Lauren Nassetta MD

RIME Workshop

September 18 2015

Define BURNOUT Understand why burnout is a problem Discuss risks for burnout

Define WELL-BEING Discuss ways to increase well-being Make a plan for practicing these

1 Urban dictionary 2 Maslach C Schaufeli W B amp Leiter M P (2001) Job

burnout Annu Rev Psychol 52 397-422 doi 101146annurevpsych521397

A A person who has smoked so much marijuana that they appear slow sluggish and stupid1

B The practice of keeping a vehicle stationary and spinning its wheels causing the tires to heat up and smoke due to friction

C Prolonged response to chronic emotional and interpersonal stressors on the job2

Prolonged response to chronic emotional and interpersonal stressors on the job

Defined by three dimensions

Maslach C Schaufeli W B amp Leiter M P (2001) Job burnout Annu Rev Psychol 52 397-422 doi 101146annurevpsych521397

exhaustion

cynicism inefficacy

burnout

SCORE

0 bull Never

1 bull A few times a year or less

2 bull Once a month or less

3 bull A few times a month

4 bull Once a week

5 bull A few times a week

6 bull Every day

3 COMPONENTS

1 Emotional Exhaustion

2 Depersonalization

3 Personal Accomplishment

EMOTIONAL EXHAUSTION

I feel emotionally drained from my work

Working with people all day is really a strain for me

I feel burned out from my

work

I feel frustrated by my job

I feel Irsquom working too hard on my job

Working with people directly

puts too much stress on me

I feel like Irsquom at the end of my rope

I feel used up at the end of

the workday

I feel fatigued when I get up

in the morning and have to face another day on the job

DEPERSONALIZATION

I feel I treat some patients as if they were impersonal objects

Irsquove become more callous toward people since I took

this job I worry that this job is

hardening me emotionally

I donrsquot really care what

happens to some patients

I feel patients blame me for some of their problems

PERSONAL ACCOMPLISHMENT

I deal very effectively with the problems of my patients

I feel Irsquom positively influencing other peoplersquos lives through my work

I feel very energetic I can easily create a relaxed

atmosphere with my patients

I feel exhilarated after working closely with my patients

I have accomplished many worthwhile things in this job

I can easily understand how my patients feel about things

In my work I deal with emotional problems very

calmly

2010 study of US Physicians vs general population1

May be increasing Physician Lifestyle Report2

2013 lt40

2015 46

Variable Phys Gen Pop

P value

Emotional Exhaustion scorege 27

319 234 lt0001

Depersonalization score ge 10

193 148 lt0001

1 Shanafelt T D Boone S Tan L amp et al (2012) Burnout and satisfaction with work-life balance among us physicians relative to the general us population Archives of Internal Medicine 172(18)

2 Medscape Physician Lifestyle Report 2015 Retrieved 827 2015 from httpwwwmedscapecomfeaturesslideshowlifestyle2015publicoverview

Medscape Pediatrician Lifestyle Report 2015 Retrieved 330 2015 from httpwwwmedscapecomfeaturesslideshowlifestyle2015pediatrics1

43

51

0

10

20

30

40

50

60

Burnout

Men

Women

Consistent with national survey data1

Different2

Men more depersonalization

Women more emotional exhaustion

1 Medscape Physician Lifestyle Report 2015 Retrieved 827 2015 from httpwwwmedscapecomfeaturesslideshowlifestyle2015publicoverview

2 Houkes I Winants Y Twellaar M amp Verdonk P (2011) Development of burnout over time and the causal order of the three dimensions of burnout among male and female GPs A three-wave panel study BMC Public Health 11 240-240 doi 1011861471-2458-11-240

UAB 2nd Year Pediatrics and Med-Peds Residents

MBI

21 respondents (84)

Variable Min-Max

Median

of ldquohighrdquo scores (EEge27 DPge10 PA le30)

Gen pop1

Emotional Exhaustion

14-50 30 14 (67)

234

Depersonalization 3-28 11 14 (67)

148

Personal Accomplishment

21-48 36 4 (19)

1Shanafelt T D Boone S Tan L amp et al (2012) Burnout and satisfaction with work-life balance among us physicians relative to the general us population Archives of Internal Medicine 172(18)

Variable Min-Max

Median

of ldquohighrdquo scores (EEge27 DPge10 PA le30)

Gen pop1

Emotional Exhaustion

14-50

30 14 (67)

234

Depersonalization

3-28 11 14 (67)

148

Personal Accomplishment

21-48

36 4 (19)

ldquoHigh Scoresrdquo

81 had at least 1 (only 4 people with none)

6 with 1 and 7 with 2

4 with all 3 Anyone with a ldquohighrdquo

score in PA also ldquohighrdquo in other 2

1Shanafelt T D Boone S Tan L amp et al (2012) Burnout and satisfaction with work-life balance among us physicians relative to the general us population Archives of Internal Medicine 172(18)

Physicians residents amp nurses affected by burnout are more prone to

Substance misuse12

Depression13

Insomnia14

High rates of suicidal thoughts156

1 Bria M Spacircnu F Băban A amp Dumitraşcu D L (2014) Maslach Burnout Inventory ndash General Survey Factorial

validity and invariance among Romanian healthcare professionals Burnout Research 1(3) 2 Oreskovich MR Kaups KL Balch CM et al Prevalence of Alcohol Use Disorders Among American Surgeons Arch

Surg2012147(2)168-174 doi101001archsurg20111481 3 Hakanen JJ Schaufeli WB Do burnout and work engagement predict depressive symptoms and life satisfaction A three-

wave seven-year prospective study J Affect Disord 2012 Dec 10141(2-3)415-24 doi 101016jjad201202043 4 Vela-Bueno A Moreno-Jimeacutenez B Rodriacuteguez-Muntildeoz A Olavarrieta-Bernardino S Fernaacutendez-Mendoza J De la Cruz-Troca

JJ Bixler EO Vgontzas AN Insomnia and sleep quality among primary care physicians with low and high burnout levels J Psychosom Res 2008 Apr64(4)435-42 doi 101016jjpsychores200710014

5 Shanafelt TD Balch CM Dyrbye L Bechamps G Russell T Satele D Rummans T Swartz K Novotny PJ Sloan J Oreskovich MR Special report suicidal ideation among American surgeons Arch Surg 2011 Jan146(1)54-62 doi 101001archsurg2010292

6 van der Heijden F Dillingh G Bakker A Prins J Suicidal thoughts among medical residents with burnout Arch Suicide Res 200812(4)344-6 doi 10108013811110802325349

Define BURNOUT Understand why burnout is a problem Discuss risks for burnout

Define WELL-BEING Discuss ways to increase well-being Make a plan for practicing these

1 Urban dictionary 2 Maslach C Schaufeli W B amp Leiter M P (2001) Job

burnout Annu Rev Psychol 52 397-422 doi 101146annurevpsych521397

A A person who has smoked so much marijuana that they appear slow sluggish and stupid1

B The practice of keeping a vehicle stationary and spinning its wheels causing the tires to heat up and smoke due to friction

C Prolonged response to chronic emotional and interpersonal stressors on the job2

Prolonged response to chronic emotional and interpersonal stressors on the job

Defined by three dimensions

Maslach C Schaufeli W B amp Leiter M P (2001) Job burnout Annu Rev Psychol 52 397-422 doi 101146annurevpsych521397

exhaustion

cynicism inefficacy

burnout

SCORE

0 bull Never

1 bull A few times a year or less

2 bull Once a month or less

3 bull A few times a month

4 bull Once a week

5 bull A few times a week

6 bull Every day

3 COMPONENTS

1 Emotional Exhaustion

2 Depersonalization

3 Personal Accomplishment

EMOTIONAL EXHAUSTION

I feel emotionally drained from my work

Working with people all day is really a strain for me

I feel burned out from my

work

I feel frustrated by my job

I feel Irsquom working too hard on my job

Working with people directly

puts too much stress on me

I feel like Irsquom at the end of my rope

I feel used up at the end of

the workday

I feel fatigued when I get up

in the morning and have to face another day on the job

DEPERSONALIZATION

I feel I treat some patients as if they were impersonal objects

Irsquove become more callous toward people since I took

this job I worry that this job is

hardening me emotionally

I donrsquot really care what

happens to some patients

I feel patients blame me for some of their problems

PERSONAL ACCOMPLISHMENT

I deal very effectively with the problems of my patients

I feel Irsquom positively influencing other peoplersquos lives through my work

I feel very energetic I can easily create a relaxed

atmosphere with my patients

I feel exhilarated after working closely with my patients

I have accomplished many worthwhile things in this job

I can easily understand how my patients feel about things

In my work I deal with emotional problems very

calmly

2010 study of US Physicians vs general population1

May be increasing Physician Lifestyle Report2

2013 lt40

2015 46

Variable Phys Gen Pop

P value

Emotional Exhaustion scorege 27

319 234 lt0001

Depersonalization score ge 10

193 148 lt0001

1 Shanafelt T D Boone S Tan L amp et al (2012) Burnout and satisfaction with work-life balance among us physicians relative to the general us population Archives of Internal Medicine 172(18)

2 Medscape Physician Lifestyle Report 2015 Retrieved 827 2015 from httpwwwmedscapecomfeaturesslideshowlifestyle2015publicoverview

Medscape Pediatrician Lifestyle Report 2015 Retrieved 330 2015 from httpwwwmedscapecomfeaturesslideshowlifestyle2015pediatrics1

43

51

0

10

20

30

40

50

60

Burnout

Men

Women

Consistent with national survey data1

Different2

Men more depersonalization

Women more emotional exhaustion

1 Medscape Physician Lifestyle Report 2015 Retrieved 827 2015 from httpwwwmedscapecomfeaturesslideshowlifestyle2015publicoverview

2 Houkes I Winants Y Twellaar M amp Verdonk P (2011) Development of burnout over time and the causal order of the three dimensions of burnout among male and female GPs A three-wave panel study BMC Public Health 11 240-240 doi 1011861471-2458-11-240

UAB 2nd Year Pediatrics and Med-Peds Residents

MBI

21 respondents (84)

Variable Min-Max

Median

of ldquohighrdquo scores (EEge27 DPge10 PA le30)

Gen pop1

Emotional Exhaustion

14-50 30 14 (67)

234

Depersonalization 3-28 11 14 (67)

148

Personal Accomplishment

21-48 36 4 (19)

1Shanafelt T D Boone S Tan L amp et al (2012) Burnout and satisfaction with work-life balance among us physicians relative to the general us population Archives of Internal Medicine 172(18)

Variable Min-Max

Median

of ldquohighrdquo scores (EEge27 DPge10 PA le30)

Gen pop1

Emotional Exhaustion

14-50

30 14 (67)

234

Depersonalization

3-28 11 14 (67)

148

Personal Accomplishment

21-48

36 4 (19)

ldquoHigh Scoresrdquo

81 had at least 1 (only 4 people with none)

6 with 1 and 7 with 2

4 with all 3 Anyone with a ldquohighrdquo

score in PA also ldquohighrdquo in other 2

1Shanafelt T D Boone S Tan L amp et al (2012) Burnout and satisfaction with work-life balance among us physicians relative to the general us population Archives of Internal Medicine 172(18)

Physicians residents amp nurses affected by burnout are more prone to

Substance misuse12

Depression13

Insomnia14

High rates of suicidal thoughts156

1 Bria M Spacircnu F Băban A amp Dumitraşcu D L (2014) Maslach Burnout Inventory ndash General Survey Factorial

validity and invariance among Romanian healthcare professionals Burnout Research 1(3) 2 Oreskovich MR Kaups KL Balch CM et al Prevalence of Alcohol Use Disorders Among American Surgeons Arch

Surg2012147(2)168-174 doi101001archsurg20111481 3 Hakanen JJ Schaufeli WB Do burnout and work engagement predict depressive symptoms and life satisfaction A three-

wave seven-year prospective study J Affect Disord 2012 Dec 10141(2-3)415-24 doi 101016jjad201202043 4 Vela-Bueno A Moreno-Jimeacutenez B Rodriacuteguez-Muntildeoz A Olavarrieta-Bernardino S Fernaacutendez-Mendoza J De la Cruz-Troca

JJ Bixler EO Vgontzas AN Insomnia and sleep quality among primary care physicians with low and high burnout levels J Psychosom Res 2008 Apr64(4)435-42 doi 101016jjpsychores200710014

5 Shanafelt TD Balch CM Dyrbye L Bechamps G Russell T Satele D Rummans T Swartz K Novotny PJ Sloan J Oreskovich MR Special report suicidal ideation among American surgeons Arch Surg 2011 Jan146(1)54-62 doi 101001archsurg2010292

6 van der Heijden F Dillingh G Bakker A Prins J Suicidal thoughts among medical residents with burnout Arch Suicide Res 200812(4)344-6 doi 10108013811110802325349

1 Urban dictionary 2 Maslach C Schaufeli W B amp Leiter M P (2001) Job

burnout Annu Rev Psychol 52 397-422 doi 101146annurevpsych521397

A A person who has smoked so much marijuana that they appear slow sluggish and stupid1

B The practice of keeping a vehicle stationary and spinning its wheels causing the tires to heat up and smoke due to friction

C Prolonged response to chronic emotional and interpersonal stressors on the job2

Prolonged response to chronic emotional and interpersonal stressors on the job

Defined by three dimensions

Maslach C Schaufeli W B amp Leiter M P (2001) Job burnout Annu Rev Psychol 52 397-422 doi 101146annurevpsych521397

exhaustion

cynicism inefficacy

burnout

SCORE

0 bull Never

1 bull A few times a year or less

2 bull Once a month or less

3 bull A few times a month

4 bull Once a week

5 bull A few times a week

6 bull Every day

3 COMPONENTS

1 Emotional Exhaustion

2 Depersonalization

3 Personal Accomplishment

EMOTIONAL EXHAUSTION

I feel emotionally drained from my work

Working with people all day is really a strain for me

I feel burned out from my

work

I feel frustrated by my job

I feel Irsquom working too hard on my job

Working with people directly

puts too much stress on me

I feel like Irsquom at the end of my rope

I feel used up at the end of

the workday

I feel fatigued when I get up

in the morning and have to face another day on the job

DEPERSONALIZATION

I feel I treat some patients as if they were impersonal objects

Irsquove become more callous toward people since I took

this job I worry that this job is

hardening me emotionally

I donrsquot really care what

happens to some patients

I feel patients blame me for some of their problems

PERSONAL ACCOMPLISHMENT

I deal very effectively with the problems of my patients

I feel Irsquom positively influencing other peoplersquos lives through my work

I feel very energetic I can easily create a relaxed

atmosphere with my patients

I feel exhilarated after working closely with my patients

I have accomplished many worthwhile things in this job

I can easily understand how my patients feel about things

In my work I deal with emotional problems very

calmly

2010 study of US Physicians vs general population1

May be increasing Physician Lifestyle Report2

2013 lt40

2015 46

Variable Phys Gen Pop

P value

Emotional Exhaustion scorege 27

319 234 lt0001

Depersonalization score ge 10

193 148 lt0001

1 Shanafelt T D Boone S Tan L amp et al (2012) Burnout and satisfaction with work-life balance among us physicians relative to the general us population Archives of Internal Medicine 172(18)

2 Medscape Physician Lifestyle Report 2015 Retrieved 827 2015 from httpwwwmedscapecomfeaturesslideshowlifestyle2015publicoverview

Medscape Pediatrician Lifestyle Report 2015 Retrieved 330 2015 from httpwwwmedscapecomfeaturesslideshowlifestyle2015pediatrics1

43

51

0

10

20

30

40

50

60

Burnout

Men

Women

Consistent with national survey data1

Different2

Men more depersonalization

Women more emotional exhaustion

1 Medscape Physician Lifestyle Report 2015 Retrieved 827 2015 from httpwwwmedscapecomfeaturesslideshowlifestyle2015publicoverview

2 Houkes I Winants Y Twellaar M amp Verdonk P (2011) Development of burnout over time and the causal order of the three dimensions of burnout among male and female GPs A three-wave panel study BMC Public Health 11 240-240 doi 1011861471-2458-11-240

UAB 2nd Year Pediatrics and Med-Peds Residents

MBI

21 respondents (84)

Variable Min-Max

Median

of ldquohighrdquo scores (EEge27 DPge10 PA le30)

Gen pop1

Emotional Exhaustion

14-50 30 14 (67)

234

Depersonalization 3-28 11 14 (67)

148

Personal Accomplishment

21-48 36 4 (19)

1Shanafelt T D Boone S Tan L amp et al (2012) Burnout and satisfaction with work-life balance among us physicians relative to the general us population Archives of Internal Medicine 172(18)

Variable Min-Max

Median

of ldquohighrdquo scores (EEge27 DPge10 PA le30)

Gen pop1

Emotional Exhaustion

14-50

30 14 (67)

234

Depersonalization

3-28 11 14 (67)

148

Personal Accomplishment

21-48

36 4 (19)

ldquoHigh Scoresrdquo

81 had at least 1 (only 4 people with none)

6 with 1 and 7 with 2

4 with all 3 Anyone with a ldquohighrdquo

score in PA also ldquohighrdquo in other 2

1Shanafelt T D Boone S Tan L amp et al (2012) Burnout and satisfaction with work-life balance among us physicians relative to the general us population Archives of Internal Medicine 172(18)

Physicians residents amp nurses affected by burnout are more prone to

Substance misuse12

Depression13

Insomnia14

High rates of suicidal thoughts156

1 Bria M Spacircnu F Băban A amp Dumitraşcu D L (2014) Maslach Burnout Inventory ndash General Survey Factorial

validity and invariance among Romanian healthcare professionals Burnout Research 1(3) 2 Oreskovich MR Kaups KL Balch CM et al Prevalence of Alcohol Use Disorders Among American Surgeons Arch

Surg2012147(2)168-174 doi101001archsurg20111481 3 Hakanen JJ Schaufeli WB Do burnout and work engagement predict depressive symptoms and life satisfaction A three-

wave seven-year prospective study J Affect Disord 2012 Dec 10141(2-3)415-24 doi 101016jjad201202043 4 Vela-Bueno A Moreno-Jimeacutenez B Rodriacuteguez-Muntildeoz A Olavarrieta-Bernardino S Fernaacutendez-Mendoza J De la Cruz-Troca

