CPH
The Professional Health and
Wellness of the Medical Student:
Reflections, Self-Awareness, and Discovery
Charlene M. Dewey, M.D., M.Ed., FACP
William H. Swiggart, M.S., L.P.C./ MHSP
Co-Directors, Center for Professional Health
1107 Oxford House
Nashville, TN 37232-4300
Center for Professional Health
Goal
CPH
This session will encourage learners to
reflect on several factors within their lives
that will influence their professional health
and wellness and how these factors and
their self-awareness can help maintain
professional wellness and professional
boundaries.
Center for Professional Health
Objectives
CPH
Learners will:
1. Reflect on their personal characteristics and family of
origin and how these influence their specialty selection.
2. Share their specialty choices and discuss how their
personal characteristics will influence their behaviors in
that career choice.
3. Interpret/value how professional health and wellness
influences boundary and professionalism lapses.
4. Identify their stress triggers and how they respond in
stressful situations.
5. Recognize the behaviors associated with flooding and
select appropriate means for handling flooded colleagues,
teammates, and family members.
Center for Professional Health
Agenda
CPH
1. Introduction
2. Small Group Session #1
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–
–
Self-awareness & personality inventories
Family roles
Specialty choices & hidden curriculum
3. Professional Health & Wellness (large group)
4. Small Group Session #2
–
–
–
Professional health and wellness
Dealing with the flooded colleague/team member
Emotional intelligence
5. Summary & evaluations
Center for Professional Health
Survey Results
CPH
•
•
•
•
N=53 (44%)
Age: 17.5 (ave); 15 (mode); ,5-26 (range)
49 comments; 30(61%) = “help people”
23% = reason changed over time; 76.5%
no change
Center for Professional Health
Survey Results
CPH
• Specialty:
• 23% ped sub
• 23% other
• 12.5% IM sub
•
•
•
•
11 of 16 personality types
I:E ratio is 1:2 (36%=I and 64%=E)
22.6% = ENFJ
37% = divided into: ESFJ, ISTJ & INTJ
(13%,
13%,
Center for Professional Health
11%)
Personality & Careers
CPH
• How old were you?
• A personal story
Center for Professional Health
Self-Awareness
CPH
• Key to emotional
intelligence
• Leads to self-control
Center for Professional Health
Personality Types
CPH
The Sixteen Types
US Population Breakdown
The table organizing the sixteen types was created by Isabel Myers (an INFP).
ISTJ
ISFJ
INFJ
INTJ
11–14%
9–14%
1–3%
2–4%
ISTP
ISFP
INFP
INTP
4–6%
5–9%
4–5%
3–5%
ESTP
ESFP
ENFP
ENTP
4–5%
4–9%
6–8%
2–5%
ESTJ
ESFJ
ENFJ
ENTJ
8–12%
9–13%
2–5%
2–5%
Estimated percentages of the 16 types in the population.[32]
http://en.wikipedia.org/wiki/Myers-Briggs_Type_Indicator (Table copied May 1, 2011)
Center for Professional Health
Family Job Description
CPH
• Family roles





Family Hero
Caretaker/People Pleaser
Scapegoat
Lost Child
Mascot/Clown
• Job title
• Job description
Center for Professional Health
Hidden Curriculum
CPH
• Not part of any printed
curriculum
• Messages we learn
• Contributor or change agent?
• Part of the problem or part of
the solution?
Center for Professional Health
Small Groups 1-4
CPH
Group 1
Group 2
Group 3
Group 4
Dewey, Charlene
Swiggart, William
Rodgers, Scott
Lomis, Kim
Adams, Carmen Michelle
Aisagbonhi, Omonigho Augustina Andresen, Jennifer Michelle
Andrade, Gabriela
Ayers, Katie
Binka, Edem
Apple, Rachel Price
Barnett, Brian Scott
Bergman, Mica Yael
Chiaghana, Chuks
Deery, Sarah
Blanco, Marissa
Choxi, Ankeet
Edwards, Kimberly Ann
Furman, Adrian Arthur
Bourne, Sarah
Cooperstein, Emily
Fuchs, Christian Jan
Gebre-Amlak, Kassatihun
Burjek, Nicholas Edward
Eby, Kathryn Grace
Hanif, Rimal
Gregg, Justin
Chi, Michael
Eskind, David
Hsu, Emory
Hawley, Catherine
Dhulipala, Sravan Choudary
Fritz, Ryan
Knowlton, Peter
Hipp, Dustin Michael
Maston, Emily Elizabeth
Marcovitz, David
Kohorst, Kelly Louise
McConnaughey, Shannon Marie
Musee, Joel
Mariotti, Jolene
Poon, Sabrina
Ovalle, Fernando
Myler, Conrad Spencer
Schulte, Rachael Rae Chase
Ruiz, Rachel
Powers, Albert Russell, III
Wright, Danielle
Sullivan, Billy
Wegner, Adam Michael
Eshaghian, Daniel
Friedlander, David Fallon
Gregg, L. Parker
Hames, Nicole Angele
Lio, Elizabeth
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Allen, Amil
Small Groups 5-8
CPH
Group 5
Group 6
Group 7
Group 8
Cutrer, William B
Logan, Carol Rozear
Rush, Charles
Clark, Nathaniel
Fleming, Amy E
