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Tonya L Caylor, MD, FAAFP is a family physician and an academic physician coach in Anchorage, Alaska with 23 years of clinical and academic practice. She owns and runs Joy in Family Medicine Coaching Services ® which partners with family medicine residency programs to help residents, faculty, and recent graduates enjoy all of life and thrive in their chosen careers.

In this episode she describes the 3 stages of her RESET: burnout, recovery, and coach training and practice. She outlines the fullness of her recovery phase, details what in the practice she joined made it work, and reveals what helped her re-learn to enjoy the practice of medicine. She talks about her experience with coaching family medicine residents and faculty and the lightbulb moments she sees. Lastly, we dive into what it takes to change the culture of medicine.

Pearls of Wellness Wisdom:

1. Point your brain in the direction you want to go.

2. Figure out what self-care looks like for you and don't let yourself down.

3. Take time to reflect.

More ways to find Dr Caylor:

www.joyinfamilymedicine.com

joyinfamilymedicine@gmail.com

www.joyinfamilymedicine.com/blog

https://www.facebook.com/joyfmcoaching/

https://www.linkedin.com/in/tonya-caylor-md-faafp-b74a04158/

https://youtube.com/@academicmedicinecoach

Meet Momin Taherkheli - An upbeat, full of life and brilliant student whose life was turned upside down by transverse myelitis. Momin was born in Pakistan and came to Kansas City with his parents when in elementary school and since then, this community has been his home. A straight A student, an athlete and a wonderful brother and son, he vividly remembers the day that completely changed his life. He went from playing basketball to not being able to move his limbs in the span of a few hours. He always wanted to be a physician because his father was one and growing up he thought physicians were well respected, took care of people and were humanitarians and that was embedded in his psyche. But having to experience every facet of healthcare while being on the p[patient side of things really solidified his resolve. Momin had thought doctors knew EVERYTHING and realized that it was not the case but, it was OK not to know everything and yet be passionate about one's career.

Momin strongly credits his positive attitude and composure for his recovery and being able to fulfill his dream. The times when he was in the hospital but still working on his test scores, medical school applications etc., happened because he knew where he wanted to be. He believes that if you can envision where you need to be, your body and mind leads you to that. They almost conspire to make it happen. He credits his tenacity to the people around him, his family, friends and community. He states his strength that he exhibited was a reflection of their love and support.

Momin blew me away in this interview with how much good he sees in people and how much gratitude he felt even when the odds were all against him. His spirituality and faith have been instrumental in having him succeed in his journey.

MOMIN'S PERALS OF WISDOM:

KNOW your PURPOSE before you enter medical school. Your "why" is important all throughout your journey.

To be happy in life, look at those who are less fortunate than you, to better yourself and to improve, look at those who are better than you. This leads you to a state of gratitude and hunger at the same time.

One can find happiness in the smallest things in life. A touch, a smell and every breath are all joy.

Momin says NEVER to be afraid of asking for help. 

Knowing your limitations is an IMPORTANT skill 

There is no end to gratitude.

Find mentors early on and be honest with them!

Life is a Gift, cherish it.

Meet Tara, a student at one of the highly competitive, full tuition provided, medical schools. She shares her experience of navigating the realities of "all expenses covered medical education." 

Tara might have chosen differently had she understood what being a part of a very small group and an even smaller minority student group, meant. Tara shares her struggles with home sickness, acclimatizing to a culture that was vastly different than what she grew up with and trying to find community and build trust while feeling scrutinized through a biased lens. She uses powerful language like " Burnout of the soul" which really got me thinking deeper and left me wanting to do a lot more to support my students.

She goes on to tell us how medical school is hard enough and trying to navigate and figure out who really cares about you and is in your corner can be really hard on students. the institutions should be in our corner and support us whether we are the top 1 percent or not. That is really their responsibility and duty. She talks about her frustration with DEI measures in medicine being "surface level” and that intentionality and true change can only occur when people can have real conversations without fear of reprimand and when those in power are held accountable for their actions. 

Tara believes that Introspection is important for well being. Enjoy the good and see what you need to do about the bad. Make those changes intentionally and early on so you are not wasting precious time and resources. Medical education of the future needs to extend the same benefit of doubt as is given to the faculty/ higher ups. Right now, the hierarchal system is causing the most damage imaginable.

TARA'S PEARLS of WISDOM for STUDENTS:

Chasing perfection sets you up to fail. 

Not every classmate can create a safe space for you.

Its OK to look through your worst case scenario and If you are OK with it, you should be at peace. 

Find happiness outside of accolades and remember what all there is to love and be grateful for outside of medicine

Remember that you are a good person and don’t deserve bad things to happen to you

FOR FACULTY AND ADMINISTRATION:

Nurture mistakes so students can learn from them. 

Be honest with your students, it helps build trust.

Let students have realistic expectations, but support them regardless.

Meet Sahana Shiggaon, a medical student graduating from the University of Missouri Kansas City- School of Medicine's 6 YR combined BA/MD program. She talks about the unique challenges of being in an accelerated program and how she found her "groove". Sahana talks about suffering from imposter syndrome and overcoming it. She talks about feeling alone and isolated as one of the few students who was out fo state and learning to start from scratch as far as building her social circle. Medical schools need to provide opportunities to socialize and speak to other students so one can open up, not feel isolated and learn to work together in a collaborative environment. She believes that being at a school where her concerns were addressed and "listened to" really helped in feeling welcome and helped her succeed. 

Her pearls for us:

Being vulnerable is normal

Don’t sweat the small stuff

Celebrate yourself and your accomplishments even if they feel small. Validate yourself!

Build your confidence and believe in yourselves. We are all capable since we have landed in these places.

Invest in yourself and try to find other things that give you joy. Take up a hobby early on.

Meet Daniya Mozaffar, a highly energetic, motivated medical student who never gave up on her dreams. After going through two cycles of a medical school match, she decided to fulfill her goals by attending a Caribbean medical school. She shares her journey with her and how she has grown over these years and the person she is becoming. She has learnt what it takes to succeed as a medical student and to never forget that yes, we might be physicians, but we are human and people first. 

Some pearls of wisdom from Daniya:

REMEMBER YOUR WHY

Choose yourself above all, that will always help you stay true to yourself and your vision

Surround yourself with people who will support you and left you up, build your community

Define what that support looks like for you and build it intentionally

Being proactive about your mental wellbeing is essential. Invest your time and energy in a good therapist.

