RESILIENCY: OVERCOMING PHYSICIAN BURNOUT Facilitated by: Andy Kindler PRESENTED TO:

2 Agenda To understand the scope of burnout among physicians and learn who is at risk To define and recognize symptoms of burnout To provide some tools to begin to prevent and/or recover from burnout

Photo by Royal Navy Media Archive - Creative Commons Attribution-NonCommercial License with Haiku Deck A “syndrome of emotional exhaustion, depersonalization, and reduced personal accomplishment that can occur among individuals who do people work of some kind.” Burnout is…

Photo by ilmicrofono.oggiono - Creative Commons Attribution License with Haiku Deck An unwanted outcome for those who care too much as a part of their job. Burnout is…

5 The Data on Burnout 5 According to a 2013 Physician Lifestyle Survey by MedScape:a 2013 Peaks between 46 – 55 45% of Women 37% of Men

6 The Data on Burnout 45.8% of 7288 Physicians reported having at least 1 symptom of Burnout 38% - high emotional exhaustion 29% - cynicism 12% - low sense of accomplishment Colin P. West, M.D., Ph.D. published in Archives of Internal Medicine

Photo by North Dakota National Guard - Creative Commons Attribution-NonCommercial-ShareAlike License with Haiku Deck Likely to be viewed as the most – dedicated conscientious responsible motivated idealistic perfectionistic

Photo by - Creative Commons Attribution License with Haiku Deck Seen as peers as those who submerse themselves in their work and devote themselves to it until they have nothing left to give.

9 Personality Traits That means your: commitment to patients attention to detail recognizing the responsibility associated with patients’ trust …place surgeons with these qualities at greater risk for burnout.

10 Symptoms of Burnout Emotional exhaustion  Feelings of being emotionally overextended and exhausted by one's work Depersonalization  Unfeeling and impersonal response toward recipients of one's service, care treatment, or instruction Decreased feelings of personal accomplishment  Lack of feelings of competence and successful achievement in one's work Maslach, 1997

Photo by Aile Sagligi Merkezi - Creative Commons Attribution-NonCommercial-ShareAlike License with Haiku Deck GOOD NEWS! You can recover and thrive after burnout if you identify (admit) and focus on it

By 41- Integrated 7 large merger - acquisitions, led the people portion of 3 start up companies and closed 2 of them down Impacted 1000’s of employees/families lives Extensive time away from my young family 60 – 70 hour workweeks were the norm and 90 was not unheard of You Can Recover…My Story

13 Maslach, 1997 Symptoms of Burnout Emotional exhaustion  Brain Fog, Loss of Recall, Loss of muscle strength and coordination Depersonalization  Became “robotic” in communication with employees, intolerant of human behavior less than ‘perfection’  Hopeless…One-Way ticket to Hawaii Decreased feelings of personal accomplishment  Failing, failing, failing…work, home, no social life, no self care…Worthless and scared

Photo by Lotus Carroll - Creative Commons Attribution-NonCommercial-ShareAlike License with Haiku Deck Resilience – noun 1. the power or ability to return to the original form, position, etc., after being bent, compressed, or stretched; elasticity 2. ability to recover readily from illness, depression, adversity, or the like, buoyancy

16 Ballast Principle We need character to hold us during the turbulent times You can’t grow in competence without growing in character

Photo by coloneljohnbritt - Creative Commons Attribution-NonCommercial-ShareAlike License with Haiku Deck Positivity Ratio – Frequency of positivity over a given period of time divided by frequency of negativity over same period of time. Barbara L. Fredrickson, Ph.D.

19 Energy Circle Momentum leads us into the direction we are going The real power is on the front side rather than the back side Back side leads to fear and doubt Front side leads to hope and possibility

21 Objectivity Finder Definition of Objective Make it external focused “ what’s going on outside,” not your internal thoughts Focus on “what” not “why”

Photo by tropical.pete - Creative Commons Attribution-ShareAlike License with Haiku Deck Denial is not a great strategy.

23 Building your Resilience 1. Recognize and admit when you are moving toward Burnout 2. Continue to build your character 3. Raise your P/N ratio 4. Move toward the positive energy 5. Reframe current reality objectively vs. emotionally

| / Thank You!