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.

Donald Girard, M.D. Sydney Ey, Ph. D. Mark Kinzie, M.D., Ph.D. Mary Moffit, Ph.D., R.N.

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?

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?

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?

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 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) (Chopra et al., 2004) 46-80% moderate to high EE 22-93% moderate to high DP 16-79% moderate to low PA

Similar burnout rates among physicians in practice

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 of depression, anxiety, neuroticism

Resilience is not just the opposite

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 nowperhaps 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 are
Hardiness can deal with whatever comes Persistence can stay focused under pressure

Faculty 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

Faculty Wellness Program

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

No restrictions are placed on a license if a physician is not impaired by his or her illness. The Boards 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

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

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

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/