1. Interdisciplinary Stress Buster: Balint Research and Experience Kristi VanDerKolk, MD Mary Wassink, MD Collaborative Family Healthcare Association 17 th Annual Conference October 15-17, 2015 Portland, Oregon U.S.A. Session # F5 Focus Area D October 17, 2015

2. Faculty Disclosure The presenters of this session have NOT had any relevant financial relationships during the past 12 months.

3. Learning Objectives At the conclusion of this session, the participant will be able to: Discuss the benefits of an interprofessional Balint group to medical and behavioral health providers in a Federally Qualified Health Center Define Balint groups and identify their purpose in improving provider/patient relationships Experience and appreciate first-hand the divergent thinking and uncertainty inherent in a Balint group

4. Bibliography / Reference 1.IsHak WW, Lederer S, Mandili C, et al. Burnout during residency training: A literature review. J Grad Med Educ. 2009 Dec; 1(2):236-242. 2.Romani M, Ashkar K. Burnout among physicians. Libyan J Med. 2014;9:23556. doi: 10.3402/ljm.v9.23556. Accessed April 4, 2014. 3.Shanafelt TD, Boone S, Tan L, et al. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med. 2012;172(18):1377-1385. doi: 10.1001/archinternmed.2012.3199. Accessed April 23, 2014. 4.Seiji Hayashi A, Selia E, McDonnell K. Stress and provider retention in underserved communities. J Health Care Poor Underserved. 2009;20:597-604. 5.Baker DP, Day R, Salas E. Teamwork as an essential component of high- reliability organizations. Health Serv Res. 2006 Aug;41(4 Pt 2):1576-1598. 6.Baker MJ, Fowler Durham C. Interprofessional education: A survey of students’ collaborative competency outcomes. J Nurs Educ. 2013;52(12):713-718. 7.Interprofessional Education Collaborative Expert Panel. Core competencies for interprofessional collaborative practice: Report of an expert panel. Washington, D.C.: Interprofessional Education Collaborative. 2011.

5. Bibliography / Reference 1.Sdf 2.S 3.D 4.D 5.D 1. D 6.D 7.8df 8.Dornfest FD, et al. Balint training: A “how to” manual in development. American Balint Society. http://ambalintsociety.clubexpress.com/docs.ashx?id=122876. Accessed April 4, 2014. http://ambalintsociety.clubexpress.com/docs.ashx?id=122876 9.Perry ZH, Lauden A, Arbelle S. Emotional processing – The use of Balint groups for medical students as a means for improving interpersonal and communication skills and competence. Ann Behav Sci Med Educ. 2013;19(2):16-21. 10.Kjeldman D, Holmstrom I. Balint groups as a means to increase job satisfaction and prevent burnout among general practitioners. Ann Fam Med. 2008;6(2):138-145. 11.Cohen S. Perceived stress scale. http://www.mindgarden.com/docs/PerceivedStressScale.pdf. Accessed May 20, 2014. http://www.mindgarden.com/docs/PerceivedStressScale.pdf. 12.West CP, Dyrbye LN, Sloan JA, Shanafelt TD. Single item measures of emotional exhaustion and depersonalization are useful for assessing burnout in medical professionals. J Gen Intern Med. 2009;24(12):1318-21. doi: 10.1007/s11606-009-1129-z. Accessed May 8, 2014.

6. Learning Assessment A learning assessment is required for CE credit. A question and answer period will be conducted at the end of this presentation.

7. Stress and Burnout

8. Groups

9. Results

10. Comments

11. What is Balint?

12. Let’s Give it a Try

13. Debrief How was it? – Why I like Balint Combination of physical and mental health in integrated care Is this the only way? How can I learn more about Balint?

14. Questions and Discussion

15. Session Evaluation Please complete and return the evaluation form to the classroom monitor before leaving this session. Thank you!