Transcript Our mission is to enhance the well-being of faculty with coaching and counseling services. OHSU Faculty Wellness Program was developed by Dr.

Our mission is to enhance the well-being of faculty with
coaching and counseling services.
OHSU Faculty Wellness Program was developed by
Dr. Donald Girard and funded by Graduate Medical
Education with the support of OHSU Hospital and Dr. Mark
Richardson, Dean of Oregon Health and Science University.
Donald Girard, M.D.
Sydney Ey, Ph. D.
Mark Kinzie, M.D., Ph.D.
Mary Moffit, Ph.D., R.N.
Dr. Bill
 A very dedicated physician, he
experienced an adverse outcome
with a patient last week.
 Irritable, tense/on edge, he keeps
replaying the event over and
over in his head and is having
nightmares.
 What might be happening with
Dr. Bill?
Dr. Martha
 Was a “star” teacher/researcher last year.
 Is now bored with teaching and recently
missed a grant deadline
 She is emotionally exhausted, losing
confidence and thinking about leaving
OHSU.
 What might be happening with Dr.
Martha?
Dr. Jason
 Highly skilled in his specialty area. Very
detail-oriented, critical of the slow pace
of his clinic /research lab
 Multiple complaints from nursing staff:
angry attitude when paged or questioned
about decisions
 Students and residents are often bullied
or demeaned while his department chair
is treated with great respect and
deference.
 What might be happening with Dr. Jason?
John Wayne- Still With Us?
Burnout is especially hard for physicians who come from
what Peter Moskowitz calls the “John Wayne School of
Medicine”.
“Because we are trained to solve problems ourselves, we….
believe it is a sign of weakness to ask for help. When
physicians cannot tap into resources, they… think they have
no alternative but to quit.”
“The last human freedom is to choose your
attitude in given circumstance” Victor Frankel
Prevalence of Burnout in Residents and
Physicians in Practice
 Burnout rates of 30 to 76% seen across 15 studies of
residents: multiple years, types of programs, US and
International teaching hospitals represented
(Thomas, 2004)
 Similar burnout rates among physicians in practice
(Chopra et al., 2004)
 46-80% moderate to high EE
 22-93% moderate to high DP
 16-79% moderate to low PA
 Lower rates of burnout among academic physicians
(Tait, 2003)
 37-47% burnout in academic physicians
vs. 60% burnout in physicians in private practice
Resilience: A Common Phenomenon
 “Ability to bounce back” from
adverse events and return to
normal functioning (APA, 2004)
 Not unscathed but able to move
on with life
 Estimated < 20% of people
exposed to significant trauma
develop PTSD
 Resilience is not just the opposite
of depression, anxiety,
neuroticism
 More like a set of internal
resources that become critical
when dealing with high levels of
stress, adversity
What are your strengths?
 Remember a challenging time when you were
growing up and managed to “bounce back”
and possibly even “thrive”.
What did you do to cope with
the situation so well?
What did you realize were
your strengths in this
situation?
How might you use these
strengths now—perhaps in a
different way?
•Case Example: approaching a new
challenge like a sports competition
Challenge Unhelpful Thoughts: Being a
Better Coach to Yourself
• What is the worst that
could happen and
could I survive it?
• What is best outcome?
Most likely? What
would I tell a friend?
• What evidence is there
to support or refute this
prediction?
• How could I test out
these negative
predictions?
Connor-Davidson Resilience Scale (CD-RISC;
Connor & Davidson, 2003)
 Reliable, valid measure, sensitive to interventions
to increase well-being
 Used with general population, outpatient
psychiatric and PCP settings
 Key factors measured are
 Hardiness “can deal with whatever comes”
 Persistence “can stay focused under pressure”
Faculty Wellness Program
 School of
Medicine primary faculty (o.5 FTE)
 Coaching or Counseling
 Personal or Professional concerns
 Accessibility: Private location on the hill
 Time: Morning and evening appointments
 Cost: Our services are free
Faculty Wellness Program
 Confidentiality: No Epic/OHSU Medical record
 No insurance is billed for our services
 Future Disclosure: Wellness coaching/counseling—
not reportable in Oregon
 However, if a physician appears to be impaired, we
may refer to the Health Professionals Program
 No role in disciplinary or Fitness for Duty evaluations
 We offer referrals to community resources
“No restrictions are placed on a license if
a physician is not impaired by his or her
illness. The Board’s intention is to
encourage physicians to seek treatment
in a timely manner.”
Kathleen Haley, JD,
Executive Director of
Oregon Board of Medical Examiners
OHSU Faculty Wellness Program
http://www.ohsu.edu/faculty-wellness/
 To make an appointment:
 Contact Mary Moffit, Ph.D

Email: [email protected]

Pager : 1-2047

Voice-mail: 4-1208

Urgent/ After Hours: (503) 330-7880

Other RWP Providers:

Mark Kinzie, M.D., Ph.D.

Email: [email protected] pager: 1-4559

Sydney Ey, Ph.D.:

Email: [email protected] pager : 1-1291
TEN STEPS TO RESILIENCE
 Make connections.
 Avoid seeing crises as insurmountable problems.
 Accept that change is a part of living.
 Move toward your goals.
 Take decisive actions.
 Look for opportunities for self-discovery.
 Nurture a positive view of yourself.
 Keep things in perspective.
 Maintain a hopeful outlook.
 Take care of yourself.
American Psychological Association
A
•
a
Discussion of an Action Plan
• What is one change that you want to
make to develop greater resiliency?
•
•
How might you use this specific change on a
daily basis to improve resiliency?
What will increase the chances of you making
this change?
http://www.ohsu.edu/faculty-wellness/