Resident health and well-being: Building resilience

Size: px
Start display at page:

Download "Resident health and well-being: Building resilience"

Transcription

1 W3 Workshop Resident health and well-being: Building resilience Ramezay, Saturday, October 27, 2012 (11 am-12:30 pm)

2 Resident Health and Wellbeing: Building Resilience A drienne Gaudet, MD Sophie C ollins, MD Suzanne C ummings, MD P h y s i c i a n Ad vi s o r s Q u e b e c P h y s i c i a n H e a l t h P r o g r a m International C onference on Phys ician Health M o n t r é a l, O c t o b e r 2 7,

3 Potential conflict of interest WE HAVE NO POTENTIAL CONFLICT OF INTEREST TO DECLARE

4 Learning objectives Recognize physician health issues, factors associated with stress in physicians and burnout in residents Practice and integrate reflection as a tool to build resilience Specify steps towards building resilience.

5 Recognize physician health issues, factors associated with stress in physicians and burnout in residents

6 How physicians compare to the general population Mental Health Issues Suicide

7 How physicians compare to the general population Mental Health Issues Suicide Similar rates of : Depression Anxiety disorders Alcohol and Substance use disorders Higher rates of : Suicide Physicians Men: 26% higher risk Women: 146% higher risk

8 Barriers to consultation Personal barriers Denial Rationalization Minimization Systemic barriers Stigma in the house of medicine

9 External stress factors Working night shifts/ being on call Dealing with suffering and death Adverse events, mistakes, complications Emergencies Challenging ethical issues High level of professional responsibilities

10 The Medical Personality

11 The up side Advantages of Perfectionism

12 The down side The Compulsive Triad Chronic self-doubt Guilt feelings Exaggerated sense of responsibility

13 When you become staff... The Beat Goes On Desire to establish and maintain reputation Feeling the need to cover up with a veneer of competence and the illusion of control Sense of personal failure when confronted with difficult patients, bad outcomes, adverse events and patient death

14 Education and training 4 Dysfunctional beliefs : Altruism, even to the point of self-denial is good Professionalism means keeping feelings, emotions and uncertainty to oneself Ultimate responsibility for patients is the physician s alone Lack of knowledge is a personal failure

15 Perils of perfectionism The desire to excel must be differentiated from the desire to be perfect Myers M and Gabbard G

16 Definition of burnout A deteriorating or unsuccessful response to repeated and prolonged occupational stress 3 dimensions: Emotional exhaustion (loss of enthusiasm for work) Depersonalization (cynicism) Low sense of personal accomplishment

17 Prevalence of burnout in residents Rates are high Residents from various specialties, internationally, experience burnout No relation to gender Associated with intensity of workday and extent of interference with resident home-life First year of residency worse?

18 Work characteristics Time demands Heavy work load Lack of control Inherently difficult job situations Interpersonal relationship conflict Autonomy Uncertainty about future Feeling personal needs to be unimportant Increasing work hours Anxiety about clinical competence Work/home life conflict Financial burden

19 Impact on performance Higher self perceived medical error Unprofessional conduct Less altruistic professional values Effect on empathy

20 Impact on personal life Burnout is associated with: Major depression, anxiety Alcohol and substance abuse Damaged personal relationships Physical symptoms and poor health outcomes

21 Practice and integrate reflection as a tool to build resilience

22 The Physician Health Program of British Columbia Taking care of ourselves: Reflection What worked for you in this module? What would you have done differently?

23 Specify steps towards building resilience

24 Building resilience What is resilience? Resilience is a dynamic capability which can allow people to thrive on challenges given appropriate social and personal contexts Howe A, Smajdor A, and Stockl, A

25 Dimensions of resilience Self-efficacy Self-control Ability to engage support and help Learning from difficulties Persistence despite blocks to progress

26 Individual resilience Self-care Regular exercise Adequate sleep Adopt a healthy lifestyle Have your own personal physician

27 Individual resilience Self-awareness Take time to pause and reflect

28 Individual resilience Finding balance Put aside time for family and friends Avoid the psychology of postponement Influence your own happiness through honouring your personal values

29 Community resilience Healthy community Mentoring Regular retreats Team building activities Resident wellness programs

30 Community resilience Healthy community Recognize and accept imperfection and fallibility in oneself, others and medicine Develop an important skill set: Empathic communication Giving and receiving feedback Setting healthy boundaries Learning to say I do not know

31 Conclusion Resilience is about adaptability rather than hardiness Healthy self-interest is not to be confused with selfishness Resilience is both an individual and community property

32 Conclusion The real voyage of discovery consists not of seeking new landscapes, but in having new eyes Marcel Proust

33 Resident Health and Wellbeing: Building Resilience What worked for you in this workshop? What would you have done differently?

34 Bibliography Frank E, Segura C. Health practices of Canadian physicians. Canadian Family Physician. Vol. 55: August 2009 Lefebvre DC. Perspective: Resident physician Wellness: A new hope. Academic Medicine, Vol. 87. No. 5/May 2012 CMA Board Working Group on Mental Health, CMA Physician Mental Health Strategy Working Group. Physician Health Matters: A mental health strategy for physicians in Canada. CMA February 2010 Elliot L, Tan J, Norris S. The Mental Health of Doctors : A Systematic Literature Review August 2010 Myers M, Gabbard G. The Physician as Patient: A Clinical Handbook for Mental Health Professionals. American Psychiatric Publishing, Arlington, VA, 2008 McLeod ME. The Caring Physician: A Journey in Self-Exploration and Self-Care. The American Journal of Gastroenterology. Vol. 98, No Shanafelt TD, Boone S, Tan L et al. Burnout and Satisfaction With Work-Life Balance Among US Physicians Relative to the General US Population. Archives of Internal Medicine August 2012

35 Bibliography Thomas NK. Resident Burnout. JAMA December 15, Vol. 292, No 23 Eckleberry-Hunt J, Lick D, Boura J et al. An Exploratory Study of Resident Burnout and Wellness. Academic Medicine, Vol. 84, No. 2 /February 2009 Martini S, Arfken CL, Churchill A et al. Burnout Comparison among Residents in Different Medical Specialties. Academic Psychiatry, 28:3, Fall 2004 Campbell J, Prochazka AV, Yamashita T et al. Predictors of Persistent Burnout in Internal Medicine Residents: A Prospective Cohort Study. Academic Medicine, Vol. 85, No 10 / October 2010 Woodside JR, Miller MN, Flloyd MR et al. Observations on Burnout in Family Medicine and Psychiatry Residents. Academic Psychiatry, 32;1, January- February, 2008 Cohen JS, Leung Y, Fahey M et al. The happy docs study: a Canadian Association of Internes and Residents well-being survey examining resident physician health and satisfaction within and outside of residency training in Canada. BMC Research Notes 2008, 1:105, 29 October 2008

36 Bibliography West CP, Tan AD, Habermann TM et al. Association of Resident Fatigue and Distress with Perceived Medical Errors. JAMA September 23/30, Vol. 302, No. 12 Dyrbye LN, Massie FS Jr, Eacker A et al. Relationship between Burnout and Professional Conduct and Attitudes Among US Medical Students. JAMA September 15, 2010-Vol 304, No.11 Shanafelt, TD, West C, Zhao X. et al. Relationship between increased personal well-being and enhanced empathy among internal medicine residents. J Gen Intern Med, 2005 Jul; 20(7) Spickard A, Gabbe SG, Christensen JF. Mid-Career Burnout in Generalist and Specialist Physicians. JAMA 2002 Vol No 12 Howe A, Smajdor A, Stöckl A. Towards an understanding of resilience and its relevance to medical training. Medical Education 2012; 46:

37 Bibliography Longenecker R, Zink T, Florence J. Teaching and Learning Resilience: Building Adaptive Capacity for Rural Practice. A Report and Subsequent Analysis of a Workshop Conducted at the Rural Medical Educators Conference, Savannah, Georgia, May 18, The Journal of Rural Health, 28 (2012) Gautam, M, Iron Doc: Practical Stress Management Tools for Physicians, Book Coach Press, Ottawa, ON Canada, 2004 Kearney MK, Weininger RB, Vachon ML. Self-care of Physicians Caring for Patients at the End of Life : Being Connected A Key to My Survival". JAMA March 18, 2009, Vol. 301, No.11 Eckleberry-Hunt J, Dyke AV, Lick D. Changing the Conversation From Burnout to Wellness: Physician Well-being in Residency Training Programs. Journal of Graduate Medical Education December 2009

38 Reference books

39 Reference books

40 Changing the Conversation from Burnout to Wellness... Develop a shared definition of physician wellness Determine interventional strategies to bolster physician wellness The Wellness Toolbox Benefits of cultural change Providing a more positive educational environment for residents and faculty Raising awareness about burnout and it s symptoms Decreasing stigma associated with admitting burnout symptoms Enabling the development of prevention strategies Eckleberry-Hunt J, Dyke AV, Lick D. Changing the Conversation form Burnout to Wellness: Physician Well-being in Residency Training Programs Journal of Graduate Medical Education, Dec. 2009

Physician Margin, Overload and Burnout

Physician Margin, Overload and Burnout Physician Margin, Overload and Burnout Black Hills Pediatric Symposium June 23, 2017 Craig J. Uthe, MD AAFP ASAM Sanford Family Physician, Internal Locum Tenens Sanford Medical Director of Clinic Services,

More information

Physician Burnout and Distress: Causes, Consequences, and a Structure For Solutions

Physician Burnout and Distress: Causes, Consequences, and a Structure For Solutions Physician Burnout and Distress: Causes, Consequences, and a Structure For Solutions January 5, 2017 Presenter: Colin P. West, MD, PhD Professor of Medicine, Medical Education, and Biostatistics Division

More information

Addressing Physician Burnout: How to Keep Sane When Things Seem Insane

Addressing Physician Burnout: How to Keep Sane When Things Seem Insane Addressing Physician Burnout: How to Keep Sane When Things Seem Insane Charles P. Samenow, MD, MPH Department of Psychiatry George Washington University Goals To describe physician burnout To understand

More information

Self-care and burnout

Self-care and burnout Self-care and burnout Karen Brouhard, LICSW Faculty and Staff Assistance Office Boston University Resilience and Mindfulness Program for Physicians Bringing Intention, Attention and Reflection to Clinical

More information

Burnout in Palliative Care. Palliative Regional Rounds January 16, 2015 Craig Goldie

Burnout in Palliative Care. Palliative Regional Rounds January 16, 2015 Craig Goldie Burnout in Palliative Care Palliative Regional Rounds January 16, 2015 Craig Goldie Overview of discussion Define burnout and compassion fatigue Review prevalence of burnout in palliative care Complete

More information

Health of Physicians. Statement from the Royal Australasian College of Physicians

Health of Physicians. Statement from the Royal Australasian College of Physicians Health of Physicians Statement from the Royal Australasian College of Physicians In a field that demands as much of us as medicine, anything less than (the) integration of person and professional may be

More information

Adult Apgar Test. 1. I am satisfied with the ACCESS I have to my emotions -- to laugh, to be sad, to feel pleasure or even anger.

Adult Apgar Test. 1. I am satisfied with the ACCESS I have to my emotions -- to laugh, to be sad, to feel pleasure or even anger. Adult Apgar Test Score 0=hardly ever 1=sometimes 2=almost always 1. I am satisfied with the ACCESS I have to my emotions -- to laugh, to be sad, to feel pleasure or even anger. 2. I am satisfied that my

More information

R2 - Research presentations

R2 - Research presentations R2 - Research presentations A randomized controlled trial evaluating the effect of facilitated small group sessions on physician well-being and job satisfaction (C. West, L. Dyrbye, J. Sloan, T. Shanafelt)

More information

Ian Nisonson, M.D. 11/2/2017

Ian Nisonson, M.D. 11/2/2017 Ian Nisonson, M.D., FACS Conference Director President of Baptist-South Miami Medical Staff (1997-1999) Senior Active Medical Staff, Baptist Hospital of Miami Adjunct Assistant Professor, Herbert Wertheim

More information

PHYSICIAN BURNOUT DISCLOSURES... A BURNING EPIDEMIC I HAVE NO DISCLOSURES TO REPORT.

