Physician Burnout : How the gastroenterologist can cope with the stresses of modern practice
|
|
- Jordan Parks
- 6 years ago
- Views:
Transcription
1 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 Professor of Medicine, Division of Gastroenterology U of Washington, Seattle WA. Page 1 of 32
2 Why am I giving this talk? Berk lecture at ACG 2013 I realized I survived it without knowing it For example Lack of control Today What is burnout? How are we doing in GI? What are the contributing factors? What are some solutions? The practice of medicine The practice of ourselves Page 2 of 32
3 Burnout Has 3 Components Emotional and physical exhaustion Depersonalization Decreased sense of personal accomplishments and successes Page 3 of 32
4 Emotional and Physical Exhaustion Overworked Overextended Downward spiral, even after attempting to rest Maslach, The Truth About Burnout 1997; Privatera et al. J Hosp Admin 2015;4:27 Depersonalization Unfeeling in response to patients and peers Dysfunctional coping mechanism Keeping your patients at a distance to not drain you more Cynicism, sarcasm, compassion, fatigue Nothing left to give Page 4 of 32
5 Decreased Sense of Personal Accomplishment Lack of efficacy What is the use? What is the purpose? Work is subpar Feel like not making a difference The Paradox A Fine Line Dedication Overwork The most dedicated are the most susceptible Traits that predispose Idealism Perfectionism Responsibility Balch & Shanafelt, Adv in Surg 2010;44: Page 5 of 32
6 How well do we recognize burnout in ourselves and others? A challenge Surgeons self reported burnout significantly underestimated when evaluated on an instrument like the MBI One late clue -unprofessional behavior How do we stack up in GI? Page 6 of 32
7 Gastroenterologists Specialty Rate of Burnout Critical Care 55% Gen Internal Med, Family Practice 54% Gastroenterology 49% (was 41% last year) Diabetes, Ophthalmology 41% Psychiatry 40% Gastroenterologists ASGE Survey Compared Interventional GE (IGE) and GE Burnout higher in junior than senior doctors Especially first 3 years Both in academic and private practice Keswani et al, Am J Gastroenterol 2011; 106: Page 7 of 32
8 Factors for GI docs General GI Worry that their endoscopic skills will be questioned Pressure by nurses to do cases faster Interventional GI Confidence in their ability Procedure related stress Missing cancer on EUS Inability to cannulate bile duct Misinterpreting fluoroscopic images Work life balance Contributing factors Hours worked: a clear correlation 44% for hrs/ week for surgeons Work home conflict Work home conflict resolved in favor of work For surgeons, higher if 2-Career Couple Married to another doctor Married to another surgeon highest incidence Page 8 of 32
9 Another Big Predictor Spending less than 20% of time on the activities most meaningful to them, no matter what it is 54% vs. 30% Burnout Rate External Forces Friendly Fire (Well- Intentioned) Health care reform Pay for performance ICD 10 CME EMR MOC/licensure Enemy Fire (Not so Well-Intentioned) Insurance companies Pre-Authorizations Denials to patients For-Profit and CEO salaries Privatera et al Physician Burnout and Occupational Stress J Hosp Admin 2015; 4:27 Page 9 of 32
10 Stress and performance curve Privatera et al. Physician Burnout and Occupational Stress, J Hosp Admin 2015;427. Productivity vs. Hours Page 10 of 32
11 Top factors for GI docs New category Medscape survey 2016 Burnout Factors: Multivariate Analysis Spending less than 20% time on most meaningful activities, no matter what it is Being under age 55 More hours worked Being a generalist vs. being a specialist Mayo Clinic study Page 11 of 32
12 Burnout Contributing Factors Work-Life imbalance** Not having control** Rewards are not aligned with values Conflict with peers, staff, patients Patient complaints/malpractice suits/errors Balch and Shanafelt Surgical Practice 2000 Denial and Delayed Gratification Physicians tend to deny their Anxiety Fears Desires Fatigue Delayed gratification: it will get better when Page 12 of 32
13 Burnout Consequences SELF Leaving profession early Substance abuse Depression Poor health Suicide MD rate is 2x higher than general population Women higher than men CLINICAL Lower patient satisfaction scores Association with medical errors cause or effect BOTH Unprofessional behavior Job turnover Themselves Those they work with Low-morale in workplace Review Burnout Inventory How Did You Score? Here is a questionnaire.. Page 13 of 32
14 Solutions External How we practice medicine Support from our institutions and from our staff How we handle adverse events and complications Our peers are our best support Work-Life Balance Work-life balance is for people who do not like their work Old Amazon Joke per New York Times Article Maybe not a joke there? Page 14 of 32
