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Disclosure
- Dr. Kaufmann is private consultant in physician health under
contract with the OMA Physician Health Program
- No conflict of interest to disclose.
Six Essentials for Resiliency During COVID-19 Pandemic Michael - - PowerPoint PPT Presentation
Six Essentials for Resiliency During COVID-19 Pandemic Michael - - PowerPoint PPT Presentation
Six Essentials for Resiliency During COVID-19 Pandemic Michael Kaufmann MD FCFP FASAM AB AMdip Disclosure Dr. Kaufmann is private consultant in physician health under contract with the OMA Physician Health Program No conflict of interest
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Learning Objectives
- Describe the psychological impacts of SARS upon healthcare
professionals to inform an approach to emotional support, coping and resilience during the COVID-19 pandemic
- Demonstrate an approach to self-awareness: “What colour
are you?” used by the Canadian military to enhance resilience practices.
- Discover six essential personal resiliency practices guided by
the BASICS paradigm.
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Domains of Physician Wellbeing and Engagement
Physician Burnout: The Root of the Problem and the Path to Solutions Catalyst.nejm.org
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The Lessons of SARS
Maunder et. al. Canadian Journal of Public Health 2008
Two years after outbreak increased chronic stress in healthcare workers:
- Burnout
- Depression and anxiety symptoms
- Increased smoking and drinking
- Increased time away from work
- Clinically sub-syndromal
Therefore enhance models of psychological adaptation and resilience rather than clinical intervention.
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The Lessons of SARS
Three-pronged approach:
- 1. Solve the practical problems that are within one’s
control.
- 2. Activate emotion-based coping strategies
that enhance support and reduce isolation.
- 3. Meaning-based coping for events that are
unresolved.
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NUTS!
- N: novelty
- U: unpredictability
- T: threat – identity/competence/physical health/ego
- S: sense of control
No wonder we’re stressed!
From Dr. Mary Elliott, Princess Margaret Hospital
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What colour are you?
From Dr. Caroline Gerain-Lajoie, Canadian Medical Association
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ILL
HEALTHY REACTING
INJURED
Clinical disorder Severe functional impairment Severe and persistent functional impairment Common and reversible distress Normal functioning
from Canadian Armed Forces Road to Mental Readiness
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php.oma.org
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The BASICS of personal resilience:
- B is for Body: physiological health
- A is for Affect: psychological health
- S is for Social: family, friends, significant other
- I is for Intellectual: hobbies, diversions, fun
- C is for Community: peer support, other support groups
- S is for Spiritual: faith, nature, awe, collective wisdom
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B is for Body
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- 1. Look after your physical health
PLAN: YOUR FOOD FOR THE DAY/WEEK HYDRATION THROUGH THE DAY SLEEP WELL EXERCISE …. MOVE!
From Dr. Joy Albuquerque, Physician Health Program
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https://www.youtube.com/watch?v=w6T02g5hnT4
A is for Affect, Attitude, Awareness
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Jarom-Adair-take-out-the-trash
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- 2. Learn to meditate:
- Relaxation – parasympathetic response
- Reflection, insight and learning
- Non-judgemental awareness in the moment
- Mindful response vs. automatic reaction
- Many online apps
–Ten Percent Happier (tenpercent.com) is my current favourite. Free for health professionals
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www.pause4providers.com
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- 3. S is for Social: time with family, friends, life
partner
My “pan-pals”
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- 4. I is for Intellect: Diversions, hobbies, fun
Limit professional reading, news and other activating activities
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- 5. C is for Community: Peer Support
Buddy Up!
- Form pairs or trios
- Choose a platform
- Check in every day: What colour are you?
From Dr. Mary Elliott, Princess Margaret Hospital
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- Ask
- Listen
- Encourage
- Follow-up
https://www.ruok.org.au/how-to-ask
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S is for Spirit
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- 6. Compassion nourishes the spirit
Compassion refers to a deep awareness of the suffering of another coupled with the wish to relieve it.
- Attending – noticing
- Understanding – what is the cause?
- Empathizing – a feeling relationship to the other’s distress
- Helping – a thoughtful and appropriate response to offer relief
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Not everything that weighs you down is yours to carry!
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Genuine and enduring compassion for others requires compassion for oneself.
Self-care is not an optional extra.
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Six Essentials:
- 1. Take care of your physical health.
- 2. Learn mindfulness meditative practice.
- 3. Cherish your time with family, friends, significant other.
- 4. Carve out some time for hobbies, interests away from
medicine.
- 5. Buddy-up for informal peer support.
- 6. Choose compassion for others and yourself.
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Resources
- You
- Family, friends
- Peers, including psychiatric colleagues
- Faith community / pastoral counseling
- Family doctor
- EFAP
- Physician Health Program – 800-851-6606
- CMA 24/7 Wellness Line
- Other
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