JJ Bixler EO Vgontzas AN Insomnia and sleep quality among primary care physicians with low and high burnout levels J Psychosom Res 2008 Apr64(4)435-42 doi 101016jjpsychores200710014

5 Shanafelt TD Balch CM Dyrbye L Bechamps G Russell T Satele D Rummans T Swartz K Novotny PJ Sloan J Oreskovich MR Special report suicidal ideation among American surgeons Arch Surg 2011 Jan146(1)54-62 doi 101001archsurg2010292

6 van der Heijden F Dillingh G Bakker A Prins J Suicidal thoughts among medical residents with burnout Arch Suicide Res 200812(4)344-6 doi 10108013811110802325349

Prolonged response to chronic emotional and interpersonal stressors on the job

Defined by three dimensions

Maslach C Schaufeli W B amp Leiter M P (2001) Job burnout Annu Rev Psychol 52 397-422 doi 101146annurevpsych521397

exhaustion

cynicism inefficacy

burnout

SCORE

0 bull Never

1 bull A few times a year or less

2 bull Once a month or less

3 bull A few times a month

4 bull Once a week

5 bull A few times a week

6 bull Every day

3 COMPONENTS

1 Emotional Exhaustion

2 Depersonalization

3 Personal Accomplishment

EMOTIONAL EXHAUSTION

I feel emotionally drained from my work

Working with people all day is really a strain for me

I feel burned out from my

work

I feel frustrated by my job

I feel Irsquom working too hard on my job

Working with people directly

puts too much stress on me

I feel like Irsquom at the end of my rope

I feel used up at the end of

the workday

I feel fatigued when I get up

in the morning and have to face another day on the job

DEPERSONALIZATION

I feel I treat some patients as if they were impersonal objects

Irsquove become more callous toward people since I took

this job I worry that this job is

hardening me emotionally

I donrsquot really care what

happens to some patients

I feel patients blame me for some of their problems

PERSONAL ACCOMPLISHMENT

I deal very effectively with the problems of my patients

I feel Irsquom positively influencing other peoplersquos lives through my work

I feel very energetic I can easily create a relaxed

atmosphere with my patients

I feel exhilarated after working closely with my patients

I have accomplished many worthwhile things in this job

I can easily understand how my patients feel about things

In my work I deal with emotional problems very

calmly

2010 study of US Physicians vs general population1

May be increasing Physician Lifestyle Report2

2013 lt40

2015 46

Variable Phys Gen Pop

P value

Emotional Exhaustion scorege 27

319 234 lt0001

Depersonalization score ge 10

193 148 lt0001

1 Shanafelt T D Boone S Tan L amp et al (2012) Burnout and satisfaction with work-life balance among us physicians relative to the general us population Archives of Internal Medicine 172(18)

2 Medscape Physician Lifestyle Report 2015 Retrieved 827 2015 from httpwwwmedscapecomfeaturesslideshowlifestyle2015publicoverview

Medscape Pediatrician Lifestyle Report 2015 Retrieved 330 2015 from httpwwwmedscapecomfeaturesslideshowlifestyle2015pediatrics1

43

51

0

10

20

30

40

50

60

Burnout

Men

Women

Consistent with national survey data1

Different2

Men more depersonalization

Women more emotional exhaustion

1 Medscape Physician Lifestyle Report 2015 Retrieved 827 2015 from httpwwwmedscapecomfeaturesslideshowlifestyle2015publicoverview

2 Houkes I Winants Y Twellaar M amp Verdonk P (2011) Development of burnout over time and the causal order of the three dimensions of burnout among male and female GPs A three-wave panel study BMC Public Health 11 240-240 doi 1011861471-2458-11-240

UAB 2nd Year Pediatrics and Med-Peds Residents

MBI

21 respondents (84)

Variable Min-Max

Median

of ldquohighrdquo scores (EEge27 DPge10 PA le30)

Gen pop1

Emotional Exhaustion

14-50 30 14 (67)

234

Depersonalization 3-28 11 14 (67)

148

Personal Accomplishment

21-48 36 4 (19)

1Shanafelt T D Boone S Tan L amp et al (2012) Burnout and satisfaction with work-life balance among us physicians relative to the general us population Archives of Internal Medicine 172(18)

Variable Min-Max

Median

of ldquohighrdquo scores (EEge27 DPge10 PA le30)

Gen pop1

Emotional Exhaustion

14-50

30 14 (67)

234

Depersonalization

3-28 11 14 (67)

148

Personal Accomplishment

21-48

36 4 (19)

ldquoHigh Scoresrdquo

81 had at least 1 (only 4 people with none)

6 with 1 and 7 with 2

4 with all 3 Anyone with a ldquohighrdquo

score in PA also ldquohighrdquo in other 2

1Shanafelt T D Boone S Tan L amp et al (2012) Burnout and satisfaction with work-life balance among us physicians relative to the general us population Archives of Internal Medicine 172(18)

Physicians residents amp nurses affected by burnout are more prone to

Substance misuse12

Depression13

Insomnia14

High rates of suicidal thoughts156

1 Bria M Spacircnu F Băban A amp Dumitraşcu D L (2014) Maslach Burnout Inventory ndash General Survey Factorial

validity and invariance among Romanian healthcare professionals Burnout Research 1(3) 2 Oreskovich MR Kaups KL Balch CM et al Prevalence of Alcohol Use Disorders Among American Surgeons Arch

Surg2012147(2)168-174 doi101001archsurg20111481 3 Hakanen JJ Schaufeli WB Do burnout and work engagement predict depressive symptoms and life satisfaction A three-

wave seven-year prospective study J Affect Disord 2012 Dec 10141(2-3)415-24 doi 101016jjad201202043 4 Vela-Bueno A Moreno-Jimeacutenez B Rodriacuteguez-Muntildeoz A Olavarrieta-Bernardino S Fernaacutendez-Mendoza J De la Cruz-Troca

JJ Bixler EO Vgontzas AN Insomnia and sleep quality among primary care physicians with low and high burnout levels J Psychosom Res 2008 Apr64(4)435-42 doi 101016jjpsychores200710014

5 Shanafelt TD Balch CM Dyrbye L Bechamps G Russell T Satele D Rummans T Swartz K Novotny PJ Sloan J Oreskovich MR Special report suicidal ideation among American surgeons Arch Surg 2011 Jan146(1)54-62 doi 101001archsurg2010292

6 van der Heijden F Dillingh G Bakker A Prins J Suicidal thoughts among medical residents with burnout Arch Suicide Res 200812(4)344-6 doi 10108013811110802325349

SCORE

0 bull Never

1 bull A few times a year or less

2 bull Once a month or less

3 bull A few times a month

4 bull Once a week

5 bull A few times a week

6 bull Every day

3 COMPONENTS

1 Emotional Exhaustion

2 Depersonalization

3 Personal Accomplishment

EMOTIONAL EXHAUSTION

I feel emotionally drained from my work

Working with people all day is really a strain for me

I feel burned out from my

work

I feel frustrated by my job

I feel Irsquom working too hard on my job

Working with people directly

puts too much stress on me

I feel like Irsquom at the end of my rope

I feel used up at the end of

the workday

I feel fatigued when I get up

in the morning and have to face another day on the job

DEPERSONALIZATION

I feel I treat some patients as if they were impersonal objects

Irsquove become more callous toward people since I took

this job I worry that this job is

hardening me emotionally

I donrsquot really care what

happens to some patients

I feel patients blame me for some of their problems

PERSONAL ACCOMPLISHMENT

I deal very effectively with the problems of my patients

I feel Irsquom positively influencing other peoplersquos lives through my work

I feel very energetic I can easily create a relaxed

atmosphere with my patients

I feel exhilarated after working closely with my patients

I have accomplished many worthwhile things in this job

I can easily understand how my patients feel about things

In my work I deal with emotional problems very

calmly

2010 study of US Physicians vs general population1

May be increasing Physician Lifestyle Report2

2013 lt40

2015 46

Variable Phys Gen Pop

P value

Emotional Exhaustion scorege 27

319 234 lt0001

Depersonalization score ge 10

193 148 lt0001

1 Shanafelt T D Boone S Tan L amp et al (2012) Burnout and satisfaction with work-life balance among us physicians relative to the general us population Archives of Internal Medicine 172(18)

2 Medscape Physician Lifestyle Report 2015 Retrieved 827 2015 from httpwwwmedscapecomfeaturesslideshowlifestyle2015publicoverview

Medscape Pediatrician Lifestyle Report 2015 Retrieved 330 2015 from httpwwwmedscapecomfeaturesslideshowlifestyle2015pediatrics1

43

51

0

10

20

30

40

50

60

Burnout

Men

Women

Consistent with national survey data1

Different2

Men more depersonalization

Women more emotional exhaustion

1 Medscape Physician Lifestyle Report 2015 Retrieved 827 2015 from httpwwwmedscapecomfeaturesslideshowlifestyle2015publicoverview

2 Houkes I Winants Y Twellaar M amp Verdonk P (2011) Development of burnout over time and the causal order of the three dimensions of burnout among male and female GPs A three-wave panel study BMC Public Health 11 240-240 doi 1011861471-2458-11-240

UAB 2nd Year Pediatrics and Med-Peds Residents

MBI

21 respondents (84)

Variable Min-Max

Median

of ldquohighrdquo scores (EEge27 DPge10 PA le30)

Gen pop1

Emotional Exhaustion

14-50 30 14 (67)

234

Depersonalization 3-28 11 14 (67)

148

Personal Accomplishment

21-48 36 4 (19)

1Shanafelt T D Boone S Tan L amp et al (2012) Burnout and satisfaction with work-life balance among us physicians relative to the general us population Archives of Internal Medicine 172(18)

Variable Min-Max

Median

of ldquohighrdquo scores (EEge27 DPge10 PA le30)

Gen pop1

Emotional Exhaustion

14-50

30 14 (67)

234

Depersonalization

3-28 11 14 (67)

148

Personal Accomplishment

21-48

36 4 (19)

ldquoHigh Scoresrdquo

81 had at least 1 (only 4 people with none)

6 with 1 and 7 with 2

4 with all 3 Anyone with a ldquohighrdquo

score in PA also ldquohighrdquo in other 2

1Shanafelt T D Boone S Tan L amp et al (2012) Burnout and satisfaction with work-life balance among us physicians relative to the general us population Archives of Internal Medicine 172(18)

Physicians residents amp nurses affected by burnout are more prone to

Substance misuse12

Depression13

Insomnia14

High rates of suicidal thoughts156

1 Bria M Spacircnu F Băban A amp Dumitraşcu D L (2014) Maslach Burnout Inventory ndash General Survey Factorial

validity and invariance among Romanian healthcare professionals Burnout Research 1(3) 2 Oreskovich MR Kaups KL Balch CM et al Prevalence of Alcohol Use Disorders Among American Surgeons Arch

Surg2012147(2)168-174 doi101001archsurg20111481 3 Hakanen JJ Schaufeli WB Do burnout and work engagement predict depressive symptoms and life satisfaction A three-

wave seven-year prospective study J Affect Disord 2012 Dec 10141(2-3)415-24 doi 101016jjad201202043 4 Vela-Bueno A Moreno-Jimeacutenez B Rodriacuteguez-Muntildeoz A Olavarrieta-Bernardino S Fernaacutendez-Mendoza J De la Cruz-Troca

JJ Bixler EO Vgontzas AN Insomnia and sleep quality among primary care physicians with low and high burnout levels J Psychosom Res 2008 Apr64(4)435-42 doi 101016jjpsychores200710014

5 Shanafelt TD Balch CM Dyrbye L Bechamps G Russell T Satele D Rummans T Swartz K Novotny PJ Sloan J Oreskovich MR Special report suicidal ideation among American surgeons Arch Surg 2011 Jan146(1)54-62 doi 101001archsurg2010292

6 van der Heijden F Dillingh G Bakker A Prins J Suicidal thoughts among medical residents with burnout Arch Suicide Res 200812(4)344-6 doi 10108013811110802325349

EMOTIONAL EXHAUSTION

I feel emotionally drained from my work

Working with people all day is really a strain for me

I feel burned out from my

work

I feel frustrated by my job

I feel Irsquom working too hard on my job

Working with people directly

puts too much stress on me

I feel like Irsquom at the end of my rope

I feel used up at the end of

the workday

I feel fatigued when I get up

in the morning and have to face another day on the job

DEPERSONALIZATION

I feel I treat some patients as if they were impersonal objects

Irsquove become more callous toward people since I took

this job I worry that this job is

hardening me emotionally

I donrsquot really care what

happens to some patients

I feel patients blame me for some of their problems

PERSONAL ACCOMPLISHMENT

I deal very effectively with the problems of my patients

I feel Irsquom positively influencing other peoplersquos lives through my work

I feel very energetic I can easily create a relaxed

atmosphere with my patients

I feel exhilarated after working closely with my patients

I have accomplished many worthwhile things in this job

I can easily understand how my patients feel about things

In my work I deal with emotional problems very

calmly

2010 study of US Physicians vs general population1

May be increasing Physician Lifestyle Report2

2013 lt40

2015 46

Variable Phys Gen Pop

P value

Emotional Exhaustion scorege 27

319 234 lt0001

Depersonalization score ge 10

193 148 lt0001

1 Shanafelt T D Boone S Tan L amp et al (2012) Burnout and satisfaction with work-life balance among us physicians relative to the general us population Archives of Internal Medicine 172(18)

2 Medscape Physician Lifestyle Report 2015 Retrieved 827 2015 from httpwwwmedscapecomfeaturesslideshowlifestyle2015publicoverview

Medscape Pediatrician Lifestyle Report 2015 Retrieved 330 2015 from httpwwwmedscapecomfeaturesslideshowlifestyle2015pediatrics1

43

51

0

10

20

30

40

50

60

Burnout

Men

Women

Consistent with national survey data1

Different2

Men more depersonalization

Women more emotional exhaustion

1 Medscape Physician Lifestyle Report 2015 Retrieved 827 2015 from httpwwwmedscapecomfeaturesslideshowlifestyle2015publicoverview

2 Houkes I Winants Y Twellaar M amp Verdonk P (2011) Development of burnout over time and the causal order of the three dimensions of burnout among male and female GPs A three-wave panel study BMC Public Health 11 240-240 doi 1011861471-2458-11-240

UAB 2nd Year Pediatrics and Med-Peds Residents

MBI

21 respondents (84)

Variable Min-Max

Median

of ldquohighrdquo scores (EEge27 DPge10 PA le30)

Gen pop1

Emotional Exhaustion

14-50 30 14 (67)

234

Depersonalization 3-28 11 14 (67)

148

Personal Accomplishment

21-48 36 4 (19)

1Shanafelt T D Boone S Tan L amp et al (2012) Burnout and satisfaction with work-life balance among us physicians relative to the general us population Archives of Internal Medicine 172(18)

Variable Min-Max

Median

of ldquohighrdquo scores (EEge27 DPge10 PA le30)

Gen pop1

Emotional Exhaustion

14-50

30 14 (67)

234

Depersonalization

3-28 11 14 (67)

148

Personal Accomplishment

21-48

36 4 (19)

ldquoHigh Scoresrdquo

81 had at least 1 (only 4 people with none)

6 with 1 and 7 with 2

4 with all 3 Anyone with a ldquohighrdquo

score in PA also ldquohighrdquo in other 2

1Shanafelt T D Boone S Tan L amp et al (2012) Burnout and satisfaction with work-life balance among us physicians relative to the general us population Archives of Internal Medicine 172(18)

Physicians residents amp nurses affected by burnout are more prone to

Substance misuse12

Depression13

Insomnia14

High rates of suicidal thoughts156

1 Bria M Spacircnu F Băban A amp Dumitraşcu D L (2014) Maslach Burnout Inventory ndash General Survey Factorial

validity and invariance among Romanian healthcare professionals Burnout Research 1(3) 2 Oreskovich MR Kaups KL Balch CM et al Prevalence of Alcohol Use Disorders Among American Surgeons Arch

Surg2012147(2)168-174 doi101001archsurg20111481 3 Hakanen JJ Schaufeli WB Do burnout and work engagement predict depressive symptoms and life satisfaction A three-

wave seven-year prospective study J Affect Disord 2012 Dec 10141(2-3)415-24 doi 101016jjad201202043 4 Vela-Bueno A Moreno-Jimeacutenez B Rodriacuteguez-Muntildeoz A Olavarrieta-Bernardino S Fernaacutendez-Mendoza J De la Cruz-Troca

JJ Bixler EO Vgontzas AN Insomnia and sleep quality among primary care physicians with low and high burnout levels J Psychosom Res 2008 Apr64(4)435-42 doi 101016jjpsychores200710014

5 Shanafelt TD Balch CM Dyrbye L Bechamps G Russell T Satele D Rummans T Swartz K Novotny PJ Sloan J Oreskovich MR Special report suicidal ideation among American surgeons Arch Surg 2011 Jan146(1)54-62 doi 101001archsurg2010292

6 van der Heijden F Dillingh G Bakker A Prins J Suicidal thoughts among medical residents with burnout Arch Suicide Res 200812(4)344-6 doi 10108013811110802325349

2010 study of US Physicians vs general population1

May be increasing Physician Lifestyle Report2

2013 lt40

2015 46

Variable Phys Gen Pop

P value

Emotional Exhaustion scorege 27

319 234 lt0001

Depersonalization score ge 10

193 148 lt0001

1 Shanafelt T D Boone S Tan L amp et al (2012) Burnout and satisfaction with work-life balance among us physicians relative to the general us population Archives of Internal Medicine 172(18)

2 Medscape Physician Lifestyle Report 2015 Retrieved 827 2015 from httpwwwmedscapecomfeaturesslideshowlifestyle2015publicoverview

Medscape Pediatrician Lifestyle Report 2015 Retrieved 330 2015 from httpwwwmedscapecomfeaturesslideshowlifestyle2015pediatrics1

43

51

0

10

20

30

40

50

60

Burnout

Men

Women

Consistent with national survey data1

Different2

Men more depersonalization

Women more emotional exhaustion

1 Medscape Physician Lifestyle Report 2015 Retrieved 827 2015 from httpwwwmedscapecomfeaturesslideshowlifestyle2015publicoverview

