Transcript Emergency Medicine

Work-Life Integration
JULIE WELCH, MD
DEPARTMENT OF EMERGENCY MEDICINE
INDIANA UNIVERSITY SCHOOL OF MEDICINE
IU HEALTH - METHODIST HOSPITAL EMTC
[email protected]
Work-Life
Integration
Outline:
Why does it matter?
2. Defining “Work-Life”
3. Developing your Work-Life
Integration Strategy
4. Tips and Tools
1.
Work-Life “Balance” & “Integration”
“Balance”
“Integration”
 Feeling derived from being
 Creating harmony in your life
whole and complete
 Avoid viewing it as a scale of
taking from one to give to
another
 Cultivating the areas of your
life that are truly important
 Mixture of…
Why does it matter?
1.
Workplace culture is changing
2. Major recruitment and retention issue
3. Research: Work Life Balance is a Priority
Why does it matter?
1. Workplace culture is changing
Gender divide is narrowing : workforce 50% women
 More dual-career couples



Shared child/family care responsibilities
Generational issue no longer
Early career physicians want predictability
 Phased retirement

Why does it matter?
1. Workplace culture is changing
2. Major recruitment and retention issue

Flexibility is #1 issue to keep good talent
Schedules
 Work Life Policies (Family leave, childcare, elder care, benefits…)

Why does it matter?
1. Workplace culture is changing
2. Major recruitment and retention issue
3. Work Life Balance is a priority
 Theme of needs assessments of students, residents, faculty
Do physicians succeed at work-life balance?
 Failure of work life integration leads to: STRESS
 Spillover
 Crossover
 Physicians are at higher risk of:
 Divorce
 Substance abuse
 Depression/ Anxiety
 Domestic Violence
Career/ Life Satisfaction
(3 studies of 8,094 physicians total)
Career Satisfaction: 79%
Work-Life Balance
Satisfaction: 37-48%
Career/ Life Satisfaction
(3 studies of 8,094 physicians total)
Career Satisfaction: 79%
Work-Life Balance
Satisfaction: 37-48%
Factors that were NOT strong predictors of career
satisfaction, work-life balance, or burnout:
• GENDER
• AGE
• SPECIALTY
Career/ Life Satisfaction
(3 studies of 8,094 physicians total)
Career Satisfaction: 79%
 + predictors:
Income
 Academic career
 - predictors:
 Working > 50hr/wk
 Full owner practice
 Reliance on managed care
 Uncontrollable lifestyle

Work-Life Balance
Satisfaction: 37-48%
Career/ Life Satisfaction
(3 studies of 8,094 physicians total)
Career Satisfaction: 79%
Work-Life Balance
Satisfaction: 37-48%
 + predictors:
Control over schedule
 Working part time <40 hr/wk
 Married, partnered
 Having children
 - predictors:
 Working full time >40 hrs/wk
 Divorced/separated

Career/ Life Satisfaction
(3 studies of 8,094 physicians total)
Career Satisfaction: 79%
Work-Life Balance
Satisfaction: 37-48%
 + predictors:
 + predictors:
Income
 Academic career
 - predictors:
 Working > 50hr/wk
 Full owner practice
 Reliance on managed care
 Uncontrollable lifestyle
Control over schedule
 Working part time <40 hr/wk
 Married, partnered
 Having children
 - predictors:
 Working full time >40 hrs/wk
 Divorced/separated


What does “Work-Life” mean to you?
“WORK”


Career Activities
Consider areas of:
Patient care
 Education
 Research
 Service

“LIFE”


Relationships
Personal well being




Physical
Mental
Spiritual
Hobbies/ Passions
WORK: My Emergency Medicine Career
 EM physician level one trauma center
 Academic faculty at a medical school





Primary patient care
Educate
Scholarship
Service
Mentor
 Fellowship

Dean’s Office of Faculty Development
WORK: My Emergency Medicine Career
 Other EM opportunities during my career:
LIFE: My Other “Career”
 Relationships
 Dual physician marriage (to an EM physician)
 Mother of 2 busy boys
 Sister, aunt, and daughter
 Network of friends, mentors, mentees
 Personal well being
 musician, exercise, travel, cooking, church
“Work Life Integration” factors:
WorkLife
Understand what motivates you?
3 elements:
1. Autonomy
2. Mastery
3. Purpose
Develop your
own plan:
Individual Development Plan
&
Work-Life Integration Strategy
Tools for Planning, Inspiring, and
Integrating your
Professional & Personal Goals
IDP &
Work-Life
Integration
Strategy
1.
2.
3.
4.
5.
6.
Complete annually
“SMART” (assess viability)
Share with mentor/ spouse
Reflect on advice
Actively implement
Follow progress and revise
Planning
worksheet
exercise:
“Opportunity is Knocking”
Tool to objectively
evaluate a new opportunity
10
Work Life Integration
Tips
Work-Life Integration Tips
1. Focus on your values and priorities.
 Make an Individual Development Plan
 Set and know your limits and boundaries
 With a new opportunity – don’t say “yes” immediately
 Protect your time
Work-Life Integration Tips
2. Hone your time management skills.
Find your time wasters
 Utilize all available time (listen to audio CME on drive)

Work-Life Integration Tips
3. Get ORGANIZED!
Keep a “TO DO” list, Prioritize, Retrograde plan
 Email Strategy

Empty inbox (4 D’s – do, delegate, delete, decision)
 Schedule time vs on-the-go phone/ipad (limit 2-3x day)
 Turn off interrupting dings

Work-Life Integration Tips
4. Find a “usable” calendar system.
Easy, sharable, real-time, integrative
 Share it with family and caregivers
 Plan your vacations/ personal/ family time in advance
 Schedule time for yourself (exercise, spa, writing)

Work-Life Integration Tips
5. Establish a mentor network.

At work
 Career guidance, advice, sponsorship, skill acquisition
 At
home
 make
friends with other families in your neighborhood.
Work-Life Integration Tips
6. Double Dip.
With every project, find a second goal it could satisfy.
 Turn a lecture or program into scholarship
 Combine the activities you love with your family/friends.

Work-Life Integration Tips
7. Know the Work-Life Policies of your
employer.
Family Leave policies
 Part-time policies / flexibility in scheduling
 Childcare options (on-site, back-up sick care)
 Academic center – promotion and tenure clocks

Work-Life Integration Tips
8. Cultivate relationships with family and
friends.
Family time, date-night, & “no electronic” times
 With your partner : communication is the key!
 Be accountable to someone in your life (mentor, spouse,
friend)

Work-Life Integration Tips
9. Invest in Family/Home Responsibilities.
Foster teamwork – coordinate/ delegate activities and
chores.
 Find reliable childcare and have backup.
 “Hire it done!” (house cleaning, yard work, food delivery)
 Keep numbers for home/car repairs accessible.

Work-Life Integration Tips
10. Build Healthy Personal Habits.
(physical, mental, spiritual well-being)
Exercise, eat healthy, sleeping habits
 Read, relax, hobby, music
 Let go of guilt & maintain a sense of humor!

Questions:
[email protected]