 Empower yourself with the knowledge of what all is available to you on your campuses and beyond.

Learn to be as efficient, work smarter not necessarily harder.

Learn to develop a growth mindset and thinking through a “worst case scenario” might be a great exercise. Failure is good.

Dr. David John is Associate Professor of Medicine and the Associate Dean for Alumni and Community Initiatives at the University of Missouri Kansas City, School of Medicine. He has also served as a "Docent" mentor within the SOM. He served as the Chair of the state of Hawaii Physicians' Health Committee while also serving on the board for over two decades. He is heavily involved in the recovery community in Hawaii and Kansas City. He is a father to two wonderful daughter and has served as a confidante and mentor for many students, residents and colleague over the years.

In this episode, Dr. John shares how important honesty with oneself is to be able to live a truthful and honest life. He shares his story of addiction to alcohol and the moment of clarity when he realized he had a real problem. This led to him packing his bags immediately and checking himself into a rehabilitation center. He talks about the power alcohol had over him and how he has kept his disease in front of him as a reminder of where he does not ever want to go back. 

He believes physicians struggling with these issues need to be reminded that taking the first step and acknowledging the problem is the hardest but things do work out. Going through hardships  is something that pushes us to change. Having a support group where one can be vulnerable and not feel judged is important. Having role models who have made it and been successful and who can guide others through this tumultuous journey is important. One has to remember that the risk of losing everything is inevitable if help and treatment is not sought. But if we take the time to be honest and really focus on recovery long term, there is much to be mended and gained. 

He states that GRATITUDE is important. According to Alcoholics Anonymous, you can be sober and not grateful BUT you can't stay sober! David's enriched life started with his sobriety birthday. He strongly believes that the only way for an addict to live is to get clean, work towards recovery and rebuild their life. He is grateful for his second life and feels blessed to have a chance to love others wholeheartedly.

David's Happy PLace: Island in Oahu-That's where he is surrounded by those who love him, especially his daughters.

On his Nightstand: Fiction (Still likes to get lost in books)- Teen Wolf is what he's watching

One pearl of Wisdom: Be Honest with yourself, only then you can be true to yourself and to those around you.

Recommended Reading: The Ship of Death by DH Lawrence

https://www.aa.org/twelve-steps-alcoholics-anonymous

Twelve Steps of Alcoholics Anonymous

Join us as we talk to Jennifer Sweeney and learn about 3rd Conversation. Jen is a Co-Founder of X4 Health, a purpose-driven organization on a mission to solve problems that matter for our society, and she also is the Co-Creator of 3rd Conversation, a program focused on revitalizing relationships in health care. An author, entrepreneur, and relational subject matter expert, Jen is committed to supporting the health care industry to evolve into a field in which relationships and human flourishing are central priorities.

3rd Conversation is an experiential program for providers, patients, and C-suite leaders that provides a framework for bidirectional conversation to highlight the importance of relationships in healthcare, not just the technical and structural functions.  The goals are to improve professional well-being, enhance the patient experience, and improve relationships within healthcare.

To learn more, you can visit www.3rdconversation.org, or email Jen at jsweeney@x4health.com.

Pearls of Well-being Wisdom: 

1. Having authentic conversations help people be seen, heard, and understood.  Listen in to see how this can work on both sides for patients and physicians (SPARK) and physicians and C-suite leaders (IGNITE). 

2. The problem is the system and not the people in the system, but we can reach out to each other. The system is about the people. 

3. Coming into a conversation just being your full authentic self is a relief to not have to problem solve. 

4. Learn how to come to a conversation with both requests and offers. 

5. We have so much in common and have shared humanity - realizing this can lead to increased trust and hope. 

This is the third installation of three highlighting survival of the frenetic pace of end of school, summer, and back to school with school age children-- juggling life at home and work, and staying sane.  As we begin the school year and enter the fall, carving out time to build in margin to be able to breath and be present while our children work through these transition, can be extraordinarily helpful.  Sometimes 5 minutes can make the difference in setting a positive tone for the day and make the time together really have substantial meaning.

Dr. Kara Pepper is a practicing primary care Internist and Certified Life Coach in Atlanta, GA, who rebuilt her life and career after burnout. 

In this episode, Dr. Pepper discusses her resets from being a professional ballet dancer to a high-achieving internist checking off the boxes of accomplishments to a physician finding clarity and moving away from a conformist attitude.  Listen in for how she faced and reframed perfectionism, found out that rest is productive and necessary, and reclaimed a sense of self-worth.  We discuss ways to move away from perfectionism and buffering with being busy. 

This is only the tip of the iceberg. She shares what works for her and for other doctors she has coached. 

Wellness Pearls: 

1. There is no right way. Learn what is right for you.

2. Rest is productive and key.

3. When you combine insight with compassion- you have the fuel for change. 

4. It is ok to want more! You deserve it. 

5. Other's advice may not work for you. Listen to yourself- the answer is inside you. 

You can find her on social media @KaraPepperMD or her website www.KaraPepperMD.com

The rate of suicide among physicians is two times that of the general population and tragically, 400 physicians die by suicide each year.  The 988 National Suicide Prevention Hotline is a nationwide network of crisis centers linked through this toll free number that is active 24 hours/day, seven days/week that connects callers in crisis to immediate intervention services and care with trained counselors.

This is the second installation of three highlighting survival of the frenetic pace of end of school, summer, and back to school with school age children-- juggling life at home and work, and staying sane.  Setting realistic expectations, taking time to enjoy the simplicity, and experience some of the sheer joy of childhood your younger humans are experiencing may help you as they have me navigating the summer.  It's also an unintentional documentary of summer agriculture in Kansas!

This episode highlights Dr. Sarah Richards, a hospitalist at the University of Nebraska, and her work with well-being in her personal and professional career. She is an Associate Professor in the Division of Hospital Medicine at UNMC and the Senior Medical Director of Clinician Experience at Nebraska Medicine. She has been a hospitalist at UNMC since 2011 after completing medical school, residency, and a chief resident year at there. She was named the Medical Director of Patient Experience for Nebraska Medicine in 2015. Her role then expanded to include physician and advanced practice provider (APP) experience in 2018. Given the evolving landscape in healthcare and high rates of professional burnout, Dr. Richards transitioned from her patient experience role to focus all her efforts on physician and APP wellbeing in 2021. In this system- wide leadership role, she has responsibility for developing, coordinating, and implementing strategies to improve clinician wellbeing and enhance professional satisfaction.  Dr. Richards is also the current nominated chair of the Society of Hospital Medicine (SHM) Wellbeing Taskforce in which she leads a team of national experts to reduce hospitalist burnout. She completed a Chief Wellness Officer course through Stanford University in 2021.

Well-being Pearls:

Organizational Opportunities for Well Being

Personally

Dr. Geetha Kamath is an assistant professor of weight management in the department of internal medicine at the University of Missouri-Kansas City. She is an ACP Well-being Champion and practices and promotes wellbeing and wellness in the workplace and in her personal life. 

In this conversation, we discuss the professional and personal life experiences that shaped her story.  She shares the power of positive psychology, the "RAIN of compassion" mindfulness practice, and how to impact change in small steps.  Listen for more detail on how you can use these tools for yourself

Bite Sized Pearls for Wellness in Life:

Leslie Strickler DO, FAAP is a professor of pediatrics at the University of New Mexico School of Medicine where she works as a child abuse pediatrician. 

In this episode, (originally recorded in late 2021) Dr. Strickler and Dr. Lida Fatemi engage in a richest conversation about tapping into the fluidity of relationships. The most important relationship being the one with self. Cultivating a loving, gentle and friendly relationship with oneself, translates into the same for our children and families. 

Pearls for Wellbeing:

Co-Creator Dr Segen Chase shares her thoughts on processing the monumental Supreme Court Decision overturning Roe vs. Wade and how it affects us and our patients.

Dr. Michelle Quirk is a board-certified pediatrician and a certified run coach with the Road Runners Club of America (RRCA). She founded Mindful Marathon to help make running easy and fun for busy professionals. 

In this conversation, we talk about how running was a support during times of burnout and stress. Then it was the spark for reflection and reset in her career. You will get something out of this episode no matter if you are running curious or a seasoned marathoner! 

Michelle's Pearls of Wellness with Running:

1. Find Your Why. Dive deeper than the first superficial reason. 

2. Start Low. Start with small steps and be consistent.  This works for running and other aspects of goal setting.

3. Go Slow. 

Taking time for reasonable expectations and self care in the hectic spaces of life with the hustle and bustle of the end of the school year can help you to survive the demands on your life and family.

Dr. Robyn Alley-Hay is an OB-GYN and a mother of four who knows firsthand the challenges of pregnancy, giving birth, and being a parent. Her heart and soul are nurtured by the ob-gyn work she does with women and girls in the Tibetan Buddhist Himalayas through an NGO blessed by His Holiness, the 14th Dalai Lama.  She is also an international women’s empowerment coach, physician coach, speaker, and author. She is the author of "Meditations for Women Physicians Who Do Too Much."

In this episode: Robyn discusses her experience with coming out on the other side of clinical depression and suicidal thoughts. May is Mental Health Awareness Month and we have real talk about this. She reports that after her hospitalization, despite her worry about how stigma might affect her career, "the world didn't end" and her "career didn't end."  She talks about her amazing experiencing meeting the Dalai Lama in her humanitarian work and the advice he gave her. Listen in to see how you might get involved. We also talk about her take on Power, Purpose, and Clarity. Lastly, we discuss how her role as a coach is her way to give back to others, so they don't have to be alone. 

Pearls of Wellness Wisdom:  

1. She finds that nature helps her see the divine.

2. She finds that reading and listening helps her. 

3. She recommends writing about your experience. 

Listen in for a way we used narrative medicine in a recent presentation.

Mentioned here: "Invitation" by Mary Oliver

"Essentialism" and "Effortless" by Greg McKeown

I am wondering how stories show up in your life and impact you. 

Last week was a week of reconnecting with some normalcy and friends.  Where are you reconnecting in your life?

Tiffany I Leung, MD, MPH, FACP, FAMIA, FEFIM is Scientific Editor for JMIR Publications, an open access publisher of research in the field of digital health, including innovations in health care technologies, patient and caregiver education, participatory medicine, biomedical engineering, and medical informatics. Dr. Leung is a practicing telemedicine physician with U.S. board certifications in Internal Medicine and Clinical Informatics. She is also a registered physician in The Netherlands. During her career, she has held academic positions at Stanford University School of Medicine, the United States Department of Veterans Affairs, Maastricht University, and Southern Illinois University School of Medicine.

Dr. Leung is Editor-in-Chief of the Society of General Internal Medicine's monthly newsletter, SGIM Forum. Also, she is co-chair of the Women in American Medical Informatics Association (AMIA) Steering Committee and immediate past chair of the American College of Physicians' Council of Early Career Physicians. She is the 2022 recipient of the American College of Physicians' Walter J. McDonald Award for Early Career Physicians.

In this Episode, we discuss the resets in her self-described non-linear career.  She believes that her professional career is not separate from, but rather a part of her life.  She gives us insight into her transition into practicing medicine in a country while also trying to learn the language.  She discusses her strategy for personal reflection that has helped her marry several core interests, which include communication and diversity/equity/inclusion principles.

Take Home Pearls for Well-being:

1. Listen to your Internal Voice.

2. Maintain Networks of People.

Eileen Barrett, MD, MPH, SFHM, MACP, is an internal medicine hospitalist and medical educator in Albuquerque. She has held several leadership roles in physician wellness, DEI, and CME, both in employed and volunteer work. She is a former New Mexico Chapter Governor and Regent of the Amercan College of Physicians, a multistate District Chair for the Society of Hospital Medicine, and Advocacy Committee Vice Chair for the American Medical Women’s Association. She and her husband, Sam, enjoy skiing, hiking, reading, and goofing off with their kiddos, Daisy and Dahlia.

In this Episode: Dr Barrett talks about her mindset that "I get to be a physician", her experience with key advice and key times from mentors, and her drive for advocacy and sense of purpose. She discusses her pivots from rural practice in the Indian Health Service, her choice to go to academia and her choice to leave academia more recently.  She reflects on her time as an Ebola Aid Worker and how it contributed to her sense of purpose and humanity.

Listen in to see how she finds wellness, places to visit in her home state of New Mexico, and the books we are reading right now! There is a challenge for you at the end!