15 We Must Control our Work Schedules Top 3 factors that contribute to burnout: More hours worked Recent work-home conflict Work-home conflict resolved in favor of work Control over work schedule predicted better work-life balance (new term is INTEGRATION) Scheduling Conflict with administrators See more patients Click thru EMR faster Consequences Our stress Patient satisfaction? Quality of care Page 15 of 32
16 Electronic Medical Record biggest dissatisfier? Not made for us How we practice medicine The patient who drains us The busy day Remember the quote of Ron Vender: Remember that for each patient, their visit with you is probably the most important event of the day Ron Vender ACG President Easy to forget, I remind myself often, esp. at end of day Page 16 of 32
17 Can We Control Our Practice? High-performing primary care practices Staff to doctor ratio was 2 or 3:1 Team approach--scribes and order entry Saw more patients Went home earlier and didn t chart at home Staff and patients more satisfied Bottom line: financially makes sense! Sinsky et al Am Fam Med 2013: 11: 272 Complications A huge contributor to burnout is having a major complication The day you stop feeling bad about your complications is the day you quit A Seattle Surgeon Page 17 of 32
18 Serious Complications and Errors are Inevitable Need to take seriously Need to learn from our mistakes Need to support each other Need to forgive ourselves (as we forgive our colleagues) Malpractice Suits Magnifies everything devastating MDs vs. Lawyers Different mindsets lawyers think differently from us Page 18 of 32
19 Burnout errors: cause and effect? Burnout leads to distress -- leads to errors -- leads to burnout Peer support programs ( after adverse medical events) Safe way to share emotional impact Renew compassion in the workplace This is not trivial 79% of faculty and residents reported a serious adverse patient event or traumatic personal event in the prior year Physician peer support preferred (88%) c/w employee assistance or mental health (29-48%) Van Pelt Qual Saf Health Care 2008; 17:249; Page 19 of 32
20 What I Learned About Adverse Events from Captain Sully It s Not What You Think, An Essay Miracle on the Hudson, May 2010 Crew were all removed from duty immediately All had some PTSD Why don t we do this too? Steigler, JAMA 2015;313:361 Solutions Backup systems for emergencies like the residents have night float, etc. Flexible work hours and part-time work Reasonable emergency call; schedule day off after? Like airline pilots These are the duties of the physician: first to heal his mind and to give help to himself before giving it to anyone else - Epitaph of Athenian Doctor, 2 AD Page 20 of 32
21 SOLUTIONS--INTERNAL A 3-Step Program Identify and balance professional and personal goals Identify stressors and shape career path Nurture personal wellness strategies Adapted form Balch and Shanafelt, Combating Stress and Burnout: A Surgical Practice, Advances in Surgery 2010;44: Page 21 of 32
22 Step 1: Values and Goals Identify your personal values Identify your professional values Do they jibe? Can you integrate them? Identify Your Professional Goals Why did I choose to become an MD? Why did I choose to go into my field? What do I like most about my job? What 3 things motivate me professionally? By the end of my career, what 3 things do I want to have accomplished? My Steven Covey experience Page 22 of 32
23 Integrating Work and Everything Else What is my greatest priority in life? Do I live this way? Where am I most irreplaceable? Home? Work? Elsewhere? What do I want to sacrifice? Glass and rubber balls Integrating (Cont d) What legacy do I want to leave? How would I change this past year if I could? What do I fear? Giving up things? Or admitting it is time to? What others might think of me? Page 23 of 32
24 Step 2: Shape Your Career Path and Identify Stressors Enhance work that is personally meaningful to you Reshape practice? Give up stressful procedures? Eliminate other things? More training? Reflect with your colleagues Reassess what you enjoy What Energizes and What Drains You? Page 24 of 32
25 Other People s Problems We want to fix things but we don t have to fix everything We don t own other people s problems Listen don t reply immediately Chinese saying: pancake has 2 sides or 3 sides? Applies to patient care as well Step 3: Nurture Personal Wellness Strategies Nurture yourself mentally and physically Your relationships Vacations, hobbies Sleep and eat Protect time for personal reflection See your primary care doctor Care for yourself first: Oxygen mask on airplane Page 25 of 32
26 We Cannot Do It All At least not all at the same time Limit what you take on Exhaustion as a badge of honor Plan your day backwards Number hours of sleep Time for self-care: exercise, relaxation Number of hours with friends, family; dinner, homework Subtract: hours for work OK it won t work every day but it is a good goal Attack Your Schedule Take a day off after travel Identify emergency backup systems Be realistic but be generous Block time off random days or half days Schedule with Presidents Date night Decide what time is sacred and honor that Page 26 of 32