PHYSICIAN BURNOUT DISCLOSURES... A BURNING EPIDEMIC I HAVE NO DISCLOSURES TO REPORT. PHYSICIAN BURNOUT A BURNING EPIDEMIC I HAVE NO DISCLOSURES TO REPORT. DISCLOSURES... HISTORICAL DEFINITION. FREUDENBERGER..1974 coined the term Burnout. PROCESS One Year Progression Historical term used

More information

Burnout, Renewal & Mindfulness. Joe Dreher MD, Frank Chessa, PhD & Christine Hein, MD

Burnout, Renewal & Mindfulness. Joe Dreher MD, Frank Chessa, PhD & Christine Hein, MD Burnout, Renewal & Mindfulness Joe Dreher MD, Frank Chessa, PhD & Christine Hein, MD 2 The Imperative There is a strange machismo that pervades medicine. Doctors, especially fledgling doctors like me,

More information

ARE PALLIATIVE CARE PROVIDERS: ON FIRE OR BURNED OUT?

ARE PALLIATIVE CARE PROVIDERS: ON FIRE OR BURNED OUT? ARE PALLIATIVE CARE PROVIDERS: ON FIRE OR BURNED OUT? Burnout happens to highly motivated and committed professionals the type of people who choose to go into hospice and palliative care. Eric Widera,

More information

T211 Early Career Burnout in Physician Assistants: A National Survey. Amanda Chapman, MMS, PA-C

T211 Early Career Burnout in Physician Assistants: A National Survey. Amanda Chapman, MMS, PA-C T211 Early Career Burnout in Physician Assistants: A National Survey Amanda Chapman, MMS, PA-C achapm@midwestern.edu Introduction Burnout Syndrome: Prolonged response to chronic emotional and interpersonal

More information

Disclosures. From Burnout to Resilience: Building Capacity to Thrive at Work. Arif Kamal MD, MBA,

Disclosures. From Burnout to Resilience: Building Capacity to Thrive at Work. Arif Kamal MD, MBA, From Burnout to Resilience: Building Capacity to Thrive at Work Arif Kamal MD, MBA, MHS @arifkamalmd www.resilientclinician.org Disclosures 1 Objectives Learners will be able to describe the current prevalence

More information

children and families in the community

children and families in the community Self care when Hot topics in mental working with health care children and families in the community Tony Dowell Tony Dowell Department of Primary Health Care and General Practice University of Otago Wellington

More information

Moving beyond burnout to professional engagement and joy. Martina Schulte, MD February 10, 2018

Moving beyond burnout to professional engagement and joy. Martina Schulte, MD February 10, 2018 Moving beyond burnout to professional engagement and joy Martina Schulte, MD February 10, 2018 Disclosures: None Can we use the word joy? Don Berwick, MD 2017 Perlo. IHI Framework for Improving Joy in

More information

Burnout Among Health Care Professionals

Burnout Among Health Care Professionals Burnout Among Health Care Professionals NAM Action Collaborative on Clinician Well-being and Resilience Research, Data, and Metrics Taskforce Lotte Dyrbye, MD, MHPE, FACP Professor of Medicine & Medical

More information

Future of the Health Care Workforce: Where are we going? May 23, 2018

Future of the Health Care Workforce: Where are we going? May 23, 2018 Future of the Health Care Workforce: Where are we going? May 23, 2018 Setting the Context Source: Various, AMA 2 Projected physician shortfall of between 42,600 and 121,300 Source: 2018 Update - The Complexities

More information

High Demand Low Control Low Support. Choosing Resilience The Key to Thriving Through Change. How happy are you?

High Demand Low Control Low Support. Choosing Resilience The Key to Thriving Through Change. How happy are you? Choosing Resilience The Key to Thriving Through Change Wayne M. Sotile, Ph.D. Founder CENTER FOR PHYSICIAN RESILIENCE Davidson, North Carolina Crucial Questions How happy are you? Who are you to the ones

More information

Prevalence and Determinants of Burnout among Primary Healthcare Physicians in Qatar

Prevalence and Determinants of Burnout among Primary Healthcare Physicians in Qatar Prevalence and Determinants of Burnout among Primary Healthcare Physicians in Qatar Mohamed Salem (1) Muna Taher (2) Hamda Alsaadi (3) Abdulla Alnema (2) Samya Al-Abdulla (2) (1) Dr Mohamed Salem, Former

More information

Physician Burnout: What Is It and What Causes It?

Physician Burnout: What Is It and What Causes It? Physician Burnout: What Is It and What Causes It? By Michael Baron, MD, MPH, FASAM Editor's Note: This is part two in a four-part series on physician burnout. Part one was published in the January 2018

More information

Enhancing Caregiver Resilience The Role of Staff Support

Enhancing Caregiver Resilience The Role of Staff Support Enhancing Caregiver Resilience The Role of Staff Support Albert W. Wu, MD, MPH Johns Hopkins Bloomberg School of Public Health Bonn, 29 March 2017 Wu AW 2017 Burnout When passionate, committed people become

More information

OVERCOMING RESISTANCE TO RESILIENCY PROGRAMS: ONE STEP AT A TIME!

