Wellness Champions Retreat #6: Physical Fitness & Brain Fitness July 30, 2019

Agenda 5:00 - 5:15 Julie Gammack - Opening remarks 5:15 - 5:30 Patrick Cousins - Reflection 5:30 - 5:45 Brianne Newman- Resilience chapters 8 & 9 5:45 - 6:00 Dawn Prentice- Mindfulness walk

Steering Committee Julie Gammack Associate Dean, Graduate Medical Education Brianne Newman Program Director, Psychiatry Dawn Prentice Saint Louis Behavioral Medicine Institute Patrick Cousins Saint Louis University, Campus Ministry Charles Dey Saint Louis University Hospital, Pastoral Care Daniel Blash Vice Dean of Diversity, Equity, and Inclusion Emily Cybulla Saint Louis University, Graduate Student Haley Bray Saint Louis University, Resident

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.  

• 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

Resources: SLU GME Website

Wellness Champions Commitment 1 year commitment Participate in 3 program meetings Liaison to peers/program/department on wellness Communicate and disseminate resources to programs Promote professionalism and Just Culture Champion wellness efforts across the School of Medicine

Wellness Activities Past Present Future Charity walks/events Reading/podcasts/webinars Moral injury prevention (White Coat Black Art), ‘its not burnout its moral injury’ “biggest loser” competition; fellows bowling, meals, outings Gratitude journaling Dinner with the boss Present Future Charity walks/events

Collaborative Wellness Activities competitive funding application Up to $100 Application Deadline: August 30, 2019 Completion by: October 31, 2019 2+ program collaboration Recipients participate in next Wellness Champions retreat Describe the proposed wellness activity. Include estimated number of participants, location, timing of activity. How will the impact/success of the activity be measured/determined? https://slu.az1.qualtrics.com/jfe/form/SV_5mOMmc3JKQ8V8e9

Reflection Handout provided

Resilience Factors Realistic optimism Facing fear Moral Compass, Ethics, & Altruism 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. Resilience: The Science of Mastering Life’s Greatest Challenges. 2016. Drs. Southwick and Charney

Training: Physical Fitness & Strengthening Exercise is effective in reducing symptoms of mild to moderate depression (Barbour et al 2007) Aerobic exercise improves anxiety in both the general population, and those with anxiety disorders Exercise helps protect against chronic stress (dampened HPA axis, less hippocampal damage, increased neurogenesis)

How can I use exercise to increase resilience? “stress inoculation” = continuous pushing healthy limits of strength and endurance. Finding the balance between maintenance stress and excessive stress set goals do it with a friend/colleague to encourage each other

Brain Fitness: Challenge Your Mind & Heart Cognitive training Learning something new, such as an instrument New games. Do a Game Night! Emotional training Mindfulness Cognitive Behavioral Therapy In Extremis Leadership: Leading As If Your Life Depended on It Col. Thomas Kolditz Learning emotional regulation in times of high stress ERQ (Emotional Regulation Questionnaire included)

Mindfulness Walk

Thank you! Next Retreat: 11/6/19 5-6pm