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Beyond Burnout

Beyond Burnout. Working together to build a culture of wellness 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 & Gynecology

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Beyond Burnout

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  1. Beyond Burnout Working together to build a culture of wellness 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 & Gynecology New York University Langone Health

  2. Outline of the Morning Part I: Introduction Part II: Exploring Sources of Burnout and Moving Forward Part III: UW Wellness Task Force Part IV: Secure Your Own Mask First Thriving in Scrubs

  3. Impact of Burnout on Quality of Care Thriving in Scrubs

  4. Organizational Factors Contribute to Burnout Thriving in Scrubs

  5. Physician Wellness is a SHARED Responsibility Thriving in Scrubs

  6. Exploring Sources of Burnout and Moving Forward 1. Write a list of the issues that are making you feel unwell, that are sources of burnout at work. Thriving in Scrubs

  7. Exploring Sources of Burnout and Moving Forward 2. Write a list of strategies/ideas for improving the sources of burnout you identified (individually or organizationally) Thriving in Scrubs

  8. Exploring Sources of Burnout and Moving Forward 3. Table discussion Make a combined list of up to 10 strategies/steps forward for your table (Write these on the flip chart) Thriving in Scrubs

  9. Exploring Sources of Burnout and Moving Forward 4. 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) Thriving in Scrubs

  10. Exploring Sources of Burnout and Moving Forward 5. VOTE on the top 5 (Individually, place your dot stickers by the ideas from any table that resonate most with you) Thriving in Scrubs

  11. UW Task Force on Wellness Reflecting on the priorities we just set Identifying how to move forward Thriving in Scrubs

  12. Workshop on Building Personal Resilience Thriving in Scrubs

  13. What is Resilience? Thriving in Scrubs

  14. Is there a sweet spot for stress? Yerkes-Dodson Curve 1908 Nonreassuring Status

  15. G. I. Joe Fallacy Santos & Gendler (2014) Thriving in Scrubs

  16. 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? Martin Seligman’s PERMA Model for 5 core elements of happiness Thriving in Scrubs

  17. P Positive Emotions Thriving in Scrubs

  18. Tricking Your Mind into Cheerfulness with Gratitude P Martin E.P. Seligman (2011). Flourish: A Visionary New Understanding of Happiness and Well-being. Exercise #1: Think of three good things that happened today Think 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 Thriving in Scrubs

  19. E ENGAGEMENT Thriving in Scrubs IS YOUR JOB YOUR CALLING? What fills your tank? What are your strengths? Viacharacter.org How 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 benefit

  20. EHR RELATIONSHIPS R Thriving in Scrubs Humans are social creatures Medicine is human work Being authentically connected to others – what does that mean today?

  21. Finding Meaning in the Work M Chou CM, et al. Attitudes and habits of highly humanistic physicians. Acad Med. 2014. Highly humanistic physicians make a habit of reflection Can 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? Thriving in Scrubs

  22. A Achievement and Accomplishment Nash L. and Stevenson H. Success that Lasts. Harvard Business Review, 2004. Enduring success: • High achievement • Multiple goals • Experiencing pleasure • Creating positive relationships • Valuing enduring achievements Thriving in Scrubs

  23. A Achievement and Accomplishment Thriving in Scrubs Exercise #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)

  24. A Achievement and Accomplishment Thriving in Scrubs Exercise #2: Write a list of 3-5 things that if you accomplished them, you would consider your life a success?

  25. A Achievement and Accomplishment Thriving in Scrubs Exercise #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?

  26. A Make Your Own Definition of Success Late Fragment by Raymond Carver Thriving in Scrubs

  27. G. I. Joe Fallacy Santos & Gendler (2014) Thriving in Scrubs

  28. DO YOUR HOMEWORK! Thriving in Scrubs

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