Wellness Pearls:

1. Surround yourself with people you love to be around AND that love to be around you.

2. Look for meaningful work that makes you feel great.

Sonja Raaum, MD FACP is an Assistant Professor in Internal Medicine and academic hospitalist at the University of Utah. She is also a Well-being Champion for the Utah Chapter of ACP. As an educator, she is committed to training competent and compassionate physicians.

In this Episode:  Dr Raaum discusses how she has addressed some of the challenges of an early career physician with a reset in her personal philosophy, her time-hacks, and in redefining success. She is learning more about compassion and working to instill that into the physicians she trains in a meaningful way as well as practice it personally. 

Take Home Pearls for Compassion:

1- Look for Connection:  We all have experienced suffering in some way. You are not alone.

2- Recognize Suffering in Others:  Be aware and empathic.

3- Authentically Approach Compassion: "You try" is a start. 

Explore the ACP IM Emotional Support Video series "Internists: Take Care of Yourself Too" at the following link. This includes Dr Raaum's videos on Maintaining Compassion and Applying Compassion.

https://www.acponline.org/practice-resources/physician-well-being-and-professional-fulfillment/im-emotional-support-hub/acp-im-emotional-support-video-series

In the last of this Spring-Cleaning series in the Weekend I Wonder episodes, I discuss setting boundaries, creating margin, and lessening distractions.

This is based on the article at https://womeninwhitecoats.com/protecting-your-priorities-and-living-an-intentional-life/

Dr. Micah Beachy is an associate professor in the Department of Internal Medicine, Section of Hospital Medicine for the University of Nebraska where he works a hospitalist and also serves as the vice president and chief quality officer for Nebraska Medicine. In his role, he has accountability over quality, patient safety, clinical effectiveness, population health, medical informatics, and experience for patients and providers. He also serves as the Governor of the American College of Physicians Nebraska Chapter and has been extensively involved with ACP at the national level serving as Chair of the Council of Early Career Physicians, on the Health and Public Policy Committee, the Well-being Task Force and the Diversity and Inclusion Task Force.

In this Episode:

Dr Beachy talks about what led to his interest in incorporating Well-being work into his personal and professional life and how you might create opportunities for yourself. In his system role he has worked to encourage this in a way that doesn't create more burden on the physician. His strategy is to identify things that cause dissatisfaction, to measure what matters, and address these issues.  He discusses four ways the University of Nebraska Medicine is addressing Well-being in the COVID era that can be continued after the pandemic. Listen in to see if you can apply this in your professional home.

Take Home Pearls of Well-being Wisdom:

1. Leverage Technology for your benefit.

2. Shift your mindset to Work-Life Integration rather than Work-Life Balance

3. Set Priorities and Create space for what matters most and what you are passionate about.

Keep up the spring cleaning by using the 4 D strategy to trim the to-do-list.

This was based on the article: https://womeninwhitecoats.com/narrowing-down-the-to-do-list/

Dr. Taryn Rose is an orthopedic surgeon turned shoe designer, who married fashion and function in 1999 and changed the footwear industry forever.  Her idea of being dressed with a sense of well-being touched a nerve with women from coast-to-coast, creating a dedicated following for her numerous collections.  A formally trained surgeon,  Dr. Rose witnessed the serious foot problems caused by fashionable footwear and saw a need to combine her knowledge of foot biomechanics with her passion for fashion to spread ease to women everywhere.   After a decade of building Taryn Rose International to become a $40 million dollar company, she sold it, and a couple years later returned energized and inspired and began creating partnerships and collections with both the Home Shopping Network (HSN)and high-end retailer Neiman Marcus.  Now, two decades later, Dr. Rose is disrupting the footwear space again with architect/engineer Enrico Cuini, using a new insole technology that creates the “perfect heel” for the Enrico Cuini luxury shoe collection. In addition to earning her medical degree from University of California School of Medicine in Los Angeles, Dr. Rose has been recognized with numerous honors in the business and entrepreneurship arena.  Her shoes were featured in the Smithsonian museum in 2007 and she was invited to meet First Lady Laura Bush at the White House.  Dr. Rose has been covered on a variety of television programs, newspapers, and magazines including Oprah, CNN, Today Show, New York Times, People magazine, Entrepreneur, In Style, Elle, and countless more.

Dr. Rose believes that there are many ways in which we can empower women. Her business strategy was just that-make women comfortable while they are multitasking in the many important roles that they play. She talks about how this needs to be extrapolated to the health care industry which is not really designed for that.

Supporting each other, especially women supporting each other is important. In a polarized environment, her philosophy is "scroll on by". If you don't agree or like something, it is OK to move on from that after making your voice heard. Women need their tribes for growth and development and most importantly, support! Nurturing and supporting each other in those tribes and lifting each other up is important.

Taryn Rose hopes that the sacred doctor physician relationships will some day return to their previous state. She hopes that the mass resignation stops and that physicians continue to stay in medicine as we are essential to society. Society also needs to be informed and needs to understand the workings of this industry. Making platforms for physicians that makes it easier to stay is essential. 

Taryn's pearls of wisdom:

1) Give yourself grace

2) Put your mask on first

3) Fear regret more than failure!

Taryn's book that she is presently reading: History of the World 

https://www.amazon.com/History-World-J-M-Roberts/dp/0199936765

Listen in for some strategies to spring clean your priorities to sweep up overwhelm.

Here is the link to the original article: https://womeninwhitecoats.com/overcoming-overwhelm-by-setting-priorities/

In this week's Weekend I Wonder series: How can you apply the idea of spring cleaning to you to-do-list, to clear the clutter, and find clarity.

We would love to hear from you Our email is resetmdpodcast@gmail.com

Dr. Sima Pendharkar is trained as a medicine and pediatrics physician.  She is Director of Hospital Medicine at Jersey City Medical Center.  She is also CEO and Founder of Moon Telehealth, a virtual healthcare platform that allows for a patient centered and tech forward approach to healthcare.

In this Episode: Dr Pendharkar discusses her personal experience in losing colleagues and a family member to suicide and how it has shaped her mission. We talk about her strategies for personal wellness and for addressing chaos in the professional environment. Listen in to see who these can work for you too.

Take Home Wellness Pearls: 

1- Set a Daily Routine and Way of Life that supports you. What we model to learners is important.

2- Be an Advocate- connect and communicate to influence policies that affect us and patients. 

