1. 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

2. 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
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3. Impact of Burnout on Quality of Care
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4. Organizational Factors Contribute to Burnout
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5. Physician Wellness is a SHARED Responsibility
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6. 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.
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7. 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)
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8. 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)
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9. 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)
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10. 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)
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11. UW Task Force on Wellness
Reflecting on the priorities we just set
Identifying how to move forward
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12. Workshop on Building Personal Resilience
Don’t do it alone
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13. What is Resilience?
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14. Is there a sweet spot for stress?
Yerkes-Dodson Curve 1908
Nonreassuring Status

15. G. I. Joe Fallacy
Santos & Gendler (2014)
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16. 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?
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17. P
Positive Emotions
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18. Tricking Your Mind into Cheerfulness with GratitudeP
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.
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19. 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
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20. R EHR RELATIONSHIPS Humans are social creatures Medicine is human work
Being authentically connected to others – what does that mean today?
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21. 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
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22. 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.
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23. 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)
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24. Achievement and Accomplishment
Exercise #2: Write a list of 3-5 things that if you accomplished them, you would consider your life a success?
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25. 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?
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26. Make Your Own Definition of Success
Late Fragment
by Raymond Carver
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27. G. I. Joe Fallacy
Santos & Gendler (2014)
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28. DO YOUR HOMEWORK!
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