Emergency Medicine
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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]