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Physician Health and Wellness:Loving Ourselves is a Revolution!#FMRevolution #AAFPWellbeingKay Durst, MD,FAAFP
Learning objectives:1.How do we define burnout and What we can do to help prevent burnout.2. Why does it matter? The cost of burnout.3. Understand what the American Academy of Family Medicine is doing tohelp prevent physician burnout.4. To give resources to use for ourselves and our peers to help preventburnout.
Family Medicine RevolutionFamily Physicians are HeroesEvery Hero has an origin storyAnnual of Medicine - Jan 23,2017The Heroism of Incremental Care!
No financialDisclosures
Loving ourselves is the new revolution!#Physicianselfcare
Triple Aim to Quadruple Aim1.Better Care2.Better health3.Lower costs4.Better Care of health TeamUsing Evidence-Based Approaches andprogramsEvidenced-Based Best Practices
Our Stories Kay Durst, MD, FAAFP3rd generation Family Medicine DoctorMUSC Medical SchoolUniversity of Florida InternUniversity of Miami ResidencyEmployed had own practice employed againMarried two kids, dog, two cats, fishLived in Thailand, Atlanta, Chicago,France,Puerto RicoBeen involved in the Academy for many yearsCovid 2020- April fools
Optimist/ PessimistThe Twins Story!How do we get out of this?How do we get out of thisM .?
Do something about it .
Burnout- The Great MasqueraderThe Many Faces of burnout. –Some hiddenRecognizing Burnout 1.Emotional fatigue/Disengagement2.Callousness/cynicism3.Poor Performance4.Overwhelming exhaustion5. Turn to alcohol,drugs, family strife, divorce,suicide6. Anxiety/Depression
Hidden Mask
BurnoutReport from 2021- Medscape Family MedicineNearly half reported burnout1-10 was thinking of leaving medicine15 % of thought of suicide and 1% have attemptedGreatest RisksYounger than 55,Female, Child under 21,Spouse/partner not in medicine,lackof leadership
Women physicians
Cost of Physician Burnout.
-Epidemic of BurnoutWe are our greatest asset Annals of Internal Medicine- June 2019-Conservative base model 4.6 Billion in costs related tophysician turnover and reduced clinical hours1. 1.5 million or more to replace a physician2. Cost to patient outcomes etc
Improving our well-beingImproves patient care and outcomes
Covidand the Pandemic-Changed the playing field.Worried about ‘’’’A.Ourselves-B. Our FamiliesC. Our kidsD.Our JobsE.Our HealthF.Our PatientsG. Our tools -PPE, Etc .
The Vaccines, Testing, Treatment
Microaggressions Causing BurnoutRacial Tensions,Economic Tension, Political TensionsLeading Well-being in Diversity, Inclusion and EquityCultures - Leading to more open discussions
Question- ?Have you been concerned about burnout in a colleague?Have you been concerned about burnout in yourself?What word describes what you have observed insomeone who is burned out?
Covid brought on more Burnout/Silver LiningsTurning Challenges into Evidence-Based Opportunities
Shift In Mindset
Physician Well-being
Change begins with meWork-Life BalancePrioritize my well-being to care for othersWhat well-being activities are you doing for yourself?Dr. Catherine Pipas- Papers
AAFP - What are we doing about it?1. AAFP- Wellness Conferences- since 2018.2. Health First initiatives and website Dr. Catherine Pipas - MUSC graduate3. Physician Wellness Scholars - 2021- 2022 Ambassadors4. Many Articles about Wellbeing5. Health initiatives
Rise of Wellness Initiatives in health CareNational Data support effective well-being Champions and wellness programsTaking Action against clinician Burnout - Many articles in National AcademiesPress, AAFP, JAMAWellness CommitteesBuilding 5 ps- People,Purpose,Products,Processes,Policies
Well-being InstrumentsMaslach Burnout Inventory MBIWell-being Index(Mayo)Professional Fulfillment Index( PFI)Warwick-Edinburgh Mental Wellbeing Scale
Health First Initiatives1. Physician Health First2.3.4.5.Your health before all else - Physician heal thyself!Creating a culture of Well-beingIncrease Joy in PracticePractice Self care6. Suicide Prevention and Emergency Help
Creating a Culture of Well-being1. Design a Practice that Supports you.2. Learn to Lead, get involved.3. Enhance practice culture and leadership skills.
