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Competence: The Forgotten Commodity | Samali Weerasekera | TEDxAlYasminaAcademy


so Anthony de Mello once said look for

so Anthony de Mello once said look for competence and not claims a claim is

competence and not claims a claim is

competence and not claims a claim is something that said so usually without

something that said so usually without

something that said so usually without any evidence

any evidence

any evidence well competence is the ability to do

well competence is the ability to do

well competence is the ability to do something successfully and efficiently

something successfully and efficiently

something successfully and efficiently personally I take this to mean that you

personally I take this to mean that you

personally I take this to mean that you should aim to do your job

should aim to do your job

should aim to do your job competently rather than claim or argue

competently rather than claim or argue

competently rather than claim or argue do it well people tend to say let my

do it well people tend to say let my

do it well people tend to say let my work speak for itself and that in its

work speak for itself and that in its

work speak for itself and that in its entirety is what I take Anthony to mean

entirety is what I take Anthony to mean

entirety is what I take Anthony to mean so that’s what I’m here to talk to you

so that’s what I’m here to talk to you

so that’s what I’m here to talk to you about today competence competence

about today competence competence

about today competence competence not only key to a long fulfilling life

not only key to a long fulfilling life

not only key to a long fulfilling life but it’s key in any profession

but it’s key in any profession

but it’s key in any profession competence can be the difference between

competence can be the difference between

competence can be the difference between mediocrity and excellence the difference

mediocrity and excellence the difference

mediocrity and excellence the difference between professionalism and ignorance

between professionalism and ignorance

between professionalism and ignorance the difference even between life and

the difference even between life and

the difference even between life and death the difference between and a life

death the difference between and a life

death the difference between and a life spent in poor health it’s quite easy to

spent in poor health it’s quite easy to

spent in poor health it’s quite easy to see Oh

see Oh

see Oh crucial competence is to the well-being

crucial competence is to the well-being

crucial competence is to the well-being of mankind now the matter in question

of mankind now the matter in question

of mankind now the matter in question came about to me through my ambition

came about to me through my ambition

came about to me through my ambition which is medicine a field where

which is medicine a field where

which is medicine a field where competence could be the factor that

competence could be the factor that

competence could be the factor that holds a life at its precipice that tips

holds a life at its precipice that tips

holds a life at its precipice that tips the scale when fighting the battle

the scale when fighting the battle

the scale when fighting the battle between life and death now I’ve got a

between life and death now I’ve got a

between life and death now I’ve got a story to help you understand what I’m

story to help you understand what I’m

story to help you understand what I’m trying to say so this is me when I was 3

trying to say so this is me when I was 3

trying to say so this is me when I was 3 years old and of course it wouldn’t be

years old and of course it wouldn’t be

years old and of course it wouldn’t be reasonable for me to say that I had

reasonable for me to say that I had

reasonable for me to say that I had thoughts about competence in medicine at

thoughts about competence in medicine at

thoughts about competence in medicine at such a young age but this particular

such a young age but this particular

such a young age but this particular memory left its mark on me in more than

memory left its mark on me in more than

memory left its mark on me in more than one way and you soon see why so one day

one way and you soon see why so one day

one way and you soon see why so one day I was rushed to the accident and

I was rushed to the accident and

I was rushed to the accident and emergency units because I was bleeding

emergency units because I was bleeding

emergency units because I was bleeding quite severely due to a laceration on my

quite severely due to a laceration on my

quite severely due to a laceration on my head

head

head more specifically my right eyebrow was

more specifically my right eyebrow was

more specifically my right eyebrow was split open see the actual lead-up to

split open see the actual lead-up to

split open see the actual lead-up to that event is still a blurry commotion

that event is still a blurry commotion

that event is still a blurry commotion of images I was three

of images I was three

of images I was three but according to my parents I was a very

but according to my parents I was a very

but according to my parents I was a very clumsy child I tripped and I went

clumsy child I tripped and I went

clumsy child I tripped and I went face-first into the ledge of my bedroom

face-first into the ledge of my bedroom

face-first into the ledge of my bedroom door but according to my three-year-old

door but according to my three-year-old

door but according to my three-year-old self the door attacked me so believe

self the door attacked me so believe

self the door attacked me so believe what you will after such a experience

what you will after such a experience

what you will after such a experience you’d think that nothing could be more

you’d think that nothing could be more

you’d think that nothing could be more dumbfounding but yet again I was proven

dumbfounding but yet again I was proven

dumbfounding but yet again I was proven wrong because I was made to sit in the

wrong because I was made to sit in the

wrong because I was made to sit in the ER for over two hours without any pain

ER for over two hours without any pain

ER for over two hours without any pain medication because the doctor on call

medication because the doctor on call

medication because the doctor on call wasn’t present at the ward and I

wasn’t present at the ward and I

wasn’t present at the ward and I remember during my fits of tears that

remember during my fits of tears that

remember during my fits of tears that seemed endless at the time thinking how

seemed endless at the time thinking how

seemed endless at the time thinking how could this happen how could someone even

could this happen how could someone even

could this happen how could someone even allow this to happen and as you can

allow this to happen and as you can

allow this to happen and as you can imagine the year was filled with many

imagine the year was filled with many

imagine the year was filled with many other cases that needed immediate

other cases that needed immediate

other cases that needed immediate attention but what did they get a whole

attention but what did they get a whole

attention but what did they get a whole load of incompetence with no doctors on

load of incompetence with no doctors on

load of incompetence with no doctors on the side yes it was a mess and what made

the side yes it was a mess and what made

the side yes it was a mess and what made it even worse was the fact that I came

it even worse was the fact that I came

it even worse was the fact that I came from a long line of doctors to our GPS

from a long line of doctors to our GPS

from a long line of doctors to our GPS and one is a double consultant so I had

and one is a double consultant so I had

and one is a double consultant so I had the privilege of observing what the

the privilege of observing what the

the privilege of observing what the ideal doctor-patient relationship was

ideal doctor-patient relationship was

ideal doctor-patient relationship was which was with mutual respect and the

which was with mutual respect and the

which was with mutual respect and the highest standard of care and decorum not

highest standard of care and decorum not

highest standard of care and decorum not only expressed by the doctor but every

only expressed by the doctor but every

only expressed by the doctor but every individual in his or hers effectively

individual in his or hers effectively

individual in his or hers effectively working team but that obviously wasn’t

working team but that obviously wasn’t

working team but that obviously wasn’t the case in my story the doctor

the case in my story the doctor

the case in my story the doctor eventually made his appearance and he

eventually made his appearance and he

eventually made his appearance and he stood up my eyebrow I didn’t have an

stood up my eyebrow I didn’t have an

stood up my eyebrow I didn’t have an eyebrow for months so you can imagine

eyebrow for months so you can imagine

eyebrow for months so you can imagine the jokes and as most of my friends know

the jokes and as most of my friends know

the jokes and as most of my friends know I can’t raise an eyebrow having to so

I can’t raise an eyebrow having to so

I can’t raise an eyebrow having to so trying to raise one with one well that

trying to raise one with one well that

trying to raise one with one well that was an interesting experience so now all

was an interesting experience so now all

was an interesting experience so now all I have to show for that bad memory was a

I have to show for that bad memory was a

I have to show for that bad memory was a gap in between my eyebrow looking back

gap in between my eyebrow looking back

gap in between my eyebrow looking back at that experience it was crystal clear

at that experience it was crystal clear

at that experience it was crystal clear even to my three-year-old self that

even to my three-year-old self that

even to my three-year-old self that patients didn’t deserve to be treated

patients didn’t deserve to be treated

patients didn’t deserve to be treated the way that I was and from that day

the way that I was and from that day

the way that I was and from that day forth my interest in medicine gradually

forth my interest in medicine gradually

forth my interest in medicine gradually heightened especially in terms of

heightened especially in terms of

heightened especially in terms of doctor/patient relationships I felt that

doctor/patient relationships I felt that

doctor/patient relationships I felt that they that day was a great injustice

they that day was a great injustice

they that day was a great injustice these people these people who were in

these people these people who were in

these people these people who were in severe pain had minimum care I still

severe pain had minimum care I still

severe pain had minimum care I still care I still care that that age as well

care I still care that that age as well

care I still care that that age as well that these people could have been

that these people could have been

that these people could have been relieved of their pain at a much earlier

relieved of their pain at a much earlier

relieved of their pain at a much earlier date if more doctors were signed to that