2 Houkes I Winants Y Twellaar M amp Verdonk P (2011) Development of burnout over time and the causal order of the three dimensions of burnout among male and female GPs A three-wave panel study BMC Public Health 11 240-240 doi 1011861471-2458-11-240

UAB 2nd Year Pediatrics and Med-Peds Residents

MBI

21 respondents (84)

Variable Min-Max

Median

of ldquohighrdquo scores (EEge27 DPge10 PA le30)

Gen pop1

Emotional Exhaustion

14-50 30 14 (67)

234

Depersonalization 3-28 11 14 (67)

148

Personal Accomplishment

21-48 36 4 (19)

1Shanafelt T D Boone S Tan L amp et al (2012) Burnout and satisfaction with work-life balance among us physicians relative to the general us population Archives of Internal Medicine 172(18)

Variable Min-Max

Median

of ldquohighrdquo scores (EEge27 DPge10 PA le30)

Gen pop1

Emotional Exhaustion

14-50

30 14 (67)

234

Depersonalization

3-28 11 14 (67)

148

Personal Accomplishment

21-48

36 4 (19)

ldquoHigh Scoresrdquo

81 had at least 1 (only 4 people with none)

6 with 1 and 7 with 2

4 with all 3 Anyone with a ldquohighrdquo

score in PA also ldquohighrdquo in other 2

1Shanafelt T D Boone S Tan L amp et al (2012) Burnout and satisfaction with work-life balance among us physicians relative to the general us population Archives of Internal Medicine 172(18)

Physicians residents amp nurses affected by burnout are more prone to

Substance misuse12

Depression13

Insomnia14

High rates of suicidal thoughts156

1 Bria M Spacircnu F Băban A amp Dumitraşcu D L (2014) Maslach Burnout Inventory ndash General Survey Factorial

validity and invariance among Romanian healthcare professionals Burnout Research 1(3) 2 Oreskovich MR Kaups KL Balch CM et al Prevalence of Alcohol Use Disorders Among American Surgeons Arch

Surg2012147(2)168-174 doi101001archsurg20111481 3 Hakanen JJ Schaufeli WB Do burnout and work engagement predict depressive symptoms and life satisfaction A three-

wave seven-year prospective study J Affect Disord 2012 Dec 10141(2-3)415-24 doi 101016jjad201202043 4 Vela-Bueno A Moreno-Jimeacutenez B Rodriacuteguez-Muntildeoz A Olavarrieta-Bernardino S Fernaacutendez-Mendoza J De la Cruz-Troca

JJ Bixler EO Vgontzas AN Insomnia and sleep quality among primary care physicians with low and high burnout levels J Psychosom Res 2008 Apr64(4)435-42 doi 101016jjpsychores200710014

5 Shanafelt TD Balch CM Dyrbye L Bechamps G Russell T Satele D Rummans T Swartz K Novotny PJ Sloan J Oreskovich MR Special report suicidal ideation among American surgeons Arch Surg 2011 Jan146(1)54-62 doi 101001archsurg2010292

6 van der Heijden F Dillingh G Bakker A Prins J Suicidal thoughts among medical residents with burnout Arch Suicide Res 200812(4)344-6 doi 10108013811110802325349

Medscape Pediatrician Lifestyle Report 2015 Retrieved 330 2015 from httpwwwmedscapecomfeaturesslideshowlifestyle2015pediatrics1

43

51

0

10

20

30

40

50

60

Burnout

Men

Women

Consistent with national survey data1

Different2

Men more depersonalization

Women more emotional exhaustion

1 Medscape Physician Lifestyle Report 2015 Retrieved 827 2015 from httpwwwmedscapecomfeaturesslideshowlifestyle2015publicoverview

2 Houkes I Winants Y Twellaar M amp Verdonk P (2011) Development of burnout over time and the causal order of the three dimensions of burnout among male and female GPs A three-wave panel study BMC Public Health 11 240-240 doi 1011861471-2458-11-240

UAB 2nd Year Pediatrics and Med-Peds Residents

MBI

21 respondents (84)

Variable Min-Max

Median

of ldquohighrdquo scores (EEge27 DPge10 PA le30)

Gen pop1

Emotional Exhaustion

14-50 30 14 (67)

234

Depersonalization 3-28 11 14 (67)

148

Personal Accomplishment

21-48 36 4 (19)

1Shanafelt T D Boone S Tan L amp et al (2012) Burnout and satisfaction with work-life balance among us physicians relative to the general us population Archives of Internal Medicine 172(18)

Variable Min-Max

Median

of ldquohighrdquo scores (EEge27 DPge10 PA le30)

Gen pop1

Emotional Exhaustion

14-50

30 14 (67)

234

Depersonalization

3-28 11 14 (67)

148

Personal Accomplishment

21-48

36 4 (19)

ldquoHigh Scoresrdquo

81 had at least 1 (only 4 people with none)

6 with 1 and 7 with 2

4 with all 3 Anyone with a ldquohighrdquo

score in PA also ldquohighrdquo in other 2

1Shanafelt T D Boone S Tan L amp et al (2012) Burnout and satisfaction with work-life balance among us physicians relative to the general us population Archives of Internal Medicine 172(18)

Physicians residents amp nurses affected by burnout are more prone to

Substance misuse12

Depression13

Insomnia14

High rates of suicidal thoughts156

1 Bria M Spacircnu F Băban A amp Dumitraşcu D L (2014) Maslach Burnout Inventory ndash General Survey Factorial

validity and invariance among Romanian healthcare professionals Burnout Research 1(3) 2 Oreskovich MR Kaups KL Balch CM et al Prevalence of Alcohol Use Disorders Among American Surgeons Arch

Surg2012147(2)168-174 doi101001archsurg20111481 3 Hakanen JJ Schaufeli WB Do burnout and work engagement predict depressive symptoms and life satisfaction A three-

wave seven-year prospective study J Affect Disord 2012 Dec 10141(2-3)415-24 doi 101016jjad201202043 4 Vela-Bueno A Moreno-Jimeacutenez B Rodriacuteguez-Muntildeoz A Olavarrieta-Bernardino S Fernaacutendez-Mendoza J De la Cruz-Troca

JJ Bixler EO Vgontzas AN Insomnia and sleep quality among primary care physicians with low and high burnout levels J Psychosom Res 2008 Apr64(4)435-42 doi 101016jjpsychores200710014

5 Shanafelt TD Balch CM Dyrbye L Bechamps G Russell T Satele D Rummans T Swartz K Novotny PJ Sloan J Oreskovich MR Special report suicidal ideation among American surgeons Arch Surg 2011 Jan146(1)54-62 doi 101001archsurg2010292

6 van der Heijden F Dillingh G Bakker A Prins J Suicidal thoughts among medical residents with burnout Arch Suicide Res 200812(4)344-6 doi 10108013811110802325349

43

51

0

10

20

30

40

50

60

Burnout

Men

Women

Consistent with national survey data1

Different2

Men more depersonalization

Women more emotional exhaustion

1 Medscape Physician Lifestyle Report 2015 Retrieved 827 2015 from httpwwwmedscapecomfeaturesslideshowlifestyle2015publicoverview

2 Houkes I Winants Y Twellaar M amp Verdonk P (2011) Development of burnout over time and the causal order of the three dimensions of burnout among male and female GPs A three-wave panel study BMC Public Health 11 240-240 doi 1011861471-2458-11-240

UAB 2nd Year Pediatrics and Med-Peds Residents

MBI

21 respondents (84)

Variable Min-Max

Median

of ldquohighrdquo scores (EEge27 DPge10 PA le30)

Gen pop1

Emotional Exhaustion

14-50 30 14 (67)

234

Depersonalization 3-28 11 14 (67)

148

Personal Accomplishment

21-48 36 4 (19)

1Shanafelt T D Boone S Tan L amp et al (2012) Burnout and satisfaction with work-life balance among us physicians relative to the general us population Archives of Internal Medicine 172(18)

Variable Min-Max

Median

of ldquohighrdquo scores (EEge27 DPge10 PA le30)

Gen pop1

Emotional Exhaustion

14-50

30 14 (67)

234

Depersonalization

3-28 11 14 (67)

148

Personal Accomplishment

21-48

36 4 (19)

ldquoHigh Scoresrdquo

81 had at least 1 (only 4 people with none)

6 with 1 and 7 with 2

4 with all 3 Anyone with a ldquohighrdquo

score in PA also ldquohighrdquo in other 2

1Shanafelt T D Boone S Tan L amp et al (2012) Burnout and satisfaction with work-life balance among us physicians relative to the general us population Archives of Internal Medicine 172(18)

Physicians residents amp nurses affected by burnout are more prone to

Substance misuse12

Depression13

Insomnia14

High rates of suicidal thoughts156

1 Bria M Spacircnu F Băban A amp Dumitraşcu D L (2014) Maslach Burnout Inventory ndash General Survey Factorial

validity and invariance among Romanian healthcare professionals Burnout Research 1(3) 2 Oreskovich MR Kaups KL Balch CM et al Prevalence of Alcohol Use Disorders Among American Surgeons Arch

Surg2012147(2)168-174 doi101001archsurg20111481 3 Hakanen JJ Schaufeli WB Do burnout and work engagement predict depressive symptoms and life satisfaction A three-

wave seven-year prospective study J Affect Disord 2012 Dec 10141(2-3)415-24 doi 101016jjad201202043 4 Vela-Bueno A Moreno-Jimeacutenez B Rodriacuteguez-Muntildeoz A Olavarrieta-Bernardino S Fernaacutendez-Mendoza J De la Cruz-Troca

JJ Bixler EO Vgontzas AN Insomnia and sleep quality among primary care physicians with low and high burnout levels J Psychosom Res 2008 Apr64(4)435-42 doi 101016jjpsychores200710014

5 Shanafelt TD Balch CM Dyrbye L Bechamps G Russell T Satele D Rummans T Swartz K Novotny PJ Sloan J Oreskovich MR Special report suicidal ideation among American surgeons Arch Surg 2011 Jan146(1)54-62 doi 101001archsurg2010292

6 van der Heijden F Dillingh G Bakker A Prins J Suicidal thoughts among medical residents with burnout Arch Suicide Res 200812(4)344-6 doi 10108013811110802325349

UAB 2nd Year Pediatrics and Med-Peds Residents

MBI

21 respondents (84)

Variable Min-Max

Median

of ldquohighrdquo scores (EEge27 DPge10 PA le30)

Gen pop1

Emotional Exhaustion

14-50 30 14 (67)

234

Depersonalization 3-28 11 14 (67)

148

Personal Accomplishment

21-48 36 4 (19)

1Shanafelt T D Boone S Tan L amp et al (2012) Burnout and satisfaction with work-life balance among us physicians relative to the general us population Archives of Internal Medicine 172(18)

Variable Min-Max

Median

of ldquohighrdquo scores (EEge27 DPge10 PA le30)

Gen pop1

Emotional Exhaustion

14-50

30 14 (67)

234

Depersonalization

3-28 11 14 (67)

148

Personal Accomplishment

21-48

36 4 (19)

ldquoHigh Scoresrdquo

81 had at least 1 (only 4 people with none)

6 with 1 and 7 with 2

4 with all 3 Anyone with a ldquohighrdquo

score in PA also ldquohighrdquo in other 2

1Shanafelt T D Boone S Tan L amp et al (2012) Burnout and satisfaction with work-life balance among us physicians relative to the general us population Archives of Internal Medicine 172(18)

Physicians residents amp nurses affected by burnout are more prone to

Substance misuse12

Depression13

Insomnia14

High rates of suicidal thoughts156

1 Bria M Spacircnu F Băban A amp Dumitraşcu D L (2014) Maslach Burnout Inventory ndash General Survey Factorial

validity and invariance among Romanian healthcare professionals Burnout Research 1(3) 2 Oreskovich MR Kaups KL Balch CM et al Prevalence of Alcohol Use Disorders Among American Surgeons Arch

Surg2012147(2)168-174 doi101001archsurg20111481 3 Hakanen JJ Schaufeli WB Do burnout and work engagement predict depressive symptoms and life satisfaction A three-

wave seven-year prospective study J Affect Disord 2012 Dec 10141(2-3)415-24 doi 101016jjad201202043 4 Vela-Bueno A Moreno-Jimeacutenez B Rodriacuteguez-Muntildeoz A Olavarrieta-Bernardino S Fernaacutendez-Mendoza J De la Cruz-Troca

JJ Bixler EO Vgontzas AN Insomnia and sleep quality among primary care physicians with low and high burnout levels J Psychosom Res 2008 Apr64(4)435-42 doi 101016jjpsychores200710014

5 Shanafelt TD Balch CM Dyrbye L Bechamps G Russell T Satele D Rummans T Swartz K Novotny PJ Sloan J Oreskovich MR Special report suicidal ideation among American surgeons Arch Surg 2011 Jan146(1)54-62 doi 101001archsurg2010292

6 van der Heijden F Dillingh G Bakker A Prins J Suicidal thoughts among medical residents with burnout Arch Suicide Res 200812(4)344-6 doi 10108013811110802325349

Variable Min-Max

Median

of ldquohighrdquo scores (EEge27 DPge10 PA le30)

Gen pop1

Emotional Exhaustion

14-50 30 14 (67)

234

Depersonalization 3-28 11 14 (67)

148

Personal Accomplishment

21-48 36 4 (19)

1Shanafelt T D Boone S Tan L amp et al (2012) Burnout and satisfaction with work-life balance among us physicians relative to the general us population Archives of Internal Medicine 172(18)

Variable Min-Max

Median

of ldquohighrdquo scores (EEge27 DPge10 PA le30)

Gen pop1

Emotional Exhaustion

14-50

30 14 (67)

234

Depersonalization

3-28 11 14 (67)

148

Personal Accomplishment

21-48

36 4 (19)

ldquoHigh Scoresrdquo

81 had at least 1 (only 4 people with none)

6 with 1 and 7 with 2

4 with all 3 Anyone with a ldquohighrdquo

score in PA also ldquohighrdquo in other 2

1Shanafelt T D Boone S Tan L amp et al (2012) Burnout and satisfaction with work-life balance among us physicians relative to the general us population Archives of Internal Medicine 172(18)

Physicians residents amp nurses affected by burnout are more prone to

Substance misuse12

Depression13

Insomnia14

High rates of suicidal thoughts156

1 Bria M Spacircnu F Băban A amp Dumitraşcu D L (2014) Maslach Burnout Inventory ndash General Survey Factorial

validity and invariance among Romanian healthcare professionals Burnout Research 1(3) 2 Oreskovich MR Kaups KL Balch CM et al Prevalence of Alcohol Use Disorders Among American Surgeons Arch

Surg2012147(2)168-174 doi101001archsurg20111481 3 Hakanen JJ Schaufeli WB Do burnout and work engagement predict depressive symptoms and life satisfaction A three-

wave seven-year prospective study J Affect Disord 2012 Dec 10141(2-3)415-24 doi 101016jjad201202043 4 Vela-Bueno A Moreno-Jimeacutenez B Rodriacuteguez-Muntildeoz A Olavarrieta-Bernardino S Fernaacutendez-Mendoza J De la Cruz-Troca

JJ Bixler EO Vgontzas AN Insomnia and sleep quality among primary care physicians with low and high burnout levels J Psychosom Res 2008 Apr64(4)435-42 doi 101016jjpsychores200710014

5 Shanafelt TD Balch CM Dyrbye L Bechamps G Russell T Satele D Rummans T Swartz K Novotny PJ Sloan J Oreskovich MR Special report suicidal ideation among American surgeons Arch Surg 2011 Jan146(1)54-62 doi 101001archsurg2010292

6 van der Heijden F Dillingh G Bakker A Prins J Suicidal thoughts among medical residents with burnout Arch Suicide Res 200812(4)344-6 doi 10108013811110802325349

Variable Min-Max

Median

of ldquohighrdquo scores (EEge27 DPge10 PA le30)

Gen pop1

Emotional Exhaustion

14-50

30 14 (67)

234

Depersonalization

3-28 11 14 (67)

148

Personal Accomplishment

21-48

36 4 (19)

ldquoHigh Scoresrdquo

81 had at least 1 (only 4 people with none)

6 with 1 and 7 with 2

4 with all 3 Anyone with a ldquohighrdquo

score in PA also ldquohighrdquo in other 2

1Shanafelt T D Boone S Tan L amp et al (2012) Burnout and satisfaction with work-life balance among us physicians relative to the general us population Archives of Internal Medicine 172(18)

Physicians residents amp nurses affected by burnout are more prone to

Substance misuse12

Depression13

Insomnia14

High rates of suicidal thoughts156

1 Bria M Spacircnu F Băban A amp Dumitraşcu D L (2014) Maslach Burnout Inventory ndash General Survey Factorial

validity and invariance among Romanian healthcare professionals Burnout Research 1(3) 2 Oreskovich MR Kaups KL Balch CM et al Prevalence of Alcohol Use Disorders Among American Surgeons Arch

Surg2012147(2)168-174 doi101001archsurg20111481 3 Hakanen JJ Schaufeli WB Do burnout and work engagement predict depressive symptoms and life satisfaction A three-

wave seven-year prospective study J Affect Disord 2012 Dec 10141(2-3)415-24 doi 101016jjad201202043 4 Vela-Bueno A Moreno-Jimeacutenez B Rodriacuteguez-Muntildeoz A Olavarrieta-Bernardino S Fernaacutendez-Mendoza J De la Cruz-Troca

JJ Bixler EO Vgontzas AN Insomnia and sleep quality among primary care physicians with low and high burnout levels J Psychosom Res 2008 Apr64(4)435-42 doi 101016jjpsychores200710014

5 Shanafelt TD Balch CM Dyrbye L Bechamps G Russell T Satele D Rummans T Swartz K Novotny PJ Sloan J Oreskovich MR Special report suicidal ideation among American surgeons Arch Surg 2011 Jan146(1)54-62 doi 101001archsurg2010292

6 van der Heijden F Dillingh G Bakker A Prins J Suicidal thoughts among medical residents with burnout Arch Suicide Res 200812(4)344-6 doi 10108013811110802325349