Koehler, Daniel
Ark, Jacob Tyler
Moore, Ryan Davis
Grayson, Britney
Kirlew, Christine Lorraine
Lewallen, James Bradford
Kutaka, Julia Jeanne
Durrani, Alia
Pai, Anita Kochikar
Mistry, Akshitkumar Maheshbhai
Gartland, Matthew Grady
Powers, Albert Russell, III
Lominadze, Zurabi
Opara, Rejoice Ngozi Bless
Hooper, William Blake
Parikh, Ravi
Hungwe, Tendeukai
Pennington, Joseph Daniel
Jermakowicz, Walter John, III
Real, Joe
Schmidt, Alexandra
Shpigel, Adam Arnold
Sopfe, Jenna
Toaz, Erin
Tustin, Aaron Wayne
Vucovich, Megan
Weiner, Ashley
Wilburn, clayton
Woo, Kel Vin
Meenderink, Leslie Michelle
Nathan, Niraj
O'Brien, Nathan Michael
Patrawala, Samit Atul
Perdigoto, Ana
Saboori, Mazeyar
Robinson, Jamie
Sathiyakumar, Asmitha Kathleen
Shih, Grace Chia-huei
Steer, Jonathan
Smith, Jason
Stallings, Shannon
Torossian, Artour
Thurman, Alex
Zackoff, Matthew
Wolf, Michael Seth
Tourjee, Stephen Mankata
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Knadler, Joseph
Martin, Allison
McHugh, Julia
Sandler, Carla
Walls, Morgan Breon
Wurster, Victoria
Zuckerman, Scott Lawrence
Small Group Activities
CPH
•
•
•
•
•
Small groups assigned
Facilitator role
Participant role
10 minute break
Large group
Center for Professional Health
Professional Health & Wellness
CPH
Professional Health and Wellness Spectrum
Work &
Family
Relations
High Functioning
High Productivity
Fair Functioning
Decreasing Productivity
Fair Functioning
Reduced Productivity
Relationships Suffer
Fair-Not Functioning
Fair-Not Productive
Institution & Family Loses
Physical
Mental
Emotional
Spiritual
Stressed
Professionally Healthy
& Well
Coping Mechanisms
Strong
A
B
C
D
E
Burnout
Coping Mechanisms
Failing
F
G
H
Center for Professional Health
Risk of MH issues and
suicide
No Coping
Mechanisms
I
J
K
Maintain Health & Wellness
CPH
Seven Key Personal Areas:
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–
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–
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Sleep
Balanced meals
Physical activity
Socialization
Vacations/down times
Spiritual engagement
Have a physician
Center for Professional Health
Six Sourc
1. Work
2. Lack
3. Insuff
4. Unfai
5. Break
comm
6. Value
Vanderbilt Center for
Professional Health
CPH
Continuing Medical Education Courses
Prescribing Controlled Drugs©
Maintaining Proper Boundaries©
Program for Distressed Physicians©
www.mc.vanderbilt.edu/cph
Center for Professional Health
Course Demographics
CPH
Courses
N
Ave Age
Sex
Distressed
76
48
Boundaries
504
41
5% F
95% M
Prescribing
661
50
11% F
88% M
Total
Distressed
12% F 88% M
1241
Boundaries
Prescribing
IM subspecialties*
IM/FP
IM/FM
IM/FM
Psychiatry
Psychiatry
OB/GYN
Surgery
Surgery
Surgery
OB/GYN
ER
*(interventionalists)
Center for Professional Health
Flooding*
CPH
• “This means you feel so stressed that you
become emotionally and physically
overwhelmed…”
• “Pounding heart, sweaty hands, and
shallow breathing.”
• “When you’re in this state of mind…you
are not capable of hearing new information
or accepting influence.”
*John M. Gottman, Ph.D. The Relationship Cure, Crown Publishers, New York, 2001, 74-78.
Center for Professional Health
CPH
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Which person is flooded?
CPH
Center for Professional Health
CPH
DRAN
Center for Professional Health
Describe
CPH
• Describe the other person’s behavior
objectively
• Use concrete terms
• Describe a specified time, place &
frequency of action
• Describe the action, not the “motive”
Center for Professional Health
Reinforce
CPH
• Recognize the other person’s past efforts
Center for Professional Health
Assert Directly & Specifically
CPH
•
•
•
•
Express your feelings
Express them calmly
State feelings in a positive manner
Direct yourself to the offending behavior,
not the entire person’s character
• Ask explicitly for change in the other
person’s behavior
Center for Professional Health
Negotiate: Work Towards A
Compromise That is Reasonable
CPH
• Request a small change at first
• Take into account whether the person can
meet your needs or goals
• Specify behaviors you are willing to
change
• Make consequences explicit
• Reward positive changes
Center for Professional Health
Emotional Intelligence
CPH
Five components of emotional intelligence:
1. Self-awareness
2. Self-regulation
3. Motivation
4. Empathy
5. Social skill
Center for Professional Health
Summary
CPH
• Reflection
• Self-awareness
• Discovery
Center for Professional Health