Increase Joy in Practice1. Reducing administrative burden2. Practice improvements3. Habits to reduce workload4. Shift mindset
Practicing Self Care1. Mindfulness2. Healthy Lifestyle3. Reduce Stress
AAFP - Wellness ConferencesLectures-
AAFP ConferenceSince 20181. Lectures- 2 . Activities
Wellness is a Journey not a destination
Leading Physician Well-Being Scholars1.2.3.4.5.6.7.8.Work throughout the yearApply through AAFPWork on projects and small groupsLearn leadership skillsWork with leaders in the AAFPWell-being AdvocacyPerformance ImprovementLeadership Development
2022 AAFP Scholars - Home Group 3
Tools Learned LPW ScholarsGoal-SMART- Specific,Measurable,Achievable,Relevant, TimelyPHIP- Personal Health Improvement PlanSWIP-System-level,Well-being,Improvement, Projectwww.MYPHIT.org - My Personal Health Improvement Tool(PHIT)www.aamc.org/wellbeing- Ass of American Medical Colleges
Whole Brain Training and Mindshift
Quick YogaYoga in our chairsDeep breaths count to5. In and outMove neck around,Stretch upSide to side.
Elephant in the room
Heartache to TriumphWhat Has Changed to Help !
Dr. Lorna Breen-ER Physician at NY PresbyterianHospital- director.-In 2020, in three weeks,Lorna treated confirmedcovid patients, got covid, whileTreating others-400 physicians die each yearby suicide.Female physicians higher than males
H.R. 1667 #LornaBreenLawDr. Lorna Breen Health CareProvider Protection Act In honor of the physician from VA,who died by suicide in April 2020. Passed Feb 17, 2022.To establish training grants to educate :-Health care providers on mental health conditions,substance abuse and suicideprevention along with behavioral health treatment and peer support prograams.-Campaign focused on encouraging health care workers to seek support andtreatment.-Dr. Lorna Breen Foundation- www.drlornabreen.org
Physician Suicide - Help is hereHelp Is Here. You Are Not Alone.Are you or someone you know having suicidal thoughts? Confidential help andsupport are available 24/7.Get Emergency Help.If you are in crisis or thinking about hurting yourself, call the National SuicidePrevention Lifeline: (800) 273-8255. The Lifeline is free, confidential, andavailable 24 hours, seven days a week.Text- HOME to 741741- to connect with a crisis CounselorStarting July 16,2022 dial - 988September 17- National Physician Suicide Awareness Day
Resources and Help on our way
Physician Wellness and Well- Being
Increasing Joy in Practice/Joy in MedicineAdd Plants and flowers to your officeHuddle with groupsYoga in minutesLunch BreaksMusic while chartingComfy Chair/ grab your tea.Start with gratitude
Engage Patients1.Put books in exams rooms -such as Mediterranean book, mindfulness2.Encorporate culinary medicine3. Chef Coaching4. Exercise with your patients Walk with the doc - sponsor runs5. Get involved in community March of Dimes, Red Cross, Docs Adopt,School health initiatives6. Gardens7. Shop in farmers market
Lifestyle MedicineAmerican College of Lifestyle Medicine -- Nutrition- Evidence based Practical approach to chronicdisease prevention and treatment.- Physical activity- Stress management- Sleep and health- Avoidance of risky substances- Positive social Connection- Blue Zones- Adding culinary medicine/Lifestyle medicine to medicalcurriculum
Culinary MedicineGardens-HerbsBlue zonesNo processed foodsMore Fruits and vegtables
Cooking classesChef Coaching/ Harvard.