27 Someone I knew all too well The degree to which you do not believe you have time to spend even ten minutes sitting quietly is the degree to which you desperately need to spend ten minutes sitting quietly Fahri (2003) Bringing Yoga to Life, Harper Collins, New York Mindfulness Based Stress Reduction (MBSR) Deliberately paying full attention to what is happening around you and within you in your body, heart and mind Awareness with no judgement or criticism Can include narrative writing and meditation Page 27 of 32
28 Christina M. Surawicz, MD, MACG Just Think: The Challenges of the Disengaged Mind Series of eleven studies Participants did not enjoy spending 6-15 minutes alone in a room with nothing to do Being alone for 15 minutes with their thoughts was so aversive that they would self-administer electrical shocks (even when earlier would pay to avoid them) Preferred mundane external activities 67% of men; 25% of women The untutored mind does not like to be alone with itself Wilson et al. Science 2014; 345: Page 28 of 32
29 Summary: A 3-Step Program Identify and balance professional and personal goals Identify stressors and shape career path Nurture personal wellness strategies Adapted from Balch and Shanafelt, Combating Stress and Burnout: A Surgical Practice, Advances in Surgery 2010;44: A few other ideas Having the right colleagues We spend more time with them than family Gratitude journal 3 things/ day Narrative writing Power of reading it aloud Black humor Necessary but under threat Page 29 of 32
30 Focus Your Strategy This requires daily attention Recognize sources of stress Let go of frustrations What can and cannot be changed Two 80% rules Resilience Finding meaning in our work That we are important That what we do helps people, not just patients Mentoring our juniors will be one of our legacies Will help us on the days when work does overshadow everything else Why I do this file Page 30 of 32
31 Try one thing. Day off after being on call Schedule a 2 week vacation Write a thank you letter to someone meaningful to you Talk with your colleagues to see what could be better Read something funny Enjoy this wonderful city tonight Survive and Thrive Renewing our priorities Taking control of our lives as much as possible Finding ways to recharge our batteries Aligning work and everything else Page 31 of 32
32 Thank you. Page 32 of 32
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
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
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
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
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
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
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,
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,
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
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,
The True Cost of the Burnt Out Physician. Lisa Ellis, MD, FACP Chief Medical Officer- VCU Health Ambulatory Clinics
The True Cost of the Burnt Out Physician Lisa Ellis, MD, FACP Chief Medical Officer- VCU Health Ambulatory Clinics DISCLOSURES/DISCLAIMERS I have no conflicts of interest 2 The True Cost a Burnt Out Physician
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,
Family Physician Burnout & Resiliency Dilemma and Strategies
Family Physician Burnout & Resiliency Dilemma and Strategies Alan I. Schwartzstein, MD, FAAFP AAFP Board of Directors Maryland Academy of Family Physicians June 24, 2016 Disclosures Dean Health System
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
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
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
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
Outline 4/18/2018. Disclosure. Poll Everywhere Instructions. Journey to a Resilient and Thriving Pharmacy Workforce
Disclosure Journey to a Resilient and Thriving Pharmacy Workforce All planners, presenters, and reviewers of this content report no financial relationships relevant to this activity. Jennifer M. Schultz,
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
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
Emergency Medicine Physician Satisfaction and Wellness Committee A Year in Review
Emergency Medicine Physician Satisfaction and Wellness Committee A Year in Review RAHUL SHARMA, MD, MBA, CPE, FACEP EMERGENCY PHYSICIAN- IN- CHIEF CHIEF, DIVISION OF EMERGENCY MEDICINE ASSOCIATE PROFESSOR
Journey to a Resilient and Thriving Pharmacy Workforce
Journey to a Resilient and Thriving Pharmacy Workforce Amber J. Lucas, PharmD, MBA, BCPS, FASHP Chair, ASHP House of Delegates Pharmacy Operations Manager / Obstetrics-Neonatal Specialist Olathe Medical
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)
The Intimidation Factor:
The Intimidation Factor: Workplace intimidation and its effects on wellness, morale, and patient care Disclosure Amanda Chavez, MD, UT Health SA, UHS has no relationships with commercial companies to disclose.