3- Ask "What can I do for myself and for the healthcare system?"

Dr Pendharkar mentions ACP Leadership Day, an opportunity for ACP members to go to Washington DC every May to learn more about how we can get our voices heard. If you would like to know more, visit https://www.acponline.org/advocacy/advocacy-in-action/leadership-day

This is the third of a 3-part series to support folks who want and need to provide peer support.  I encourage you to practice these skills to help you feel more comfortable in the peer support environment.

This is the second of a 3-part series to support folks who want and need to provide peer support.  I encourage you to practice these skills to help you feel more comfortable in the peer support environment.

Dr. Hala Sabry is a Board-Certified Emergency Medicine physician, a feminist leadership coach, the founder of Physician Moms Group (PMG), and a super mom of five- with two sets of twins!

Balancing her career in medicine with her roles as a mother and entrepreneur was initially challenging. She frequently fought through fear, negative self-talk, and a recurring desire to quit, and she knew other busy professional working mothers must have experienced the same struggles.

She created PMG seven years ago to offer emotional availability and support to women like her which now supported over 100,000 members. Hala expanded her outreach to coaching individuals and consulting businesses.  She offers high performance coaching to professional women in male dominated professions who feel unseen and unheard in quest to develop their personal brand and become a confident thought leader.

Hala is a tenacious advocate for ending sexism and promoting gender and racial equality in the medical field. She believes that as a community leader, she has a responsibility to forge a path for other women and to elevate her fellow physician mothers. She’s collaborated with leading Fortune 500 companies and international organizations to further her work advocating for women physicians, patients, and children.

In this Episode:

Dr. Sabry tells us about the many resets in her career and how she has learned to go from survival mode to being intentional about getting to know herself and what she wants to be her legacy.  How would you answer the question: "How do you want to live your life?  Then what would you do with that information?   Listen in for several specific strategies that have helped Dr Sabry and other women physicians she works with. 

We discuss the concept of a "Mid-Career Crisis" and how that differs for men compared to women.  She gives us her take on putting in your 1% each day. Listen to the very end! 

Pearls of Wisdom:

1. Get out of Survival Mode

2. Get to Know Yourself

3. Live your Life on Purpose: Value-based and in a way to Create Your Legacy

Book mentioned: You Are a Badass by Jen Sincero

This is the first of a 3-part series to support folks who want and need to provide peer support.  I encourage you to practice these skills to help you feel more comfortable in the peer support environment.

In this episode, we discuss how you can use what you know about your strengths and values to help you RESET.

VIA Strengths assessment can be found at https://www.viacharacter.org/account/register

Dr Colin West, originally from Seattle, received his M.D. and Ph.D. in Biostatistics from the University of Iowa in 1999. He completed residency and chief residency in internal medicine at Mayo Clinic, and then joined the faculty in General Internal Medicine in 2004. He is currently Professor of Medicine, Medical Education, and Biostatistics at Mayo. He directs the evidence-based medicine curriculum for the Mayo Clinic Alix School of Medicine and is Assistant Dean for GME Scholarship at Mayo. Dr. West's research has focused on medical education and physician well-being, and he is Co-Director of the Mayo Clinic Program on Physician Well-Being. His research has been widely published in prominent journals including Lancet, JAMA, Annals of Internal Medicine, and JAMA Internal Medicine.

In this episode:  Dr West tells his story of how he came to Mayo after being open to a different path where his skills and interests met. There he found the confluency of luck at the "intersection of opportunity and skill" that sparked the formation of a dream team that has changed what we know about physician well-being. This story is inspirational and full of reflection, awareness, and intention.  This conversation will appeal to medical students, residents, and attendings in all stages of their careers.  Listen in to see what one of the experts on the study of physician well-being has learned along the way and also what works for him personally.  We finish up with ways to continue the momentum of well-being effort despite the challenges of our industry and our frequent push to do more and more. 

Take Home Wellness Pearls: 

1- The MVPs (Meaning, Values, and Purpose) of Well-being are crucial foundations.  Intentionally look to increase things that give you meaning align with your values and also pursue activities that are purposeful!

2- Take Stock and Be Intentional.  Know Yourself and what is right for you. 

** There are many other hidden pearls throughout our conversation- dig in!

You can follow us on Twitter @ResetMDPodcast.

I would encourage you to also follow Dr West as well @ColinWestMDPhD

In this episode, we discuss how to consider making small PIVOTS to start a RESET.

In this episode I discuss the G.R.O.W. model (Goals, Reality, Options, and Way Forward) and some ways you may use it to RESET how you make decisions and have conversations with others.

In this episode I discuss the concept of a sabbatical and how it can be used to reset your spark and when you should consider taking one. 

What gets in the way of getting to living our life the way we want?  I discuss moving past "limiting beliefs" and "rules" that hold us back and suggest several ways to do that. 

Dr. Louis Snitkoff, a lifelong New York resident was a founding member and CMO of CapitalCare Medical Group, which later merged with Community Care Physicians. Before his retirement in 2020, Dr. Snitkoff was Vice President for the Ellis (Hospital) Medical Group in Schenectady. He has served the American College of Physicians nationally as a Well-being Champion and member of the Board of Governors and is a past president of its New York Chapter. He was elected to Fellowship in 1993 and Mastership in 2020. Dr. Snitkoff received the Samuel Eichold II Award for Excellence in Diabetes and the New York Chapter Laureate Award in 2013.

In this episode: Dr Snitkoff talks about his resets from clinical medicine to administration and then to retirement. When trying to do it all he recalls 'no matter where I was, I was supposed to be somewhere else" so moving into one space he supported his personal wellness and supported the physicians he worked with.   Don't miss the end where he describes how his experience and his connections led him to his current retirement projects.

Take Home Pearls:

1- Focus on relationships.

2-Find a creative passsion.

3- Find what aspects of your job "fires you up!"

4- Take time to pause and reflect/recharge.

5- Seek Mentors and Seek opportunities to mentor others. 

Listen to my 2020 STORY SLAM entitled "I Don't Like Change" to see how I reset my mindset about change. 

How can you Reset by going on a Retreat?  Let's Retreat from the enemy of Overwhelm and Overworking to come back with reinforcements! Listen in for some ideas on how to get this started.