Physicians residents amp nurses affected by burnout are more prone to

Substance misuse12

Depression13

Insomnia14

High rates of suicidal thoughts156

1 Bria M Spacircnu F Băban A amp Dumitraşcu D L (2014) Maslach Burnout Inventory ndash General Survey Factorial

validity and invariance among Romanian healthcare professionals Burnout Research 1(3) 2 Oreskovich MR Kaups KL Balch CM et al Prevalence of Alcohol Use Disorders Among American Surgeons Arch

Surg2012147(2)168-174 doi101001archsurg20111481 3 Hakanen JJ Schaufeli WB Do burnout and work engagement predict depressive symptoms and life satisfaction A three-

wave seven-year prospective study J Affect Disord 2012 Dec 10141(2-3)415-24 doi 101016jjad201202043 4 Vela-Bueno A Moreno-Jimeacutenez B Rodriacuteguez-Muntildeoz A Olavarrieta-Bernardino S Fernaacutendez-Mendoza J De la Cruz-Troca

JJ Bixler EO Vgontzas AN Insomnia and sleep quality among primary care physicians with low and high burnout levels J Psychosom Res 2008 Apr64(4)435-42 doi 101016jjpsychores200710014

5 Shanafelt TD Balch CM Dyrbye L Bechamps G Russell T Satele D Rummans T Swartz K Novotny PJ Sloan J Oreskovich MR Special report suicidal ideation among American surgeons Arch Surg 2011 Jan146(1)54-62 doi 101001archsurg2010292

6 van der Heijden F Dillingh G Bakker A Prins J Suicidal thoughts among medical residents with burnout Arch Suicide Res 200812(4)344-6 doi 10108013811110802325349

Negative impact on hospital performance

Increased turnover

Absenteeism

Early retirement intentions

Bria M Spacircnu F Băban A amp Dumitraşcu D L (2014) Maslach Burnout Inventory ndash General

Survey Factorial validity and invariance among Romanian healthcare professionals Burnout

Research 1(3) (Leiter amp Maslach 2009) (Davey Cummings Newburn-Cook amp Lo 2009) (Linzer et al 2001)

Negative impact on patient care itself

Burnout predicts suboptimal care behaviors

Serious medical errors

Across a single long-call shift

Bria M Spacircnu F Băban A amp Dumitraşcu D L (2014) Maslach Burnout Inventory ndash General

Survey Factorial validity and invariance among Romanian healthcare professionals Burnout

Research 1(3) (Shanafelt Bradley Wipf amp Back 2002) (Shanafelt et al 2010) (Lebensohn P 2013)

Stress amp Burnout

Empathy

Burnout Depressive Symptoms

Hakanen JJ Schaufeli WB Do burnout and work engagement predict depressive symptoms and life satisfaction A three-wave seven-year prospective study J Affect Disord 2012 Dec 10141(2-3)415-24 doi 101016jjad201202043

How big of a problem

Over 400 Physicians commit suicide every

year1

National Institute for Occupational Safety and Health reported 476 in 20112

1 Andrew L B (2014 July 17 2014) Physician Suicide Retrieved March 30 2015 from httpemedicinemedscapecomarticle806779-overview 2 Lubin G (2011 Oct 18 2011) The 19 Jobs Where Youre Most Likely to Kill Yourself Business Insider Retrieved March 31 2015 from

httpwwwbusinessinsidercommost-suicidal-occupations-2011-10op=1

How does that compare Doctors are 187 times more likely to

commit suicide1 Suicide accounts for

About 2 of all deaths amongst the general US population2

4 of all physician deaths

1 Lubin G (2011 Oct 18 2011) The 19 Jobs Where Youre Most Likely to Kill Yourself Business Insider Retrieved March 31 2015 from httpwwwbusinessinsidercommost-suicidal-occupations-2011-10op=1

2 GLOOM Top 11 Professions with Highest Suicide Rates Mental Health Daily Retrieved March 30 2015 from httpmentalhealthdailycom20150106top-11-professions-with-highest-suicide-rates

Negative impact on patient care itself

Burnout predicts suboptimal care behaviors

Serious medical errors

Across a single long-call shift

Bria M Spacircnu F Băban A amp Dumitraşcu D L (2014) Maslach Burnout Inventory ndash General

Survey Factorial validity and invariance among Romanian healthcare professionals Burnout

Research 1(3) (Shanafelt Bradley Wipf amp Back 2002) (Shanafelt et al 2010) (Lebensohn P 2013)

Stress amp Burnout

Empathy

Burnout Depressive Symptoms

Hakanen JJ Schaufeli WB Do burnout and work engagement predict depressive symptoms and life satisfaction A three-wave seven-year prospective study J Affect Disord 2012 Dec 10141(2-3)415-24 doi 101016jjad201202043

How big of a problem

Over 400 Physicians commit suicide every

year1

National Institute for Occupational Safety and Health reported 476 in 20112

1 Andrew L B (2014 July 17 2014) Physician Suicide Retrieved March 30 2015 from httpemedicinemedscapecomarticle806779-overview 2 Lubin G (2011 Oct 18 2011) The 19 Jobs Where Youre Most Likely to Kill Yourself Business Insider Retrieved March 31 2015 from

httpwwwbusinessinsidercommost-suicidal-occupations-2011-10op=1

How does that compare Doctors are 187 times more likely to

commit suicide1 Suicide accounts for

About 2 of all deaths amongst the general US population2

4 of all physician deaths

1 Lubin G (2011 Oct 18 2011) The 19 Jobs Where Youre Most Likely to Kill Yourself Business Insider Retrieved March 31 2015 from httpwwwbusinessinsidercommost-suicidal-occupations-2011-10op=1

2 GLOOM Top 11 Professions with Highest Suicide Rates Mental Health Daily Retrieved March 30 2015 from httpmentalhealthdailycom20150106top-11-professions-with-highest-suicide-rates

Burnout Depressive Symptoms

Hakanen JJ Schaufeli WB Do burnout and work engagement predict depressive symptoms and life satisfaction A three-wave seven-year prospective study J Affect Disord 2012 Dec 10141(2-3)415-24 doi 101016jjad201202043

How big of a problem

Over 400 Physicians commit suicide every

year1

National Institute for Occupational Safety and Health reported 476 in 20112

1 Andrew L B (2014 July 17 2014) Physician Suicide Retrieved March 30 2015 from httpemedicinemedscapecomarticle806779-overview 2 Lubin G (2011 Oct 18 2011) The 19 Jobs Where Youre Most Likely to Kill Yourself Business Insider Retrieved March 31 2015 from

httpwwwbusinessinsidercommost-suicidal-occupations-2011-10op=1

How does that compare Doctors are 187 times more likely to

commit suicide1 Suicide accounts for

About 2 of all deaths amongst the general US population2

4 of all physician deaths

1 Lubin G (2011 Oct 18 2011) The 19 Jobs Where Youre Most Likely to Kill Yourself Business Insider Retrieved March 31 2015 from httpwwwbusinessinsidercommost-suicidal-occupations-2011-10op=1

2 GLOOM Top 11 Professions with Highest Suicide Rates Mental Health Daily Retrieved March 30 2015 from httpmentalhealthdailycom20150106top-11-professions-with-highest-suicide-rates

How big of a problem

Over 400 Physicians commit suicide every

year1

National Institute for Occupational Safety and Health reported 476 in 20112

1 Andrew L B (2014 July 17 2014) Physician Suicide Retrieved March 30 2015 from httpemedicinemedscapecomarticle806779-overview 2 Lubin G (2011 Oct 18 2011) The 19 Jobs Where Youre Most Likely to Kill Yourself Business Insider Retrieved March 31 2015 from

httpwwwbusinessinsidercommost-suicidal-occupations-2011-10op=1

How does that compare Doctors are 187 times more likely to

commit suicide1 Suicide accounts for

About 2 of all deaths amongst the general US population2

4 of all physician deaths

1 Lubin G (2011 Oct 18 2011) The 19 Jobs Where Youre Most Likely to Kill Yourself Business Insider Retrieved March 31 2015 from httpwwwbusinessinsidercommost-suicidal-occupations-2011-10op=1

2 GLOOM Top 11 Professions with Highest Suicide Rates Mental Health Daily Retrieved March 30 2015 from httpmentalhealthdailycom20150106top-11-professions-with-highest-suicide-rates

How does that compare Doctors are 187 times more likely to

commit suicide1 Suicide accounts for

About 2 of all deaths amongst the general US population2

4 of all physician deaths

1 Lubin G (2011 Oct 18 2011) The 19 Jobs Where Youre Most Likely to Kill Yourself Business Insider Retrieved March 31 2015 from httpwwwbusinessinsidercommost-suicidal-occupations-2011-10op=1

2 GLOOM Top 11 Professions with Highest Suicide Rates Mental Health Daily Retrieved March 30 2015 from httpmentalhealthdailycom20150106top-11-professions-with-highest-suicide-rates

Men or women Male physicians more than 40 higher than

the general population1

Women physicians 130 higher than the general population

278 times higher than average2

1 Dyrbye L N Thomas M R Massie F S Power D V Eacker A Harper W Shanafelt T D (2008) Burnout and suicidal ideation among US medical students Ann Intern Med 149(5) 334-341

2 Lubin G (2011 Oct 18 2011) The 19 Jobs Where Youre Most Likely to Kill Yourself Business Insider Retrieved March 31 2015 from httpwwwbusinessinsidercommost-suicidal-occupations-2011-10op=1

Medical students

ldquoCompassion lossrdquo

Depression rates 20-301

Anxiety and burnout rates gt50

1 Slavin S (2015 31315) [Flourishing in Times of Change Keynote Address COMSEP Meeting]

Medical students Continues into residency

Burnout rates 60-75 and higher

Depression up to 252

Lebensohn P Dodds S Benn R Brooks AJ Birch M Cook P Schneider C Sroka S Waxman D Maizes V Resident wellness behaviors relationship to stress depression and burnout Fam Med 2013 Sep45(8)541-9

Medical students

ldquoCompassion lossrdquo

Depression rates 20-301

Anxiety and burnout rates gt50

1 Slavin S (2015 31315) [Flourishing in Times of Change Keynote Address COMSEP Meeting]

Medical students Continues into residency

Burnout rates 60-75 and higher

Depression up to 252

Lebensohn P Dodds S Benn R Brooks AJ Birch M Cook P Schneider C Sroka S Waxman D Maizes V Resident wellness behaviors relationship to stress depression and burnout Fam Med 2013 Sep45(8)541-9

Medical students Continues into residency

Burnout rates 60-75 and higher

Depression up to 252

Lebensohn P Dodds S Benn R Brooks AJ Birch M Cook P Schneider C Sroka S Waxman D Maizes V Resident wellness behaviors relationship to stress depression and burnout Fam Med 2013 Sep45(8)541-9

Medical students Continues into residency Practicing Physicians

Burnout

Depression and suicide

1 Medscape survey 2015

Medical students Continues into residency Practicing Physicians

Pediatricians

67 would choose a medical career again

51 would choose own specialty

18 would choose same practice setting

1 MedscapePediatrician Lifestyle Report 2015 Retrieved March 13 2015 from httpwwwmedscapecomfeaturesslideshowlifestyle2015pediatrics1

Web-based survey 2006-2007

UAB was one of the 7 schools

Asked about

Suicidal ideationmdash3 specific questions

BurnoutmdashMaslach

DepressionmdashPrimary Care Evaluation of Mental Disorders

2248 (524) medical students responded

Dyrbye L N Thomas M R Massie F S Power D V Eacker A Harper W Shanafelt T D (2008) Burnout and suicidal ideation among US medical students Ann Intern Med 149(5) 334-341

Suicide

112 considered in the last year [CI 99 to 126] n=249)

69 among 25- to 34-year-olds in general US population

Dyrbye L N Thomas M R Massie F S Power D V Eacker A Harper W Shanafelt T D (2008) Burnout and suicidal ideation among US medical students Ann Intern Med 149(5) 334-341

Suicide

1 of 9 students

Burnout

496 met the criteria for burnout ([CI 475ndash518] n=1069)

Dyrbye L N Thomas M R Massie F S Power D V Eacker A Harper W Shanafelt T D (2008) Burnout and suicidal ideation among US medical students Ann Intern Med 149(5) 334-341

More likely to report SI if they had

Burnout (odds ratio 346 [CI 255 to 469] P 0001)

High emotional exhaustion (odds ratio 317 [CI 239 to 419] P 0001)

High depersonalization (odds ratio 210 [CI 159 to 277] P 0001)

Low sense of personal accomplishment (odds ratio 203 [CI 153 to 268] P 0001)

Dyrbye L N Thomas M R Massie F S Power D V Eacker A Harper W Shanafelt T D (2008) Burnout and suicidal ideation among US medical students Ann Intern Med 149(5) 334-341

Are there factors that are protective

BURN-OUT

External Internal

What are some causes of burnout among trainees

Scale of 0 (not at all important) to 7 (extremely important)

Rates differ by specialty

Culturemdashprotective

Age plusmn

Family plusmn

Duty hours plusmn

IsHak WW Lederer S Mandili C et al Burnout During Residency Training A Literature Review Journal of Graduate Medical Education 20091(2)236-242 doi104300JGME-D-09-000541

Survey of IM Residents Burnout and Achievement of

US-DHHS physical activity guidelines

Residents who met guidelines were less likely to be burned out OR 038 95 CI 0147-099

Higher BMI associated with increased burnout (OR 119 95CI 101-141)

Olson SM Odo NU Duran AM Pereira AG Mandel JH Burnout and Physical Activity in Minnesota Internal Medicine Resident Physicians J Grad Med Educ 2014 Dec6(4)669-74 doi 104300JGME-D-13-00396

4

16

50

30

3

24

3

17

48

32

3

23

0

10

20

30

40

50

60

gt2 DrinksDaily

1-2 DrinksDaily

lt1 DrinkDaily

Dont Drink Usedmarijuanathis past

year

Usedmarijuana

ever

Burnout No Burnout

Good newshellip

Program designed to reduce unnecessary stressors and increase studentsrsquo ability to deal with stress

Began a resiliency and mindfulness curriculum

Over 5 years saw a decrease in both mod-severe depression symptoms and mod-severe anxiety symptoms of MS1 and MS2 students

Slavin S (2015 31315) [Flourishing in Times of Change Keynote Address COMSEP Meeting] Slavin S J Schindler D L amp Chibnall J T (2014) Medical student mental health 30 improving student wellness through curricular changes Acad Med 89(4) 573-577 doi 101097acm0000000000000166

Improved mean depression scores

Burnout and anxiety

Pre-change Post-change P Value

Emotional

Exhaustion 296 218 01

Depersonalization 102 64 lt01

Anxiety 506 428 lt01

Slavin S (2015 31315) [Flourishing in Times of Change Keynote Address COMSEP Meeting] Slavin S J Schindler D L amp Chibnall J T (2014) Medical student mental health 30 improving student wellness through curricular changes Acad Med 89(4) 573-577 doi 101097acm0000000000000166

Your Body Language Shapes Who You Are | Amy Cuddy | TED Talks httpsyoutubeKs-_Mh1QhMc

Well-being

Is a real thing

Has particular elements

Can be attained

Can be learned

Gazelle G Liebschutz J M amp Riess H (2015) Physician Burnout Coaching a Way Out Journal of General Internal Medicine 30(4) 508-513 doi 101007s11606-014-3144-y

Medical students Continues into residency Practicing Physicians

Pediatricians

67 would choose a medical career again

51 would choose own specialty

18 would choose same practice setting

1 MedscapePediatrician Lifestyle Report 2015 Retrieved March 13 2015 from httpwwwmedscapecomfeaturesslideshowlifestyle2015pediatrics1

Web-based survey 2006-2007

UAB was one of the 7 schools

Asked about

Suicidal ideationmdash3 specific questions

BurnoutmdashMaslach

DepressionmdashPrimary Care Evaluation of Mental Disorders

2248 (524) medical students responded

Dyrbye L N Thomas M R Massie F S Power D V Eacker A Harper W Shanafelt T D (2008) Burnout and suicidal ideation among US medical students Ann Intern Med 149(5) 334-341

Suicide

112 considered in the last year [CI 99 to 126] n=249)

69 among 25- to 34-year-olds in general US population

Dyrbye L N Thomas M R Massie F S Power D V Eacker A Harper W Shanafelt T D (2008) Burnout and suicidal ideation among US medical students Ann Intern Med 149(5) 334-341

Suicide

1 of 9 students

Burnout

496 met the criteria for burnout ([CI 475ndash518] n=1069)

Dyrbye L N Thomas M R Massie F S Power D V Eacker A Harper W Shanafelt T D (2008) Burnout and suicidal ideation among US medical students Ann Intern Med 149(5) 334-341

More likely to report SI if they had

Burnout (odds ratio 346 [CI 255 to 469] P 0001)

High emotional exhaustion (odds ratio 317 [CI 239 to 419] P 0001)

High depersonalization (odds ratio 210 [CI 159 to 277] P 0001)

Low sense of personal accomplishment (odds ratio 203 [CI 153 to 268] P 0001)

Dyrbye L N Thomas M R Massie F S Power D V Eacker A Harper W Shanafelt T D (2008) Burnout and suicidal ideation among US medical students Ann Intern Med 149(5) 334-341

Are there factors that are protective

BURN-OUT

External Internal

What are some causes of burnout among trainees

Scale of 0 (not at all important) to 7 (extremely important)

Rates differ by specialty

Culturemdashprotective

Age plusmn

Family plusmn

Duty hours plusmn

IsHak WW Lederer S Mandili C et al Burnout During Residency Training A Literature Review Journal of Graduate Medical Education 20091(2)236-242 doi104300JGME-D-09-000541

Survey of IM Residents Burnout and Achievement of

US-DHHS physical activity guidelines

Residents who met guidelines were less likely to be burned out OR 038 95 CI 0147-099

Higher BMI associated with increased burnout (OR 119 95CI 101-141)

Olson SM Odo NU Duran AM Pereira AG Mandel JH Burnout and Physical Activity in Minnesota Internal Medicine Resident Physicians J Grad Med Educ 2014 Dec6(4)669-74 doi 104300JGME-D-13-00396

