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An Emergency Medicine PowerPoint Presentation

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Published on : Jan 08, 2015
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Slide 1 -

Julie Welch, MD Department of Emergency Medicine Indiana University School of Medicine IU Health - Methodist Hospital EMTC jlwelch@iupui.edu Work-Life Integration

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Work-Life Integration Outline: Why does it matter? Defining “Work-Life” Developing your Work-Life Integration Strategy Tips and Tools

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“Balance” “Integration” Feeling derived from being whole and complete Avoid viewing it as a scale of taking from one to give to another Creating harmony in your life Cultivating the areas of your life that are truly important Mixture of… Work-Life “Balance” & “Integration”

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Why does it matter? Workplace culture is changing Major recruitment and retention issue Research: Work Life Balance is a Priority

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Why does it matter? Workplace culture is changing Gender divide is narrowing : workforce 50% women More dual-career couples Shared child/family care responsibilities Generational issue no longer Early career physicians want predictability Phased retirement

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Why does it matter? Workplace culture is changing Major recruitment and retention issue Flexibility is #1 issue to keep good talent Schedules Work Life Policies (Family leave, childcare, elder care, benefits…)

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Why does it matter? Workplace culture is changing Major recruitment and retention issue Work Life Balance is a priority Theme of needs assessments of students, residents, faculty

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Do physicians succeed at work-life balance? Failure of work life integration leads to: STRESS Spillover Crossover Physicians are at higher risk of: Divorce Substance abuse Depression/ Anxiety Domestic Violence

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Career Satisfaction: 79% Work-Life Balance Satisfaction: 37-48% Career/ Life Satisfaction (3 studies of 8,094 physicians total)

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Career Satisfaction: 79% Work-Life Balance Satisfaction: 37-48% Factors that were NOT strong predictors of career satisfaction, work-life balance, or burnout: Gender Age Specialty Career/ Life Satisfaction (3 studies of 8,094 physicians total)

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Career Satisfaction: 79% Work-Life Balance Satisfaction: 37-48% + predictors: Control over schedule Working part time <40 hr/wk Married, partnered Having children - predictors: Working full time >40 hrs/wk Divorced/separated Career/ Life Satisfaction (3 studies of 8,094 physicians total)

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Career Satisfaction: 79% Work-Life Balance Satisfaction: 37-48% + predictors: Income Academic career - predictors: Working > 50hr/wk Full owner practice Reliance on managed care Uncontrollable lifestyle + predictors: Control over schedule Working part time <40 hr/wk Married, partnered Having children - predictors: Working full time >40 hrs/wk Divorced/separated Career/ Life Satisfaction (3 studies of 8,094 physicians total)

Slide 14 -

What does “Work-Life” mean to you? “WORK” Career Activities Consider areas of: Patient care Education Research Service “LIFE” Relationships Personal well being Physical Mental Spiritual Hobbies/ Passions

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WORK: My Emergency Medicine Career EM physician level one trauma center Academic faculty at a medical school Primary patient care Educate Scholarship Service Mentor Fellowship Dean’s Office of Faculty Development

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WORK: My Emergency Medicine Career Other EM opportunities during my career:

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Academic EM Physician’s Typical Month 12-16 shifts in the Emergency Department Serve on committees Lecture to students and residents Simulation Medicine Lab instructor Attend Grand Rounds & Journal Club Mentor students and residents Write monthly evaluations Scholarship – research, writing, etc…

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Academic EM Physician Emergency Department physician roles Direct patient care Bedside teaching of students and residents Coordinate patient transfers into ED (EMS, life-flight services) Oversee department flow

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LIFE: My Other “Career” Relationships Dual physician marriage (to an EM physician) Mother of 2 busy boys Sister, aunt, and daughter Network of friends, mentors, mentees Personal well being musician, exercise, travel, cooking, church

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“Work Life Integration” factors: Work- Life

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Understand what motivates you? 3 elements: Autonomy Mastery Purpose