Dr. Erica Howe is a board-certified Hospitalist and a nationally known educator, wife, and mother to three kids. As a lifelong advocate for improved wellness in medicine, she founded the Women Physicians Wellness Conference in Grand Cayman in 2018 as a way of bringing women physicians together to share their struggles and their strategies for success. She believes that women are stronger together and wants to inspire them to find the courage, clarity, and community to succeed on their own terms, instead of someone else’s.

Her endeavors in teaching and mentoring have been recognized with a number of honors and awards including receipt of the Kathleen McCluskey-Fawcett Woman Mentoring Women Award, the medical student-elected Rainbow Award Finalist for “teaching the art of medicine by example”, and the Distinguished Chancellor’s Teaching Award, one of the highest honors given to educators at the University of Kansas.

In this Episode: You will feel like you are in a conversation with your best friend!! Dr Howe discusses her resets which started with answering the question "How are you doing?" with an honest answer, being transparent, and vulnerable with other physicians. She discusses what led to her mission with helping other women physicians and how she is doing that in a big way.  She also reveals her secrets for time management. 

Take Home Wellness Pearls: 

1- Tools to Find Clarity: Take time to determine where you want your career to go, make space to do it, and put out your "asks."

2- Start with being honest with the other doctors around you and continue to have those conversations.

3- Say No to what doesn't meet your needs anymore and protect that space you create by doing so.

You can learn more about the Women Physician Wellness Conference at www.womenphysicianswellness.com

I wonder... what are your answers to these questions?

1- What do you want more of in 2022? 

2- What do you want to get out of this year? 

Segen Chase, MD, FACP is a Co-Creator for the RESETMD Podcast! 

She practices general internal medicine in Manhattan, KS and is co-owner of her private practice, CenterPointe Physicians, PA. Dr. Chase is a Clinical Assistant Professor at the University of Kansas School of Medicine-Wichita and regularly mentors students from KUMC-Wichita, Kansas City University of Medicine and Biosciences, as well as pre-medical students at Kansas State University.  She has been active for over a decade in the Kansas chapter of the American College of Physicians and serves as their Well-Being Champion. She is a wife and mom.

In this episode, we discuss her experience with being a mom in private practice, the way she approaches balance and priorities to determine how she spends her time.  Reflection is essential.  We discuss ways she has addressed guilt, her experience with suicide in colleagues, and how her time with her family brings her joy.

Pearls of Wellness Wisdom:

(There are so many so we picked just a few!  Listen in for more!)

1- Blaze Your Own Trail: Tailor what you need at different stages in your life and career.

2- Remember, You are where you need to be.

3- Get better at saying the word NO.

She mentions the book "The Rabbit Effect: Live Longer, Happier, and Healthier with the Groundbreaking Science of Kindness" by Dr Kelli Harding

As we move soon into 2022, what would it look like to have a fresh start?  Listen in to learn two strategies to initiate that fresh start.

We explore mindfulness and the practice of resetting distractions with meditation. 

Dr Vidhya Prakash is a Professor of Clinical Internal Medicine in the Department of Medicine at Southern Illinois University (SIU) School of Medicine, a member of the Infectious Diseases Faculty, and the Vice Chair of Clinical Operations in her department. She is the Founder and Director of the SIU Alliance for Women in Medicine and Science (AWIMS).  She has many roles on the local, state, and national levels which includes serving as the Director of the American Medical Women's Association (AMWA) Membership Committee. She is a wife, mother, author, and advocate.

In this episode we discuss her reset from military medicine in the Air Force, her recent commitment to prioritizing her passions, and her mission to use her voice for gender equity.  We also discuss her approach to helping trainees with the imposter phenomenon.

Pearls of Wellness Wisdom:

1- "Recognize your value."

2- "You don't have to apologize for prioritizing your wellness."  It is ok to self-advocate. 

3- Prioritize things that you are passionate about, inline with your values, and inline with your career goals.  (Listen in to see how she does that!)

She recommends: "Letter to a young female physician" by Dr Suzanne Koven, "The Conversation" by Dr. Robert Livingston, and "The Beauty in Breaking" by Dr. Michele Harper.

Although not mentioned in this episode, she is the author of "Learning to Listen: A Memoir," published in November 2021 and we can't wait to read it!

Listen in and think about how you can use the transitions in your day from work to home to help you show up the way you want in each area of your life.

The Weekend "I Wonder" series explores different ways to think about a RESET.

Links I mentioned: 

https://womeninwhitecoats.com/we-are-not-supes/

Dr. Liz Lawrence currently practices at UNM, where she also serves as the Chief Wellness Officer, the Assistant Dean for Professional Wellbeing, and a Professor of Internal Medicine at the University of New Mexico School of Medicine.

In this episode, we get into navigating relationships. We highlight transitions that Dr. Lawrence went through in her career and what she learned during that time. We talk about self reflection and recognition of our inner state. We talk about the importance of self care and boundary setting in our profession.  There are so many pearls in this episode, listen in to hear them all.  

Dr Lawrence gives her 3 Principles of Well-Being:

1- Spend time with the People you Love

2- Exercise

3- Sleep 

We discussed "Why We Sleep: Unlocking the Power of Sleep and Dreams" by Matthew Walker Ph.D.

The Weekend "I Wonder" series explores different ways to think about a RESET.

Things I mentioned:

https://www.kevinmd.com/blog/2021/07/a-word-of-advice-from-one-chief-resident-to-another.html

Greg McKeown's book EFFORTLESS

Dr. Lida Fatemi, DO, MPH is a Internal Medicine Hospitalist at the University of New Mexico and one of the Co-Creators of the ResetMD Podcast. She discusses her journey out of burnout and she practices what she preaches in her own life and in coaching other physicians.

In this episode we discuss her role in creating "Ease of Practice" in her health system to support autonomy and humanity. She emphasizes how important self-care is to all the aspects of our lives and suggests ways you can do that for yourself including meditation resources, grounding, and many others.  You will be pulled in by her demeanor and excitement about what she is doing now!

Pearls for Wellness: 

1. Take Time for Yourself - Take Care of You.

2. Take Time for Yourself - Take Care of You.

3. Take Time for Yourself - Take Care of You. 

The Weekend "I Wonder" series explores different ways to think about a RESET.

I mentioned a story from Greg McKeown's book EFFORTLESS

Thanks to Kristin Yates DO for asking me these questions at my recent conference:

1- What gets in the way of fun?

