1. A New You! Beliefs & Messages Charlene M. Dewey, M.D., M.Ed., FACP Associate Professor of Medical Education & Administration Associate Professor of Medicine Debbie Smith, M.A. Life Strategist & Consultant Sponsored by: This program is provided by Vanderbilt School of Medicine, the Center for Professional Health, The Faculty and Physician Wellness Committee and the Center for Women in Medicine.

2. Conflict of Interest A New You is sponsored by Vanderbilt School of Medicine, the Center for Professional Health, the Faculty & Physician Wellness Committee and the Center for Women in Medicine. Vanderbilt School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Vanderbilt School of Medicine designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™ per session. Physicians should only claim credit commensurate with the extent of their participation in the activity. It is the policy of Vanderbilt School of Medicine that participants in CME activities be made aware of any affiliation or financial interest that may affect the planner’s involvement and speaker’s presentation(s). Each planner and speaker has completed and signed a conflict of interest statement; these relationships will be disclosed to the audience. Charlene Dewey and Debbie Smith have NO financial relationships to disclose.

3. A New You! ♀ The overall purpose of this series is to assist women faculty and employees with focusing on their wellness and prioritizing it to the top of their “to do” list as part of their new years resolution.

4. Session 2 - Goals ♀ Our purpose today is to reflect on the messages that you take in and to evaluate whether the beliefs you have formed as a result of those messages are ones that you really believe or whether they are ones you have inherited and need to re- examine and potentially change.

5. Session 2 - Objectives 1.Women will reassess where they are with their personal well-being. 2.List at least three protective factors to help prevent burnout. 3.Reflect on their personal beliefs and the messages they receive in life. 4.Reflect on how they define success for themselves.

6. Session 2 - Agenda ♀ Introduction ♀ Recap of Session 1 ♀ Protective factors for burnout ♀ Beliefs and messages ♀ Small group activity ♀ Summary & evaluations

7. A New You What is Thriving? Embracing the truth of who you are so that you can freely receive, give and hope, regardless of your circumstances. --Debbie Smith, M.A.

8. Living is like gardening A New You

9. The Cycle of Survival Anxiety about future Expectations/responsibilities from others Exhaustion/Feel trapped Scrambling to perform Anxiety about performance

10. A New You A New You Overview ♀Tending your core (Desires & Gifts) ♀Weeding the garden (Beliefs) ♀Cultivating strong roots (Values) ♀Receiving nourishment in every season

11. A New You < Beautiful Blossoms < Free from weeds < Well-nourished < Awareness of “core” < Strong roots

12. Burnout

13. Spickard, Gabbe & Christensen. JAMA, September 2002:288(12):1447-50 Protective Factors ♀ Personal: 1.Tend to self care issues first 2.Address Maslach’s 6 sources of burnout 3.Influence happiness through personal values and choices 4.Adapt a healthy philosophy/outlook 5.Spend time with family & friends

14. Protective Factors 6.A supportive spouse or partner 7.Engage in religious or spiritual activity 8.Hobbies 9.Mentor (s) Spickard, Gabbe & Christensen. JAMA, September 2002:288(12):1447-50

15. Protective Factors ♀ Work: 1.Address Maslach’s 6 sources of burnout 2.Gain control over environment & workload 3.Find meaning in work 4.Set limits and maintain balance 5.Have a mentor 6.Obtain adequate administrative support systems Spickard, Gabbe & Christensen. JAMA, September 2002:288(12):1447-50

16. Did you attend Session 1? 1.Yes 2.No

17. On a scale of 1 (lowest) – 9 (highest), where do you prioritize your personal well-being? 1.One 2.Two 3.Three 4.Four 5.Five 6.Six 7.Seven 8.Eight 9.Nine

18. On a scale of 1– 7 (not satisfied to completely satisfied), how satisfied are you with both your personal and work-life? 1.Not satisfied 2.x 3.x 4.x 5.x 6.x 7.Completely Satisfied

19. I am currently at burnout. 1.Strongly disagree 2.Disagree 3.Agree 4.Strongly agree

20. Overall, on a day to day basis, rank how you are doing? a.Near crashing b.Barely surviving c.Well-balanced if there are no emergencies d.Thriving

21. On a scale of 1-5 (1=not at all and 5= a lot), how much are your decisions affected by the “shoulds” and “oughts” of external expectations? 1.One 2.Two 3.Three 4.Four 5.Five

22. On a scale of 1-5 (not at all to a lot), how much are your decisions motivated by guilt? 1.One 2.Two 3.Three 4.Four 5.Five

23. Have you established your personal definition of success? 1.Yes 2.No

24. A New You Postures that lead to Emotional Exhaustion ♀Micromanager (over-stepping boundaries, over-involvement in “care- taking”) ♀Performance (counterfeit giving) ♀Pretending (sucking it up) ♀Worry (managing the future)

25. Postures of engagement ♀Human – rhythm of work & rest; healthy respect for needs and limits ♀Rooted – authentic identity & purpose ♀Honest – joy and sorrow; give & receive ♀Gratitude – each day is a gift A New You

26. What Happened? A New You

27. “The single most important contribution education can make to a child’s development is to help her toward a field where her talents best suit her, where she will be satisfied and competent. We’ve completely lost sight of that. Instead we subject everyone to an education where, if you succeed, you will be best suited to be a college professor. And we evaluate everyone along the way according to whether they meet that narrow definition of success…There are hundreds and hundreds of ways to succeed, and many, many different abilities that will help get you there.” --Howard Gardner A New You

30. Confusing Messages ♀Familial ♀Cultural ♀Religious ♀Professional A New You

31. Family Messages A New You

32. Cultural Messages The average consumer is exposed to somewhere between 250-600 (some sources say as many as 3,000!) advertisements per day. A New You

36. Professional Messages ♀Expressing need = weakness ♀Suck it up! ♀Pretend you’ve got it all together ♀Get more grants! ♀See more patients! A New You

37. Weeds in Toula’s Life ♀“You’ve passed your expiration date” for marriage ♀Your primary goal in life is to get married and have babies ♀You’re different than the other kids – you don’t belong ♀It’s no use hoping for anything different than what’s always been A New You

38. Toula’s Seeds of Truth ♀I love learning ♀I want to learn about computers ♀I can change ♀I can ask for help ♀I do belong! A New You

39. Weeds vs. Truth WeedTruth *It’s selfish to take*It’s selfish NOT to time for yourselftake time for yourself*Saying “no” means you’re lazyyou’re purposeful *Hide your strengths -*Give your strengths- they’re threatening to they’re a gift others A New You

40. Environmental Messages TRUTH vs. Myth A New You

41. “The life which is not examined is not worth living.” --Plato A New You

42. Discovering what is true ♀History (biographies, memoirs) ♀Community (others’ stories) ♀Spiritual writings/traditions A New You

43. “The moment we begin to fear the opinions of others and hesitate to tell the truth that is in us, and from motives of policy are silent when we should speak, the divine floods of light and life no longer flow into our souls.” --Elizabeth Cady Stanton A New You

44. “I will not die an unlived life. I will not live in fear of falling or catching fire. I choose to inhabit my days, to allow my living to open me, to make me less afraid, more accessible, to loosen my heart until it becomes a wing, a torch, a promise. I choose to risk my significance, to live so that which came to me as seed goes to the next as blossom, and that which came to me as blossom, goes on as fruit.” --Dawna Markova A New You

45. Summary ♀ Burnout can be prevented and managed – protect yourself! ♀ Define your own messages in life and live by them! ♀ Session 3 is in July 2010