Wellness Champions Retreat #3 July 24, 2018

Agenda Discussion Reflection with Father Murphy Resilience factor #2: facing fear Closing mindfulness exercise

Group Discussion Meet our new champions! Feedback from post-retreat #2 survey What wellness initiatives have you done since Retreat #2? Open discussion

• The Resilient Physician: Effective Emotional Management for Doctors and Their Medical Organizations, Wayne M Sotile & Mary O. Sotile • The Medical Marriage: Sustaining Healthy Relationships for Physicians and Their Families, Wayne M. Sotile & Mary O. Sotile • Staying Human During Residency Training, 4th ed., Allan D. Peterkin, MD • Resilience: The Science of Mastering Life's Greatest Challenges 1st edi, 2012, Steven M. Southwick • The BASICS – Strategies for coping with stress and building resilience for physicians – free PDF - http://php.oma.org/wp-content/uploads/2017/06/TheBasics-full-version.pdf Dr. Michael Kaufmann, OMA Physician Health Program Founder and Emeritus PHP Medical Director

Wellness Champion Survey What great wellness activities have you hear about, tried, or want to explore further? Group fitness , meditation, pet therapy Group meetings Wellness week /GME hosted activities What are the barriers to implementing wellness activities in your department/program? my personal time limitations (7) time limits of faculty/trainees (10) funding sources (6) What are the greatest benefits of the Wellness Champion program thus far? personal wellness activities (6) collaboration/networing (5) resources for my program (4) improving the institutional wellness culture (5) How can the Wellness Champion workshops be improved? review upcoming wellness activities develop mission statement. What days/times work best for Wellness Champion meetings? evening 5-6pm (6) Tuesday/Wednesday (6)

Wellness Champion Mission Statement Mission:  Psychological, emotional, spiritual and physical well-being are critical for a competent, caring, and resilient health care professional. Saint Louis University School of Medicine will foster a culture of well-being and self-care through its Wellness Champion Program. Vision: The Wellness Champion Program will facilitate wellness activities in Graduate Medical and Graduate Research Education through the personal and collaborative activities of the Wellness Champions and will support the development of wellness initiatives within programs at the School of Medicine.  

What wellness initiatives have you done since Retreat #2? What upcoming activities are you aware of?

Reflection with Father Murphy Handout provided

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

How Does Optimism Influence Resilience? Positive emotion  Increase attention/ behavior responses Increased creativity, flexibility 3 positive coping skills from this: Positive reappraisal Goal oriented, problem based coping Infusion of meaning into everyday events Broadened attention leads to 3 positive coping skills: 1. positive reappraisal 2. Goal directed, problem focused coping 3. infusion of meaning into everyday events

Enhancing Optimism: Gratitude Practice 1. Positive Reflection Exercise Start the morning with an intention for the day End the day with 3 specific events/interactions of the day you are grateful for. Recall these in the morning. 2. Gratitude Journal Write 1-3/week for 10-15min, 5 things you are grateful for from the day with very specific details. See handout. Emmons, R. A., & McCullough, M. E. (2003). Counting blessings versus burdens: An experimental investigation of gratitude and subjective well-being in daily life. Journal of Personality and Social Psychology, 84(2), 377-389.

Resilience factor #2: Facing Fear 1. View fear as a guide 2. Fear can be an opportunity 3. Examine the fear 4. Learn and practice skills to master fear 5. face fear with friends and colleagues 6. Use spiritual support to face fear "To conquer fear, one must face fear. That's what resilient people do" "I am fearful about this procedure, but how exciting if I can be one of the few people who can practice it and master it" 

Case #2: Facing Fear A psychiatry intern is assaulted by a psychotic patient on the unit.  It was not her patient, and she had not seen the patient heading toward her.  She calls the chief resident and program director, and leaves early for the day.  How do you guide this resident on facing her fear of returning to work? 

CBT Resources EAP Dawn & St. Louis Behavioral Medicine Institute CBT podcast 5 conversations on anxiety  https://cbtradio.libsyn.com/ Overcome anxiety and worry, Mark Reinecke

Fall Challenge Organize one Wellness Champion Activity for your program and report back at our next retreat

Closing: Mindfulness Exercise