date if more doctors were signed to that

date if more doctors were signed to that would or the doctor who was supposed to

would or the doctor who was supposed to

would or the doctor who was supposed to be there was so I realized to stop this

be there was so I realized to stop this

be there was so I realized to stop this reality from reoccurring we cannot

reality from reoccurring we cannot

reality from reoccurring we cannot tolerate this incompetence this lack of

tolerate this incompetence this lack of

tolerate this incompetence this lack of standards and care while all of this is

standards and care while all of this is

standards and care while all of this is very important

very important

very important it’s also quite obvious I mean if a

it’s also quite obvious I mean if a

it’s also quite obvious I mean if a three-year-old can figure out that

three-year-old can figure out that

three-year-old can figure out that there’s something lacking in the ER

there’s something lacking in the ER

there’s something lacking in the ER apart from the doctor it’s safe to say

apart from the doctor it’s safe to say

apart from the doctor it’s safe to say that it doesn’t take a genius to figure

that it doesn’t take a genius to figure

that it doesn’t take a genius to figure out how crucial competence is now

out how crucial competence is now

out how crucial competence is now keeping that in mind I’d like to direct

keeping that in mind I’d like to direct

keeping that in mind I’d like to direct you to another form of competence one

you to another form of competence one

you to another form of competence one that is personal but still related to

that is personal but still related to

that is personal but still related to health care and well-being do you ever

health care and well-being do you ever

health care and well-being do you ever think about your health if you do if you

think about your health if you do if you

think about your health if you do if you think about your lifestyle your habits

think about your lifestyle your habits

think about your lifestyle your habits your diet chances are you’re taking care

your diet chances are you’re taking care

your diet chances are you’re taking care of yourself competently competence is

of yourself competently competence is

of yourself competently competence is crucial especially in medicine and I

crucial especially in medicine and I

crucial especially in medicine and I can’t stress how important it is let’s

can’t stress how important it is let’s

can’t stress how important it is let’s imagine two people one who chooses to

imagine two people one who chooses to

imagine two people one who chooses to take care of themselves and does it well

take care of themselves and does it well

take care of themselves and does it well and one who doesn’t really care for

and one who doesn’t really care for

and one who doesn’t really care for themselves physically you can compare

themselves physically you can compare

themselves physically you can compare and contrast the qualities of life

and contrast the qualities of life

and contrast the qualities of life before I leave I want to know that I’m

before I leave I want to know that I’m

before I leave I want to know that I’m leaving you convinced so I wanted to

leaving you convinced so I wanted to

leaving you convinced so I wanted to introduce you to someone who I met

introduce you to someone who I met

introduce you to someone who I met during my work experience placement in

during my work experience placement in

during my work experience placement in December of 2015 I hope that this story

December of 2015 I hope that this story

December of 2015 I hope that this story reiterates the fragility of life and

reiterates the fragility of life and

reiterates the fragility of life and makes you take your health more

makes you take your health more

makes you take your health more seriously as well as keeping in mind

seriously as well as keeping in mind

seriously as well as keeping in mind competence so during the last day of my

competence so during the last day of my

competence so during the last day of my work experience placement I was assigned

work experience placement I was assigned

work experience placement I was assigned to the renal care unit also known as the

to the renal care unit also known as the

to the renal care unit also known as the dialysis unit it’s for people who are

dialysis unit it’s for people who are

dialysis unit it’s for people who are not comfortable or knowledgeable about

not comfortable or knowledgeable about

not comfortable or knowledgeable about the medical term it’s to do with

the medical term it’s to do with

the medical term it’s to do with patients who have forms of kidney

patients who have forms of kidney

patients who have forms of kidney failure

failure

failure so I observed two types of patients one

so I observed two types of patients one

so I observed two types of patients one who rejected the kidney transplant and

who rejected the kidney transplant and

who rejected the kidney transplant and ones who were at a stage where the

ones who were at a stage where the

ones who were at a stage where the kidney transplant would not be

kidney transplant would not be

kidney transplant would not be beneficial to them at all due to

beneficial to them at all due to

beneficial to them at all due to confidentiality reasons

confidentiality reasons

confidentiality reasons I can’t reveal the patients name so for

I can’t reveal the patients name so for

I can’t reveal the patients name so for name sake let’s call him Arthur Arthur

name sake let’s call him Arthur Arthur

name sake let’s call him Arthur Arthur was an 85 year old man who had been

was an 85 year old man who had been

was an 85 year old man who had been attending this hospital for over a

attending this hospital for over a

attending this hospital for over a decade for renal care and that’s because

decade for renal care and that’s because

decade for renal care and that’s because both of his kidneys were failing and

both of his kidneys were failing and

both of his kidneys were failing and without getting into specifics the

without getting into specifics the

without getting into specifics the treatment and tells a machine that

treatment and tells a machine that

treatment and tells a machine that access your kidneys and it’s attached to

access your kidneys and it’s attached to

access your kidneys and it’s attached to the body via internal and external tubes

