resilience: falling down and launching forward · resilience: falling down and launching forward....
TRANSCRIPT
Sasha K. Shillcutt, MD, MS, FASEAssociate Professor
Vice Chair of Strategy and InnovationDepartment of Anesthesiology
Resilience: Falling Down
and Launching Forward
Review how failure can lead to resilience
Define resilience and how to overcome burnout
and professional failure
Understand tips for building professional resilience
OBJECTIVES
Post Stress Event
THE
YOUNG
PROFESSIONAL
Flexible
Brilliant
Efficient
Die Hard
Heroic
THE
YOUNG
PROFESSIONAL
But is this professional well?
FAILURE:
The Pathway to Burnout
Loss of Work Control #1
Work Compression
⬆️STRESS
Exhaustion
Cynicism
Inefficiency
BURNOUT
DEPERSONALIZATION
PATHWAY TO BURNOUT
Haramati A et al Medical Teacher, 2017
Maslach, Leiter Medical Teacher, 2017
Conflict in ValuesLack of Control
Absence of
FairnessHigh Workload
Maslach, The Truth About Burnout
Insufficient Reward
Lack of Community
JK ROWLING
REJECTED BY 12
PUBLISHERS
40$ MILLION
SALES
M JORDAN
9,000 MISSED SHOTS
300 GAMES LOST
26 WINNING SHOTS
MISSED
GREATEST BB OF ALL
TIME
10,000 FAILED ATTEMPTS AT
THE LIGHTBULB
1,093 PATENTS
T EDISON
accept defeat: the neuroscience of screwing up
check your assumptions
seek out the ignorant
encourage diversity
beware of failure blindness
25% more likely to take breaks throughout day
7% more likely to walk
5% more likely to take a lunch
35% more likely to take breaks “just to relax”
Women Young Professionals:
Slower to Advance.
More likely to Burnout.
Source: Captive Network, www.forbes.com, why millennial women are burnout out at work
PHYSICIANS PHYSICIANS SUICIDE RATE
20% 50% 2.3x
Experience Mental Health
Problems over their Career
Report CURRENT Burned Out
(2016)
Women Phys = 2.3 risk;
Male Phys = 1.6x risk
Case Study: Medicine
Zwack, Schweitzer 2013
Burnout Has Impact.
BurnoutStress
Overengagement Disengagement
Overreactive Blunted
Urgency & Hyperactivity Helplessness & Hopelessness
Loss of Energy Loss of Motivation
Anxiety Disorders Detachment/Depression
Physical Damage Emotional Damage
Stress and Burnout in Ministry
BURNOUT
RESEARCH
SATISFACTION
ENGAGEMENT
TURNOVER
ORGANIZATIONAL
EFFECTIVENESS
Griffeth et al 2000,
Koys 2001,
Posdakoff et al 1994
BURNOUT
Vicious Cycle
Slow, Continuous DepletionDaily Stressors
Erosion of Control
Physical, Emotional Exhaustion
Energy Savings Measure
Physical InactivityLoss of Endorphins
Withdrawal
Depression
Social WithdrawalDanger/Red Zone
How do we RESIST?
Bounce Back
Toughness
Positivity
Mental Stability
Self-esteem
Self-respect
WHAT IS RESILIENCE?
• Ideologic existence
• Unaffected by trials
• Never experiencing
professional failure
• Untouched by stress or
hardships
• Painless
WHAT IS RESILIENCE NOT?
PEOPLE
RESILIENT
Experience Failure
Experience Loss
Experience Stress
Feel the Pain of Loss
JUST AS MUCH AS NONRESILIENT PEOPLE
R E S I L I E N C E I S D Y N A M I C .
GROWTHMINDSET
FIXEDMINDSET
W H A T I S Y O U R M I N D S E T ?
LOOK FOR THE LESSON
BE VULNERABLE/SHARE
INTERNAL CHECK
OWN STRENGTHS
SO YOU’VE FAILED.
CREATE A PLAN
A Morin. 5 ways resilient people use failure to their advantage, Forbes
Components
Confidence
Social Support
Adaptability
Purposefulness
Cooper et al: Building
Resilience for Success,
2013
RESILIENCE?WHAT MAKES
Institutional
Wellbeing Institutional Metric
Ensure Culture is Positive
Allow Employees to do what THEY deem meaningful
Balance Autonomy with Standardization
West Dyrbye Assoc Chiefs Leaders in Internal mEdicine, The leadership Forum Sept 2017
Self Care
Connection
Self Talk
Individual
WORK42%
LIFE21%
SLEEP29%
OTHERS4%
SELF CARE
4% THE REALITY:
A DAY IN YOUR LIFE
10 HOUR WORK WEEK
5 HOURS OF LIFE WORK
(COMMUTE, SHOWER, EAT)
7 HOURS SLEEP
1 HOUR OTHERS
1 HOUR SELF CARE
JUST ADD WATER…RIGHT?
RESILIENTsuccess at work
SUCCESSin life
WELLBEINGsuccess at home
WHAT ARE
YOU GOING
TO REMOVE?
QUESTION:
THE NEXT MOVE
WHAT BRINGS
YOU JOY?
QUESTION:
THE NEXT MOVE
Even 20% FTE roles
of personally meaningful work
can mitigate burnout
WHO DO YOU
CONNECT WITH?
QUESTION:
THE NEXT MOVE
Expect Failure.
Bounce Up.
QUESTION:
THE NEXT MOVE
RECOGNIZE
See Burnout Coming
Recognize Signs in
Yourself
SELF CARE
Practice Self Care
Exercise
Unplug
CULTURE
Connect with Others
Define Your Own
Success
Boundaries
IN SUMMARY
Realistic Expectations, Embrace Failure
L E T ’ S T A L K
Q 1 . W H A T I S Y O U R
F A I L U R E H A N G U P ?
Q 2 . W H A T I S Y O U R
F A I L U R E M I N D S E T ?
Q 3 . W H A T W O U L D Y O U
S A Y T O Y O U R F R I E N D ?
Your Brain At Work: Strategies
for Overcoming Distraction,
Regaining Focus, and Working
Smarter All Day Long
D. ROCK
Grit: The Power of Passion and
Perseverance
DWECK
Mindset: The New Psychology
of Success
DUCKWORTH
The Happiness Advantage
S. ACHOR
SUGGESTED READING
References
Epstein RM and Krasner MS. Physicians resilience: what it means, why it matters, and how to promote it. Acad Med
2013:;88:301-303
Freischlag JA and Silva MM. Bouncing up: resilience and women in academic medicine. J Am Coll Surg 2016;in press
Jensen PM et al. Building physician resilience. Can Fam Physician 2008;54:722-729
Mills J and McKimm J. Resilience: why it matters and how doctors can improve it. British J Hosp Med 2016;77:630-33
Shanafelt TD and Noseworthy JH. Executive leadership and physician well-being: nine organizational strategies to
promote engagement and reduce burnout. Mayo Clin Proc 2016;1-18
Shanafelt et al. Burnout and satisfaction with work-life balance among US physicians. Ann Inter Med 2012
Swenson et al. Phis-Organization collaboration reduces burnout. J Healthcare Management April 2016
Zwack J and Schweitzer J. If every fifth physician is affected by burnout, what about the other four? resilience strategies
of experienced physicians. Acad Med 2013;88:382-389
Contact Me
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www.becomebraveenough.com