1. Wellness Program Retreat
December 5, 2017

2. Goals & Your Expectations
What are your goals as a participant in this program?
PLEASE COMPLETE NEEDS ASSESSMENT IN YOUR FOLDER

3. Objectives of the Retreat
1. Introduce the program
2. Meet & Greet
individual & group goals
3. Review GME website resources
4. Review concept of resilience and ways to enhance resilience as a physician
5. Practice a mindfulness exercise

4. Wellness Champion Expectations
1 year commitment to the Program
Attend the kick-off retreat and quarterly evening program meetings
Be a liaison to programs and residents on wellness initiatives
Communicate and disseminate resources to programs
Promote professionalism and Just Culture at our institution
Champion efforts to improve wellness across the School of Medicine
Engage with GME and hospital leadership in assessing the outcome of wellness initiatives

5. Meet & Mingle Why are you here?
devise a goal and how to put it into practice

6. What is resilience?
resilience is one’s capacity to cope with stress and stressors within his/her environment and the ability to interact in a manner to promote personal well-being. Attainment of effective coping skills as a powerful survival method is a defining characteristic of a resilient individual.
the ability of a substance or object to spring back into shape; elasticity.

7. Eley, D. S. , Cloninger, C. R. , Walters, L. , Laurence, C
Eley, D. S., Cloninger, C. R., Walters, L., Laurence, C., Synnott, R., & Wilkinson, D. (2013). The relationship between resilience and personality traits in doctors: implications for enhancing well being. PeerJ 1 e216.
Eley et al, 2013

8. What is resident burnout?
"loss of enthusiasm for work, feelings of cynicism, and a low sense of personal accomplishment." 
As defined by Mayo Clinic/AMA study
A syndrome of emotional exhaustion, depersonalization, and feelings of decreased personal accomplishment
2014 study: U. North Carolina 70% of residents with burnout. Correlation with depression 31% of those with burnout had depression; 51% reported depression during residency

9. Burnout by Specialty
Medscape Lifestyle Report 2016: Bias and Burnout

10. Depression in Physicians
15-30% in medical students and residents, despite equal prevalence at the beginning of med school
Relative risk of suicide: 1.1 and 3.4 for men and to 5.7 for women physicians
Depression and suicide among physicians
Current Psychiatry April;10(4):16-30
Bright & Krahn, 2011

11. Red Flags for Depression
Social isolation
Increased substance use
Decreased self care
Comments about harm to self/others
Loss of sense of purpose; decreased interest and functioning at job, home, hobbies
Absences

12. Resilience Factors Realistic optimism Facing fear Moral Compass
Spirituality/Religion
Social Support
Role models
Exercise
Cognitive & Emotional training
Cognitive & Emotional Flexibility
Find your purpose
the ability of a substance or object to spring back into shape; elasticity.
Resilence: The Science of Mastering Life’s Greatest Challenges Drs. Southwick and Charney

13. Resources APA Wellness with Self-assessment ACGME Wellbeing resources
Books
Websites

14. Mindfulness Practice
UCLA Guided Meditation

15. Thank you.
Be Well!
Next Meeting: