time and energy. You suffered through grueling on-calls and surgeries.

You are the sum of your experiences. Please respect all the things you went through to make you who you are.

Don’t just be aware of other’s successes. They have their own shortcomings too, just like you. It’s just that you don’t see them.

Being wrong doesn’t mean you’re bad.

Being wrong does not mean you’re a bad nurse, bad doctor, bad pharmacist, physician; bad anything.

Everybody makes mistakes. The designers of the Titanic, supposedly the smartest engineers of their time, designed a now-obvious flaw into the doomed ship. The Terengganu stadium collapse in 2013 was also a mistake done by contractors, the state government, and inspectors. Thousands of mistakes are made in surgery every year.

It’s just how the world works. Don’t let your mistakes and failures define you, and carry on.

Nobody really knows what they’re doing

Really, no one does.

Even multi-million dollar companies run by the smartest people fail a lot.

You only feel like you know nothing because you’re more aware of the things you don’t know.

Final words

If you already feel like a failure right now, it probably means you’re doing a good job because of the Dunning-Kruger effect. It’s a psychological phenomenon that describes low-ability people’s incompetence to realize their incompetence.

In other words, people who are bad at something don’t know they’re bad at it.

The fact that you’ve come to a self-actualization level sufficient to see your own shortcomings means that you’re learning and growing as a healthcare professional, and as a person.

Comfort zone is very nice, but nothing ever grows there.

Carry on!



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  1. Start high  
 2. Look for an agreeable outcome  
 3. Be aware of supply in the area  
 4. Rates are not permanent  
 5. Negotiate other aspects of your rates  

 Locum Jobs 

 An advantage of taking up locum jobs to boost your income is that you have some flexibility to work. You choose the schedule that you are available to fit into. Also, it can  improve your CV  for future job applications at other institutions by showing that you have a diverse set of employers. 

 For new nurses, doing locum allows you extra time and exposure to choose how you want to plan out your nursing career. Like selecting a specialization. You can read more on the  advantages of doing locum to increase your income here . 

 People seem to be paralyzed into inaction when it comes to setting rates, simply accepting whatever the clinic offers to pay you. While this article focuses on nurses doing locum jobs at private practices, we hope that these points will still be able to help doctors, pharmacists, dentists, and other healthcare practitioners as well. 

 1. Start high 

   

  source: @dan_carl5on  

 Start out by always proposing a rate higher than you would. It doesn’t have to be a lot. 

 Say your desired rate is RM20 an hour. Just mention RM25 as your starting rate. You can slowly reduce it to the price that you sought out initially when discussing with the clinic or institution. 

 You don’t want to be working with people who feel like they have to squeeze the most out of their budget to accommodate you. Such scenarios do not lead to healthy long-term relationships. It’s better to make them feel like they’ve got a good deal. 

 2. Look for an agreeable outcome 

   

  source: pixabay  

 Remember, the owner of the clinic wants to fill some gaps in his workforce, and you want to get paid. Think of it as a bridge. Both of you are on either side. The best outcome is if you both meet in the middle. 

 Don’t rip people off. Good negotiation is about both parties walking away feeling like they both got a good deal. If you think that milking out money from people to the point where they are reluctantly agreeing to your prices, think again. That relationship isn’t going to last very long. 

 The best employer (whether they employ you full-time or otherwise) is one that continuously offers you work. They can’t do that if they don’t like you. 

 3. Be aware of supply in the area 

   

  source: pixabay  

 A lot of nurses doing locum jobs in the area? That might affect your locum fees. Try to look for clinics or institutions that have an under-supply of part-time nurses. The main reason why your locum employer is paying you below average is probably because a replacement for you is so easy to find. 

 Price is a reflection of the demand for the locum jobs and the supply of those capable of doing it in the area. This is commonly known as the law of supply and demand in economics. It applies here as well. 

 4. Rates are not permanent 

   

  source: here  

 Rates are not set in stone. Even if you’ve negotiated quite a while ago, you can still make some changes if you approach the employer tactfully. 

 Explain that you’ve been here for a while, and that you haven’t let him/her down. So you’d like an increase in your rates. 

 The worst thing that can happen is they say no. Don’t worry. It’s not the end of the world. At least you tried. 

 5. Negotiate other aspects of your rates 

   

  source: pixabay  

 While there is a fixed rate for your schedule, try to consider other aspects as well. Things like emergency calls, or last-minute requests to come in for locum. 

 Make it clear to the employer that these are out-of-the-norm occurrences, and that you would like to be compensated accordingly. 

 6. Losing locum jobs is not necessarily a bad thing 

   

  source: blupics  

 When increasing your rates, this isn’t necessarily a bad thing. Doubling your rates but losing half of locum opportunities is great. You get the same amount at the end, but work half as much, which frees up your time. 

 Plus, sometimes someone who charges RM40 per hour looks more professional and qualified than someone who charges RM20 per hour. 

 Conclusion 

 Don’t just look at financial rates; benefits are important as well. Is the job good for your reputation? Are they likely to recommend you to others? 

 Is the work consistent and secure? Do you trust the employer? 

 Remember these 6 steps when negotiating your fees.  If you don’t value your time, no one else will.  

 Browse through  MIMS Career  for an easy way to find locum or part-time jobs in your area.  MIMS Career  is a premier, healthcare-focused job portal site for Malaysia, Singapore, the Philippines and Indonesia. Our simple sign-up process allows you to easily apply for jobs you might be interested in with a single click. Job locations include hospitals, nursing homes, and private practices. It’s free, easy to use, and safe. 

 Can’t find what you’re looking for? Set up a job alert and we’ll notify you by email whenever positions that suit your preferences are available. All of our pages are mobile-responsive, so you can take your applications with you on the go. 
   

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The Complete Guide to Negotiating Locum Rates

1. Start high 2. Look for an agreeable outcome 3. Be aware of supply in the area 4. Rates are not permanent 5. Negotiate other aspects of your rates Locum Jobs An advantage of taking up locum jobs to boost your...

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  Photo by Rami Al-Zayat  

  1. Note-taking  
 2. Scheduling  
 3. Reading  

 Smartphone as a work assistant 

 Our phones have gone from blocky, awkward devices to sleek, thin machines. It is now 2017, and processing power in smartphones (even in budget ones) have overcome the performance of some computers just ten years ago. 

 With the modern smartphone now more of a pocket computer than a communication device, several apps have been made to make work easier. These apps, when used with a bit of creativity and time, can help you  stay on top of your goals, never miss an important piece of info, track everything that matters to you and increase mental focus.  

 Read on to find out how you can transform your phone from a typical communications device to an indispensable work and life assistant. 

 1. Note-taking 

 Text 

 Take notes with your phone rather than on a piece of paper. Unlike paper, you won’t lose digital notes if you have them backed up to the cloud. Moreover, you can take hundreds of notes with you on your phone without needing to carry thick notebooks everywhere you go. 

 Most note-taking apps are searchable, like a web browser. Retrieve your information quickly and easily, whenever you need it. On Android, the best note-taking app is  Google Keep . Keep allows your to color-code your notes to your fancy. Add them to your home screen as a widget for quick access. You can still view your notes on any computer with an internet connection. Simply go over to the  Google Keep  site, log in with your Google account, and browse through your notes. 

   

  source  

   

  source  

 On iOS, we recommend the default Notes app. It’s beautifully designed, clean, and robust. Write notes on the fly, and format your text in  bold ,  italics , or underlined. Much like Google Keep, you can attach photos on to your notes. You can also organize them in folders, for easy retrieval. 

   

  source  

  Bonus tip : You can create a note with your voice! Activate Siri by long-pressing the home button, and say “ Make a note “. Siri will ask you what to write about, and it will write whatever you just said. 

