PowerPoint Presentation · Title: PowerPoint Presentation Author: Office 2004 Test Drive User Created Date: 6/2/2014 2:10:10 PM

© Center for Physician Resilience, 2014

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Wayne M. Sotile, Ph.D.

CENTER FOR PHYSICIAN RESILIENCE WWW.SOTILE.COM

Wayne M. Sotile, Ph.D. Founder

Center for Physician Resilience

Davidson, North Carolina

Special Consultant in Behavioral Health

Sanger Heart and Vascular Institute

Carolinas Health System

Charlotte, North Carolina

Choosing Resilience

Email:

[email protected]

Thriving Through Change


The Two Most Important Questions

Who are you to the ones you

love and work with

How happy are you?


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The Challenge?

High Demand

Low Control

Low Support

Toxic Stress


Choosing Resilience

Use

Realistic

Coping

Roadmaps

Honestly

Assess

Yourself

Counter

Hassles with

Uplifts

Deepen

Your

Relationships


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Realistic Roadmaps

Crucial Cross-Correlations:

Work Outcomes

Quality of Collaboration

Career Satisfaction

Your Family’s Satisfaction with You

Your Happiness

Sotile W.M. & Sotile M.O. The Resilient Physician. AMA Press, 2002

Sotile W.M. & Sotile M.O. Letting Go of What’s Holding You Back. Harry Abrams, 2007


Who Becomes a

Physician?

Does Medical

Training Hurt?


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0 10 20 30 40 50 60 70

Prev Med/Occupat Med/Enviro Med

Dermatology

Pediatrics - General

Pathology

Radiation Oncology

Other

Pediatric Subspecialty

Neurosurgery

Psychiatry

Urology

General Surgery Subspecialty

Ophthalmology

Internal Medicine Subspecialty

General Surgery

Average Burnout All Physicians

Participating

Physical medicine and Rehab

Radiology

Obstetrics and Gynecology

Anesthesiology

Orthopedic Surgery

Otolaryngology

Family Medicine

Neurology

Internal Medicine - General

Emergency Medicine

% Reporting Burnout

Shanafelt ,

Boone, Tan,

Drybe, Sotile et

al.

Arch Intern Med.

2012;

172(18):1377-85

Burnout by

Specialty


Does Physician Burnout Matter?

Medical Errors Williams ES et al. Health Care Manage Rev. 2007;32:203-212

Firth-Cozens J & Greenhalgh J. Soc Sci Med. 1997;44:1017-1022.

Shanafelt TD et al. Ann Intern Med. 2002;136:358-67.

Medical Malpractice Suits Jones JW et al. J Appl Psychol. 1988;73:727-35.

Patient Compliance DiMatteo MR et al. Health Psychol. 1993;12:93-102.

Patient Satisfaction Linn LS et al. Med Care. 1985;23: 1171-78

Haas JS et al. J Gen Intern Med. 2000;15:122-128

Medical Family

Discord Sargent MC, Sotile WM, Sotile MO, et al.

J of Bone and Joint Surgery. 2009.

91;2395-405.

“Burnout adversely affects quality of care” Wallace JE et al. Lancet. 2009;374:1714-21


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Us Them

Biggest Risk of All?


Choosing Resilience

Use

Realistic

Coping

Roadmaps

Honestly

Assess

Yourself

1. Unrealistic Relationship

Expectations

2. Burnout & Psychosocial

Distress

3. “Us/Them”


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What Holds Us Back?

Mental Maps We grossly overestimate the importance

of what we do know – the familiar,

and underestimate the importance

of what we don’t know – the unfamiliar.


Are You At Risk for Burnout?

Emotional Exhaustion

Depersonalization

Personal Accomplishment


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Little changes

make big differences

Keys to Resilience


What are Your Stress Symptoms?

Body symptoms

Emotions

Thinking

Behaviors

Interpersonal

Contrast

is an

Antidote


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Choosing Resilience

Use

Realistic

Coping

Roadmaps

Honestly

Assess

Yourself

Counter

Hassles with

Uplifts


The Crucial Relationship:

Moving to Resilience

Daily Hassles

Daily Ulifits

Letting Go of What’s Holding You Back!


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Correlates of Burnout Among IM Physicians

IM Faculty; N = 465

Want to ↓ Risk of Burnout?

Spend at least 20% of

Your Time Working on

Most Meaningful Aspect

of Your Work Shanafelt TD et al. Arch Int Med. 2009;169(10):990-95.


Protection from Burnout

Don’t Ignore the Obvious

Make time for..

1. Exercise

2. Hobbies

Meditate

Limit Alcohol Use -Sargent MC, Sotile W, Sotile MO, et al. Stress and coping among orthopaedic surgery residents

and faculty. J Bone Joint Surg Am. 2004;86-A:1579-86.

-Sargent MC, Sotile W, Sotile MO, et al. Quality of life during orthopaedic training and academic

practice. Part 1: orthopaedic surgery residents and faculty. J Bone Joint Surg Am. 2009;91:2395-

405.


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Choosing Resilience

Use

Realistic

Coping

Roadmaps

Honestly

Assess

Yourself

Counter

Hassles with

Uplifts

Deepen

Your

Relationships


Reflect on

“How We are Working

Together”


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Self Management

• Self-Awareness..

• Self-Regulation..

• Motivation..

Relationship Skills

• Empathy..

• Influence Skills..

THE CENTER FOR PHYSICIAN RESILIENCE


A hero is someone

who creates safe spaces

for other people

—The Resilient Physician. Sotile & Sotile, 2002

Hero


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When you end

a dysfunctional legacy,

you justify your lifetime.

Wayne & Mary Sotile. Letting Go of What’s Holding You Back! 2007


Stay Curious About Each Other

Get Family Buy-in for Your Hard Work

Re-think “Balance”

Good Work is Good for Families!


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1. Protect Your Happiness

2. Use Realistic Road Maps

3. Focus on Uplifts

4. Believe in Something Bigger

5. Accept the Call to Character

6. Manage Your Coping Style

7. Rethink “The Balanced Life”

8. Embrace Good Work

9. Deepen Your Relationships

10. Be a Hero

Choosing Resilience


Work Family

Self Intimate

Relationship

Re-Think Balance

Let Go of New Age Guilt Keys to Resilience


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Thank You!

Wayne Sotile, Ph.D.

CENTER FOR PHYSICIAN RESILIENCE

www.TheResilientPhysician.com

Email: [email protected]

336/794-0230

Documents

PowerPoint Presentation · Title: PowerPoint Presentation Author: Office 2004 Test Drive User Created Date: 6/2/2014 2:10:10 PM