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Investing in your profession and yourself: 10,000 hours to greatness

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"It's not going to build itself"

Jean M. Twenge has linked high self-esteem with low academic performance. The University of San Diego associate professor has published two books about narcissism: Generation Me: Why Today's Young Americans Are More Confident, Assertive, Entitled-and More Miserable Than Ever Before (2007) and The Narcissism Epidemic: Living in the Age of Entitlement (2010).

The research and examples of risky, unrealistic self-confidence of 20 and 30 somethings - raised in an "everybody wins" environment – resonated with my recent experience teaching emergency service providers.

Not only do they not know what they do not know (unconscious incompetence), they reject feedback. Working at the university saw many college students move from hard majors, requiring math and science, into easier majors. In some cases they graduated high school with inadequate preparation for math, science or writing,

Or, as an academic colleague pointed out "… only 7% of the eighth graders reached advanced  level in math, but the other 93% feel real good about themselves." Almost half of the Singapore and South Korea eighth graders achieved advanced math level in the 2012 assessment.

Mastering Success

Malcom Gladwell's description of the 10,000 hour rule in Outliers (2008) has provided one explaination of how to move from unconscious incompetence to unsconscious competence . Cribbing from Wikipedia:

A common theme that appears throughout Outliers is the "10,000-Hour Rule", based on a study by Anders Ericsson. Gladwell claims that greatness requires enormous time, using the source of The Beatles' musical talents and Gates' computer savvy as examples. The Beatles performed live in Hamburg, Germany over 1,200 times from 1960 to 1964, amassing more than 10,000 hours of playing time, therefore meeting the 10,000-Hour Rule. Gladwell asserts that all of the time The Beatles spent performing shaped their talent, and quotes Beatles' biographer Philip Norman as saying, "So by the time they returned to England from Hamburg, Germany, 'they sounded like no one else. It was the making of them.'" Gates met the 10,000-Hour Rule when he gained access to a high school computer in 1968 at the age of 13, and spent 10,000 hours programming on it.

Does high self-esteem hinder organizational development?

Last year we ramped up the discussion of EMS as a profession. This included three articles during EMS Week when we compared the 40 year progression of emergency physicians and nurses with ems providers:

Is EMS REALLY a calling?

How EMS physicians became recognized and rewarded

Making Paramedicine a Profession

For emergency physicians and registered nurses, developing their professions seemed to be in response to the low esteem, pay and power they had in the 1960's. It took two formal attempts over 25 years for physicians to get EMS recognized as an emergency medicine board subspecialty.

At the end of 2012 Justin Schorr reflected on the impact of EMS 2.0, a concept he developed three years ago with Chris Kaiser: The Hour is Late.

Do we feel too good about ourselves to dig-in and build EMS as our physician and nurse colleagues have? 

In EMS 2.5: Beyond The Buzz, I say it is time to stop whining. We need to start building the profession.

Invest in yourself

In the 10,000 hours journey to greatness you must invest in yourself. For evidence-based practice focused on patient outcome, we need paramedics and emts with bachelor and graduate degrees. 

No one else will do it for you.  Check out this ems1.com post: Hi, my name is Mike and I have emergencytitis. We need to move beyond the adrenalin rush so we can help more people and get much better pay and recognition.

You can start by taking one college class in the second semester of Spring or the Summer semester.

You can make an industry-changing impact by learning calculus-based statistics and science.

Mike "FossilMedic" Ward

Fire Mangled Ambulance Deployment

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Ambulance deployment – a missing chief fire executive knowledge item

When I arrived in academia, one of my research interests was urban ambulance deployment.

Did a comparison of Los Angeles and Baltimore cities as they scrambled to increase staffing in the early 2000s.

LAFD streamlined the hiring process of paramedic credentialed candidates.

Baltimore closed fire companies.

 

 

 

 

 

 

 

 

 

 

 

 

Looking at other fire-administered EMS systems, it is clear that there is an ambulance deployment knowledge/experience gap.

This month's column in EMS1.com provides some interesting details:

How fire departments mangle ambulance deployment

Mike "FossilMedic" Ward

Zero to Hero: EMT street time does not impact success as a paramedic

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A year working as an EMT before starting paramedic school is a waste of time

After three years working on implementation of the 2009 Educational Standards and three months immersed in EMT instruction this summer, it is clear that spending a year riding on an ambulance has scant benefit in improving your performance as a paramedic student in a CoAEMSP accredited paramedic program.

The gory details can be found in this article posted on ems1.com:

EMT experience not needed for paramedic certification

 

 

 

 

Greg Friese, Rob Theriault, and Bill Toon get together every Wednesday night to discuss ems education issues, 144 sessions to date.

Tonight I am joining them to discuss this ems1.com article.

Go to EMS EdUCast for details.

 

 

 

 

Mike "FossilMedic" Ward

Life after university

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Mike considers contingencies

The past dozen summers were spent teaching seminar courses, beach trips, Firehouse Expo and Fire Rescue International. August starts a flurry of preparation for the fall semester of classes. Not this year.

This was the first summer in decades without a municipal or university job to fill my checking account at the end of the month. That would not be so bad, save for the mortgage I committed to before the recession.

Eek!

So, what CAN you do?

I will never forget watching a fellow academic's eyes get big after I told him my non-tenure track faculty position was eliminated. After a long contemplation he said "If it was me, I could go back to teaching ACLS."

Almost every Saturday this summer was spent teaching EMT skills … as well as many Mondays, Wednesdays and Fridays. Wide variety of students, organizations, and lead instructor practices.

As the new guy, occasionally had to be a patient. Who knew such a big boy could be squeezed into a KED!

It has been a joy to work with long-time friends and meet new colleagues. Returning to the tribe of emergency responders feels great.

Hope to have my home state EMT-Instructor credential restored by October.

"Do you change the oil in your car?"

Restoring state fire/ems instructor credentials requires affiliation with an emergency service agency. Application to a community-based organization requires a physician clearance.

Hmm, 12 years without required physical training or a employer-required annual physical makes me more resemble the heart attack patient than the hero medic.  The physician was correctly ruthless during the physical exam and review of the lab tests and stress test. 

The agreed-to weight loss/strength improvement plan includes quarterly physician assessments.

Life as a contingency worker

I applied for hundreds of jobs in the DC metro area and was not getting any traction. A colleague who works at a for-profit educational organization recommended Mark Walton's Boundless Potential . This portion struck home:

(in 2009) the Mature Market Institute, the recognized leader on longevity and workplace issues, completed a major national study on the “new realities of the job market” for people in midlife and beyond. It was entitled, quite starkly: “Buddy, Can You Spare a Job?”

Based on labor analysis, workplace data, and authoritative interviews, researchers laid out the facts: the unemployment rate for post-midlife workers had more than doubled from 2007 to 2009, to the highest level in at least 60 years. Hence, “there will be millions of baby boomers looking for work to prolong their careers in the years ahead.”

There’s just one problem, workforce specialists underscored: the job market has other plans. “The expectations older boomers have about working after 55 are often painfully unrealistic,” according to their report.

First, age bias is both a serious obstacle to their staying employed as well as a major barrier to their obtaining new employment, a situation for which “earnest, well-prepared job seekers in their fifties and sixties are often totally unprepared.”    …

In a separate report issued a year later, entitled “The New Unemployables,” public policy experts at Rutgers University concluded: “We are witnessing the birth of a new class—the involuntarily retired.”

Walton, Mark (2012-02-15). Boundless Potential: Transform Your Brain, Unleash Your Talents, and Reinvent Your Work in Midlife and Beyond (Kindle Locations 1041-1055). McGraw-Hill.

I am developing a contingency lifestyle.

Monthly Digital Lectures

I still have a passion to teach ems. One way to satisfy that need is a new monthly column at EMS1.com that reads like an academic presentation, with links and references.  This month:

Number Needed To Treat: A powerful measurement of clinical effectiveness

I will still be posting on Firegeezer.

In retrospect, it would have been helpful if I picked a passion that was profitable. Teaching, writing and emergency services are not well-worn paths to wealth.

Mike "FossilMedic" Ward