Oh, yeah, it was that way around in 4e. They removed the extra effort completely... So I get to M26 with two move actions?
Just a reminder . . .
In addition to healing words and other powers that allow others to spend healing surges, all characters have a standard action Second Wind that allows them to spend a healing surge. I believe Dwarves can use their second wind as a minor action.
Also, a character can trigger another character's second wind through a standard action DC 10 Heal check.
Unless someone triggers it for you with a Heal check - then you just get the surge, but no bonuses.