Upload
peter-gordon
View
218
Download
1
Tags:
Embed Size (px)
Citation preview
Survival 101:Work Life Integration & Wellness
Jason Liebzeit, MDAssistant Professor
Sheryl L. Heron, MD, MPHAssociate Professor/Associate Residency Director
Assistant Dean Medical Education & Student Affairs – Grady Campus
Department of Emergency Medicine Emory University School of Medicine
SAEM: Chief Resident Forum – 6/2011
Objectives Learners will:
Describe the concept of work-life integration Recognize burnout and describe strategies
to combat it Formulate a personal plan for self-care
during time as a Chief Resident Discuss time management techniques
Overview
What is work/life integration?
What’s next?
Career Demands
Relationship Demands
Attention to Self
The Big Picture
The End of the Road (or the Beginning)
What’s Next? It’s good to be the Chief
Academic
Community
Fellowship
Locum Tenems
Burnout
Elevated levels of burnout exist among a substantial percentage of surveyed Emergency Physicians
Classified broadly in terms of negative perceptions of self, negative practice habits and attitudes, and unhealthy lifestyle.
Goldberg et al: Acad Emed 1996 - , Vol 3, 1156-1164
Burnout
Self- recognition of burnout
Lack of job involvement
Negative self- assessment of productivity
Dissatisfaction with careerGoldberg et al: Acad Emed 1996 - , Vol 3, 1156-1164
Burnout Correlates
Sleep disturbances
Intent to leave the practice within 10 years
Higher levels of alcohol consumption
Lower levels of exerciseGoldberg et al: Acad Emed 1996 - , Vol 3, 1156-1164
Institution
Emory University Department of Emergency Medicine Wellness & Well-Being Committee
Emory University Work Life Initiative
Strengthen work-life culture for individual and families
FSAP
Relationship Demands
You’re almost done, it’s my time now
Prime age to begin/expand families
Sandwich generation
Time Management
Enhances Work-Life Integration by:
More Control of your life
Improved Relationships
Increased Productivity
Creating a Schedule
Prioritization Yearly, Monthly, Weekly, Daily
Family/Non-negotiables Vacations, Reunions – 1st priority
Fill in the Blanks
Utilize your Resources
Institutional Resources
Human Resources?
Dual Career Programs?
Family Medical Leave?
Mentoring Programs
Faculty Staff Assistance Program
What Keeps You Well?
Identify what keeps you grounded
Articulate clearly and often
Share them with your family and friends
Tap into them
Benefits of Work-Life Integration
To the organization:
Measured increases in individual productivity, accountability and commitment
Better teamwork and communication
Benefits of Work-Life Integration
To the Organization:
Improved morale
Less negative organizational stress
Benefits of Work-Life Integration
To the individual:
More value in your daily life
Increased productivity
Improved relationships
Reduced stress
http://www.worklifebalance.com/5steps.html
What about us?
Survey of 193 ED Physicians (ACEP members) Validated measures of career satisfaction,
tolerance for uncertainty, and burnout
High level of career burnout No demographic variables were associated with
burnout status
High anxiety caused by concern for bad outcomes (odds ratio=6.35) was the strongest predictor of burnout
Kuhn et al: Annals EM: Feb 09
What about us?
32.1%, exhibited Emotional Exhaustion core symptom of burnout not related to age or type of practice
Physicians did not feel anxiety because of:
general uncertainty, difficulty in disclosing uncertainty to patients, or admitting errors to other physicians.
Kuhn et al: Annals EM: Feb 09
The Good News
Despite exhibiting emotional exhaustion, the majority of respondents are satisfied with the career of emergency medicine
Kuhn et al: Annals EM: Feb 09
The Good News
Random sampling of 1008 Emergency Physicians
2004 - 65.4% EPs reported high career satisfaction, while 12.4% EPs reported low career satisfaction (n = 515)
Cydulka & Korte; 2008 – Acad. EMED – June 2008
Career Satisfaction
Higher career satisfaction was associated: Teaching settings, research, publication,
leadership positions, belonging to medical organizations/medical politics
1/3rd of respondents (33% in 1994, 32% in 1999, 31% in 2004) reported that burnout was a significant problem.
Cydulka & Korte; 2007 – Acad. EMED - Abstract
Changing the Conversation
Burnout Well-Being/Resiliency Develop a shared definition of
physician wellness Culture Change
More positive Educational Environment Raising awareness of burnout and stigma Enabling prevention strategies
Ecklberry-Hunt et al: JGME: Dec 2009
Changing the Conversation
Heron et al. Does a curriculum on wellness affect burnout in an Emergency Medicine Training Program (CORD 2011, SAEM 2011)
Heron-Liebzeit Protocol
Keep a calendar & honor it
Learn to say “No”
It’s okay to be away
There are 24 hours in each day
Heron-Liebzeit Protocol
Get rid of clutter
Monitor the balance Self-check Empower others
Honor who & what keeps you well
Use your resources
Summary
Work/life integration is realistic and attainable
Burnout is a reality, but you are well-equipped to combat it
Prioritize your time
Utilize your resources