Enhancing Your Personal and Professional Resilience · PROFESSIONAL RESILIENCE 1. Being prepared...
Transcript of Enhancing Your Personal and Professional Resilience · PROFESSIONAL RESILIENCE 1. Being prepared...
Enhancing Your Personal
and Professional Resilience
Mamta Gautam, MD, MBA, FRCPC, CPDC, CCPE, MOT
PROFESSIONAL RESILIENCE
1. Being prepared
for the event
2. Coping with the
situation – skills
and strategies
3. Bouncing back
and growing
further
Benefits of Resilience
Key to enhancing:
• Quality of care – less errors
• Quality of caring – increased empathy,
increased patient engagement and
satisfaction
• Sustenance of the health care workforce –
reduction of burnout, increased physician
engagement and satisfaction, less attrition
THE FIVE C’s of RESILIENCE
RESILIENCE
CONTROL
COMMITMENT
CONNECTION CALMNESS
CARE FOR SELF
1. Control and Confidence
One needs a sense of:
• Self awareness
• Confidence
• Control
COMMON PERSONALITY TRAITS
• Overly conscientious
• People pleasing
• Sense of Responsibility and Guilt
• Unrelenting perfectionism
• Need to control others
• Chronic self doubts
• Uncomfortable with love, approval
• Ability to delay gratification
FIVE EARLY DANGER SIGNS
• Increase in physical problems and illnesses.
• More problems with relationships.
• Increase in negative thoughts and feelings.
• Significant increase in bad habits.
• Exhaustion.
BURNOUT
A syndrome of emotional exhaustion,
chronic overstress.
• Emotional Exhaustion
• Depersonalization
• Reduced Personal Accomplishment
SERIOUS CONSEQUENCES
1. Professional problems
2. Difficulty with relationships
3. Physical health problems
4. Psychiatric Problems - Eating
Disorders, Anxiety Disorders,
Depression, Suicide
Even the healthiest and strongest of
us can become unhealthy
in an unhealthy environment.
DEALING WITH STRESS
• THE NUMBER ONE CAUSE OF STRESS:
The perception that we have no choice, no control.
• THE NUMBER ONE SKILL IN DEALING WITH STRESS:
Challenge your perception.
STEPS IN MANAGING STRESS
1. Identify the stressor
2. Recognize that you have more control than
you think you do
3. Identify what parts you do, and do not,
control
4. Focus on what you do control, and learn to
cope with what you do not control
We need to stop blaming individuals and
see this as a shared responsibility of:
• Individual health care provider
• Healthcare system/organization
2. Commitment
• What initially drew me to this work?
• Values clarification exercise
• Reflection and Journaling – how is my
work meaningful to me?
• My best moment at work
The Five Balls
• The Work Ball
• The Home and Family Ball
• The Relationships Ball
• The Friends Ball
• The Self Care Ball
What are your Big Rocks?
3. Caring Connections
• We often feel alone and lonely, with our
workload and responsibilities
• Holding Environment – how would you
create this?
Relationships in the workplace
• Create a sense of community – personal
touch
• Emotional Bank Account
• Add fun to work
• Use peers/colleagues for support
• Encourage mentoring
• Build teams – communicate, resolve conflicts
Personal Relationships
How do we nurture and support these
With our partner?
With our children?
With our parents and siblings?
With our friends?
USE SUPPORT SYSTEMS
• Have at least one good friend
• Friends- good for you physically, emotionally
• People who are “good for you”
• Pets
4. Calmness
• Recognize when you are not calm
• Learn skills to manage during that
time
ABC’s of Calmness
Allow It:
Journaling – acknowledge and let go
Four-letter technique – write at least 4 letters; do NOT send
Burn it off: Exercise – long run, hard workout, punching bag
Calm down:
Deep Breathing
Gratitude
Spirituality
Yoga
Relaxation Exercises – Visualization, active and passive
Mindfulness Meditation
Mindfulness Meditation
• Maintaining a moment-by-moment awareness of
our thoughts, feelings, bodily sensations, and
surrounding environment. – Pay attention – in systematic way, to your breathing, what you are
sensing, thoughts, emotions, physical sensations
– Be in the present, not past or future
– Accept the moment. “This is it.”
– Non-judgmental
– The Purposeful Pause
– 5-4-3-2-1 – Focus on 5 things you can see, 4 things you can hear, 3
things you can feel, 2 things you can smell, 1 thing you can taste
RELAXATION TECHNIQUES
• Many methods available
• Spiritual relaxation, meditation
• ‘Rehearse’ for the ‘performance’
TAKE REGULAR TIME OFF
• Planned : The Tarzan Rule
• Unplanned : A Gift of Time
SHARE YOUR STORIES
5. Care for Self
• Take care of yourself first
• Make time for yourself
• Exercise
• Nutrition
• Healthy sex life
• Get your own family doctor
• Indulge yourself
• Sleep
LAUGH MORE OFTEN.
FINANCIAL MANAGEMENT
• Stick to basic financial principles
• Reduce non-deductible debt
• Avoid “Christopher Columbus” Syndrome
• Do not overextend financially
LET GO OF THE GUILT
• Acknowledge it; let go of it
• My Rule for Doctors
YEAH, SOUNDS GREAT...
BUT HOW DO I
INCORPORATE THIS
INTO MY DAILY LIFE?
DON’T JUST TRY.