4

16

50

30

3

24

3

17

48

32

3

23

0

10

20

30

40

50

60

gt2 DrinksDaily

1-2 DrinksDaily

lt1 DrinkDaily

Dont Drink Usedmarijuanathis past

year

Usedmarijuana

ever

Burnout No Burnout

Good newshellip

Program designed to reduce unnecessary stressors and increase studentsrsquo ability to deal with stress

Began a resiliency and mindfulness curriculum

Over 5 years saw a decrease in both mod-severe depression symptoms and mod-severe anxiety symptoms of MS1 and MS2 students

Slavin S (2015 31315) [Flourishing in Times of Change Keynote Address COMSEP Meeting] Slavin S J Schindler D L amp Chibnall J T (2014) Medical student mental health 30 improving student wellness through curricular changes Acad Med 89(4) 573-577 doi 101097acm0000000000000166

Improved mean depression scores

Burnout and anxiety

Pre-change Post-change P Value

Emotional

Exhaustion 296 218 01

Depersonalization 102 64 lt01

Anxiety 506 428 lt01

Slavin S (2015 31315) [Flourishing in Times of Change Keynote Address COMSEP Meeting] Slavin S J Schindler D L amp Chibnall J T (2014) Medical student mental health 30 improving student wellness through curricular changes Acad Med 89(4) 573-577 doi 101097acm0000000000000166

Your Body Language Shapes Who You Are | Amy Cuddy | TED Talks httpsyoutubeKs-_Mh1QhMc

Well-being

Is a real thing

Has particular elements

Can be attained

Can be learned

Gazelle G Liebschutz J M amp Riess H (2015) Physician Burnout Coaching a Way Out Journal of General Internal Medicine 30(4) 508-513 doi 101007s11606-014-3144-y

Web-based survey 2006-2007

UAB was one of the 7 schools

Asked about

Suicidal ideationmdash3 specific questions

BurnoutmdashMaslach

DepressionmdashPrimary Care Evaluation of Mental Disorders

2248 (524) medical students responded

Dyrbye L N Thomas M R Massie F S Power D V Eacker A Harper W Shanafelt T D (2008) Burnout and suicidal ideation among US medical students Ann Intern Med 149(5) 334-341

Suicide

112 considered in the last year [CI 99 to 126] n=249)

69 among 25- to 34-year-olds in general US population

Dyrbye L N Thomas M R Massie F S Power D V Eacker A Harper W Shanafelt T D (2008) Burnout and suicidal ideation among US medical students Ann Intern Med 149(5) 334-341

Suicide

1 of 9 students

Burnout

496 met the criteria for burnout ([CI 475ndash518] n=1069)

Dyrbye L N Thomas M R Massie F S Power D V Eacker A Harper W Shanafelt T D (2008) Burnout and suicidal ideation among US medical students Ann Intern Med 149(5) 334-341

More likely to report SI if they had

Burnout (odds ratio 346 [CI 255 to 469] P 0001)

High emotional exhaustion (odds ratio 317 [CI 239 to 419] P 0001)

High depersonalization (odds ratio 210 [CI 159 to 277] P 0001)

Low sense of personal accomplishment (odds ratio 203 [CI 153 to 268] P 0001)

Dyrbye L N Thomas M R Massie F S Power D V Eacker A Harper W Shanafelt T D (2008) Burnout and suicidal ideation among US medical students Ann Intern Med 149(5) 334-341

Are there factors that are protective

BURN-OUT

External Internal

What are some causes of burnout among trainees

Scale of 0 (not at all important) to 7 (extremely important)

Rates differ by specialty

Culturemdashprotective

Age plusmn

Family plusmn

Duty hours plusmn

IsHak WW Lederer S Mandili C et al Burnout During Residency Training A Literature Review Journal of Graduate Medical Education 20091(2)236-242 doi104300JGME-D-09-000541

Survey of IM Residents Burnout and Achievement of

US-DHHS physical activity guidelines

Residents who met guidelines were less likely to be burned out OR 038 95 CI 0147-099

Higher BMI associated with increased burnout (OR 119 95CI 101-141)

Olson SM Odo NU Duran AM Pereira AG Mandel JH Burnout and Physical Activity in Minnesota Internal Medicine Resident Physicians J Grad Med Educ 2014 Dec6(4)669-74 doi 104300JGME-D-13-00396

4

16

50

30

3

24

3

17

48

32

3

23

0

10

20

30

40

50

60

gt2 DrinksDaily

1-2 DrinksDaily

lt1 DrinkDaily

Dont Drink Usedmarijuanathis past

year

Usedmarijuana

ever

Burnout No Burnout

Good newshellip

Program designed to reduce unnecessary stressors and increase studentsrsquo ability to deal with stress

Began a resiliency and mindfulness curriculum

Over 5 years saw a decrease in both mod-severe depression symptoms and mod-severe anxiety symptoms of MS1 and MS2 students

Slavin S (2015 31315) [Flourishing in Times of Change Keynote Address COMSEP Meeting] Slavin S J Schindler D L amp Chibnall J T (2014) Medical student mental health 30 improving student wellness through curricular changes Acad Med 89(4) 573-577 doi 101097acm0000000000000166

Improved mean depression scores

Burnout and anxiety

Pre-change Post-change P Value

Emotional

Exhaustion 296 218 01

Depersonalization 102 64 lt01

Anxiety 506 428 lt01

Slavin S (2015 31315) [Flourishing in Times of Change Keynote Address COMSEP Meeting] Slavin S J Schindler D L amp Chibnall J T (2014) Medical student mental health 30 improving student wellness through curricular changes Acad Med 89(4) 573-577 doi 101097acm0000000000000166

Your Body Language Shapes Who You Are | Amy Cuddy | TED Talks httpsyoutubeKs-_Mh1QhMc

Well-being

Is a real thing

Has particular elements

Can be attained

Can be learned

Gazelle G Liebschutz J M amp Riess H (2015) Physician Burnout Coaching a Way Out Journal of General Internal Medicine 30(4) 508-513 doi 101007s11606-014-3144-y

Suicide

112 considered in the last year [CI 99 to 126] n=249)

69 among 25- to 34-year-olds in general US population

Dyrbye L N Thomas M R Massie F S Power D V Eacker A Harper W Shanafelt T D (2008) Burnout and suicidal ideation among US medical students Ann Intern Med 149(5) 334-341

Suicide

1 of 9 students

Burnout

496 met the criteria for burnout ([CI 475ndash518] n=1069)

Dyrbye L N Thomas M R Massie F S Power D V Eacker A Harper W Shanafelt T D (2008) Burnout and suicidal ideation among US medical students Ann Intern Med 149(5) 334-341

More likely to report SI if they had

Burnout (odds ratio 346 [CI 255 to 469] P 0001)

High emotional exhaustion (odds ratio 317 [CI 239 to 419] P 0001)

High depersonalization (odds ratio 210 [CI 159 to 277] P 0001)

Low sense of personal accomplishment (odds ratio 203 [CI 153 to 268] P 0001)

Dyrbye L N Thomas M R Massie F S Power D V Eacker A Harper W Shanafelt T D (2008) Burnout and suicidal ideation among US medical students Ann Intern Med 149(5) 334-341

Are there factors that are protective

BURN-OUT

External Internal

What are some causes of burnout among trainees

Scale of 0 (not at all important) to 7 (extremely important)

Rates differ by specialty

Culturemdashprotective

Age plusmn

Family plusmn

Duty hours plusmn

IsHak WW Lederer S Mandili C et al Burnout During Residency Training A Literature Review Journal of Graduate Medical Education 20091(2)236-242 doi104300JGME-D-09-000541

Survey of IM Residents Burnout and Achievement of

US-DHHS physical activity guidelines

Residents who met guidelines were less likely to be burned out OR 038 95 CI 0147-099

Higher BMI associated with increased burnout (OR 119 95CI 101-141)

Olson SM Odo NU Duran AM Pereira AG Mandel JH Burnout and Physical Activity in Minnesota Internal Medicine Resident Physicians J Grad Med Educ 2014 Dec6(4)669-74 doi 104300JGME-D-13-00396

4

16

50

30

3

24

3

17

48

32

3

23

0

10

20

30

40

50

60

gt2 DrinksDaily

1-2 DrinksDaily

lt1 DrinkDaily

Dont Drink Usedmarijuanathis past

year

Usedmarijuana

ever

Burnout No Burnout

Good newshellip

Program designed to reduce unnecessary stressors and increase studentsrsquo ability to deal with stress

Began a resiliency and mindfulness curriculum

Over 5 years saw a decrease in both mod-severe depression symptoms and mod-severe anxiety symptoms of MS1 and MS2 students

Slavin S (2015 31315) [Flourishing in Times of Change Keynote Address COMSEP Meeting] Slavin S J Schindler D L amp Chibnall J T (2014) Medical student mental health 30 improving student wellness through curricular changes Acad Med 89(4) 573-577 doi 101097acm0000000000000166

Improved mean depression scores

Burnout and anxiety

Pre-change Post-change P Value

Emotional

Exhaustion 296 218 01

Depersonalization 102 64 lt01

Anxiety 506 428 lt01

Slavin S (2015 31315) [Flourishing in Times of Change Keynote Address COMSEP Meeting] Slavin S J Schindler D L amp Chibnall J T (2014) Medical student mental health 30 improving student wellness through curricular changes Acad Med 89(4) 573-577 doi 101097acm0000000000000166

Your Body Language Shapes Who You Are | Amy Cuddy | TED Talks httpsyoutubeKs-_Mh1QhMc

Well-being

Is a real thing

Has particular elements

Can be attained

Can be learned

Gazelle G Liebschutz J M amp Riess H (2015) Physician Burnout Coaching a Way Out Journal of General Internal Medicine 30(4) 508-513 doi 101007s11606-014-3144-y

Suicide

1 of 9 students

Burnout

496 met the criteria for burnout ([CI 475ndash518] n=1069)

Dyrbye L N Thomas M R Massie F S Power D V Eacker A Harper W Shanafelt T D (2008) Burnout and suicidal ideation among US medical students Ann Intern Med 149(5) 334-341

More likely to report SI if they had

Burnout (odds ratio 346 [CI 255 to 469] P 0001)

High emotional exhaustion (odds ratio 317 [CI 239 to 419] P 0001)

High depersonalization (odds ratio 210 [CI 159 to 277] P 0001)

Low sense of personal accomplishment (odds ratio 203 [CI 153 to 268] P 0001)

Dyrbye L N Thomas M R Massie F S Power D V Eacker A Harper W Shanafelt T D (2008) Burnout and suicidal ideation among US medical students Ann Intern Med 149(5) 334-341

Are there factors that are protective

BURN-OUT

External Internal

What are some causes of burnout among trainees

Scale of 0 (not at all important) to 7 (extremely important)

Rates differ by specialty

Culturemdashprotective

Age plusmn

Family plusmn

Duty hours plusmn

IsHak WW Lederer S Mandili C et al Burnout During Residency Training A Literature Review Journal of Graduate Medical Education 20091(2)236-242 doi104300JGME-D-09-000541

Survey of IM Residents Burnout and Achievement of

US-DHHS physical activity guidelines

Residents who met guidelines were less likely to be burned out OR 038 95 CI 0147-099

Higher BMI associated with increased burnout (OR 119 95CI 101-141)

Olson SM Odo NU Duran AM Pereira AG Mandel JH Burnout and Physical Activity in Minnesota Internal Medicine Resident Physicians J Grad Med Educ 2014 Dec6(4)669-74 doi 104300JGME-D-13-00396

4

16

50

30

3

24

3

17

48

32

3

23

0

10

20

30

40

50

60

gt2 DrinksDaily

1-2 DrinksDaily

lt1 DrinkDaily

Dont Drink Usedmarijuanathis past

year

Usedmarijuana

ever

Burnout No Burnout

Good newshellip

Program designed to reduce unnecessary stressors and increase studentsrsquo ability to deal with stress

Began a resiliency and mindfulness curriculum

Over 5 years saw a decrease in both mod-severe depression symptoms and mod-severe anxiety symptoms of MS1 and MS2 students

Slavin S (2015 31315) [Flourishing in Times of Change Keynote Address COMSEP Meeting] Slavin S J Schindler D L amp Chibnall J T (2014) Medical student mental health 30 improving student wellness through curricular changes Acad Med 89(4) 573-577 doi 101097acm0000000000000166

Improved mean depression scores

Burnout and anxiety

Pre-change Post-change P Value

Emotional

Exhaustion 296 218 01

Depersonalization 102 64 lt01

Anxiety 506 428 lt01

Slavin S (2015 31315) [Flourishing in Times of Change Keynote Address COMSEP Meeting] Slavin S J Schindler D L amp Chibnall J T (2014) Medical student mental health 30 improving student wellness through curricular changes Acad Med 89(4) 573-577 doi 101097acm0000000000000166

Your Body Language Shapes Who You Are | Amy Cuddy | TED Talks httpsyoutubeKs-_Mh1QhMc

Well-being

Is a real thing

Has particular elements

Can be attained

Can be learned

Gazelle G Liebschutz J M amp Riess H (2015) Physician Burnout Coaching a Way Out Journal of General Internal Medicine 30(4) 508-513 doi 101007s11606-014-3144-y

More likely to report SI if they had

Burnout (odds ratio 346 [CI 255 to 469] P 0001)

High emotional exhaustion (odds ratio 317 [CI 239 to 419] P 0001)

High depersonalization (odds ratio 210 [CI 159 to 277] P 0001)

Low sense of personal accomplishment (odds ratio 203 [CI 153 to 268] P 0001)

Dyrbye L N Thomas M R Massie F S Power D V Eacker A Harper W Shanafelt T D (2008) Burnout and suicidal ideation among US medical students Ann Intern Med 149(5) 334-341

Are there factors that are protective

BURN-OUT

External Internal

What are some causes of burnout among trainees

Scale of 0 (not at all important) to 7 (extremely important)

Rates differ by specialty

Culturemdashprotective

Age plusmn

Family plusmn

Duty hours plusmn

IsHak WW Lederer S Mandili C et al Burnout During Residency Training A Literature Review Journal of Graduate Medical Education 20091(2)236-242 doi104300JGME-D-09-000541

Survey of IM Residents Burnout and Achievement of

US-DHHS physical activity guidelines

Residents who met guidelines were less likely to be burned out OR 038 95 CI 0147-099

Higher BMI associated with increased burnout (OR 119 95CI 101-141)

Olson SM Odo NU Duran AM Pereira AG Mandel JH Burnout and Physical Activity in Minnesota Internal Medicine Resident Physicians J Grad Med Educ 2014 Dec6(4)669-74 doi 104300JGME-D-13-00396

4

16

50

30

3

24

3

17

48

32

3

23

0

10

20

30

40

50

60

gt2 DrinksDaily

1-2 DrinksDaily

lt1 DrinkDaily

Dont Drink Usedmarijuanathis past

year

Usedmarijuana

ever

Burnout No Burnout

Good newshellip

Program designed to reduce unnecessary stressors and increase studentsrsquo ability to deal with stress

Began a resiliency and mindfulness curriculum

Over 5 years saw a decrease in both mod-severe depression symptoms and mod-severe anxiety symptoms of MS1 and MS2 students

Slavin S (2015 31315) [Flourishing in Times of Change Keynote Address COMSEP Meeting] Slavin S J Schindler D L amp Chibnall J T (2014) Medical student mental health 30 improving student wellness through curricular changes Acad Med 89(4) 573-577 doi 101097acm0000000000000166

Improved mean depression scores

Burnout and anxiety

Pre-change Post-change P Value

Emotional

Exhaustion 296 218 01

Depersonalization 102 64 lt01

Anxiety 506 428 lt01

Slavin S (2015 31315) [Flourishing in Times of Change Keynote Address COMSEP Meeting] Slavin S J Schindler D L amp Chibnall J T (2014) Medical student mental health 30 improving student wellness through curricular changes Acad Med 89(4) 573-577 doi 101097acm0000000000000166

Your Body Language Shapes Who You Are | Amy Cuddy | TED Talks httpsyoutubeKs-_Mh1QhMc

Well-being

Is a real thing

Has particular elements

Can be attained

Can be learned

Gazelle G Liebschutz J M amp Riess H (2015) Physician Burnout Coaching a Way Out Journal of General Internal Medicine 30(4) 508-513 doi 101007s11606-014-3144-y

Are there factors that are protective

BURN-OUT

External Internal

What are some causes of burnout among trainees

Scale of 0 (not at all important) to 7 (extremely important)

Rates differ by specialty

Culturemdashprotective

Age plusmn

Family plusmn

Duty hours plusmn

IsHak WW Lederer S Mandili C et al Burnout During Residency Training A Literature Review Journal of Graduate Medical Education 20091(2)236-242 doi104300JGME-D-09-000541

Survey of IM Residents Burnout and Achievement of

US-DHHS physical activity guidelines

Residents who met guidelines were less likely to be burned out OR 038 95 CI 0147-099

Higher BMI associated with increased burnout (OR 119 95CI 101-141)

Olson SM Odo NU Duran AM Pereira AG Mandel JH Burnout and Physical Activity in Minnesota Internal Medicine Resident Physicians J Grad Med Educ 2014 Dec6(4)669-74 doi 104300JGME-D-13-00396

4

16

50

30

3

24

3

17

48

32

3

23

0

10

20

30

40

50

60

gt2 DrinksDaily

1-2 DrinksDaily

lt1 DrinkDaily

Dont Drink Usedmarijuanathis past

year

Usedmarijuana

ever

Burnout No Burnout

Good newshellip

Program designed to reduce unnecessary stressors and increase studentsrsquo ability to deal with stress

Began a resiliency and mindfulness curriculum

Over 5 years saw a decrease in both mod-severe depression symptoms and mod-severe anxiety symptoms of MS1 and MS2 students

Slavin S (2015 31315) [Flourishing in Times of Change Keynote Address COMSEP Meeting] Slavin S J Schindler D L amp Chibnall J T (2014) Medical student mental health 30 improving student wellness through curricular changes Acad Med 89(4) 573-577 doi 101097acm0000000000000166

Improved mean depression scores

Burnout and anxiety

Pre-change Post-change P Value

Emotional

Exhaustion 296 218 01

Depersonalization 102 64 lt01

Anxiety 506 428 lt01

Slavin S (2015 31315) [Flourishing in Times of Change Keynote Address COMSEP Meeting] Slavin S J Schindler D L amp Chibnall J T (2014) Medical student mental health 30 improving student wellness through curricular changes Acad Med 89(4) 573-577 doi 101097acm0000000000000166

Your Body Language Shapes Who You Are | Amy Cuddy | TED Talks httpsyoutubeKs-_Mh1QhMc

Well-being

Is a real thing

Has particular elements

Can be attained

Can be learned

Gazelle G Liebschutz J M amp Riess H (2015) Physician Burnout Coaching a Way Out Journal of General Internal Medicine 30(4) 508-513 doi 101007s11606-014-3144-y

BURN-OUT

External Internal

What are some causes of burnout among trainees

Scale of 0 (not at all important) to 7 (extremely important)

Rates differ by specialty

Culturemdashprotective

Age plusmn

Family plusmn

Duty hours plusmn

IsHak WW Lederer S Mandili C et al Burnout During Residency Training A Literature Review Journal of Graduate Medical Education 20091(2)236-242 doi104300JGME-D-09-000541

Survey of IM Residents Burnout and Achievement of

US-DHHS physical activity guidelines

Residents who met guidelines were less likely to be burned out OR 038 95 CI 0147-099

Higher BMI associated with increased burnout (OR 119 95CI 101-141)

Olson SM Odo NU Duran AM Pereira AG Mandel JH Burnout and Physical Activity in Minnesota Internal Medicine Resident Physicians J Grad Med Educ 2014 Dec6(4)669-74 doi 104300JGME-D-13-00396

4

16

50

30

3

24

3

17

48

32

3

23

0

10

20

30

40

50

60

gt2 DrinksDaily

1-2 DrinksDaily

lt1 DrinkDaily

Dont Drink Usedmarijuanathis past

year

Usedmarijuana

ever

Burnout No Burnout

Good newshellip

Program designed to reduce unnecessary stressors and increase studentsrsquo ability to deal with stress

Began a resiliency and mindfulness curriculum

Over 5 years saw a decrease in both mod-severe depression symptoms and mod-severe anxiety symptoms of MS1 and MS2 students

Slavin S (2015 31315) [Flourishing in Times of Change Keynote Address COMSEP Meeting] Slavin S J Schindler D L amp Chibnall J T (2014) Medical student mental health 30 improving student wellness through curricular changes Acad Med 89(4) 573-577 doi 101097acm0000000000000166

Improved mean depression scores

Burnout and anxiety

Pre-change Post-change P Value

Emotional

Exhaustion 296 218 01

Depersonalization 102 64 lt01

Anxiety 506 428 lt01

Slavin S (2015 31315) [Flourishing in Times of Change Keynote Address COMSEP Meeting] Slavin S J Schindler D L amp Chibnall J T (2014) Medical student mental health 30 improving student wellness through curricular changes Acad Med 89(4) 573-577 doi 101097acm0000000000000166

Your Body Language Shapes Who You Are | Amy Cuddy | TED Talks httpsyoutubeKs-_Mh1QhMc

Well-being

Is a real thing

Has particular elements

Can be attained

Can be learned

Gazelle G Liebschutz J M amp Riess H (2015) Physician Burnout Coaching a Way Out Journal of General Internal Medicine 30(4) 508-513 doi 101007s11606-014-3144-y

What are some causes of burnout among trainees

Scale of 0 (not at all important) to 7 (extremely important)

Rates differ by specialty

Culturemdashprotective

Age plusmn

Family plusmn

Duty hours plusmn

IsHak WW Lederer S Mandili C et al Burnout During Residency Training A Literature Review Journal of Graduate Medical Education 20091(2)236-242 doi104300JGME-D-09-000541

Survey of IM Residents Burnout and Achievement of

US-DHHS physical activity guidelines

Residents who met guidelines were less likely to be burned out OR 038 95 CI 0147-099

Higher BMI associated with increased burnout (OR 119 95CI 101-141)

Olson SM Odo NU Duran AM Pereira AG Mandel JH Burnout and Physical Activity in Minnesota Internal Medicine Resident Physicians J Grad Med Educ 2014 Dec6(4)669-74 doi 104300JGME-D-13-00396

4

16

50

30

3

24

3

17

48

32

3

23

0

10

20

30

40

50

60

gt2 DrinksDaily

1-2 DrinksDaily

lt1 DrinkDaily

Dont Drink Usedmarijuanathis past

year

Usedmarijuana

ever

Burnout No Burnout

Good newshellip

Program designed to reduce unnecessary stressors and increase studentsrsquo ability to deal with stress

Began a resiliency and mindfulness curriculum

Over 5 years saw a decrease in both mod-severe depression symptoms and mod-severe anxiety symptoms of MS1 and MS2 students

Slavin S (2015 31315) [Flourishing in Times of Change Keynote Address COMSEP Meeting] Slavin S J Schindler D L amp Chibnall J T (2014) Medical student mental health 30 improving student wellness through curricular changes Acad Med 89(4) 573-577 doi 101097acm0000000000000166

Improved mean depression scores

Burnout and anxiety

Pre-change Post-change P Value

Emotional

Exhaustion 296 218 01

Depersonalization 102 64 lt01

Anxiety 506 428 lt01

Slavin S (2015 31315) [Flourishing in Times of Change Keynote Address COMSEP Meeting] Slavin S J Schindler D L amp Chibnall J T (2014) Medical student mental health 30 improving student wellness through curricular changes Acad Med 89(4) 573-577 doi 101097acm0000000000000166

Your Body Language Shapes Who You Are | Amy Cuddy | TED Talks httpsyoutubeKs-_Mh1QhMc

Well-being

Is a real thing

Has particular elements

Can be attained

Can be learned

Gazelle G Liebschutz J M amp Riess H (2015) Physician Burnout Coaching a Way Out Journal of General Internal Medicine 30(4) 508-513 doi 101007s11606-014-3144-y

Scale of 0 (not at all important) to 7 (extremely important)

Rates differ by specialty

Culturemdashprotective

Age plusmn

Family plusmn

Duty hours plusmn

IsHak WW Lederer S Mandili C et al Burnout During Residency Training A Literature Review Journal of Graduate Medical Education 20091(2)236-242 doi104300JGME-D-09-000541

Survey of IM Residents Burnout and Achievement of

US-DHHS physical activity guidelines

Residents who met guidelines were less likely to be burned out OR 038 95 CI 0147-099

Higher BMI associated with increased burnout (OR 119 95CI 101-141)

Olson SM Odo NU Duran AM Pereira AG Mandel JH Burnout and Physical Activity in Minnesota Internal Medicine Resident Physicians J Grad Med Educ 2014 Dec6(4)669-74 doi 104300JGME-D-13-00396

4

16

50

30

3

24

3

17

48

32

3

23

0

10

20

30

40

50

60

gt2 DrinksDaily

1-2 DrinksDaily

lt1 DrinkDaily

Dont Drink Usedmarijuanathis past

year

Usedmarijuana

ever

Burnout No Burnout

Good newshellip

Program designed to reduce unnecessary stressors and increase studentsrsquo ability to deal with stress

Began a resiliency and mindfulness curriculum

Over 5 years saw a decrease in both mod-severe depression symptoms and mod-severe anxiety symptoms of MS1 and MS2 students

Slavin S (2015 31315) [Flourishing in Times of Change Keynote Address COMSEP Meeting] Slavin S J Schindler D L amp Chibnall J T (2014) Medical student mental health 30 improving student wellness through curricular changes Acad Med 89(4) 573-577 doi 101097acm0000000000000166

Improved mean depression scores

Burnout and anxiety

Pre-change Post-change P Value

Emotional

Exhaustion 296 218 01

Depersonalization 102 64 lt01

Anxiety 506 428 lt01

Slavin S (2015 31315) [Flourishing in Times of Change Keynote Address COMSEP Meeting] Slavin S J Schindler D L amp Chibnall J T (2014) Medical student mental health 30 improving student wellness through curricular changes Acad Med 89(4) 573-577 doi 101097acm0000000000000166

Your Body Language Shapes Who You Are | Amy Cuddy | TED Talks httpsyoutubeKs-_Mh1QhMc

Well-being

Is a real thing

Has particular elements

Can be attained

Can be learned

Gazelle G Liebschutz J M amp Riess H (2015) Physician Burnout Coaching a Way Out Journal of General Internal Medicine 30(4) 508-513 doi 101007s11606-014-3144-y

Rates differ by specialty

Culturemdashprotective

Age plusmn

Family plusmn

Duty hours plusmn

IsHak WW Lederer S Mandili C et al Burnout During Residency Training A Literature Review Journal of Graduate Medical Education 20091(2)236-242 doi104300JGME-D-09-000541

Survey of IM Residents Burnout and Achievement of

US-DHHS physical activity guidelines

Residents who met guidelines were less likely to be burned out OR 038 95 CI 0147-099

Higher BMI associated with increased burnout (OR 119 95CI 101-141)

Olson SM Odo NU Duran AM Pereira AG Mandel JH Burnout and Physical Activity in Minnesota Internal Medicine Resident Physicians J Grad Med Educ 2014 Dec6(4)669-74 doi 104300JGME-D-13-00396

4

16

50

30

3

24

3

17

48

32

3

23

0

10

20

30

40

50

60

gt2 DrinksDaily

1-2 DrinksDaily

lt1 DrinkDaily

Dont Drink Usedmarijuanathis past

year

Usedmarijuana

ever

Burnout No Burnout

Good newshellip

Program designed to reduce unnecessary stressors and increase studentsrsquo ability to deal with stress

Began a resiliency and mindfulness curriculum

Over 5 years saw a decrease in both mod-severe depression symptoms and mod-severe anxiety symptoms of MS1 and MS2 students

Slavin S (2015 31315) [Flourishing in Times of Change Keynote Address COMSEP Meeting] Slavin S J Schindler D L amp Chibnall J T (2014) Medical student mental health 30 improving student wellness through curricular changes Acad Med 89(4) 573-577 doi 101097acm0000000000000166

Improved mean depression scores

Burnout and anxiety

Pre-change Post-change P Value

Emotional

Exhaustion 296 218 01

Depersonalization 102 64 lt01

Anxiety 506 428 lt01

Slavin S (2015 31315) [Flourishing in Times of Change Keynote Address COMSEP Meeting] Slavin S J Schindler D L amp Chibnall J T (2014) Medical student mental health 30 improving student wellness through curricular changes Acad Med 89(4) 573-577 doi 101097acm0000000000000166

Your Body Language Shapes Who You Are | Amy Cuddy | TED Talks httpsyoutubeKs-_Mh1QhMc

Well-being

Is a real thing

Has particular elements

Can be attained

Can be learned

Gazelle G Liebschutz J M amp Riess H (2015) Physician Burnout Coaching a Way Out Journal of General Internal Medicine 30(4) 508-513 doi 101007s11606-014-3144-y

Survey of IM Residents Burnout and Achievement of

US-DHHS physical activity guidelines

Residents who met guidelines were less likely to be burned out OR 038 95 CI 0147-099

Higher BMI associated with increased burnout (OR 119 95CI 101-141)

Olson SM Odo NU Duran AM Pereira AG Mandel JH Burnout and Physical Activity in Minnesota Internal Medicine Resident Physicians J Grad Med Educ 2014 Dec6(4)669-74 doi 104300JGME-D-13-00396

4

16

50

30

3

24

3

17

48

32

3

23

0

10

20

30

40

50

60

gt2 DrinksDaily

1-2 DrinksDaily

lt1 DrinkDaily

Dont Drink Usedmarijuanathis past

year

Usedmarijuana

ever

Burnout No Burnout

Good newshellip

Program designed to reduce unnecessary stressors and increase studentsrsquo ability to deal with stress

Began a resiliency and mindfulness curriculum

Over 5 years saw a decrease in both mod-severe depression symptoms and mod-severe anxiety symptoms of MS1 and MS2 students

Slavin S (2015 31315) [Flourishing in Times of Change Keynote Address COMSEP Meeting] Slavin S J Schindler D L amp Chibnall J T (2014) Medical student mental health 30 improving student wellness through curricular changes Acad Med 89(4) 573-577 doi 101097acm0000000000000166

Improved mean depression scores

Burnout and anxiety

Pre-change Post-change P Value

Emotional

Exhaustion 296 218 01

Depersonalization 102 64 lt01

Anxiety 506 428 lt01

Slavin S (2015 31315) [Flourishing in Times of Change Keynote Address COMSEP Meeting] Slavin S J Schindler D L amp Chibnall J T (2014) Medical student mental health 30 improving student wellness through curricular changes Acad Med 89(4) 573-577 doi 101097acm0000000000000166

Your Body Language Shapes Who You Are | Amy Cuddy | TED Talks httpsyoutubeKs-_Mh1QhMc

Well-being

Is a real thing

Has particular elements

Can be attained

Can be learned

Gazelle G Liebschutz J M amp Riess H (2015) Physician Burnout Coaching a Way Out Journal of General Internal Medicine 30(4) 508-513 doi 101007s11606-014-3144-y

4

16

50

30

3

24

3

17

48

32

3

23

0

10

20

30

40

50

60

gt2 DrinksDaily

1-2 DrinksDaily

lt1 DrinkDaily

Dont Drink Usedmarijuanathis past

year

Usedmarijuana

ever

Burnout No Burnout

Good newshellip

Program designed to reduce unnecessary stressors and increase studentsrsquo ability to deal with stress

Began a resiliency and mindfulness curriculum

Over 5 years saw a decrease in both mod-severe depression symptoms and mod-severe anxiety symptoms of MS1 and MS2 students

Slavin S (2015 31315) [Flourishing in Times of Change Keynote Address COMSEP Meeting] Slavin S J Schindler D L amp Chibnall J T (2014) Medical student mental health 30 improving student wellness through curricular changes Acad Med 89(4) 573-577 doi 101097acm0000000000000166

Improved mean depression scores

Burnout and anxiety

Pre-change Post-change P Value

Emotional

Exhaustion 296 218 01

Depersonalization 102 64 lt01

Anxiety 506 428 lt01

Slavin S (2015 31315) [Flourishing in Times of Change Keynote Address COMSEP Meeting] Slavin S J Schindler D L amp Chibnall J T (2014) Medical student mental health 30 improving student wellness through curricular changes Acad Med 89(4) 573-577 doi 101097acm0000000000000166

Your Body Language Shapes Who You Are | Amy Cuddy | TED Talks httpsyoutubeKs-_Mh1QhMc

Well-being

Is a real thing

Has particular elements

Can be attained

Can be learned

Gazelle G Liebschutz J M amp Riess H (2015) Physician Burnout Coaching a Way Out Journal of General Internal Medicine 30(4) 508-513 doi 101007s11606-014-3144-y

Good newshellip

Program designed to reduce unnecessary stressors and increase studentsrsquo ability to deal with stress

Began a resiliency and mindfulness curriculum

Over 5 years saw a decrease in both mod-severe depression symptoms and mod-severe anxiety symptoms of MS1 and MS2 students

Slavin S (2015 31315) [Flourishing in Times of Change Keynote Address COMSEP Meeting] Slavin S J Schindler D L amp Chibnall J T (2014) Medical student mental health 30 improving student wellness through curricular changes Acad Med 89(4) 573-577 doi 101097acm0000000000000166

Improved mean depression scores

Burnout and anxiety

Pre-change Post-change P Value

Emotional

Exhaustion 296 218 01

Depersonalization 102 64 lt01

Anxiety 506 428 lt01

Slavin S (2015 31315) [Flourishing in Times of Change Keynote Address COMSEP Meeting] Slavin S J Schindler D L amp Chibnall J T (2014) Medical student mental health 30 improving student wellness through curricular changes Acad Med 89(4) 573-577 doi 101097acm0000000000000166

Your Body Language Shapes Who You Are | Amy Cuddy | TED Talks httpsyoutubeKs-_Mh1QhMc

Well-being

Is a real thing

Has particular elements

Can be attained

Can be learned

Gazelle G Liebschutz J M amp Riess H (2015) Physician Burnout Coaching a Way Out Journal of General Internal Medicine 30(4) 508-513 doi 101007s11606-014-3144-y

Program designed to reduce unnecessary stressors and increase studentsrsquo ability to deal with stress

Began a resiliency and mindfulness curriculum

Over 5 years saw a decrease in both mod-severe depression symptoms and mod-severe anxiety symptoms of MS1 and MS2 students

Slavin S (2015 31315) [Flourishing in Times of Change Keynote Address COMSEP Meeting] Slavin S J Schindler D L amp Chibnall J T (2014) Medical student mental health 30 improving student wellness through curricular changes Acad Med 89(4) 573-577 doi 101097acm0000000000000166

Improved mean depression scores

Burnout and anxiety

Pre-change Post-change P Value

Emotional

Exhaustion 296 218 01

Depersonalization 102 64 lt01

Anxiety 506 428 lt01

Slavin S (2015 31315) [Flourishing in Times of Change Keynote Address COMSEP Meeting] Slavin S J Schindler D L amp Chibnall J T (2014) Medical student mental health 30 improving student wellness through curricular changes Acad Med 89(4) 573-577 doi 101097acm0000000000000166

Your Body Language Shapes Who You Are | Amy Cuddy | TED Talks httpsyoutubeKs-_Mh1QhMc

Well-being

Is a real thing

Has particular elements

Can be attained

Can be learned

Gazelle G Liebschutz J M amp Riess H (2015) Physician Burnout Coaching a Way Out Journal of General Internal Medicine 30(4) 508-513 doi 101007s11606-014-3144-y

Improved mean depression scores

Burnout and anxiety

Pre-change Post-change P Value

Emotional

Exhaustion 296 218 01

Depersonalization 102 64 lt01

Anxiety 506 428 lt01

Slavin S (2015 31315) [Flourishing in Times of Change Keynote Address COMSEP Meeting] Slavin S J Schindler D L amp Chibnall J T (2014) Medical student mental health 30 improving student wellness through curricular changes Acad Med 89(4) 573-577 doi 101097acm0000000000000166

Your Body Language Shapes Who You Are | Amy Cuddy | TED Talks httpsyoutubeKs-_Mh1QhMc

Well-being

Is a real thing

Has particular elements

Can be attained

Can be learned

Gazelle G Liebschutz J M amp Riess H (2015) Physician Burnout Coaching a Way Out Journal of General Internal Medicine 30(4) 508-513 doi 101007s11606-014-3144-y

