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

2. 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

3. 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

4. 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.  

5. • 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

6. Resources: SLU GME Website

7. 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

8. 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

9. 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?

10. Reflection
Handout provided

11. 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 Drs. Southwick and Charney

12. 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)

13. 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

14. 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)

15. Mindfulness Walk

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