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Resilience
Lessons from the 10th Mountain Division of WWII
Stories from the 10th Mountain Division
Why resilience? • 75% of residents met criteria for
burnout
• Burnout lead to increase in errors by residents.
Fahrenkopf Amy M, Sectish Theodore C, Barger Laura K, Sharek Paul J, Lewin Daniel, Chiang Vincent W et al.BMJ 2008
What is resilience
What is resilience
• Who is resilient? Describe them in a sentence.
• When is resilience necessary?
• What helps you build resilience?
Resilience Defined
• The ability to bounce back from emotional trauma and steer through every day adversity.
• Resilience is renewable resource we can develop.
• A metaphor: the Bucket
From Reivich and Shatte, 2003
Today
• What is your baseline?
• Your trigger and responses
• How to refill and cultivate your bucket
Your Baseline
Baseline Understanding
• Combination of genetic disposition, external events and personal choices and experience.
• Positive Psychology
• Flourishing – growth, generativity
Baseline Anchors
• Purpose and meaning
Triggers and Response
10th Mountain Division
• Small issues and moral
Your Triggers
• The last thing that made you curse.
• Your biggest pet peeve at work.
• What was the topic of your last argument.
Responses
• Loose your calm – busy
• Loose your head - angry
• Loose your focus - distracted
Negative physical responses
• Breathing shallow and quick
• Tension in shoulders – forward and down
• Fidgit – unfocused energy
Negative Mental responses
• Me/Always/Everything
• Obsessing
Positive physical responses
• Conscious Breathing
• Posture management
Positive Mental Responses
• Perspective taking
• Adversity
• Belief
• Consequence
• Realistic Optimism
Refilling the bucket
How to refill
• Flow/focus
• 3 Good Things
• Connect with people
• Sempre Avanti
Flow and Focus
• Power of shutting off your phone
• 30-90 minutes a day focusing on One Thing
• Recharges
3 Good Things
• Developed by Martin Seligmen
• Within 2 hours of going to bed, write 3 good things that happened in the day and how you contributed to them
• 2 weeks of this has effect not significantly different than Prozac
Connect
• Strong relationships build resilience
• Existence• Support relationships reduced PTSD• Network size and Emotional closeness increase well
being
• Revisiting • Humor and play• Trust and Support
Sempre Avanti