Beyond Burnout Working together to build a culture of wellness University of Wisconsin OBGYN Department April 26, 2018 Abigail Ford Winkel, MD, MHPE, FACOG Associate Professor Vice Chair for Education Residency Program Director Department of Obstetrics & Gynecology New York University Langone Health

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

Impact of Burnout on Quality of Care Thriving in Scrubs

Organizational Factors Contribute to Burnout Thriving in Scrubs

Physician Wellness is a SHARED Responsibility Thriving in Scrubs

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

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

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

Exploring Sources of Burnout and Moving Forward 4. Report Out Explain what your table came up with (share new ideas and place a star by any idea that is repeated from a prior team’s presentation) Thriving in Scrubs

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

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

Workshop on Building Personal Resilience Don’t do it alone Thriving in Scrubs

What is Resilience? Thriving in Scrubs

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

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

Beyond Beating Burnout: Lasting & Meaningful Happiness Not just a smiley face When does time stop for you? Martin Seligman’s PERMA Model for 5 core elements of happiness We are social creatures, just like bees we need the hive Beyond the to do list What gives your life greatest meaning? Thriving in Scrubs

P Positive Emotions Thriving in Scrubs

Tricking Your Mind into Cheerfulness with Gratitude P Exercise #1: Think of three good things that happened today Think of your role in bringing those things about Try doing this in the evening about 2 hours before sleep Do this for a week and you reduce stress and depression, Improve work-life balance, sleep and satisfaction at 6 months Martin E.P. Seligman (2011). Flourish: A Visionary New Understanding of Happiness and Well-being. Thriving in Scrubs

E ENGAGEMENT IS YOUR JOB YOUR CALLING? What fills your tank? What are your strengths? Viacharacter.org How much of your time do you spend doing those things? Good news: you only need to spend 20% of your time doing what you love to benefit Thriving in Scrubs

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

Finding Meaning in the Work Highly humanistic physicians make a habit of reflection Can you remember how you felt when you… Got accepted to medical school? Matched in residency? Got your job? Had a patient thank you for doing it? When do you give yourself space to reflect on your work? Chou CM, et al. Attitudes and habits of highly humanistic physicians. Acad Med. 2014. Thriving in Scrubs

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

Achievement and Accomplishment Exercise #2: Look at your To Do List (Or if you don’t have it on your phone, in your pocket, write out your to-do list for the week) Thriving in Scrubs

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

Achievement and Accomplishment Exercise #2: Look at these lists. What on your To Do List takes steps towards your BIG FIVE list? Is there anything you could add to your weekly list that would get you closer? Thriving in Scrubs

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

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

DO YOUR HOMEWORK! Thriving in Scrubs