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
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
Wellness along the Cancer Journey: Caregiving Revised October 2015
Wellness along the Cancer Journey: Caregiving Revised October 2015 Chapter 4: Support for Caregivers Caregivers Rev. 10.8.15 Page 411 Support for Caregivers Circle Of Life: Cancer Education and Wellness
Resident health and well-being: Building resilience
W3 Workshop Resident health and well-being: Building resilience Ramezay, Saturday, October 27, 2012 (11 am-12:30 pm) Resident Health and Wellbeing: Building Resilience A drienne Gaudet, MD Sophie C ollins,
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
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
Running on Empty: A Prescription for Healing Physician Burnout. Jeff Morris MD, MBA, FACS: Physician Coach & National Speaker Studer Group
Running on Empty: A Prescription for Healing Physician Burnout Jeff Morris MD, MBA, FACS: Physician Coach & National Speaker Studer Group The Silent Epidemic 1 Physician Burnout 3 Burn out (noun) exhaustion
Why pay attention to burnout. The ACLGIM Worklife and Wellness Survey. Strategies for reducing burnout and promoting wellness in GIM
Mark Linzer, MD Office of Professional Worklife Hennepin County Medical Center Why pay attention to burnout Burnout research The ACLGIM Worklife and Wellness Survey Review of the data Strategies for reducing
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
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
Who are caregivers? What is caregiving? Webster s Dictionary persons who provide direct care to another individual
Presented at SaddleBrooke, April 5, 2013 by: Carol Wilson Director of Independent Living Services Pinal Gila Council for Senior Citizens Area Agency on Aging, Region V Who are caregivers? Webster s Dictionary
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
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
Nothing to disclose. Learning Objectives 4/10/2014. Caring for the Caregiver: Taking Care of You (first) and Your Staff (second)
Caring for the Caregiver: Taking Care of You (first) and Your Staff (second) Judith S. Gooding VP Signature Programs March of Dimes NICU Leadership Forum: April 30, 2014 Nothing to disclose Neither I nor
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.
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
Compassion Fatigue: An Expert Interview With Charles R. Figley, MS, PhD
Compassion Fatigue: An Expert Interview With Charles R. Figley, MS, PhD Medscape Psychiatry & Mental Health. 2005;10(2) 2005 Medscape Posted 10/17/2005 Editor's Note: Disasters such as Hurricane Katrina
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
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
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
Page 1. Care for the Care Provider: A Second Victim Staff Support Program. PSHP Annual Assembly October 30, Our Journey
Care for the Care Provider: A Second Victim Staff Support Program PSHP Annual Assembly October 30, 2015 Jill G. Huzinec, RPh, CPPS Director Patient Safety Hospital University of Pennsylvania Learning Objectives
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
To err is human. When things go wrong: apology and communication. Apology and communication position statement
When things go wrong: apology and communication Kristi Eldredge R.N., J.D., CPHRM Senior Risk and Safety Consultant Fresident To err is human position statement To err is human. Mistakes are part of the
Mark Linzer MD General Internal Medicine Office of Professional Worklife Hennepin County Medical Center
Mark Linzer MD General Internal Medicine Office of Professional Worklife Hennepin County Medical Center No financial conflicts Research supported by Agency for Healthcare Research and Quality Partnering
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
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
Welcome. Self-Care Basics in HCH Settings. Tuesday, January 8, We will begin promptly at 1 p.m. Eastern.
Welcome Self-Care Basics in HCH Settings 1 Tuesday, January 8, 2013 We will begin promptly at 1 p.m. Eastern. Event Host: Victoria Raschke, MA Director of TA and Training National Health Care for the Homeless
Burnout: Where the Rubber Meets the Road.
Lehigh Valley Health Network LVHN Scholarly Works Department of Family Medicine Burnout: Where the Rubber Meets the Road. Deb Bren DO Lehigh Valley Health Network, deborah.bren@lvhn.org Frank Sperrazza
Academic research into Work- Life Balance in New Zealand (and beyond)
Academic research into Work- Life Balance in New Zealand (and beyond) Professor Jarrod Haar (PhD) Ngati Maniapoto, Ngati Mahuta Professor of HRM Department of Management, AUT Work-Family-Life Overview
The Quadruple Aim: Enduring Values for Changing Times. Kathleen Blake, MD, MPH Vice President, Healthcare Quality May 5, 2017
The Quadruple Aim: Enduring Values for Changing Times Kathleen Blake, MD, MPH Vice President, Healthcare Quality May 5, 2017 AMA s Mission Promote the art and science of medicine and the betterment of
Professional Practice: Nursing as a Career, not a Job
Objective: Professional Practice: Nursing as a Career, not a Job Cheri Constantino-Shor, MSN, RN, CRNI, CMSRN Postoperative Clinical Nurse Specialist Swedish Medical Center At the end of this course, the
"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
PATIENT AND PHYSICIAN ENGAGEMENT IN VALUE-BASED CARE
PATIENT AND PHYSICIAN ENGAGEMENT IN VALUE-BASED CARE INNOVATION IN CHANGING HEALTHCARE MODELS Alison Tothy, MD University of Chicago Medicine and Biological Sciences TRADITIONAL MAPPING TRENDS WITH INCREASING
Dr. Patrick J. Crocker, FACEP Director, Best Practice Development Emergency Service Partners
Dr. Patrick J. Crocker, FACEP Director, Best Practice Development Emergency Service Partners To date most conversations and research have focused on physician burnout as the problem. The obvious corollary
National Survey on Consumers Experiences With Patient Safety and Quality Information
Summary and Chartpack The Kaiser Family Foundation/Agency for Healthcare Research and Quality/Harvard School of Public Health National Survey on Consumers Experiences With Patient Safety and Quality Information
Building Teams and Preventing Burnout:
Building Teams and Preventing Burnout: Strategies to Maximize Effectiveness of the Pediatric Rehabilitation Team Rebecca A. Small, MSW, LCSW December 1, 2016 Objectives Identify the stages of burnout.
Reducing Stress. Changing Health Behaviors for the Better. Reducing Stress. What You ll Learn. What Exactly is Stress?
Reducing Stress Changing Health Behaviors for the Better 1 What You ll Learn Why managing stress is important. The consequences of not managing stress. The benefits of reducing stress. The barriers preventing
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
Reference Understanding and Addressing Moral Distress, Epstein & Delgado, Nursing World, Sept. 30, 2010
Moral Distress and Moral Resilience Nurses encounter many situations in their work place that can cause moral distress. Moral distress is defined by an inability to act in alignment with one s moral values
Acknowledging Staff Grief When Working with Dementia: It Is Vital
Jackie McDonald PSW Bethammi Nursing Home Thunder Bay Andrea Ubell MSW Alzheimer Society of York Region Tuesday February 10, 2015 Acknowledging Staff Grief When Working with Dementia: It Is Vital Key Learning
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
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
Speech to UNISON s Health Conference (25/04/2016)
Speech to UNISON s Health Conference (25/04/2016) Thank you Wendy. It's a pleasure to be here today and to be addressing my first Unison Health Care Conference as Labour s Shadow Secretary of State for
Stress Management and Self-Care
Hi-Touch Healthcare: The Critical Six Soft Skills Grab-N-Go Independent Training Module: Stress Management and Self-Care HEALTH WORKFORCE INITIATIVE STATEWIDE ADVISORY COMMITTEE, CALIFORNIA COMMUNITY COLLEGES
Understanding the Relationship Between Nurse Engagement and Patient Experience. Session ID: 467
Understanding the Relationship Between Nurse Engagement and Patient Experience Session ID: 467 Objectives 1. Discuss current challenges and competing priorities for nurse leaders in the move to value based
APPENDICES. Qualification M.Sc (specify)... Work related 7. Total Years of Less than one yr above 20
APPENDICES QUESTIONNAIRE TOPIC: Impact of Emotional Intelligence on Work Life Balance among Female Nurses serving the Private Multispeciality Hospitals in Kerala with Special Reference to Ernakulam District.