OVERCOMING RESISTANCE TO RESILIENCY PROGRAMS: ONE STEP AT A TIME! OVERCOMING RESISTANCE TO RESILIENCY PROGRAMS: ONE STEP AT A TIME! CENTILE International Conference Washington DC, October 24, 2107 Emily Ratner, MD Director, Integrative Medicine Initiatives, MedStar Institute

More information

How resilient are doctors and can resilience skills be taught? Dr Beatrice Downie Leadership Fellow

How resilient are doctors and can resilience skills be taught? Dr Beatrice Downie Leadership Fellow How resilient are doctors and can resilience skills be taught? Dr Beatrice Downie Leadership Fellow Declaration of Interest Health Education England working across the North East and North Cumbria Marsden

More information

Wellness: an Opportunity or an Oxymoron for Medical Educators?

Wellness: an Opportunity or an Oxymoron for Medical Educators? Wellness: an Opportunity or an Oxymoron for Medical Educators? APPD LEAD Conference Richard P. Shugerman, MD Rebecca R. Swan, MD Goal for this session: For leaders in education to recognize the importance

More information

A story of resilience: being a pediatrician in Spain

A story of resilience: being a pediatrician in Spain A story of resilience: being a pediatrician in Spain Health, lifestyles and working conditions of pediatricians in Spain Working team Director: Lucía Baranda Supported by: Galatea Foundation: Anna Mitjans

More information

Living or surviving at work. complex working environments

Living or surviving at work. complex working environments Living or surviving at work Learning to develop professional resilience in complex working environments Dra.Eulàlia Masachs Fatjó Sra. Anna Mitjans Garcés EAPH Conference 2015 - Barcelona What is the Galatea

More information

THE PRACTICE OF MEDICINE

THE PRACTICE OF MEDICINE ORIGINAL INVESTIGATION Career Fit and Burnout Among Academic Faculty Tait D. Shanafelt, MD; Colin P. West, MD, PhD; Jeff A. Sloan, PhD; Paul J. Novotny, MS; Greg A. Poland, MD; Ron Menaker, EdD; Teresa

More information

SELF CARE AND RESILIENCE FOR NURSES

SELF CARE AND RESILIENCE FOR NURSES SELF CARE AND RESILIENCE FOR NURSES DELIVERED BY EILEEN HOPKINS, RGN, RCN. PROFESSIONAL LIFE COACH & TRAINER 19/02/18 ST. ITA S PORTRANE MY NURSING JOURNEY MY LIFE TODAY COMPASSION FATIGUE 4 AREAS WE WILL

More information

2016 Colleges of Medicine and Nursing Spring Symposium

2016 Colleges of Medicine and Nursing Spring Symposium 2016 Colleges of Medicine and Nursing Spring Symposium Addressing Burnout and Wellness in Health Sciences Professionals Wednesday, June 1, 2016 8:00am to 5:00pm Meiling Hall, 370 W. 9 th Ave Time Topic

More information

Physician Burnout : How the gastroenterologist can cope with the stresses of modern practice

Physician Burnout : How the gastroenterologist can cope with the stresses of modern practice Christina M. Surawicz, MD, MACG Physician Burnout : How the gastroenterologist can cope with the stresses of modern practice ACG Regional Course, New Orleans March 5, 2016 Christina M. Surawicz, MD, MACG

More information

Physician Health and Well-being

Physician Health and Well-being Physician Health and Well-being Reducing the Cost and Impact of Burnout and Promoting Wellbeing SDSMA Annual Leadership Conference June 2, 2017 Laurie C. Drill-Mellum, MD, MPH Chief Medical Officer Self-disclosure

More information

PHYSICIAN BURNOUT. Friday, April 15, 2016 Dr. Clare Hawkins Dr. Carolyn Eaton

PHYSICIAN BURNOUT. Friday, April 15, 2016 Dr. Clare Hawkins Dr. Carolyn Eaton PHYSICIAN BURNOUT Friday, April 15, 2016 Dr. Clare Hawkins Dr. Carolyn Eaton CLARE HAWKINS, MD, MSC, FAAFP 2 Family Medicine Residency Program Faculty, Houston Methodist Hospital; Lead Physician for Aspire

More information

Approaches to Wellness: Individual Strategies

Approaches to Wellness: Individual Strategies Approaches to Wellness: Individual Strategies Janet R. Serwint, MD, FAAP American Academy of Pediatrics 2017 Pediatrics in the 21 st Century Chicago, Illinois September 15, 2017 1 Faculty Non-Disclosure

More information

Being a doctor and staying a person April, 24&25th Paris

Being a doctor and staying a person April, 24&25th Paris Being a doctor and staying a person April, 24&25th 2017 - Paris 2 A globally healthy medical profession: Ageing Faced with demographic problems High risk of mental and addictive disorders: Stress, overwork,

More information

Psychiatric Intensive Care for Acutely Suicidal Adolescent Patients A Shift from Observation to Engagement

Psychiatric Intensive Care for Acutely Suicidal Adolescent Patients A Shift from Observation to Engagement Psychiatric Intensive Care for Acutely Suicidal Adolescent Patients A Shift from Observation to Engagement Joanne Bartlett MS RN NPP Mary Lou Heinrich RN-BC, BA, MPS Kay Bogren BSN University of Rochester

More information

Coordinated Veterans Care (CVC) Toolkit Questionnaires for use in a comprehensive needs assessment

Coordinated Veterans Care (CVC) Toolkit Questionnaires for use in a comprehensive needs assessment Coordinated Veterans Care (CVC) Toolkit Questionnaires for use in a comprehensive needs assessment This resource is a guide to conducting a comprehensive needs assessment for the Coordinated Veterans Care

More information

PSYCHOSOCIAL ASPECTS OF PALLIATIVE CARE IN MENTAL HEALTH SETTINGS. Dawn Chaitram BSW, RSW, MA Psychosocial Specialist

PSYCHOSOCIAL ASPECTS OF PALLIATIVE CARE IN MENTAL HEALTH SETTINGS. Dawn Chaitram BSW, RSW, MA Psychosocial Specialist PSYCHOSOCIAL ASPECTS OF PALLIATIVE CARE IN MENTAL HEALTH SETTINGS Dawn Chaitram BSW, RSW, MA Psychosocial Specialist WRHA Palliative Care Program April 19, 2017 OUTLINE Vulnerability and Compassion Addressing

More information

Compassion Fatigue: Are you running on fumes?

