Center for Professional Health CPH Reflections, Self-Awareness, and Discovery The Professional...

Center for Professional HealthCenter for Professional Health

CPH


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The Professional Health and Wellness of the Medical Student: Reflections, Reflections, Self-Awareness, and DiscoverySelf-Awareness, and Discovery

Charlene M. Dewey, M.D., M.Ed., FACPWilliam H. Swiggart, M.S., L.P.C./ MHSP

Co-Directors, Center for Professional Health1107 Oxford House

Nashville, TN 37232-4300


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GoalGoal

This session will encourage learners to reflect on several factors within their lives that will influence their professional health and wellness and how these factors and their self-awareness can help maintain professional wellness and professional boundaries.


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ObjectivesObjectives

Learners will:

1.Reflect on their personal characteristics and family of origin and how these influence their specialty selection.2.Share their specialty choices and discuss how their personal characteristics will influence their behaviors in that career choice.3.Interpret/value how professional health and wellness influences boundary and professionalism lapses.4.Identify their stress triggers and how they respond in stressful situations.5.Recognize the behaviors associated with flooding and select appropriate means for handling flooded colleagues, teammates, and family members.


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AgendaAgenda

1. Introduction

2. Small Group Session #1– Self-awareness & personality inventories

– Family roles

– Specialty choices & hidden curriculum

3. Professional Health & Wellness (large group)

4. Small Group Session #2– Professional health and wellness– Dealing with the flooded colleague/team member– Emotional intelligence

5. Summary & evaluations


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Survey ResultsSurvey Results

• N=53 (44%)

• Age: 17.5 (ave); 15 (mode); ,5-26 (range)

• 49 comments; 30(61%) = “help people”

• 23% = reason changed over time; 76.5% no change


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Survey ResultsSurvey Results

• Specialty:• 23% ped sub• 23% other• 12.5% IM sub

• 11 of 16 personality types• I:E ratio is 1:2 (36%=I and 64%=E)

• 22.6% = ENFJ• 37% = divided into: ESFJ, ISTJ & INTJ

(13%, 13%, 11%)


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Personality & CareersPersonality & Careers

• How old were you?

• A personal story


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Self-AwarenessSelf-Awareness

• Key to emotional intelligence

• Leads to self-control


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Personality TypesPersonality Types

The Sixteen Types

US Population Breakdown

The table organizing the sixteen types was created by Isabel Myers (an INFP).

ISTJ

11–14%

ISFJ

9–14%

INFJ

1–3%

INTJ

2–4%

ISTP

4–6%

ISFP

5–9%

INFP

4–5%

INTP

3–5%

ESTP

4–5%

ESFP

4–9%

ENFP

6–8%

ENTP

2–5%

ESTJ

8–12%

ESFJ

9–13%

ENFJ

2–5%

ENTJ

2–5%

Estimated percentages of the 16 types in the population.[32]

http://en.wikipedia.org/wiki/Myers-Briggs_Type_Indicator (Table copied May 1, 2011)


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Family Job DescriptionFamily Job Description

• Family roles Family Hero Caretaker/People Pleaser Scapegoat Lost Child Mascot/Clown

• Job title• Job description


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Hidden CurriculumHidden Curriculum

• Not part of any printed curriculum

• Messages we learn

• Contributor or change agent?

• Part of the problem or part of the solution?


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Group 1 Dewey, Charlene

Adams, Carmen Michelle

Andrade, Gabriela

Barnett, Brian Scott

Blanco, Marissa

Bourne, Sarah

Burjek, Nicholas Edward

Chi, Michael

Dhulipala, Sravan Choudary

Eshaghian, Daniel

Friedlander, David Fallon

Gregg, L. Parker

Hames, Nicole Angele

Lio, Elizabeth

Group 2

Swiggart, WilliamAisagbonhi, Omonigho Augustina

Ayers, KatieBergman, Mica Yael

Choxi, Ankeet

Cooperstein, EmilyEby, Kathryn Grace

Eskind, David

Fritz, RyanMaston, Emily Elizabeth McConnaughey, Shannon Marie

Poon, SabrinaSchulte, Rachael Rae Chase

Wright, Danielle

Group 3

Rodgers, ScottAndresen, Jennifer Michelle Binka, Edem

Chiaghana, ChuksEdwards, Kimberly Ann Fuchs, Christian Jan

Hanif, Rimal

Hsu, Emory

Knowlton, Peter

Marcovitz, DavidMusee, Joel

Ovalle, Fernando

Ruiz, Rachel

Sullivan, Billy

Group 4

Lomis, Kim

Allen, Amil

Apple, Rachel Price

Deery, Sarah

Furman, Adrian Arthur

Gebre-Amlak, Kassatihun

Gregg, Justin

Hawley, Catherine

Hipp, Dustin Michael

Kohorst, Kelly Louise

Mariotti, Jolene

Myler, Conrad Spencer

Powers, Albert Russell, III

Wegner, Adam Michael

Small Groups 1-4Small Groups 1-4


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Group 5

Cutrer, William BLogan, Carol Rozear Moore, Ryan Davis Pai, Anita Kochikar Powers, Albert Russell, III Real, JoeSchmidt, AlexandraShpigel, Adam Arnold Sopfe, JennaToaz, ErinTustin, Aaron Wayne Vucovich, Megan Weiner, AshleyWilburn, claytonWoo, Kel Vin