2- What do you do for fun and what are the results you want?

Cynthia (Daisy) Smith, MD, FACP, is Vice President of Clinical Education at the American College of Physicians (ACP) and an Adjunct Professor of Medicine at the Perelman School of Medicine. She received a medical degree from Columbia College of Physicians and Surgeons and completed her internal medicine training at the Massachusetts General Hospital.

She is an experienced medical educator and a former internal medicine residency program director. In her current role at the ACP, she oversees the Instructional Design and Events Department (curriculum development and live meetings) and the Center for Quality (QI support, Well-being and Professional Fulfillment and Patient and Inter-professional Partnership Initiatives). She continues to see patients and teach medical residents at the University of Pennsylvania. She is married to an infectious diseases physician whom she met during residency and is the mother of three teen sons.

In this episode Dr Smith describes resets at several stages in her life, how she has married being a doctor and a teacher.  We discuss how self-reflection has helped her make pivots in positive directions in her life. 

Take Home Pearls for Well-Being:

1. Give Positive Feedback - it builds confidence of the receiver and feels good for the giver.

2. Practice Positive Self-Talk - it fights that inner critic

3. Stretch Yourself- take that next step and try something new even if you don't think you are ready

4. Self-Reflect Often- this helps you know your identity, where your energy is, and when it is time to move to your next chapter. 

If you would like to reach out, email us at resetmdpodcast@gmail.com

The Weekend "I Wonder" series explores different ways to think about a RESET.

Have you ever heard of a Mulligan?

The Weekend "I Wonder" series explores different ways to think about a RESET.

https://www.kevinmd.com/blog/2021/05/why-doctors-cant-rest.html

Greg McKeown EFFORTLESS

Susan Hingle is an Internal Medicine specialist and a Professor of Medicine, who serves as Associate Dean for Human and Organizational Potential, and Director of Faculty Development at Southern Illinois University School of Medicine. She earned a bachelor’s degree from Miami University and a medical degree from Rush University Medical College. She completed an Internal Medicine residency at Georgetown University Medical Center, where she served as Chief Resident of Internal Medicine. Dr. Hingle completed the Executive Leadership in Academic Medicine (ELAM) Program. She has received several awards including the AMWA Elizabeth Blackwell Career Award, the Golden Apple Award, the Excellence in Teaching Outstanding Teacher Award, the Leonard Tow Humanism in Medicine Award, the Most Influential Faculty Award, and the Chair’s Resilience Award. Dr. Hingle was honored with ACP’s McDonald Award for Young Physicians. She has been active nationally in numerous organizations, including the American College of Physicians, the American Medical Women's Association, the Alliance of Academic Internal Medicine, and the American Medical Association. She served as Chair of the ACP Board of Regents and Chair of Board of Governors and currently serves on the AMWA Board of Directors and the AMA Women Physicians Section Governing Council. She was senior author on the ACP policy paper on gender equity in physician compensation and career advancement. Dr. Hingle strongly believes that women in medicine have enormous potential to influence the profession and society for the better and is eager to share her experiences, expertise, and passion.

Pearls of Wisdom from the episode:

-Self care is essential and we, as leaders, should lead by example by practicing it.

-Wellness should be “THE Goal” NOT “A goal” in healthcare.

-Organizations need to define what a healthy workforce looks like and make it a priority.

-Let go of the drive for perfection! The goal should be to become the best version of ourselves. Just enough is good enough.

-Understand the power of saying no.

Recommended Reading:

Just Enough- Laura Nash

Untamed- Glennon Doyle

The Hundred Years of Lenni and Margo- Marianne Cronin

Kerri Palamara, MD is an Associate Professor of Medicine at Harvard Medical School. She leads the  Center for Physician Well-being at Massachusetts General Hospital (MGH). She is an expert in physician coaching and well-being. Dr. Palamara leads the American College of Physicians “Physician Coach Training Program”, which trains physicians to integrate coaching into their quality improvement and well-being work. Dr. Palamara co-created and directs the MGH Physician Coaching Program. This program was designed to improve physician awareness of their growth, reduce burnout, and improve well-being. 

In this episode: Dr Palamara discussed her hard reset after facing a horrible loss and how it taught her that her well-being was pivotal to her family's well-being and to the impact she had in the world. She shares her 3 basics of self-care and how asking for help supports them.  We dive into the concepts of addressing your needs and the impact it has on how you feel.

Books she mentioned: "The Choice" by Edith Eva Eger and "It's OK that You are Not OK" by Megan Devine

Pearls of Wisdom for Well-Being: 

1- Download the Manual of Yourself. Know your Basics for Self-Care. You can't expect to take care of others if you don't take care of yourself.

2- Ask Yourself: "What Do I Need Today?" How your feel is based on what you need. So if you can get what you need, you can feel differently.

3- Reframe your Self-Talk to be more self-compassionate.

Dr. Fariha Shafi is is the Co-Founder of the ResetMD Podcast! She is an Associate Professor of Medicine at the University of Missouri Kansas City-School of Medicine. She is a Fellow of the American College of Physicians (ACP) and is an ACP Well-Being Champion, Chair of both the Wellness Committee and the Women in Medicine Committee of the Missouri Chapter of the ACP. She has served as the AMWA Mentor at the SOM for many years. She has a career in academic medicine at UMKC, serving in various leadership roles including Chairing the School of Medicine’s Diversity Equity and Inclusion Council for eight years and being named as an inaugural “Noback” Docent. Dr. Shafi has been featured on podcasts such as KevinMD and Medicine Mentors. She is a busy mom of two, a full time physician and a heavily involved community leader.

In this episode we discuss a time where she felt stuck, both with the struggle of being a mom and a professional and with trying to find the right venue for her passions.  A conversation at her chapter ACP meeting and making peace with guilty feelings changed all that and gave her energy. Listen in to see how this worked for her an could work for you too. 

Pearls of Well-Being Wisdom: 

1. Medicine is part of your life, not your entire life. 

2. Always find something that fulfills you outside of medicine.

3. Journal your feelings- during times of success as well as the times when you are upset.  Refer back to your successes more often. 