Compassion Fatigue: Are you running on fumes? Compassion Fatigue: Are you running on fumes? What is compassion? Feeling deep sympathy and sorrow for another who is stricken by suffering or misfortune, accompanied by a strong desire to alleviate the

More information

Measuring Pastoral Care Performance

Measuring Pastoral Care Performance PASTORAL CARE Measuring Pastoral Care Performance RABBI NADIA SIRITSKY, DMin, MSSW, BCC; CYNTHIA L. CONLEY, PhD, MSW; and BEN MILLER, BSSW BACKGROUND OF THE PROBLEM There is a profusion of research in

More information

Core competencies* for undergraduate students in clinical associate, dentistry and medical teaching and learning programmes in South Africa

Core competencies* for undergraduate students in clinical associate, dentistry and medical teaching and learning programmes in South Africa Core competencies* for undergraduate students in clinical associate, dentistry and medical teaching and learning programmes in South Africa Developed by the Undergraduate Education and Training Subcommittee

More information

Uncovering the Silent Epidemic of Psychological Distress in Critical Care Healthcare Professionals

Uncovering the Silent Epidemic of Psychological Distress in Critical Care Healthcare Professionals Uncovering the Silent Epidemic of Psychological Distress in Critical Care Healthcare Professionals National Academy of Medicine Collaborative on Clinician Well-being July 14, 2017 Marc Moss, M.D. Roger

More information

Anna Elders BN, PGCertCAMH, PGDipCBT. Cognitive Behavioural Nurse Therapist Director/Training Facilitator The CBT Clinic Ltd

Anna Elders BN, PGCertCAMH, PGDipCBT. Cognitive Behavioural Nurse Therapist Director/Training Facilitator The CBT Clinic Ltd Anna Elders BN, PGCertCAMH, PGDipCBT Cognitive Behavioural Nurse Therapist Director/Training Facilitator The CBT Clinic Ltd Determinants of a recovery practice Reflections on current challenges for the

More information

Establishing Work-Life Balance to Keep Health Care Safe DR. MUNIDASA WINSLOW

Establishing Work-Life Balance to Keep Health Care Safe DR. MUNIDASA WINSLOW Establishing Work-Life Balance to Keep Health Care Safe DR. MUNIDASA WINSLOW Introduction Dr. Munidasa Winslow Consultant Psychiatrist and Executive Medical Director at Promises Healthcare Adjunct Associate

More information

Course Materials & Disclosure

Course Materials & Disclosure E L N E C End-of-Life Nursing Education Consortium Module 7 Loss, Grief, & Bereavement Course Materials & Disclosure Course materials including handout(s) and conflict of interest disclosure statement

More information

4/13/2017. Mindfulness: An Intervention for Stress Management. Conflicts of Interest. Learning Objectives. Identify two causes of work-related stress

4/13/2017. Mindfulness: An Intervention for Stress Management. Conflicts of Interest. Learning Objectives. Identify two causes of work-related stress Mindfulness: An Intervention for Stress Management Kandice Duns, BSN, RN Assistant Nurse Manager UC Davis Medical Center Conflicts of Interest Learning Objectives Identify two causes of work-related stress

More information

Clinician burnout 3/28/ Allina Health System. Decreased effectiveness at work. Disclosure. Objectives. Why caring for the healer matters

Clinician burnout 3/28/ Allina Health System. Decreased effectiveness at work. Disclosure. Objectives. Why caring for the healer matters Who heals the healers? March 28, 2016 Disclosure There are no conflicts of interest or relevant financial interests in making this presentation and have indicated that my presentation does not include

More information

Collaborative Care in Pediatric Mental Health: A Qualitative Case Study

Collaborative Care in Pediatric Mental Health: A Qualitative Case Study Collaborative Care in Pediatric Mental Health: A Qualitative Case Study Megan McLeod, M.D. Supervised by Sourav Sengupta, M.D., M.P.H. March 3 rd, 2017 Acknowledgements Thank you Dr. Sengupta Outline 1.

More information

Walking the Walk Individual Creative Tools for Transforming Compassion Fatigue & Vicarious Trauma

Walking the Walk Individual Creative Tools for Transforming Compassion Fatigue & Vicarious Trauma Walking the Walk Individual Creative Tools for Transforming Compassion Fatigue & Vicarious Trauma Kay Glidden, M.S., Certified Compassion Fatigue Specialist & Trainer Beth Reynolds-Lewis, B.S., Certified

More information

TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 6TH EDITION BY VIDEBECK

TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 6TH EDITION BY VIDEBECK TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 6TH EDITION BY VIDEBECK Link download test bank full: https://digitalcontentmarket.org/download/test-bank-for-psychiatric-mental-healthnursing-6th-edition-by-videbeck

More information

Communication with Surrogate Decision Makers. Shannon S. Carson, MD Associate Professor University of North Carolina

Communication with Surrogate Decision Makers. Shannon S. Carson, MD Associate Professor University of North Carolina Communication with Surrogate Decision Makers Shannon S. Carson, MD Associate Professor University of North Carolina Role of Communication with Families in the ICU Sharing information about illness and

More information

Opportunities and Issues Related to BH Services in Primary Care

Opportunities and Issues Related to BH Services in Primary Care Opportunities and Issues Related to BH Services in Primary Care Roger Kathol, MD, CPE President, Cartesian Solutions, Inc. Adjunct Professor, Internal Medicine & Psychiatry, University of Minnesota Clinical

More information

AVOIDING PHYSICIAN BURNOUT

AVOIDING PHYSICIAN BURNOUT WHITE PAPER AVOIDING PHYSICIAN BURNOUT TIPS AND TOOLS FOR IDENTIFICATION AND PREVENTION Randal Dabbs, MD President Practice Development TeamHealth, Hospital Based Services Paul Hildebrand, MD Associate

More information

Pediatric Neonatology Sub I

Pediatric Neonatology Sub I Course Goals Goals 1. Provide patient care that is compassionate, appropriate and effective for the treatment of health problems. 2. Recommend and interpret common diagnostic tests and vital signs. 3.

More information

Wisconsin Medical Society Physician Experience Task Force Efforts

Wisconsin Medical Society Physician Experience Task Force Efforts Wisconsin Medical Society Physician Experience Task Force Efforts Heather Schmidt, DO Medical Director Health and Wellness Agnesian Healthcare 1 Disclosures Nothing to disclose. 2 Learning Objectives Understand

More information

Family Physician Well-Being: Update for the North Dakota AFP

Family Physician Well-Being: Update for the North Dakota AFP Family Physician Well-Being: Update for the North Dakota AFP November 11, 2017 Clif Knight, MD, CPE, FAAFP Senior Vice President for Education Cknight@AAFP.org @ClifKnight @4FPWB The AAFP will assist members

More information

How Do You Measure Resident Wellness TSVETI MARKOVA, MD, FAAFP R. BRENT STANSFIELD, PHD

How Do You Measure Resident Wellness TSVETI MARKOVA, MD, FAAFP R. BRENT STANSFIELD, PHD How Do You Measure Resident Wellness TSVETI MARKOVA, MD, FAAFP R. BRENT STANSFIELD, PHD Objectives Background on measuring resident wellness and un-wellness Our institutional results from measuring burnout

More information

Benchmarking across sectors: Comparisons of residential dual diagnosis and mental health programs

Benchmarking across sectors: Comparisons of residential dual diagnosis and mental health programs University of Wollongong Research Online Faculty of Health and Behavioural Sciences - Papers (Archive) Faculty of Science, Medicine and Health 2009 Benchmarking across sectors: Comparisons of residential

More information

Long-Stay Alternate Level of Care in Ontario Mental Health Beds

Long-Stay Alternate Level of Care in Ontario Mental Health Beds Health System Reconfiguration Long-Stay Alternate Level of Care in Ontario Mental Health Beds PREPARED BY: Jerrica Little, BA John P. Hirdes, PhD FCAHS School of Public Health and Health Systems University

More information

Sustainable Improvement. Michael P. Silver, MPH CVP, Improvement Science October, 2017

Sustainable Improvement. Michael P. Silver, MPH CVP, Improvement Science October, 2017 Sustainable Improvement Michael P. Silver, MPH CVP, Improvement Science October, 2017 Sustainable Improvement Resiliency positive adaptation in the context of adversity or risk Strengthening Primary Care

More information

EVALUATING CAREGIVER PROGRAMS Andrew Scharlach, Ph.D. Nancy Giunta, M.A., M.S.W.

EVALUATING CAREGIVER PROGRAMS Andrew Scharlach, Ph.D. Nancy Giunta, M.A., M.S.W. EVALUATING CAREGIVER PROGRAMS Andrew Scharlach, Ph.D. Nancy Giunta, M.A., M.S.W. Paper Prepared for the Administration on Aging 2003 National Summit on Creating Caring Communities Overview of CASAS FCSP

More information

WHOLE HEALTH: CHANGE THE CONVERSATION. Clinician Self-Care: You in the Center of the Circle of Health Educational Overview

WHOLE HEALTH: CHANGE THE CONVERSATION. Clinician Self-Care: You in the Center of the Circle of Health Educational Overview Advancing Skills in the Delivery of Personalized, Proactive, Patient-Driven Care Clinician Self-Care: You in the Center of the Circle of Health Educational Overview This document has been written for clinicians.

More information

Central Oregon Integrated Care Collaborative: Operational Strategies for Success

Central Oregon Integrated Care Collaborative: Operational Strategies for Success Central Oregon Integrated Care Collaborative: Operational Strategies for Success 1 May 8, 2018 2 Welcome! Mike Franz, MD, DFAACAP, FAPA Medical Director, Behavioral Health, PacificSource Thanks to the

More information

MEETING THE CHALLENGE OF BURNOUT. Christina Maslach, Ph.D. University of California, Berkeley

MEETING THE CHALLENGE OF BURNOUT. Christina Maslach, Ph.D. University of California, Berkeley MEETING THE CHALLENGE OF BURNOUT Christina Maslach, Ph.D. University of California, Berkeley BURNOUT AMONG HEALTH CARE PROFESSIONALS Health care has been the primary occupation for research on burnout,

More information

Pediatric Behavioral Health: How to Improve Primary Care Coordination and Increase Access

Pediatric Behavioral Health: How to Improve Primary Care Coordination and Increase Access Population Health Advisor Pediatric Behavioral Health: How to Improve Primary Care Coordination and Increase Access Jasmaine McClain, PhD Senior Analyst, Research McClainJ@advisory.com 6 Introducing Population

More information

Professionalism & Professional Health: In Academic Medical Centers

Professionalism & Professional Health: In Academic Medical Centers Professionalism & Professional Health: In Academic Medical Centers Charlene M. Dewey, M.D., M.Ed., FACP Associate Professor of Medical Education and Administration Associate Professor of Medicine Co-Director

More information

Physician Wellness and Burnout

Physician Wellness and Burnout Physician Wellness and Burnout Report and Recommendations of the Workgroup on Physician Wellness and Burnout Adopted as policy by the Federation of State Medical Boards April 2018 Executive Summary: The

More information

CanMEDS- Family Medicine. Working Group on Curriculum Review

CanMEDS- Family Medicine. Working Group on Curriculum Review CanMEDS- Family Medicine Working Group on Curriculum Review October 2009 1 CanMEDS-Family Medicine Working Group on Curriculum Review October 2009 Members: David Tannenbaum, Chair Jill Konkin Ean Parsons

More information

"Me Time": Investing in Self Care to Stay Centered during Stressful Times

Me Time: Investing in Self Care to Stay Centered during Stressful Times Annual Conference- Atlanta, Georgia - August 23, 2016 "Me Time": Investing in Self Care to Stay Centered during Stressful Times Sandra Edmonds Crewe, Ph.D., ACSW Dean and Professor of Social Work 1. Understand

More information

Professionalism: New Thinking about an Old Issue

Professionalism: New Thinking about an Old Issue Professionalism: New Thinking about an Old Issue Catherine R Lucey MD Professor of Medicine Vice Dean for Education UCSF School of Medicine ABMS Spring 2015 1 We have a problem with Professionalism 2 Highly

More information

Certified Recovery Peer Specialist (CRPS) Training Verification Form

Certified Recovery Peer Specialist (CRPS) Training Verification Form (CRPS) Requirement 40 hours of training, with a minimum number of training hours in each performance domain as follows: Advocacy: 4 hours Mentoring: 6 hours Recovery Support: 6 hours Cultural and Linguistic

More information

Caring for Carers. Includes Caregiver Health Checklists

Caring for Carers. Includes Caregiver Health Checklists Caring for Carers Includes Caregiver Health Checklists The role of carer can provide great satisfaction, but being a caregiver can also be very emotionally stressful between a third and a half of carers

More information

This document applies to those who begin training on or after July 1, 2013.

This document applies to those who begin training on or after July 1, 2013. Objectives of Training in the Subspecialty of Occupational Medicine This document applies to those who begin training on or after July 1, 2013. DEFINITION 2013 VERSION 1.0 Occupational Medicine is that

More information

Caregiving: Health Effects, Treatments, and Future Directions

Caregiving: Health Effects, Treatments, and Future Directions Caregiving: Health Effects, Treatments, and Future Directions Richard Schulz, PhD Distinguished Service Professor of Psychiatry and Director, University Center for Social and Urban Research University

More information

The University of Ioannina Counselling Centre

The University of Ioannina Counselling Centre SUMMER UNIVERSITY 2011 Thematic Symposium The Present and the Future of Students Psychological Counselling: Meeting the challenges, discussing the prospects. The University of Ioannina Counselling Centre

More information

Battlemind Training: Building Soldier Resiliency

Battlemind Training: Building Soldier Resiliency Carl Andrew Castro Walter Reed Army Institute of Research Department of Military Psychiatry 503 Robert Grant Avenue Silver Spring, MD 20910 USA Telephone: (301) 319-9174 Fax: (301) 319-9484 carl.castro@us.army.mil

More information

Relationships: The Behavioral Health Consultant, Primary Care Physician, and Psychiatrist i t Healthcare Integration Webinar National Council for Community Behavioral Healthcare February 25, 2010 The Status

More information

CLINICALLY SUPERVISED EXPERIENCE for CADC I, CADC II and CAADC (PAGE 1 of 4) APPLICANT S NAME SUPERVISOR S NAME AGENCY

CLINICALLY SUPERVISED EXPERIENCE for CADC I, CADC II and CAADC (PAGE 1 of 4) APPLICANT S NAME SUPERVISOR S NAME AGENCY CLINICALLY SUPERVISED EXPERIENCE for CADC I, CADC II and CAADC (PAGE 1 of 4) APPLICANT S NAME SUPERVISOR S NAME AGENCY PROFESSIONAL LICENSES AND/OR CERTIFICATES YOU HOLD *Supervisors must include a photocopy

More information

OHSU SoM UME Competencies YourMD

OHSU SoM UME Competencies YourMD Preamble: In August, 2014, Oregon Health & Science University (OHSU) School of Medicine (SoM) launched a new curriculum for its entering medical school class. This curriculum transformation was the result

More information

The Impact of Stress and Burnout on Physician Satisfaction and Behaviors By Alan H. Rosenstein, MD, MBA, and Michelle Mudge-Riley, DO, MHA

The Impact of Stress and Burnout on Physician Satisfaction and Behaviors By Alan H. Rosenstein, MD, MBA, and Michelle Mudge-Riley, DO, MHA Behavior The Impact of Stress and Burnout on Physician Satisfaction and Behaviors By Alan H. Rosenstein, MD, MBA, and Michelle Mudge-Riley, DO, MHA In this article With health care growing more harried

More information

Using Patient Care Conferences to Avoid Readmissions and Resolve Delays

Using Patient Care Conferences to Avoid Readmissions and Resolve Delays Using Patient Care Conferences to Avoid Readmissions and Resolve Delays Colleen Booz Dittrich, LMSW, CCM, ACM Manager, Care Transitions The University of Kansas Hospital Kansas City, KS Sandy McFolling,

More information

Family Medicine Residency Behavior Medicine Rotation Elly Riley, DO

Family Medicine Residency Behavior Medicine Rotation Elly Riley, DO Family Medicine Residency Behavior Medicine Rotation Elly Riley, DO Rotation Goal The teaching of Human Behavior and Psychiatry at the UT Family Medicine Center (UTFPC) is divided into several discreet

More information

FROM MORAL DISTRESS AS A PSYCHOSOCIAL RISK

FROM MORAL DISTRESS AS A PSYCHOSOCIAL RISK CÉLINE BAELE FROM MORAL DISTRESS AS A PSYCHOSOCIAL RISK TO MORAL RESILIENCE IN HEALTH CARE ORGANIZATIONS INCOSE CONFERENCE, BRUSSELS 15.09.2016 CÉLINE BAELE DORINE COOLEN HERLINDE DELY WHO ARE WE Céline

More information

Palliative Care Competencies for Occupational Therapists

Palliative Care Competencies for Occupational Therapists Principles of Palliative Care Demonstrates an understanding of the philosophy of palliative care Demonstrates an understanding that a palliative approach to care starts early in the trajectory of a progressive

More information

Policies and Procedures for In-Training Evaluation of Resident

Policies and Procedures for In-Training Evaluation of Resident Policies and Procedures for In-Training Evaluation of Resident First Edition Dec. 2013 This policy and procedure was approved by the Board of Trustee of Kuwait Institute for Medical Specialization (KIMS)