Journal of FamilyPracticeA. Factors affecting the-Pillars of Lifestyle medicineB. Power and Practice ofLifestyle Medicine in ChronicDiseaseC. Lifestyle Medicine Practice
Golden Nuggets1.Coaching-2. Podcasts3.Balint Groups4.Journaling/Books5.Facebook groups6. Join Medical societies
Golden Nuggets/Coaching1.2.3.4.5.Evidence Group Coaching Coaching and mentoringwww.thehappymd.comCleveland Clinic/Coaching
Podcasts! Golden Nuggets1.Entre MD- Dr. Una2. Doctors changing Medicine3. The Prospective Doctor4. Empowering Women Physicians-Dr. Sunny Smith5. Wealthy Mom MD- Dr. Bonnie Koo6. Born to Heal- Dr. Katie Deming7. The Passive Income MD- Dr. Peter Kim8. The Physician Philosopher Podcast- Dr. Jimmy Turner
Golden Nuggets /Balint Groups1.2.3.4.Evidence -basedAmerican Balint Societywww.americanbalintsociety.orgCreated in 1950s set up school
Golden Nuggets/Journaling- Books1. Journaling2. Narrative writing3. The Mindful Self-Compassion Workbook- Neff- Germer4. A Doctor's Dozen -Dr. Catherine Pipas5. Stop Physician Burnout - Dr. Dike Drummond6. Other Books
Journal—-2 minutes to write -The Blue Pitcher!Solid,StrongBringing in Life,Bringing strengthThe right weight soAs to feel it in your handThe right size as to holdA few cups of lifeThe water pouring outSo Heavenly to’The glass thatBrings moistureTo the lips in theTime of Covid 19 and solitude!KD
Family Medicine RevolutionDDrDr. Dr rDr. Dr
Golden nuggets/Grassroots movements-Look at facebook/Twitter / Instagram /Ways to connect-Physician Moms Group- 135,000Physician Moms in Family MedicineHoly City PMGDoc to doc rentalEmpowering Women PhysiciansLeverage and AcceleratePhysician for Patient ProtectionAAFP/SCAAFPSocial Media Ambassador- AAFPDr. Jay Lee #FM Revolution
Golden Nuggets/Medical GroupsJoin local medical societiesStart book clubsHave Women in medicine groupsGet involved with the AAFPState level and national levelAdvocacy and LeadershipClosing the Gap in Healthcare-Dr. Thaddeus BellLowcountry Jazz Festival - Sept -3-4
Today is .
Laughter is the best Medicine
Kay Durst, MD, FAAFPkaydurst@yahoo.com306 Station 22 ½Sullivans Island, SC 29492Thank - you!
ResourcesAnnual of Medicine - Jan 23,2017The Heroism of Incremental Care!Annual of Medicine - Jan 23,2017The Heroism of Incremental Care!MAny
Many thanksThanks to all the Faculty at AAFP And Scholars - Many articles and presentations and books andmentoringMark Greenawald,MD,FAAFP,DABFMJay W. Lee,MD,MPH,FAAFPHeather Woods, AdminJason Marker,MD,MPH, FAAFPPaquita Turner, AdminBeth Polk,MD,FAAFP(RYT-500)Kerrie Brisco ,AdminKim Yu,MD,FAAFPHusband, Kids,Mom , and DadJoedrecka Brown Speights,MD,FAAFPMany patients that has been an honorCatherine Pipas,MD,MPH,FAAFPSterling Ransone,Jr.,MD,FAAFP-PresidentDike Drummond, MD,CEOSunny Smith, MDMargot Savoy, MD, MPH,FAAFP,FABC,Hala Sabry,MD,MBABelinda Fu, MDJay Winner, MD,FAAFP
1.Put books in exams rooms - such as Mediterranean book, mindfulness 2.Encorporate culinary medicine 3. Chef Coaching 4. Exercise with your patients - Walk with the doc - sponsor runs 5. Get involved in community - March of Dimes, Red Cross, Docs Adopt, School health initiatives 6. Gardens 7. Shop in farmers market