the body via internal and external tubes

the body via internal and external tubes it’s a four-hour process where the

it’s a four-hour process where the

it’s a four-hour process where the monitor monitors your blood level but

monitor monitors your blood level but

monitor monitors your blood level but oxygenation levels as well as the whole

oxygenation levels as well as the whole

oxygenation levels as well as the whole dialysis it’s a four-hour process I sat

dialysis it’s a four-hour process I sat

dialysis it’s a four-hour process I sat next to him with his staff and he told

next to him with his staff and he told

next to him with his staff and he told me how his cost of living had severely

me how his cost of living had severely

me how his cost of living had severely depleted due to the fact that the

depleted due to the fact that the

depleted due to the fact that the treatment itself is costly the hospital

treatment itself is costly the hospital

treatment itself is costly the hospital had given him a grant but that surely

had given him a grant but that surely

had given him a grant but that surely depleted after a while and now he’s

depleted after a while and now he’s

depleted after a while and now he’s having to pay out of his own pocket so

having to pay out of his own pocket so

having to pay out of his own pocket so he barely has enough money to afford the

he barely has enough money to afford the

he barely has enough money to afford the basic necessities of life and the staff

basic necessities of life and the staff

basic necessities of life and the staff told me how being bedridden and cold and

told me how being bedridden and cold and

told me how being bedridden and cold and fragile had made him look regretful and

fragile had made him look regretful and

fragile had made him look regretful and I know that not all of our medical

I know that not all of our medical

I know that not all of our medical issues arise from our decisions and

issues arise from our decisions and

issues arise from our decisions and actions but most of them do and what did

actions but most of them do and what did

actions but most of them do and what did the doctors have to say about that well

the doctors have to say about that well

the doctors have to say about that well they told me to stay strong to stay

they told me to stay strong to stay

they told me to stay strong to stay passionate and most importantly when the

passionate and most importantly when the

passionate and most importantly when the time comes as it inevitably inevitably

time comes as it inevitably inevitably

time comes as it inevitably inevitably will fight death to the door at the end

will fight death to the door at the end

will fight death to the door at the end of my conversation with Arthur he wished

of my conversation with Arthur he wished

of my conversation with Arthur he wished me the best of luck and he smiled and

me the best of luck and he smiled and

me the best of luck and he smiled and that was a defining moment for me the

that was a defining moment for me the

that was a defining moment for me the fact that this man who’s been through so

fact that this man who’s been through so

fact that this man who’s been through so much suffering had the strength to smile

much suffering had the strength to smile

much suffering had the strength to smile life is so fleeting yet so many of us

life is so fleeting yet so many of us

life is so fleeting yet so many of us take it for granted just because we

take it for granted just because we

take it for granted just because we choose to take care of ourselves

choose to take care of ourselves

choose to take care of ourselves incompetently competence does not apply

incompetently competence does not apply

incompetently competence does not apply just to our professions it applies to

just to our professions it applies to

just to our professions it applies to all aspects of our lives it affects our

all aspects of our lives it affects our

all aspects of our lives it affects our everyday life and everyone around us in

everyday life and everyone around us in

everyday life and everyone around us in the medical perspective this is how I

the medical perspective this is how I

the medical perspective this is how I see it someone who is ill is someone’s

see it someone who is ill is someone’s

see it someone who is ill is someone’s mother father brother sister son

mother father brother sister son

mother father brother sister son daughter a friend were all

daughter a friend were all

daughter a friend were all interconnected and it’s high time

interconnected and it’s high time

interconnected and it’s high time that we took advantage of this highly

that we took advantage of this highly

that we took advantage of this highly developing medical world and made our

developing medical world and made our

developing medical world and made our health our priority health professionals

health our priority health professionals

health our priority health professionals roles are to take care of the human race

roles are to take care of the human race

roles are to take care of the human race but we need to prioritize our health too

but we need to prioritize our health too

but we need to prioritize our health too it is your duty not only to yourself but

it is your duty not only to yourself but

it is your duty not only to yourself but to everyone else around you today be the

to everyone else around you today be the

to everyone else around you today be the vessel of that change start the domino

vessel of that change start the domino

vessel of that change start the domino effect and the rest of the world will

effect and the rest of the world will

effect and the rest of the world will follow

follow

follow life is short as it is don’t shorten it

life is short as it is don’t shorten it

life is short as it is don’t shorten it even further because of your own

even further because of your own

even further because of your own incompetence thank you

incompetence thank you

incompetence thank you [Applause]

[Applause]

[Applause] [Music]

”

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