Faculty Wellness Program

Donald Girard, M.D.

Sydney Ey, Ph. D.

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

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

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.

Dr. BillA 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. MarthaWas 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. JasonHighly 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 PracticeBurnout 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 EE22-93% moderate to high DP16-79% 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 areHardiness “can deal with whatever comes”Persistence “can stay focused under

pressure”

Faculty Wellness Program

School of Medicine primary faculty (o.5 FTE)

Coaching or CounselingPersonal or Professional concernsAccessibility: Private location on the hill

Time: Morning and evening appointments

Cost: Our services are free

Faculty Wellness ProgramConfidentiality: No Epic/OHSU Medical record No insurance is billed for our servicesFuture Disclosure: Wellness

coaching/counseling—not reportable in OregonHowever, 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

To make an appointment:

Contact Mary Moffit, Ph.D Email: moffitm@ohsu.edu Pager : 1-2047 Voice-mail: 4-1208 Urgent/ After Hours: (503) 330-7880

Other RWP Providers: Mark Kinzie, M.D., Ph.D. Email: kinziem@ohsu.edu pager: 1-4559 Sydney Ey, Ph.D.: Email: eys@ohsu.edu pager : 1-1291

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

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/