Abbreviated Burnout Inventory:
Abbreviated Burnout Inventory: How often do the following statements describe how you feel about working in healthcare? I deal very effectively with the problems of my patients. Every day times a week
Balanced or Burnt Out? The Importance of Self-Care. Colleen Tillger, LPC, CAADC
Balanced or Burnt Out? The Importance of Self-Care Colleen Tillger, LPC, CAADC Introduction What is the most challenging aspect of your work with students? How would you rate your ability to create/maintain
The Vital Signs A guide for doctors seeking help and advice
The Vital Signs A guide for doctors seeking help and advice 82% of doctors know of other doctors experiencing mental health issues such as depression and anxiety Doctors are different Doctors deal with
Joy in Medicine Physician well-being: A discussion on burnout and achieving joy in practice
Joy in Medicine Physician well-being: A discussion on burnout and achieving joy in practice AMA s SL2 (Share, Listen, Speak, Learn) Series December 2017 Share, Listen, Speak, Learn (SL2) Series Share existing
Self-Care for Nurses: Staying in Balance
Self-Care for Nurses: Staying in Balance Lisa Rosenzweig, PhD Psychologist MJHS Bereavement Coordinator May 10, 2016 Financial Disclosures Lisa Rosenzweig, PhD has no financial arrangements or affiliations
Getting Beyond Money: What Else Drives Physician Performance?
Getting Beyond Money: What Else Drives Physician Performance? Thomas G. Rundall, Ph.D. University of California, Berkeley Katharina Janus, Ph.D. Columbia University Prepared for the Second National Pay
A division of Workplace Behavioral Solutions, Inc
Physician Wellness Services and Cejka Search : Cause, Effect, Cost and What You Can Do About It Alan Rosenstein, MD, MBA Medical Director Physician Wellness Services Vivian M. Luce, MBA Vice President
Chandni Dalia Gillian Colville Kirsty Abbas Joe Brierley Great Ormond St 2013
Chandni Dalia Gillian Colville Kirsty Abbas Joe Brierley Great Ormond St 2013 Setting Tertiary children s hospital PICU/NICU High acuity > 90% children invasively ventilated UK average 65 % Largest training
Emotional Intelligence in the Perioperative Setting
Nursing Care Group Emotional Intelligence in the Perioperative Setting Jan Vincent P. Cabasag, MAN, RN 5 July 2015 Operating Room Nursing Association of the Phil., Inc. Manila Hotel Quick Emotional Intelligence
Patient Safety Academy /8/16 PROVIDING INFORMAL FEEDBACK: AN INTERACTIVE WORKSHOP. Objectives
PROVIDING INFORMAL FEEDBACK: AN INTERACTIVE WORKSHOP Frank Korn R.N., MBA, CPPS Risk Coordinator 9/8/2016 Patient Safety Academy 1 Objectives At the end of the presentation you should be able to explain
HEALTHCARE PROVIDER BURNOUT: A COACHING APPROACH
HEALTHCARE PROVIDER BURNOUT: A COACHING APPROACH Zeina Ghossoub, PhD, PCC, CWC Vital Signs Vital Skills E: zeinag@viesaine.org Vie Saine 2 BURNOUT DEFINITION! Burnout is defined as feelings of lack of
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
The Golden Circle. Why? 1/19/16. Objectives: Why. How. What
Objectives: 1. Define courageous care and why it is important to provide. 2. Explain the vital components of courageous care compassionate care, renewal, knowledge, and leadership. 3. Share a story of
Measuring both sides of the transplant equation: Psychological tests help evaluate organ recipients and donors
Published by Pearson March 2008 FEATURE ARTICLES click here for Article 1 click here for Article 2 Measuring both sides of the transplant equation: Psychological tests help evaluate organ recipients and