More information

Aurora Behavioral Health System

Aurora Behavioral Health System Aurora Behavioral Health System Decades Program Overview Where healing starts and the road to recovery begins Aurora East 6350 S. Maple Ave. Tempe, AZ 85283 (The hospital is located on the NW corner of

More information

MANAGING TIME AND STRESS. There is an old saying that : time is money. In health care, time affects both money and quality

MANAGING TIME AND STRESS. There is an old saying that : time is money. In health care, time affects both money and quality MANAGING TIME AND STRESS 1 There is an old saying that : time is money. In health care, time affects both money and quality 2 1 The Present Yesterday is History Tomorrow s a Mystery But Today is a Gift

More information

Army OneSource. Best Practices for Integrating Military and Civilian Communities

Army OneSource. Best Practices for Integrating Military and Civilian Communities www.myarmyonesource.com www.aosresourcecenter.com Army OneSource Army OneSource Best Practices for Integrating Military and Civilian Communities Shaunya M. Murrill Chief, Outreach and Strategic Integration

More information

Is Canadian Medicare dying?

Is Canadian Medicare dying? Is Canadian Medicare dying? Transforming Healthcare through digital platforms Dr. Granger Avery Past President Canadian Medical Association gavery10 @ gavery@island.net Syilx/Okanagan People MISSION STATEMENT

More information

Symptoms and stress in family caregivers of ICU patients. Hanne Birgit Alfheim RN, CCN, PhD student Photo:

Symptoms and stress in family caregivers of ICU patients. Hanne Birgit Alfheim RN, CCN, PhD student Photo: Symptoms and stress in family caregivers of ICU patients Hanne Birgit Alfheim RN, CCN, PhD student Photo: oystein.horgmo@medisin.uio.no Why are the family caregivers so important for the patients? Family

More information

Community-Based Psychiatric Nursing Care

Community-Based Psychiatric Nursing Care Community-Based Psychiatric Nursing Care 1 The goal of the mental health delivery system is to help people who have experienced a psychiatric illness live successful and productive lives in the community

More information

WORKPLACE BULLYING: RESPONDING TO THE EPIDEMIC

WORKPLACE BULLYING: RESPONDING TO THE EPIDEMIC WHY TOPIC IS IMPORTANT FOR PEDIATRIC HEALTH CARE PROFESSIONALS? Childhood is where bullying starts Little bullies grow up to be big bullies If bullying is not addressed early on, it continues/worsens WORKPLACE

More information

Impact of Combat Duty in Iraq and Afghanistan on Family Functioning: Findings from the Walter Reed Army Institute of Research Land Combat Study

Impact of Combat Duty in Iraq and Afghanistan on Family Functioning: Findings from the Walter Reed Army Institute of Research Land Combat Study Impact of Combat Duty in Iraq and Afghanistan on Family Functioning: Findings from the Walter Reed Army Institute of Research Land Combat Study Charles W. Hoge, MD, COL, MC, U.S. Army Director, Division

More information

Exemplary Professional Practice: Accountability, Competence and Autonomy

Exemplary Professional Practice: Accountability, Competence and Autonomy Exemplary Professional Practice: Accountability, Competence and Autonomy EP15 Nurses at all levels engage in periodic formal performance reviews that include a self-appraisal and peer feedback process

More information

5/1/2018. The Role of Resilience and Mindful Leadership in Nursing. Learning Objectives. Common Terms Compassion and Compassion Fatigue

5/1/2018. The Role of Resilience and Mindful Leadership in Nursing. Learning Objectives. Common Terms Compassion and Compassion Fatigue The Role of Resilience and Mindful Leadership in Nursing Cindy Rishel PhD RN OCN NEA-BC Clinical Associate Professor Learning Objectives Describe the concept of resilience and identify specific attributes

More information

Creating an Environment to Reduce or Eliminate Physician Burnout

Creating an Environment to Reduce or Eliminate Physician Burnout Creating an Environment to Reduce or Eliminate Physician Burnout Exploratory paper Jami M. Clark, MHA, FACMPE August 16, 2017 This paper is submitted in partial fulfillment of the requirements of Fellowship

More information

CADC-T CLINICALLY SUPERVISED EXPERIENCE (PAGE 1 of 5) APPLICANT S NAME SUPERVISOR S NAME AGENCY PROFESSIONAL LICENSES AND/OR CERTIFICATES YOU HOLD

CADC-T CLINICALLY SUPERVISED EXPERIENCE (PAGE 1 of 5) APPLICANT S NAME SUPERVISOR S NAME AGENCY PROFESSIONAL LICENSES AND/OR CERTIFICATES YOU HOLD CADC-T CLINICALLY SUPERVISED EXPERIENCE (PAGE 1 of 5) APPLICANT S NAME SUPERVISOR S NAME AGENCY PROFESSIONAL LICENSES AND/OR CERTIFICATES YOU HOLD *Supervisors must include a photocopy of a state or federal

More information

Objectives. Models of Integrated Behavioral Health Care 9/23/2015

Objectives. Models of Integrated Behavioral Health Care 9/23/2015 Models of Integrated Behavioral Health Care Carlton D. Craig, Ph.D. Vernon R. Wiehe Endowed Professor in Family Violence University of Kentucky College of Social Work Carlton.craig@uky.edu (859)-257-6657

More information

A Roadmap to Teach Senior Residents to Facilitate Debriefings after Critical Incidents

A Roadmap to Teach Senior Residents to Facilitate Debriefings after Critical Incidents A Roadmap to Teach Senior Residents to Facilitate Debriefings after Critical Incidents Amanda D. Osta, MD Janet R. Serwint, MD Megan E. McCabe, MD Annamaria T. Church, MD Albina S. Gogo, MD Ann Burke,

More information

Specialty Behavioral Health and Integrated Services

Specialty Behavioral Health and Integrated Services Introduction Behavioral health services that are provided within primary care clinics are important to meeting our members needs. Health Share of Oregon supports the integration of behavioral health and

More information