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Faculty Wellness Program. Our mission is to enhance the well-being of faculty with coaching and counseling services. Donald Girard, M.D. Sydney Ey , Ph. D. Mark Kinzie , M.D., Ph.D. Mary Moffit , Ph.D., R.N. OHSU Faculty Wellness Program was developed by

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Faculty Wellness Program

Our mission is to enhance the well-being of faculty with coaching and counseling services.

Donald Girard, M.D.

Sydney Ey, Ph. D.

Mark Kinzie, M.D., Ph.D.

Mary Moffit, Ph.D., R.N.

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.


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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?


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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?


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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?


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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


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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


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Resilience: A Common Phenomenon Practice

  • “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


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What are your strengths? Practice

  • 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


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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?


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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”


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Faculty Davidson, 2003)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


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Faculty Wellness Program Davidson, 2003)

  • 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


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“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


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OHSU is not impaired by his or her illness. The Board’s intention is to encourage physicians to seek treatment in a timely manner.” Faculty Wellness Program

http://www.ohsu.edu/faculty-wellness/

  • To make an appointment:


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TEN STEPS TO RESILIENCE is not impaired by his or her illness. The Board’s intention is to encourage physicians to seek treatment in a timely manner.”

  • 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


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Discussion of an Action Plan is not impaired by his or her illness. The Board’s intention is to encourage physicians to seek treatment in a timely manner.”

  • 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/


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