Wellness Program Retreat December 5, 2017

Goals & Your Expectations What are your goals as a participant in this program? PLEASE COMPLETE NEEDS ASSESSMENT IN YOUR FOLDER

Objectives of the Retreat 1. Introduce the program 2. Meet & Greet individual & group goals 3. Review GME website resources 4. Review concept of resilience and ways to enhance resilience as a physician 5. Practice a mindfulness exercise

Wellness Champion Expectations 1 year commitment to the Program Attend the kick-off retreat and quarterly evening program meetings Be a liaison to programs and residents on wellness initiatives Communicate and disseminate resources to programs Promote professionalism and Just Culture at our institution Champion efforts to improve wellness across the School of Medicine Engage with GME and hospital leadership in assessing the outcome of wellness initiatives

Meet & Mingle Why are you here? devise a goal and how to put it into practice

What is resilience? resilience is one’s capacity to cope with stress and stressors within his/her environment and the ability to interact in a manner to promote personal well-being. Attainment of effective coping skills as a powerful survival method is a defining characteristic of a resilient individual. the ability of a substance or object to spring back into shape; elasticity.

Eley, D. S. , Cloninger, C. R. , Walters, L. , Laurence, C Eley, D. S., Cloninger, C. R., Walters, L., Laurence, C., Synnott, R., & Wilkinson, D. (2013). The relationship between resilience and personality traits in doctors: implications for enhancing well being. PeerJ 1 e216. Eley et al, 2013

What is resident burnout? "loss of enthusiasm for work, feelings of cynicism, and a low sense of personal accomplishment."  As defined by Mayo Clinic/AMA study A syndrome of emotional exhaustion, depersonalization, and feelings of decreased personal accomplishment 2014 study: U. North Carolina 70% of residents with burnout. Correlation with depression 31% of those with burnout had depression; 51% reported depression during residency

Burnout by Specialty Medscape Lifestyle Report 2016: Bias and Burnout

Depression in Physicians 15-30% in medical students and residents, despite equal prevalence at the beginning of med school Relative risk of suicide: 1.1 and 3.4 for men and 2.5 to 5.7 for women physicians Depression and suicide among physicians Current Psychiatry. 2011 April;10(4):16-30 Bright & Krahn, 2011

Red Flags for Depression Social isolation Increased substance use Decreased self care Comments about harm to self/others Loss of sense of purpose; decreased interest and functioning at job, home, hobbies Absences

Resilience Factors Realistic optimism Facing fear Moral Compass Spirituality/Religion Social Support Role models Exercise Cognitive & Emotional training Cognitive & Emotional Flexibility Find your purpose the ability of a substance or object to spring back into shape; elasticity. Resilence: The Science of Mastering Life’s Greatest Challenges. 2016. Drs. Southwick and Charney

Resources APA Wellness with Self-assessment ACGME Wellbeing resources Books Websites

Mindfulness Practice UCLA Guided Meditation

Thank you. Be Well! Next Meeting: