Thriving Through Change. Choosing Resilience. Wayne M. Sotile, Ph.D. Founder Center for Physician Resilience Davidson, North Carolina

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1 Thriving Through Change Choosing Resilience Wayne M. Sotile, Ph.D. Founder Center for Physician Resilience Davidson, North Carolina Special Consultant in Behavioral Health Sanger Heart and Vascular Institute Carolinas Health System Charlotte, North Carolina The Two Most Important Questions Who are you to the ones you love and work with How happy are you? 1

2 The Challenge? Toxic Stress High Demand Low Control Low Support Choosing Resilience Use Realistic Coping Roadmaps Counter Hassles with Uplifts Honestly Assess Yourself Deepen Your Relationships 2

3 Realistic Roadmaps Crucial Cross-Correlations: Work Outcomes Quality of Collaboration Career Satisfaction Your Family s Satisfaction with You Your Happiness Sotile W.M. & Sotile M.O. The Resilient Physician. AMA Press, 2002 Sotile W.M. & Sotile M.O. Letting Go of What s Holding You Back. Harry Abrams, 2007 Who Becomes a Physician? Does Medical Training Hurt? 3

Emergency Medicine Internal Medicine - General Neurology Family Medicine Otolaryngology Orthopedic Surgery Anesthesiology Burnout by Specialty Obstetrics and Gynecology Radiology Physical medicine

Shanafelt, Boone, Tan, Drybe, Sotile et al.

2012; 172(18):1377-85 Does Physician Burnout Matter? Burnout adversely affects quality of care Wallace JE et al. Lancet. 2009;374:1714-21 Medical Errors Williams ES et al. Health Care Manage Rev.

4 Emergency Medicine Internal Medicine - General Neurology Family Medicine Otolaryngology Orthopedic Surgery Anesthesiology Burnout by Specialty Obstetrics and Gynecology Radiology Physical medicine and Rehab Average Burnout All Physicians Participating General Surgery Internal Medicine Subspecialty Ophthalmology General Surgery Subspecialty Urology Psychiatry Neurosurgery Pediatric Subspecialty Shanafelt, Boone, Tan, Drybe, Sotile et al. Other Radiation Oncology Pathology Pediatrics - General Dermatology Prev Med/Occupat Med/Enviro Med % Reporting Burnout Arch Intern Med. 2012; 172(18): Does Physician Burnout Matter? Burnout adversely affects quality of care Wallace JE et al. Lancet. 2009;374: Medical Errors Williams ES et al. Health Care Manage Rev. 2007;32: Firth-Cozens J & Greenhalgh J. Soc Sci Med. 1997;44: Shanafelt TD et al. Ann Intern Med. 2002;136: Medical Malpractice Suits Jones JW et al. J Appl Psychol. 1988;73: Patient Compliance DiMatteo MR et al. Health Psychol. 1993;12: Patient Satisfaction Linn LS et al. Med Care. 1985;23: Haas JS et al. J Gen Intern Med. 2000;15: Medical Family Discord Sargent MC, Sotile WM, Sotile MO, et al. J of Bone and Joint Surgery ;

5 Biggest Risk of All? Us Them Choosing Resilience Use Realistic Coping Roadmaps 1. Unrealistic Relationship Expectations 2. Burnout & Psychosocial Distress 3. Us/Them Honestly Assess Yourself 5

6 What Holds Us Back? Mental Maps We grossly overestimate the importance of what we do know the familiar, and underestimate the importance of what we don t know the unfamiliar. Are You At Risk for Burnout? Emotional Exhaustion Depersonalization Personal Accomplishment 6

7 Keys to Resilience Little changes make big differences What are Your Stress Symptoms? Body symptoms Emotions Thinking Behaviors Interpersonal Contrast is an Antidote 7

8 Choosing Resilience Use Realistic Coping Roadmaps Counter Hassles with Uplifts Honestly Assess Yourself Moving to Resilience The Crucial Relationship: Daily Hassles Daily Ulifits Letting Go of What s Holding You Back! 8

9 Correlates of Burnout Among IM Physicians IM Faculty; N = 465 Want to Risk of Burnout? Spend at least 20% of Your Time Working on Most Meaningful Aspect of Your Work Shanafelt TD et al. Arch Int Med. 2009;169(10): Protection from Burnout Don t Ignore the Obvious Make time for.. 1. Exercise 2. Hobbies Meditate Limit Alcohol Use -Sargent MC, Sotile W, Sotile MO, et al. Stress and coping among orthopaedic surgery residents and faculty. J Bone Joint Surg Am. 2004;86-A: Sargent MC, Sotile W, Sotile MO, et al. Quality of life during orthopaedic training and academic practice. Part 1: orthopaedic surgery residents and faculty. J Bone Joint Surg Am. 2009;91:

10 Choosing Resilience Use Realistic Coping Roadmaps Counter Hassles with Uplifts Honestly Assess Yourself Deepen Your Relationships Reflect on How We are Working Together 10

11 THE Self Management Self-Awareness.. Self-Regulation.. Motivation.. Relationship Skills Empathy.. Influence Skills.. Hero A hero is someone who creates safe spaces for other people The Resilient Physician. Sotile & Sotile,

12 When you end a dysfunctional legacy, you justify your lifetime. Wayne & Mary Sotile. Letting Go of What s Holding You Back! 2007 Stay Curious About Each Other Get Family Buy-in for Your Hard Work Re-think Balance Good Work is Good for Families! 12

13 Choosing Resilience 1. Protect Your Happiness 2. Use Realistic Road Maps 3. Focus on Uplifts 4. Believe in Something Bigger 5. Accept the Call to Character 6. Manage Your Coping Style 7. Rethink The Balanced Life 8. Embrace Good Work 9. Deepen Your Relationships 10. Be a Hero Keys to Resilience Let Go of New Age Guilt Re-Think Balance Work Family Self Intimate Relationship 13

14 Thank You! Wayne Sotile, Ph.D /

Wayne M. Sotile, Ph.D.

Letting Go of What s Holding You Back! How to Thrive During Challenging Times wsotile@attglobal.net Wayne M. Sotile, Ph.D. Founder, and Sotile Psychological Associates Winston-Salem, NC and Special Consultant