 Scan documents 

 What if you had access to all the paper receipts, documents, letters, and notes; any time, anywhere? You can! Your smartphone has a camera. The best scanner is the scanner you always have with you! 

 Simply point your phone towards a paper document and take a photo. Make sure you adjust the focus a bit so text is clear on your phone’s screen. Then, simply create a photo album in your phone’s photos gallery, label it  SCANS  and move the photos of your documents there. 

 Evernote ( iOS ,  Android ) is a multi-platform note-taking app that has a really cool scanning function. When you scan documents with Evernote, the app will brighten the document, making it seem like it was really scanned using a proper scanner. In dark environments, the app will automatically activate your phone’s flash to brighten up the image. Even when taking scans of the document at an angle, Evernote will modify the image to make it seem like you took it straight down! 

   

  source  

 Evernote has OCR (Optical Character Recognition); meaning that words in the document scans are searchable in the app. It even works for handwriting! 

 Other alternatives to Evernote include  Scanbot ,  PDF Scanner + OCR Free , and  Scanner Pro . 

 Draw sketches 

 Sometimes text just doesn’t cut it. What if you need to draw something? It happens a lot, especially in nursing and medical work. 

 Both Google Keep and iOS notes have the ability to create drawings. Unlike pen and paper, you’ll never run out of ink! 

   

  Android Police  

   

  How to make a drawing in Notes iOS  

 2. Scheduling 

 Calendar 

 Schedule events or tasks that you can’t do today. Any calendar app works well; but we recommend Google Calendar ( iOS ,  Android ). It has natural language text-parsing, meaning you simply type your event into the app like how you’d say it. For example, typing: 

 
 Midwifery refresher seminar 8pm Sunday at UMMC 
 

 Will add a calendar entry  Midwifery refresher seminar , dated on Sunday at 8PM, and location at UMMC. The app can take the information of the location of the event from Google Maps. So on that day, it notifies you what time you should leave to arrive on time! 

   

  Macworld  

 3. Reading 

 Books 

 Why bring your whole bookshelf when you can just carry your phone with you? Many textbook publishers also offer ebook versions of their textbooks. With an ebook reader app, you can read books you’ve saved on your phone. Now you can refer your favorite 900-page physiology textbook anywhere without needing to break your back. 

 The Kindle ( iOS , Android ) app allows you to buy ebooks from Amazon and you can read them anytime you like. Check out their selection of  nursing textbooks  that you can get cheaper than the physical copies. Even if you delete the ebooks off your phone, you can still re-download them from Kindle. 

   

  Play Store  

 3. Task Management 

 Todoist (iOS, Android) 

 Putting tasks out of your head and into a system that you trust is one of the best ways to prevent information overload. This enables you to have less mental distractions as you only focus on the task you are currently doing, rather than having other future tasks nagging in your mind. 

 Using task management apps can seem complicated, but it actually is not. The end goal is to spend less time doing the things you want to do, so that you have more time to do the things you want to do. 

 Having a to-do list makes it easy for you to see what you have right now, and what actions are up next.  Todoist  is a great app for this. It’s available on all platforms: iOS, Android, Windows, and Chrome. 

   

  Todoist  

 Start by listing down tasks in your Inbox. As your task list grows, you might start to see some tasks are related to each other. Create projects in Todoist to group these tasks and sort them. 

 Some tasks are more complicated than other tasks. You can break down these tasks into a series of sub-tasks, allowing you to focus on tackling one thing at a time in pursuit of a larger goal. Remember, to eat an elephant, you need to take one bite at a time. 

   

  Todoist  

 Also, just like Google Calendar, Todoist accepts natural language input; set tasks to recur daily, monthly, every two weeks, or even something complicated such as “ Every third Saturday of the month “. Todoist will understand you. See  here  for the complete guide. 

 Todoist is free to use, but with a small subscription fee, premium features such as location-based reminders, file attachments, and tagging are unlocked. 

 
 The modern smartphone is a great tool for self-improvement, organization, and productivity. In such a small device, you can read books, take notes, and stay on top of your work any time, any day. As nurses’ work become more and more complex, we need better tools to help us keep track of daily life. Hopefully you have gained insight into using this great tool, and help you take on challenges that will advance your career as a nurse. 

 Head over to  MIMS Career  and discover our wide range of nurse jobs. All of our pages are mobile-responsive; browse jobs, sign up, and apply are all doable on your smartphone. Make your next career move, with  MIMS Career . 
   

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 Gynaecology is the medical practice of dealing with the health of the female reproductive system and the breasts. Literally the term gynaecology means “the study of women.” The opposite of gynaecology is andrology, which deals in male-specific medical issues. 

  Almost all modern gynaecologists are obstetricians : physicians who deal in the branch of medicine and surgery of childbirth and labor. These two fields overlap in many areas, therefore in many institutions Obstetrics and Gynaecology are lumped together as O&G. 

 Gynaecology is concerned with the health of the female reproductive organs and the ability to reproduce. It also encompasses paediatric and adolescent problems to post-menopausal ages. 

 History 

 From ancient Egypt circa 1800 BC, the Kahun Gynaecological Papyrus is the oldest known medical text of any kind. It writes about women’s complaints; gynaecological diseases, fertility, pregnancy, contraception, etc. In the 4th century BC Hippocrates wrote texts about gynaecological diseases that were common afflictions to Greek women at the time. 

 J Marion Sims is widely considered to be the father of gynaecology. He operated during the 19th century at Jefferson Medical College, New York. However the title is now being scrutinized due to his unethical development of his surgical techniques. He operated a lot on slaves, many of whom were not given anaesthesia. 

 Training 

 Post-basic courses on midwifery, gynaecology, and obstetrics are considered to be part of gynaecological training. If desired, a nurse can opt to pursue a Masters in order to carry out research work in the field, and proceed to doctorate studies. 

 Training is given out to encourage the study and advancement of the practice of gynaecology. It is also done by the publication of clinical guidelines and reports on aspects of the specialty and service provision. 

 Gynaecology is a vast field. Nurses who work in this area have sub-specialties in high-risk obstetrics, fertility care, or minimal access surgery. The job most deals with healthy women, where unexpected challenges can present themselves on a daily basis. Work includes a large number of hands-on procedures, and training reflects that. 

 Common Cases 

 Patients range from those who have chronic disorders which are not life threatening, to those who require immediate acute emergency treatment. 

 Nurses in this field are often required to provide assistance during operative procedures. Some of the common procedures a gynaecological nurse with oversee include: 

 
	 dilation and curettage 
	 Oophorectomy 
	 Exploratory laparotomy 
	 Treatments for urinary incontinence 
	 Cervical excision procedures 
	 treatment of polyps 
	 surgery for cancers 
 

 A major part of a gynaecology nurse is the delivery of infants. Their work includes: 

 
	 assist delivery using instruments (forceps or vacuum) 
	 C-sections 
	 Foetal health 
 

 Career Opportunities 

 
	 Independent Nurse Consultant 
	 Educator 
	 Training programme director for gynaecology nursing 
	 
	 Research in public and private sectors 
	 
	 - 
 
   

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 Introduction 

 Community health is the focus of the health of a population of a community group, rather than on individuals. It is a very distinct field of medicine and nursing, and therefore must be taught in a separate school of public or community health. 

 The health of a community in the current socio-economic climate poses many challenges that need to be overcome. There are many work opportunities that offer different kinds of responsibilities and skills that healthcare professionals are encouraged to look into. 

   

 In history, there are a few diseases that have caused a big impact to the world; such diseases include smallpox, polio, measles and mumps. Whilst largely eradicated today, these were debilitating diseases that caused the death of millions, often in a very short span of time. Their eradication is due to large movements by governing bodies to curb these diseases by education and clinical methods to promote mass immunities. More recently, outbreaks like dengue, malaria, and HIV/AIDS continue to pose a threat to the health and well-being of local communities. 