Trait Anxiety and Hardiness among Junior Baccalaureate Nursing students living in a Stressful Environment
Trait Anxiety and Hardiness among Junior Baccalaureate Nursing students living in a Stressful Environment Tova Hendel, PhD, RN Head, Department of Nursing Ashkelon Academic College Israel Learning Objectives
PARTICIPANT HANDOUTS INSTITUTIONAL STRATEGIES FOR PROMOTING RESILIENCE AND REDUCING BURNOUT
PARTICIPANT HANDOUTS INSTITUTIONAL STRATEGIES FOR PROMOTING RESILIENCE AND REDUCING BURNOUT Thank you for attending today s training. By doing so you are strengthening the ability of your community-based
To disclose, or not to disclose (a medication error) that is the question
To disclose, or not to disclose (a medication error) that is the question Jennifer L. Mazan, Pharm.D., Associate Professor of Pharmacy Practice Ana C. Quiñones-Boex, Ph.D., Associate Professor of Pharmacy
Improving Pain Center Processes utilizing a Lean Team Approach
Improving Pain Center Processes utilizing a Lean Team Approach Organization Name: St. Joseph Medical Center Type: Acute Care Hospital Contact Person: Sue Mitchell Title: Nurse Mgr Pain Mgmt Center E-Mail:
Civility and Nursing Practice: Let s Talk About Bullying
Civility and Nursing Practice: Let s Talk About Bullying Professional Practice Nursing Maxine Power-Murrin March 2015 A rose by any other name... Lateral violence Horizontal violence Bullying Intimidation
Auckland Pediatric Surgery Journal
Auckland Pediatric Surgery Journal Journal 2/9/2017: I ve been at the hospital for over a week now and continue to be surprised by the familiarity of it all. The day to day workings of the hospital are
Council Retention Workshop
Purpose: To present and discuss ideas for improving council membership retention through the development of a comprehensive retention plan. Learning Objectives: To understand the importance of retaining
National Patient Experience Survey South Tipperary General Hospital.
National Patient Experience Survey 2017 South Tipperary General Hospital /NPESurvey @NPESurvey Thank you! Thank you to the people who participated in the National Patient Experience Survey 2017, and to
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,
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
Background on NCH. 3
1 2 Background on NCH. 3 Picture of where NCH sits in relation to the city of Columbus. 4 New replacement hospital being built with two floors opening in 2011 and the entire hospital opening in 2012. 5
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
NHS Emergency Department Questionnaire
NHS Emergency Department Questionnaire What is the survey about? This survey is about your most recent visit to the emergency department at the hospital named in the letter enclosed with this questionnaire.
Health and Social Care Alliance Scotland Carer Responses Analysis: Summary of Findings
Health and Social Care Alliance Scotland Carer Responses Analysis: Summary of Findings 1. Introduction Professors Jane Joy, University Teacher, Nursing and Health Care and her colleague Diane Willis, University
Overview. Caregiverosis. The Caregiving Role. The Caregiving Role 3/20/2013. The Dementia Care Triad: Understanding the Partnership
Overview The Dementia Care Triad: Understanding the Partnership Christine J. Jensen, Ph.D. Alzheimer s Association Education Conference Brazos Valley, Beaumont, & Houston, Texas March 2013 1 Study of Caregiver
the caregiver's little guide to survival
the caregiver's little guide to survival 7 fail safe tips for caregivers susanne white caregiver warrior The Caregiver's Little Guide to Survival 7 Fail-Safe Tips for Caregivers Susanne White Caregiver