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First, understand what motivates you? 3 elements: of inherent satisfaction in what we do that lead to professional and personal success Autonomy Over task (what you do) Over time (when you do it) Over team (who you are with) Mastery Engagement produces mastery –becoming better at what matters It is a mindset It requires the capacity to see your abilities not as finite, but as infinitely improvable Mastery is a pain – demands effort, grit, and deliberate practice It is impossible to fully realize – simultaneously frustrating and alluring Purpose By our human nature we seek purpose – to make a contribution and to be a part of a cause greater and more enduring than ourselves

Slide 23 -

Develop your own plan: Individual Development Plan & Work-Life Integration Strategy Tools for Planning, Inspiring, and Integrating your Professional & Personal Goals

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IDP & Work-Life Integration Strategy Complete annually “SMART” (assess viability) Share with mentor/ spouse Reflect on advice Actively implement Follow progress and revise

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Planning worksheet exercise: “Opportunity is Knocking” Tool to objectively evaluate a new opportunity

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10 Work Life Integration Tips

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Work-Life Integration Tips Focus on your values and priorities. Make an Individual Development Plan Set and know your limits and boundaries With a new opportunity – don’t say “yes” immediately Protect your time

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Work-Life Integration Tips 2. Hone your time management skills. Find your time wasters Utilize all available time (listen to audio CME on drive)

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Work-Life Integration Tips 3. Get ORGANIZED! Keep a “TO DO” list, Prioritize, Retrograde plan Email Strategy Empty inbox (4 D’s – do, delegate, delete, decision) Schedule time vs on-the-go phone/ipad (limit 2-3x day) Turn off interrupting dings

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Work-Life Integration Tips 4. Find a “usable” calendar system. Easy, sharable, real-time, integrative Share it with family and caregivers Plan your vacations/ personal/ family time in advance Schedule time for yourself (exercise, spa, writing)

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Work-Life Integration Tips 5. Establish a mentor network. At work Career guidance, advice, sponsorship, skill acquisition At home make friends with other families in your neighborhood.

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Work-Life Integration Tips 6. Double Dip. With every project, find a second goal it could satisfy. Turn a lecture or program into scholarship Combine the activities you love with your family/friends.

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Work-Life Integration Tips Know the Work-Life Policies of your employer. Family Leave policies Part-time policies / flexibility in scheduling Childcare options (on-site, back-up sick care) Academic center – promotion and tenure clocks

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Work-Life Integration Tips Cultivate relationships with family and friends. Family time, date-night, & “no electronic” times With your partner : communication is the key! Be accountable to someone in your life (mentor, spouse, friend)

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Work-Life Integration Tips 9. Invest in Family/Home Responsibilities. Foster teamwork – coordinate/ delegate activities and chores. Find reliable childcare and have backup. “Hire it done!” (house cleaning, yard work, food delivery) Keep numbers for home/car repairs accessible.

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Work-Life Integration Tips Build Healthy Personal Habits. (physical, mental, spiritual well-being) Exercise, eat healthy, sleeping habits Read, relax, hobby, music Let go of guilt & maintain a sense of humor!

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Work-Life Integration Tips Focus on your values and priorities Hone your time management skills Get ORGANIZED Find a “usable” calendar system Establish a mentor network Double Dip Know the Work-Life Policies of your employer Cultivate relationships (family and friends) Invest in Family/Home Responsibilities Build Healthy Personal Habits (physical, mental, spiritual well-being)

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You can have a successful, satisfying career and life by doing what you love! Work-Life Integration Tips

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Doing What You Love: EM Career Benefits Work is work, home is home Don’t take call No office overhead Job Security (there are always medical emergencies) Mobile (don’t have to re-establish patient practice) Ability to cut back and work part-time Changing needs (child rearing years, graduated retirement) Flexible Scheduling Advanced scheduling Shift work variety

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jlwelch@iupui.edu Questions:

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