 Community health has caused a lot of good even in non-medical sectors. Mandatory schooling was put into place after it was found that the industrial revolution workplace was detrimental to their well-being. The science of epidemiology (the study of diseases) came about after efforts to understand cholera were being propagated by the British. Also, stronger health and safety standards for foods brought about a remarked interest in wholesome foods for the European population. 

 Why is it important? 

 Herd immunity contains the spread of contagious diseases. It is the basis on which community health (or public health, depending on which region of the world you’re from) is formed upon. 

 Herd immunity is a concept in which most members of the community are protected against that disease because there is little opportunity for an outbreak. 

 Vaccines are used extensively in this; influenza, measles, mumps, rotavirus, and several dangerous pneumococcal strains are kept at bay due to herd immunizations. These debilitating diseases are extremely dangerous when left to infect a large community. It can cause losses of life, economic downturns, and even social upheaval. 

   

 There is a growing anti-science and anti-vaccination movement that is seriously undoing all the work physicians, researchers, and epidemiologists have done. These people are averse to any form of scientific and health information that they put their communities at risk because they shun vaccinations and community health practices. 

 A major part of community health lies in the communication of healthcare. When the anti-vaccine crowd refuse to immunize their children, it puts their children and the children of others at risk of conntagions that would normally be of no issue. This fracture in the community is enough to bring back long-eradicated bugs into modern society. It is a major issue to address amongst community health practitioners, doctors, and nurses. 

 How does the work look like? 

 Community health is divided into three: primary, secondary, and tertiary. While loosely related, they all have differing lines of work, responsibility, and career progression. 

 Primary 

 Primary community healthcare focuses on the individual. These are interventions like  hand-washing, personal hygiene, immunization, circumcision, diet , and so on. 

 Health communication is key in this area. One can be a nurse, but when working in primary he/she can be a speaker to communicate these practices to the public. 

 Secondary 

 This concerns the  environment . The draining of puddles to prevent mosquito breeding, spraying of insecticides to avoid disease vectors like cockroaches , and clearing of rubbish to address rat populations are all part of this. 

 Tertiary 

 Tertiary healthcare consists of  clinical interventions . Things like rehydration, surgery, and so on. 

 How to work in community health? 

 Your options are pretty wide. You can check out the public, education, private, and non-profit sectors. 

 In the public sector, institutes like IMR (Institute of Medical Research) work closely with the Ministry of Health (KKM) to deploy methods in increasing the health and wellness of Malaysians as a population. Recently they are doing extensive work combating childhood obesity with they  myBFF (My Body is Fit and Fabulous) program . 

 The education sector will be rife of opportunities for clinicians who wish to work in a non-clinical setting. Universities, schools and colleges are potential work areas. 

 The private sector has a lot of companies waiting to get into the healthcare industry as a business. Our company  MIMS  provides timely information to educate the public and healthcare professionals on latest issues on healthcare. Also we provide a drug information service that physicians and consumers can search any time, anywhere. 

 Non-profit organizations like MAKNA (National Cancer Council Malaysia), or NKF (National Kidney Foundation) hire employees with a clinical background to help them raise awareness of the diseases or patients that they focus on. They constantly look out for people to help them with communication, treatments, and financing. 

 Career Progression 

 Search about these points below to know more about your potential career paths: 

 
	 Biostatistics programs 
	 Environmental health and science programs 
	 Social behavioral programs 
	 Epidemiology programs 
	 health services and administration programs 
 

 Search for high-paying nursing jobs on  MIMS Career . Browse, save, and apply for nursing jobs, all in one-click. Take the opportunity for higher pay and better work locations. Our pages are all mobile-responsive, allowing you to take that leap for a better job whenever, wherever you are. All our job postings are heavily screened to prevent scams and mistrustful behavior.

Career Highlight: Community Health

Introduction Community health is the focus of the health of a population of a community group, rather than on individuals. It is a very distinct field of medicine and nursing, and therefore must be taught in a separate school of public or...

Read More