4. Give back. 

Dr. Tammie Chang is a board-certified physician in pediatric hematology/oncology practicing in Tacoma, Washington. She is the medical director of Provider Wellness for MultiCare Health System. She is the Co-Founder and Co-CEO of Pink Coat, MD, a platform to support and empower the personal and professional success of all women physicians. She holds numerous leadership positions including Director of the American Medical Women’s Association (AMWA) ELEVATE Leadership Development Program for Attending Women Physicians, President of the Washington State Chapter of AMWA, Co-Founder of her local Women in Medicine (Cool Chicks In Medicine) group, and Co-Founder of the Women of Influence Network (WIN) @MultiCare for her healthcare system.

In this episode we discuss her story of being in a dark place due to a confluence of practice situations and not wanting to ask for help. She likens this to what many are experiencing during the pandemic. We talk about what worked for her then and now and the impetus it gave her to create a safe space for other physicians to be honest and vulnerable and to know they are not alone.  She comes back to the basics to support herself. Also, you don't want to miss out on her book recommendations! (I have already ordered them!)

Pearls of Wisdom for Well-Being:

1- Put Your Own Self-Care First so you can take care of others (Remember the O2 mask image)

2- Set Boundaries! Learn what is your responsibility and what is not your reponsibility.

3- Ask For Help.  We're Not Alone.

Darilyn V. Moyer, MD, FACP, FRCP, FIDSA is the Executive Vice President and Chief Executive Officer of the American College of Physicians (ACP). She has served on ACP’s Board of Regents, which manages the business and affairs of ACP and is the main policy-making body of the College, chaired ACP’s Board of Governors, and served as Governor of ACP’s Pennsylvania Southeastern Chapter. She currently serves on the Board of Directors for the Council of Medical Subspecialty Societies and is the President, and also serves as the Chair of the Board of Directors of the Primary Care Collaborative.

Prior to becoming ACP’s EVP and CEO, Dr. Moyer was a Professor of Medicine, Executive Vice Chair for Education in the Department of Medicine, Internal Medicine Residency Program Director and Assistant Dean for Graduate Medical Education at Lewis Katz School of Medicine at Temple University. She was previously the Co-Faculty Advisor for the Temple University School of Medicine Internal Medicine Interest Group and for the Temple University School of Medicine Student Educating About Healthcare Policy Group. Dr. Moyer currently practices part time at the Temple University Internal Medicine Associates.

Dr. Moyer received the Temple University School of Medicine Women in Medicine Mentoring Award in 2012. She is a member of Women of Impact and is the 2020 Recipient of the American Medical Women’s Association Elizabeth Blackwell Award, as well as the recipient of the 2020 Lewis Katz School of Medicine at Temple University Alumni Achievement Award. 

We are excited to have a conversation with her during #WomenInMedicineMonth. 

In this episode we discuss her resets into medical education and then to advocacy with the ACP. She shares her thoughts on finding what you are meant to do in your career.  She discusses what supports her wellness and gives advice for women in medicine.  She ends with the mantra of "Bring your Best to Whatever You Do Everyday." 

Pearls of Wisdom:

1. Take Care of Yourself- in whatever way works for you.  Know what Recharges you. 

2. Reach Out to People to hear their story.  Be Curious and Listen.  

3. Create Community inside and outside of medicine.

4. Write Down and Examine your short and long-term goals.

Dr. Richard Wardrop is a career clinician-educator and is currently the Program Director for the Internal Medicine Residency Program at The Cleveland Clinic Foundation in Cleveland, OH. Previously, Dr. Wardrop was Program Director for the Combined Med-Peds Residency at University of North Carolina, founding Faculty at the Virginia Tech Carilion School of Medicine, and founding Associate Dean for Biomedical Affairs at Campbell University School of Osteopathic Medicine. He also served as Vice Chair of Education and Faculty Development at the University of Mississippi Medical Center from 2019-2020 obtaining the rank of full Professor.  Dr. Wardrop has served in national leadership positions within the ACP, the Alliance for Academic Internal Medicine (AAIM), and the American Academy of Pediatrics (AAP).  He was an inaugural wellbeing champion for the American College of Physicians and was a founding member of the ACP Well-being task force that gave rise to the ACP Wellbeing and Professional Satisfaction Committee.  

Pearls of Well-Being Wisdom: 

1. Listen to Your Body 

2. Seek Spirituality 

3. Have a Philosophy of Life with a Toolbox of Resources 

4. Know Yourself and many more! 

Take Home Points:  Your career is of your making. You have a lot more control than you think. And medicine is a journey- not a destination!

Dr. Diana McNeill is Professor of Medicine at Duke University Medical Center in Durham, North Carolina. She was the program director of the Duke Internal Medicine Residency program from 2001-2011 and became the inaugural Director of Duke AHEAD (Academy of Health Professions Education and Academic Development) in 2014. She has won numerous teaching awards , including Master Clinician Educator at Duke in 2006. She is a Master in the American College of Physicians (ACP) and in 2020 received the Dema Daley Award from the Alliance for Academic Internal Medicine , honoring a member recognized nationally as an education leader. She was recognized in 2021 with the North Carolina ACP Laureate Award.

In this episode we discuss what has worked for her to support work-life harmony, her self-entitled "End of Career Miracle" and her family successes. She has heard "You Made it Look Fun" and "You Made it Look Easy."  Listen in to see how this happened for her and to learn so much more from this educator and mentor.

Pearls of Wisdom:

1. Be Happy- this is a different definition for everyone.

2. Be Open to Opportunities.   Never say "I can't."  Say "I'll try."

3. Be Flexible and Support Flexibility for Others.

A group of us American College of Physician Well-being Champions from around the country began collaborating on wellness approaches at the state and national levels in 2020.  We are stepping out of our own siloes to work together to provide better resources for physicians.

Well-being in medicine has been shown to be so instrumental in the physical and mental health of physicians but unfortunately, it has not always been the priority it should be, especially during the pandemic.  We want to present wellness topics to physicians via a podcast format so that we can reach them where they are in their workday and their career.

Our goal with the ResetMD Podcast is to share a variety of perspectives and experiences from well-being experts in medicine - physicians who have had experiences that have significantly impacted their personal lives or their career.  We will showcase a diverse group of individuals and their wellness journeys.  Listeners will learn from hearing this conversation and can apply what has worked for others in their own lives.

Look for the ResetMD Podcast to go live on #WellnessWednesdays - specifically the second and fourth Wednesdays of the month plus some bonus episodes thrown in. Subscribe to get the podcast so that it is automatically downloaded each time and then share with you colleagues and friends!