University of Wisconsin OBGYN Department April 26 2018 Abigail Ford Winkel MD MHPE FACOG Associate Professor Vice Chair for Education Residency Program Director Department of Obstetrics amp Gynecology ID: 813135
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Beyond Burnout
Working together to build a culture of wellnessUniversity of Wisconsin OBGYN DepartmentApril 26, 2018
Abigail Ford Winkel, MD, MHPE, FACOGAssociate ProfessorVice Chair for Education Residency Program DirectorDepartment of Obstetrics & GynecologyNew York University Langone Health
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2Part I: Introduction
Part II: Exploring Sources of Burnout and Moving ForwardPart III: UW Wellness Task Force Part IV: Secure Your Own Mask First Outline of the Morning
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3Impact of Burnout on Quality of Care
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4Organizational Factors Contribute to Burnout
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5Physician Wellness is a SHARED Responsibility
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1. Write a list of the issues that are making you feel unwell, that are sources of burnout at work. Exploring Sources of Burnout and Moving Forward
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72. Write a list of
strategies/ideas for improving the sources of burnout you identified (individually or organizationally)Exploring Sources of Burnout and Moving Forward
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3. Table discussionMake a combined list of up to 10 strategies/steps forward for your table (Write these on the flip chart) Exploring Sources of Burnout and Moving Forward
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94. Report Out
Explain what your table came up with (share new ideas and place a star by any idea that is repeated from a prior team’s presentation) Exploring Sources of Burnout and Moving Forward
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5. VOTE on the top 5(Individually, place your dot stickers by the ideas from any table that resonate most with you) Exploring Sources of Burnout and Moving Forward
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Reflecting on the priorities we just setIdentifying how to move forward
UW Task Force on WellnessThriving in Scrubs
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12Workshop on Building Personal Resilience
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13What is Resilience?
Slide14Nonreassuring
Status
14Is there a sweet spot for stress? Yerkes-Dodson Curve 1908
Slide15G. I. Joe Fallacy
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Thriving in Scrubs
Santos &
Gendler
(2014)
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Martin Seligman’s PERMA Model for 5 core elements of happiness
Beyond Beating Burnout: Lasting & Meaningful Happiness
Not just a smiley face
When does time stop for you?
We are social creatures, just like bees we need the hive
Beyond the to do list
What gives your life greatest meaning?
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Positive Emotions
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Exercise #1: Think of three good things that happened todayThink of your role in bringing those things about
Try doing this in the evening about 2 hours before sleep Do this for a week and you reduce stress and depression, Improve work-life balance, sleep and satisfaction at 6 months Tricking Your Mind into Cheerfulness with GratitudeMartin E.P. Seligman (2011). Flourish: A Visionary New Understanding of Happiness and Well-being.
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19 IS YOUR JOB YOUR CALLING?What fills your tank?
What are your strengths?Viacharacter.orgHow much of your time do you spend doing those things?Good news: you only need to spend 20% of your time doing what you love to benefitENGAGEMENT E
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20Humans are social creaturesMedicine is human workBeing authentically connected to others – what does that mean today?
RELATIONSHIPSR
EHR
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Highly humanistic physicians make a habit of reflectionCan you remember how you felt when you… Got accepted to medical school? Matched in residency?
Got your job? Had a patient thank you for doing it? When do you give yourself space to reflect on your work? Finding Meaning in the WorkChou CM, et al. Attitudes and habits of highly humanistic physicians. Acad Med. 2014.
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Enduring success: High achievementMultiple goalsExperiencing pleasureCreating positive relationships
Valuing enduring achievements Achievement and AccomplishmentA
Nash L. and Stevenson H. Success that Lasts. Harvard Business Review, 2004.
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23Exercise #2:
Look at your To Do List(Or if you don’t have it on your phone, in your pocket, write out your to-do list for the week) Achievement and AccomplishmentA
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24Exercise #2:
Write a list of 3-5 things that if you accomplished them, you would consider your life a success? Achievement and AccomplishmentA
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25Exercise #2:
Look at these lists. What on your To Do List takes steps towards your BIG FIVE list? Is there anything you could add to your weekly list that would get you closer? Achievement and AccomplishmentA
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Make Your Own Definition of Success
ALate Fragmentby Raymond Carver
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Slide27G. I. Joe Fallacy
27
Thriving in Scrubs
Santos &
Gendler
(2014)
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28DO YOUR HOMEWORK!