Group 6

Rush, Charles

Grayson, BritneyKirlew, Christine Lorraine

Kutaka, Julia Jeanne

Lominadze, Zurabi

Meenderink, Leslie Michelle

Nathan, NirajO'Brien, Nathan Michael

Patrawala, Samit Atul

Saboori, Mazeyar

Sathiyakumar, Asmitha Kathleen

Smith, Jason

Stallings, ShannonTorossian, Artour

Zackoff, Matthew

Group 7

Clark, Nathaniel

Koehler, Daniel

Lewallen, James Bradford

Mistry, Akshitkumar Maheshbhai

Opara, Rejoice Ngozi Bless

Parikh, Ravi

Pennington, Joseph Daniel

Perdigoto, Ana

Robinson, Jamie

Shih, Grace Chia-huei

Steer, Jonathan

Thurman, Alex

Tourjee, Stephen Mankata

Wolf, Michael Seth

Group 8

Fleming, Amy EArk, Jacob Tyler

Durrani, AliaGartland, Matthew Grady Hooper, William Blake

Hungwe, TendeukaiJermakowicz, Walter John, III

Knadler, Joseph

Martin, AllisonMcHugh, Julia

Sandler, CarlaWalls, Morgan Breon

Wurster, VictoriaZuckerman, Scott Lawrence

Small Groups 5-8Small Groups 5-8


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Small Group ActivitiesSmall Group Activities

• Small groups assigned

• Facilitator role

• Participant role

• 10 minute break

• Large group


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Professional Health & WellnessProfessional Health & Wellness

Professional Health and Wellness Spectrum

High FunctioningHigh Productivity

Fair FunctioningDecreasing Productivity

Fair FunctioningReduced ProductivityRelationships Suffer

Fair-Not FunctioningFair-Not ProductiveInstitution & Family Loses

Burnout

Coping MechanismsFailing

Risk of MH issues and suicide

No Coping Mechanisms

Professionally Healthy& Well

Stressed

Coping Mechanisms Strong

Physical

Mental

Emotional

Spiritual

Work &

Family

Relations









Burnout


Burnout








Stressed


Stressed


Physical

Mental

Emotional

Spiritual

Work &

Family

Relations

KJIHGFEDCBA KJIHGFEDCBA


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Maintain Health & WellnessMaintain Health & Wellness

Seven Key Personal Areas:– Sleep

– Balanced meals

– Physical activity

– Socialization

– Vacations/down times

– Spiritual engagement

– Have a physician

Six Sources of Burnout:

1. Work overload

2. Lack of control

3. Insufficient reward

4. Unfairness

5. Breakdown of community

6. Value conflict


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Vanderbilt Center Vanderbilt Center forfor Professional HealthProfessional Health

Continuing Medical Education Courses

Prescribing Controlled Drugs©

Maintaining Proper Boundaries©

Program for Distressed Physicians©

www.mc.vanderbilt.edu/cph


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Course DemographicsCourse Demographics

Courses N Ave Age Sex

Distressed 76 48 12% F 88% M

Boundaries 504 41 5% F 95% M

Prescribing 661 50 11% F 88% M

Total 1241

Distressed Boundaries Prescribing

IM subspecialties* IM/FP IM/FM

IM/FM Psychiatry Psychiatry

OB/GYN Surgery Surgery

Surgery OB/GYN ER*(interventionalists)


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Flooding*Flooding*

• “This means you feel so stressed that you become emotionally and physically overwhelmed…”

• “Pounding heart, sweaty hands, and shallow breathing.”

• “When you’re in this state of mind…you are not capable of hearing new information or accepting influence.”

*John M. Gottman, Ph.D. The Relationship Cure, Crown Publishers, New York, 2001, 74-78.


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Which person is Which person is floodedflooded??


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DRANDRAN


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DDescribeescribe

• Describe the other person’s behavior objectively

• Use concrete terms

• Describe a specified time, place & frequency of action

• Describe the action, not the “motive”


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RReinforceeinforce

• Recognize the other person’s past efforts


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AAssert Directly & Specificallyssert Directly & Specifically

• Express your feelings

• Express them calmly

• State feelings in a positive manner

• Direct yourself to the offending behavior, not the entire person’s character

• Ask explicitly for change in the other person’s behavior


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NNegotiate: Work Towards A egotiate: Work Towards A Compromise That is Reasonable Compromise That is Reasonable

• Request a small change at first

• Take into account whether the person can meet your needs or goals

• Specify behaviors you are willing to change

• Make consequences explicit

• Reward positive changes


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Emotional IntelligenceEmotional Intelligence

Five components of emotional intelligence:

1. Self-awareness

2. Self-regulation

3. Motivation

4. Empathy

5. Social skill


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SummarySummary

• Reflection

• Self-awareness

• Discovery

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