1. Wellness Champions Retreat #3
July 24, 2018

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

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

4. • 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 -
Dr. Michael Kaufmann, OMA Physician Health Program Founder and Emeritus PHP Medical Director

5. 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)

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.  

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

8. Reflection with Father Murphy
Handout provided

9. 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 Drs. Southwick and Charney

10. 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

11. 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),

12. 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" 

13. 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? 

14. CBT Resources EAP Dawn & St. Louis Behavioral Medicine Institute
CBT podcast 5 conversations on anxiety 
Overcome anxiety and worry, Mark Reinecke

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

16. Closing: Mindfulness Exercise