Your Body Language Shapes Who You Are | Amy Cuddy | TED Talks httpsyoutubeKs-_Mh1QhMc

Well-being

Is a real thing

Has particular elements

Can be attained

Can be learned

Gazelle G Liebschutz J M amp Riess H (2015) Physician Burnout Coaching a Way Out Journal of General Internal Medicine 30(4) 508-513 doi 101007s11606-014-3144-y

Well-being

Is a real thing

Has particular elements

Can be attained

Can be learned

Gazelle G Liebschutz J M amp Riess H (2015) Physician Burnout Coaching a Way Out Journal of General Internal Medicine 30(4) 508-513 doi 101007s11606-014-3144-y

Is a real thing

Has particular elements

Can be attained

Can be learned

Gazelle G Liebschutz J M amp Riess H (2015) Physician Burnout Coaching a Way Out Journal of General Internal Medicine 30(4) 508-513 doi 101007s11606-014-3144-y

httpfocustreatmentcenterscomwp-contentuploads201503oxygen_mask_png

BURN-OUT

External Internal

WELL-BEING

External Internal

ldquoHappiness may be an unavoidable side effect

of cultivating emotional intelligence

Other side effects may include resilience

optimism and kindnessrdquo

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Paying attention in a particular way on purpose in the present moment and nonjudgmentally

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

The first component of mindfulness involves the self-regulation of attention so it is maintained on immediate experience

The second component involves adopting a particular orientation toward onersquos experiences in the present moment an orientation that is characterized by curiosity openness and acceptance

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

How to cultivate

Formal practice

Informal practice

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

How to cultivate

Formal practice

Meditation

Take one breath a day

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

How to cultivate

Informal practice

Door handle

Other-directed

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Empathy increases with perceived similarity

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Strength in self-awareness

Strength in empathy

Empathy increases with perceived similarity

Create desired mental habits

Formal ldquoJust Like Merdquo and ldquoLoving Kindnessrdquo Meditation

Every time you see another person you wish for that person to be happy Becomes a mental habit

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Strength in self-awareness

Strength in empathy

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Kindness Empathy

Kindness drives empathy Empathy helps build

trust

Trust builds relationships and teams

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Kindness

Empathy

Trust

Team

Kindness drives empathy

Empathy helps build trust

Trust builds relationships and teams

Build trust

Practice giving people the benefit of the doubt

Trust begets trust Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Kindness

Empathy

Trust

Team

Be Kind for everyone you meet is involved in a great struggle

Practice giving people the benefit of the doubt

Kindness is a sustainable source of happiness

Kindness exercise 1 Find one unexpected and

kind thing to do tomorrow and just do it

2 Notice what happens to your mood

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

htt

p

ww

wh

om

esb

yoys

ter

cou

kim

age

envi

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ten

viro

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ent_

sust

ain

able

_so

urc

esj

pg

When we feel love and kindness toward others it not only makes others feel loved and cared for but it helps us also to develop inner happiness and peace

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Happiness

Life satisfaction

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Three good things

Gratitude letters

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and Hope

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and hope

Maximizing Happiness

is an individual Choice Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Maslach amp Leiter defined the antithesis of

burnout as Engagement

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Engagement bull Energy

bull Involvement

bull Efficacy

Burnout bull Exhaustion

bull Cynicism

bull Inefficacy

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Kindness

Empathy

Trust

Team

Meaning

Belonging to and serving something bigger than the self

Purpose

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

work life

Take a few minutes to write it on your paper Letrsquos discuss if you are comfortable sharing

End each day with what-went-well

and why

End rounds with WWW

or ldquoSomething I did well todayrdquo

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

the ability of something to return to its original shape after it has been pulled stretched pressed bent etc

the ability to become strong healthy or successful again after something bad happens

httpwwwmerriam-webstercomdictionaryresilience

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

Creates isolation decreases accomplishment

Can be minimalized

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

4 Learned helplessness

httpwwwintegratedsociopsychologynetwpimageswp13376ff2_1apng

Requires

Metacognition and

Cognitive restructuring Understand threats and minimalize them

Emotional self-regulation

Grocery store line

LEARNING POINTS

Burnout is bad

We can prevent burnout

Happiness is a choice

There are these two young fish swimming along and they happen to meet an older

fish swimming the other way who nods at them and says Morning boys Hows the

water And the two young fish swim on for a bit and then eventually one of them

looks over at the other and goes

What the hell is waterldquo hellipthere are all different kinds of freedom and the kind that is most precious you will

not hear much talked about in the great outside world of winning and achieving and

displaying The really important kind of freedom involves attention and awareness

and discipline and effort and being able truly to care about other people and to

sacrifice for them over and over in myriad petty little unsexy ways every day That

is real freedom The alternative is unconsciousness the default-setting the ldquorat

racerdquo mdash the constant gnawing sense of having had and lost some infinite thing It is

about simple awareness mdash awareness of what is so real and essential so hidden in

plain sight all around us that we have to keep reminding ourselves over and over

ldquoThis is water this is waterrdquo httpswwwyoutubecomwatchv=IYGaXzJGVAQ

BURN-OUT

External Internal

WELL-BEING

External Internal

ldquoHappiness may be an unavoidable side effect

of cultivating emotional intelligence

Other side effects may include resilience

optimism and kindnessrdquo

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Paying attention in a particular way on purpose in the present moment and nonjudgmentally

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

The first component of mindfulness involves the self-regulation of attention so it is maintained on immediate experience

The second component involves adopting a particular orientation toward onersquos experiences in the present moment an orientation that is characterized by curiosity openness and acceptance

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

How to cultivate

Formal practice

Informal practice

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

How to cultivate

Formal practice

Meditation

Take one breath a day

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

How to cultivate

Informal practice

Door handle

Other-directed

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Empathy increases with perceived similarity

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Strength in self-awareness

Strength in empathy

Empathy increases with perceived similarity

Create desired mental habits

Formal ldquoJust Like Merdquo and ldquoLoving Kindnessrdquo Meditation

Every time you see another person you wish for that person to be happy Becomes a mental habit

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Strength in self-awareness

Strength in empathy

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Kindness Empathy

Kindness drives empathy Empathy helps build

trust

Trust builds relationships and teams

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Kindness

Empathy

Trust

Team

Kindness drives empathy

Empathy helps build trust

Trust builds relationships and teams

Build trust

Practice giving people the benefit of the doubt

Trust begets trust Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Kindness

Empathy

Trust

Team

Be Kind for everyone you meet is involved in a great struggle

Practice giving people the benefit of the doubt

Kindness is a sustainable source of happiness

Kindness exercise 1 Find one unexpected and

kind thing to do tomorrow and just do it

2 Notice what happens to your mood

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

htt

p

ww

wh

om

esb

yoys

ter

cou

kim

age

envi

ron

men

ten

viro

nm

ent_

sust

ain

able

_so

urc

esj

pg

When we feel love and kindness toward others it not only makes others feel loved and cared for but it helps us also to develop inner happiness and peace

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Happiness

Life satisfaction

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Three good things

Gratitude letters

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and Hope

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and hope

Maximizing Happiness

is an individual Choice Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Maslach amp Leiter defined the antithesis of

burnout as Engagement

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Engagement bull Energy

bull Involvement

bull Efficacy

Burnout bull Exhaustion

bull Cynicism

bull Inefficacy

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Kindness

Empathy

Trust

Team

Meaning

Belonging to and serving something bigger than the self

Purpose

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

work life

Take a few minutes to write it on your paper Letrsquos discuss if you are comfortable sharing

End each day with what-went-well

and why

End rounds with WWW

or ldquoSomething I did well todayrdquo

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

the ability of something to return to its original shape after it has been pulled stretched pressed bent etc

the ability to become strong healthy or successful again after something bad happens

httpwwwmerriam-webstercomdictionaryresilience

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

Creates isolation decreases accomplishment

Can be minimalized

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

4 Learned helplessness

httpwwwintegratedsociopsychologynetwpimageswp13376ff2_1apng

Requires

Metacognition and

Cognitive restructuring Understand threats and minimalize them

Emotional self-regulation

Grocery store line

LEARNING POINTS

Burnout is bad

We can prevent burnout

Happiness is a choice

There are these two young fish swimming along and they happen to meet an older

fish swimming the other way who nods at them and says Morning boys Hows the

water And the two young fish swim on for a bit and then eventually one of them

looks over at the other and goes

What the hell is waterldquo hellipthere are all different kinds of freedom and the kind that is most precious you will

not hear much talked about in the great outside world of winning and achieving and

displaying The really important kind of freedom involves attention and awareness

and discipline and effort and being able truly to care about other people and to

sacrifice for them over and over in myriad petty little unsexy ways every day That

is real freedom The alternative is unconsciousness the default-setting the ldquorat

racerdquo mdash the constant gnawing sense of having had and lost some infinite thing It is

about simple awareness mdash awareness of what is so real and essential so hidden in

plain sight all around us that we have to keep reminding ourselves over and over

ldquoThis is water this is waterrdquo httpswwwyoutubecomwatchv=IYGaXzJGVAQ

WELL-BEING

External Internal

ldquoHappiness may be an unavoidable side effect

of cultivating emotional intelligence

Other side effects may include resilience

optimism and kindnessrdquo

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Paying attention in a particular way on purpose in the present moment and nonjudgmentally

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

The first component of mindfulness involves the self-regulation of attention so it is maintained on immediate experience

The second component involves adopting a particular orientation toward onersquos experiences in the present moment an orientation that is characterized by curiosity openness and acceptance

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

How to cultivate

Formal practice

Informal practice

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

How to cultivate

Formal practice

Meditation

Take one breath a day

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

How to cultivate

Informal practice

Door handle

Other-directed

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Empathy increases with perceived similarity

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Strength in self-awareness

Strength in empathy

Empathy increases with perceived similarity

Create desired mental habits

Formal ldquoJust Like Merdquo and ldquoLoving Kindnessrdquo Meditation

Every time you see another person you wish for that person to be happy Becomes a mental habit

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Strength in self-awareness

Strength in empathy

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Kindness Empathy

Kindness drives empathy Empathy helps build

trust

Trust builds relationships and teams

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Kindness

Empathy

Trust

Team

Kindness drives empathy

Empathy helps build trust

Trust builds relationships and teams

Build trust

Practice giving people the benefit of the doubt

Trust begets trust Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Kindness

Empathy

Trust

Team

Be Kind for everyone you meet is involved in a great struggle

Practice giving people the benefit of the doubt

Kindness is a sustainable source of happiness

Kindness exercise 1 Find one unexpected and

kind thing to do tomorrow and just do it

2 Notice what happens to your mood

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

htt

p

ww

wh

om

esb

yoys

ter

cou

kim

age

envi

ron

men

ten

viro

nm

ent_

sust

ain

able

_so

urc

esj

pg

When we feel love and kindness toward others it not only makes others feel loved and cared for but it helps us also to develop inner happiness and peace

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Happiness

Life satisfaction

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Three good things

Gratitude letters

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and Hope

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and hope

Maximizing Happiness

is an individual Choice Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Maslach amp Leiter defined the antithesis of

burnout as Engagement

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Engagement bull Energy

bull Involvement

bull Efficacy

Burnout bull Exhaustion

bull Cynicism

bull Inefficacy

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Kindness

Empathy

Trust

Team

Meaning

Belonging to and serving something bigger than the self

Purpose

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

work life

Take a few minutes to write it on your paper Letrsquos discuss if you are comfortable sharing

End each day with what-went-well

and why

End rounds with WWW

or ldquoSomething I did well todayrdquo

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

the ability of something to return to its original shape after it has been pulled stretched pressed bent etc

the ability to become strong healthy or successful again after something bad happens

httpwwwmerriam-webstercomdictionaryresilience

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

Creates isolation decreases accomplishment

Can be minimalized

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

4 Learned helplessness

httpwwwintegratedsociopsychologynetwpimageswp13376ff2_1apng

Requires

Metacognition and

Cognitive restructuring Understand threats and minimalize them

Emotional self-regulation

Grocery store line

LEARNING POINTS

Burnout is bad

We can prevent burnout

Happiness is a choice

There are these two young fish swimming along and they happen to meet an older

fish swimming the other way who nods at them and says Morning boys Hows the

water And the two young fish swim on for a bit and then eventually one of them

looks over at the other and goes

What the hell is waterldquo hellipthere are all different kinds of freedom and the kind that is most precious you will

not hear much talked about in the great outside world of winning and achieving and

displaying The really important kind of freedom involves attention and awareness

and discipline and effort and being able truly to care about other people and to

sacrifice for them over and over in myriad petty little unsexy ways every day That

is real freedom The alternative is unconsciousness the default-setting the ldquorat

racerdquo mdash the constant gnawing sense of having had and lost some infinite thing It is

about simple awareness mdash awareness of what is so real and essential so hidden in

plain sight all around us that we have to keep reminding ourselves over and over

ldquoThis is water this is waterrdquo httpswwwyoutubecomwatchv=IYGaXzJGVAQ

ldquoHappiness may be an unavoidable side effect

of cultivating emotional intelligence

Other side effects may include resilience

optimism and kindnessrdquo

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Paying attention in a particular way on purpose in the present moment and nonjudgmentally

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

The first component of mindfulness involves the self-regulation of attention so it is maintained on immediate experience

The second component involves adopting a particular orientation toward onersquos experiences in the present moment an orientation that is characterized by curiosity openness and acceptance

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

How to cultivate

Formal practice

Informal practice

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

How to cultivate

Formal practice

Meditation

Take one breath a day

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

How to cultivate

Informal practice

Door handle

Other-directed

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Empathy increases with perceived similarity

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Strength in self-awareness

Strength in empathy

Empathy increases with perceived similarity

Create desired mental habits

Formal ldquoJust Like Merdquo and ldquoLoving Kindnessrdquo Meditation

Every time you see another person you wish for that person to be happy Becomes a mental habit

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Strength in self-awareness

Strength in empathy

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Kindness Empathy

Kindness drives empathy Empathy helps build

trust

Trust builds relationships and teams

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Kindness

Empathy

Trust

Team

Kindness drives empathy

Empathy helps build trust

Trust builds relationships and teams

Build trust

Practice giving people the benefit of the doubt

Trust begets trust Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Kindness

Empathy

Trust

Team

Be Kind for everyone you meet is involved in a great struggle

Practice giving people the benefit of the doubt

Kindness is a sustainable source of happiness

Kindness exercise 1 Find one unexpected and

kind thing to do tomorrow and just do it

2 Notice what happens to your mood

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

htt

p

ww

wh

om

esb

yoys

ter

cou

kim

age

envi

ron

men

ten

viro

nm

ent_

sust

ain

able

_so

urc

esj

pg

When we feel love and kindness toward others it not only makes others feel loved and cared for but it helps us also to develop inner happiness and peace

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Happiness

Life satisfaction

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Three good things

Gratitude letters

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and Hope

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and hope

Maximizing Happiness

is an individual Choice Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Maslach amp Leiter defined the antithesis of

burnout as Engagement

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Engagement bull Energy

bull Involvement

bull Efficacy

Burnout bull Exhaustion

bull Cynicism

bull Inefficacy

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Kindness

Empathy

Trust

Team

Meaning

Belonging to and serving something bigger than the self

Purpose

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

work life

Take a few minutes to write it on your paper Letrsquos discuss if you are comfortable sharing

End each day with what-went-well

and why

End rounds with WWW

or ldquoSomething I did well todayrdquo

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

the ability of something to return to its original shape after it has been pulled stretched pressed bent etc

the ability to become strong healthy or successful again after something bad happens

httpwwwmerriam-webstercomdictionaryresilience

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

Creates isolation decreases accomplishment

Can be minimalized

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

4 Learned helplessness

httpwwwintegratedsociopsychologynetwpimageswp13376ff2_1apng

Requires

Metacognition and

Cognitive restructuring Understand threats and minimalize them

Emotional self-regulation

Grocery store line

LEARNING POINTS

Burnout is bad

We can prevent burnout

Happiness is a choice

There are these two young fish swimming along and they happen to meet an older

fish swimming the other way who nods at them and says Morning boys Hows the

water And the two young fish swim on for a bit and then eventually one of them

looks over at the other and goes

What the hell is waterldquo hellipthere are all different kinds of freedom and the kind that is most precious you will

not hear much talked about in the great outside world of winning and achieving and

displaying The really important kind of freedom involves attention and awareness

and discipline and effort and being able truly to care about other people and to

sacrifice for them over and over in myriad petty little unsexy ways every day That

is real freedom The alternative is unconsciousness the default-setting the ldquorat

racerdquo mdash the constant gnawing sense of having had and lost some infinite thing It is

about simple awareness mdash awareness of what is so real and essential so hidden in

plain sight all around us that we have to keep reminding ourselves over and over

ldquoThis is water this is waterrdquo httpswwwyoutubecomwatchv=IYGaXzJGVAQ

Paying attention in a particular way on purpose in the present moment and nonjudgmentally

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

The first component of mindfulness involves the self-regulation of attention so it is maintained on immediate experience

The second component involves adopting a particular orientation toward onersquos experiences in the present moment an orientation that is characterized by curiosity openness and acceptance

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

How to cultivate

Formal practice

Informal practice

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

How to cultivate

Formal practice

Meditation

Take one breath a day

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

How to cultivate

Informal practice

Door handle

Other-directed

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Empathy increases with perceived similarity

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Strength in self-awareness

Strength in empathy

Empathy increases with perceived similarity

Create desired mental habits

Formal ldquoJust Like Merdquo and ldquoLoving Kindnessrdquo Meditation

Every time you see another person you wish for that person to be happy Becomes a mental habit

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Strength in self-awareness

Strength in empathy

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Kindness Empathy

Kindness drives empathy Empathy helps build

trust

Trust builds relationships and teams

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Kindness

Empathy

Trust

Team

Kindness drives empathy

Empathy helps build trust

Trust builds relationships and teams

Build trust

Practice giving people the benefit of the doubt

Trust begets trust Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Kindness

Empathy

Trust

Team

Be Kind for everyone you meet is involved in a great struggle

Practice giving people the benefit of the doubt

Kindness is a sustainable source of happiness

Kindness exercise 1 Find one unexpected and

kind thing to do tomorrow and just do it

2 Notice what happens to your mood

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

htt

p

ww

wh

om

esb

yoys

ter

cou

kim

age

envi

ron

men

ten

viro

nm

ent_

sust

ain

able

_so

urc

esj

pg

When we feel love and kindness toward others it not only makes others feel loved and cared for but it helps us also to develop inner happiness and peace

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Happiness

Life satisfaction

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Three good things

Gratitude letters

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and Hope

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and hope

Maximizing Happiness

is an individual Choice Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Maslach amp Leiter defined the antithesis of

burnout as Engagement

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Engagement bull Energy

bull Involvement

bull Efficacy

Burnout bull Exhaustion

bull Cynicism

bull Inefficacy

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Kindness

Empathy

Trust

Team

Meaning

Belonging to and serving something bigger than the self

Purpose

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

work life

Take a few minutes to write it on your paper Letrsquos discuss if you are comfortable sharing

End each day with what-went-well

and why

End rounds with WWW

or ldquoSomething I did well todayrdquo

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

the ability of something to return to its original shape after it has been pulled stretched pressed bent etc

the ability to become strong healthy or successful again after something bad happens

httpwwwmerriam-webstercomdictionaryresilience

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

Creates isolation decreases accomplishment

Can be minimalized

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

4 Learned helplessness

httpwwwintegratedsociopsychologynetwpimageswp13376ff2_1apng

Requires

Metacognition and

Cognitive restructuring Understand threats and minimalize them

Emotional self-regulation

Grocery store line

LEARNING POINTS

Burnout is bad

We can prevent burnout

Happiness is a choice

There are these two young fish swimming along and they happen to meet an older

fish swimming the other way who nods at them and says Morning boys Hows the

water And the two young fish swim on for a bit and then eventually one of them

looks over at the other and goes

What the hell is waterldquo hellipthere are all different kinds of freedom and the kind that is most precious you will

not hear much talked about in the great outside world of winning and achieving and

displaying The really important kind of freedom involves attention and awareness

and discipline and effort and being able truly to care about other people and to

sacrifice for them over and over in myriad petty little unsexy ways every day That

is real freedom The alternative is unconsciousness the default-setting the ldquorat

racerdquo mdash the constant gnawing sense of having had and lost some infinite thing It is

about simple awareness mdash awareness of what is so real and essential so hidden in

plain sight all around us that we have to keep reminding ourselves over and over

ldquoThis is water this is waterrdquo httpswwwyoutubecomwatchv=IYGaXzJGVAQ

The first component of mindfulness involves the self-regulation of attention so it is maintained on immediate experience

The second component involves adopting a particular orientation toward onersquos experiences in the present moment an orientation that is characterized by curiosity openness and acceptance

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

How to cultivate

Formal practice

Informal practice

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

How to cultivate

Formal practice

Meditation

Take one breath a day

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

How to cultivate

Informal practice

Door handle

Other-directed

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Empathy increases with perceived similarity

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Strength in self-awareness

Strength in empathy

Empathy increases with perceived similarity

Create desired mental habits

Formal ldquoJust Like Merdquo and ldquoLoving Kindnessrdquo Meditation

Every time you see another person you wish for that person to be happy Becomes a mental habit

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Strength in self-awareness

Strength in empathy

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Kindness Empathy

Kindness drives empathy Empathy helps build

trust

Trust builds relationships and teams

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Kindness

Empathy

Trust

Team

Kindness drives empathy

Empathy helps build trust

Trust builds relationships and teams

Build trust

Practice giving people the benefit of the doubt

Trust begets trust Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Kindness

Empathy

Trust

Team

Be Kind for everyone you meet is involved in a great struggle

Practice giving people the benefit of the doubt

Kindness is a sustainable source of happiness

Kindness exercise 1 Find one unexpected and

kind thing to do tomorrow and just do it

2 Notice what happens to your mood

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

htt

p

ww

wh

om

esb

yoys

ter

cou

kim

age

envi

ron

men

ten

viro

nm

ent_

sust

ain

able

_so

urc

esj

pg

When we feel love and kindness toward others it not only makes others feel loved and cared for but it helps us also to develop inner happiness and peace

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Happiness

Life satisfaction

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Three good things

Gratitude letters

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and Hope

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and hope

Maximizing Happiness

is an individual Choice Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Maslach amp Leiter defined the antithesis of

burnout as Engagement

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Engagement bull Energy

bull Involvement

bull Efficacy

Burnout bull Exhaustion

bull Cynicism

bull Inefficacy

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Kindness

Empathy

Trust

Team

Meaning

Belonging to and serving something bigger than the self

Purpose

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

work life

Take a few minutes to write it on your paper Letrsquos discuss if you are comfortable sharing

End each day with what-went-well

and why

End rounds with WWW

or ldquoSomething I did well todayrdquo

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

the ability of something to return to its original shape after it has been pulled stretched pressed bent etc

the ability to become strong healthy or successful again after something bad happens

httpwwwmerriam-webstercomdictionaryresilience

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

Creates isolation decreases accomplishment

Can be minimalized

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

4 Learned helplessness

httpwwwintegratedsociopsychologynetwpimageswp13376ff2_1apng

Requires

Metacognition and

Cognitive restructuring Understand threats and minimalize them

Emotional self-regulation

Grocery store line

LEARNING POINTS

Burnout is bad

We can prevent burnout

Happiness is a choice

There are these two young fish swimming along and they happen to meet an older

fish swimming the other way who nods at them and says Morning boys Hows the

water And the two young fish swim on for a bit and then eventually one of them

looks over at the other and goes

What the hell is waterldquo hellipthere are all different kinds of freedom and the kind that is most precious you will

not hear much talked about in the great outside world of winning and achieving and

displaying The really important kind of freedom involves attention and awareness

and discipline and effort and being able truly to care about other people and to

sacrifice for them over and over in myriad petty little unsexy ways every day That

is real freedom The alternative is unconsciousness the default-setting the ldquorat

racerdquo mdash the constant gnawing sense of having had and lost some infinite thing It is

about simple awareness mdash awareness of what is so real and essential so hidden in

plain sight all around us that we have to keep reminding ourselves over and over

ldquoThis is water this is waterrdquo httpswwwyoutubecomwatchv=IYGaXzJGVAQ

How to cultivate

Formal practice

Informal practice

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

How to cultivate

Formal practice

Meditation

Take one breath a day

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

How to cultivate

Informal practice

Door handle

Other-directed

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Empathy increases with perceived similarity

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Strength in self-awareness

Strength in empathy

Empathy increases with perceived similarity

Create desired mental habits

Formal ldquoJust Like Merdquo and ldquoLoving Kindnessrdquo Meditation

Every time you see another person you wish for that person to be happy Becomes a mental habit

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Strength in self-awareness

Strength in empathy

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Kindness Empathy

Kindness drives empathy Empathy helps build

trust

Trust builds relationships and teams

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Kindness

Empathy

Trust

Team

Kindness drives empathy

Empathy helps build trust

Trust builds relationships and teams

Build trust

Practice giving people the benefit of the doubt

Trust begets trust Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Kindness

Empathy

Trust

Team

Be Kind for everyone you meet is involved in a great struggle

Practice giving people the benefit of the doubt

Kindness is a sustainable source of happiness

Kindness exercise 1 Find one unexpected and

kind thing to do tomorrow and just do it

2 Notice what happens to your mood

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

htt

p

ww

wh

om

esb

yoys

ter

cou

kim

age

envi

ron

men

ten

viro

nm

ent_

sust

ain

able

_so

urc

esj

pg

When we feel love and kindness toward others it not only makes others feel loved and cared for but it helps us also to develop inner happiness and peace

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Happiness

Life satisfaction

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Three good things

Gratitude letters

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and Hope

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and hope

Maximizing Happiness

is an individual Choice Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Maslach amp Leiter defined the antithesis of

burnout as Engagement

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Engagement bull Energy

bull Involvement

bull Efficacy

Burnout bull Exhaustion

bull Cynicism

bull Inefficacy

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Kindness

Empathy

Trust

Team

Meaning

Belonging to and serving something bigger than the self

Purpose

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

work life

Take a few minutes to write it on your paper Letrsquos discuss if you are comfortable sharing

End each day with what-went-well

and why

End rounds with WWW

or ldquoSomething I did well todayrdquo

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

the ability of something to return to its original shape after it has been pulled stretched pressed bent etc

the ability to become strong healthy or successful again after something bad happens

httpwwwmerriam-webstercomdictionaryresilience

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

Creates isolation decreases accomplishment

Can be minimalized

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

4 Learned helplessness

httpwwwintegratedsociopsychologynetwpimageswp13376ff2_1apng

Requires

Metacognition and

Cognitive restructuring Understand threats and minimalize them

Emotional self-regulation

Grocery store line

LEARNING POINTS

Burnout is bad

We can prevent burnout

Happiness is a choice

There are these two young fish swimming along and they happen to meet an older

fish swimming the other way who nods at them and says Morning boys Hows the

water And the two young fish swim on for a bit and then eventually one of them

looks over at the other and goes

What the hell is waterldquo hellipthere are all different kinds of freedom and the kind that is most precious you will

not hear much talked about in the great outside world of winning and achieving and

displaying The really important kind of freedom involves attention and awareness

and discipline and effort and being able truly to care about other people and to

sacrifice for them over and over in myriad petty little unsexy ways every day That

is real freedom The alternative is unconsciousness the default-setting the ldquorat

racerdquo mdash the constant gnawing sense of having had and lost some infinite thing It is

about simple awareness mdash awareness of what is so real and essential so hidden in

plain sight all around us that we have to keep reminding ourselves over and over

ldquoThis is water this is waterrdquo httpswwwyoutubecomwatchv=IYGaXzJGVAQ

How to cultivate

Formal practice

Meditation

Take one breath a day

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

How to cultivate

Informal practice

Door handle

Other-directed

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Empathy increases with perceived similarity

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Strength in self-awareness

Strength in empathy

Empathy increases with perceived similarity

Create desired mental habits

Formal ldquoJust Like Merdquo and ldquoLoving Kindnessrdquo Meditation

Every time you see another person you wish for that person to be happy Becomes a mental habit

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Strength in self-awareness

Strength in empathy

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Kindness Empathy

Kindness drives empathy Empathy helps build

trust

Trust builds relationships and teams

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Kindness

Empathy

Trust

Team

Kindness drives empathy

Empathy helps build trust

Trust builds relationships and teams

Build trust

Practice giving people the benefit of the doubt

Trust begets trust Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Kindness

Empathy

Trust

Team

Be Kind for everyone you meet is involved in a great struggle

Practice giving people the benefit of the doubt

Kindness is a sustainable source of happiness

Kindness exercise 1 Find one unexpected and

kind thing to do tomorrow and just do it

2 Notice what happens to your mood

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

htt

p

ww

wh

om

esb

yoys

ter

cou

kim

age

envi

ron

men

ten

viro

nm

ent_

sust

ain

able

_so

urc

esj

pg

When we feel love and kindness toward others it not only makes others feel loved and cared for but it helps us also to develop inner happiness and peace

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Happiness

Life satisfaction

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Three good things

Gratitude letters

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and Hope

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and hope

Maximizing Happiness

is an individual Choice Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Maslach amp Leiter defined the antithesis of

burnout as Engagement

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Engagement bull Energy

bull Involvement

bull Efficacy

Burnout bull Exhaustion

bull Cynicism

bull Inefficacy

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Kindness

Empathy

Trust

Team

Meaning

Belonging to and serving something bigger than the self

Purpose

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

work life

Take a few minutes to write it on your paper Letrsquos discuss if you are comfortable sharing

End each day with what-went-well

and why

End rounds with WWW

or ldquoSomething I did well todayrdquo

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

the ability of something to return to its original shape after it has been pulled stretched pressed bent etc

the ability to become strong healthy or successful again after something bad happens

httpwwwmerriam-webstercomdictionaryresilience

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

Creates isolation decreases accomplishment

Can be minimalized

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

4 Learned helplessness

httpwwwintegratedsociopsychologynetwpimageswp13376ff2_1apng

Requires

Metacognition and

Cognitive restructuring Understand threats and minimalize them

Emotional self-regulation

Grocery store line

LEARNING POINTS

Burnout is bad

We can prevent burnout

Happiness is a choice

There are these two young fish swimming along and they happen to meet an older

fish swimming the other way who nods at them and says Morning boys Hows the

water And the two young fish swim on for a bit and then eventually one of them

looks over at the other and goes

What the hell is waterldquo hellipthere are all different kinds of freedom and the kind that is most precious you will

not hear much talked about in the great outside world of winning and achieving and

displaying The really important kind of freedom involves attention and awareness

and discipline and effort and being able truly to care about other people and to

sacrifice for them over and over in myriad petty little unsexy ways every day That

is real freedom The alternative is unconsciousness the default-setting the ldquorat

racerdquo mdash the constant gnawing sense of having had and lost some infinite thing It is

about simple awareness mdash awareness of what is so real and essential so hidden in

plain sight all around us that we have to keep reminding ourselves over and over

ldquoThis is water this is waterrdquo httpswwwyoutubecomwatchv=IYGaXzJGVAQ

How to cultivate

Informal practice

Door handle

Other-directed

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Empathy increases with perceived similarity

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Strength in self-awareness

Strength in empathy

Empathy increases with perceived similarity

Create desired mental habits

Formal ldquoJust Like Merdquo and ldquoLoving Kindnessrdquo Meditation

Every time you see another person you wish for that person to be happy Becomes a mental habit

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Strength in self-awareness

Strength in empathy

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Kindness Empathy

Kindness drives empathy Empathy helps build

trust

Trust builds relationships and teams

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Kindness

Empathy

Trust

Team

Kindness drives empathy

Empathy helps build trust

Trust builds relationships and teams

Build trust

Practice giving people the benefit of the doubt

Trust begets trust Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Kindness

Empathy

Trust

Team

Be Kind for everyone you meet is involved in a great struggle

Practice giving people the benefit of the doubt

Kindness is a sustainable source of happiness

Kindness exercise 1 Find one unexpected and

kind thing to do tomorrow and just do it

2 Notice what happens to your mood

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

htt

p

ww

wh

om

esb

yoys

ter

cou

kim

age

envi

ron

men

ten

viro

nm

ent_

sust

ain

able

_so

urc

esj

pg

When we feel love and kindness toward others it not only makes others feel loved and cared for but it helps us also to develop inner happiness and peace

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Happiness

Life satisfaction

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Three good things

Gratitude letters

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and Hope

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and hope

Maximizing Happiness

is an individual Choice Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Maslach amp Leiter defined the antithesis of

burnout as Engagement

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Engagement bull Energy

bull Involvement

bull Efficacy

Burnout bull Exhaustion

bull Cynicism

bull Inefficacy

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Kindness

Empathy

Trust

Team

Meaning

Belonging to and serving something bigger than the self

Purpose

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

work life

Take a few minutes to write it on your paper Letrsquos discuss if you are comfortable sharing

End each day with what-went-well

and why

End rounds with WWW

or ldquoSomething I did well todayrdquo

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

the ability of something to return to its original shape after it has been pulled stretched pressed bent etc

the ability to become strong healthy or successful again after something bad happens

httpwwwmerriam-webstercomdictionaryresilience

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

Creates isolation decreases accomplishment

Can be minimalized

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

4 Learned helplessness

httpwwwintegratedsociopsychologynetwpimageswp13376ff2_1apng

Requires

Metacognition and

Cognitive restructuring Understand threats and minimalize them

Emotional self-regulation

Grocery store line

LEARNING POINTS

Burnout is bad

We can prevent burnout

Happiness is a choice

There are these two young fish swimming along and they happen to meet an older

fish swimming the other way who nods at them and says Morning boys Hows the

water And the two young fish swim on for a bit and then eventually one of them

looks over at the other and goes

What the hell is waterldquo hellipthere are all different kinds of freedom and the kind that is most precious you will

not hear much talked about in the great outside world of winning and achieving and

displaying The really important kind of freedom involves attention and awareness

and discipline and effort and being able truly to care about other people and to

sacrifice for them over and over in myriad petty little unsexy ways every day That

is real freedom The alternative is unconsciousness the default-setting the ldquorat

racerdquo mdash the constant gnawing sense of having had and lost some infinite thing It is

about simple awareness mdash awareness of what is so real and essential so hidden in

plain sight all around us that we have to keep reminding ourselves over and over

ldquoThis is water this is waterrdquo httpswwwyoutubecomwatchv=IYGaXzJGVAQ

Empathy increases with perceived similarity

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Strength in self-awareness

Strength in empathy

Empathy increases with perceived similarity

Create desired mental habits

Formal ldquoJust Like Merdquo and ldquoLoving Kindnessrdquo Meditation

Every time you see another person you wish for that person to be happy Becomes a mental habit

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Strength in self-awareness

Strength in empathy

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Kindness Empathy

Kindness drives empathy Empathy helps build

trust

Trust builds relationships and teams

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Kindness

Empathy

Trust

Team

Kindness drives empathy

Empathy helps build trust

Trust builds relationships and teams

Build trust

Practice giving people the benefit of the doubt

Trust begets trust Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Kindness

Empathy

Trust

Team

Be Kind for everyone you meet is involved in a great struggle

Practice giving people the benefit of the doubt

Kindness is a sustainable source of happiness

Kindness exercise 1 Find one unexpected and

kind thing to do tomorrow and just do it

2 Notice what happens to your mood

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

htt

p

ww

wh

om

esb

yoys

ter

cou

kim

age

envi

ron

men

ten

viro

nm

ent_

sust

ain

able

_so

urc

esj

pg

When we feel love and kindness toward others it not only makes others feel loved and cared for but it helps us also to develop inner happiness and peace

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Happiness

Life satisfaction

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Three good things

Gratitude letters

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and Hope

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and hope

Maximizing Happiness

is an individual Choice Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Maslach amp Leiter defined the antithesis of

burnout as Engagement

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Engagement bull Energy

bull Involvement

bull Efficacy

Burnout bull Exhaustion

bull Cynicism

bull Inefficacy

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Kindness

Empathy

Trust

Team

Meaning

Belonging to and serving something bigger than the self

Purpose

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

work life

Take a few minutes to write it on your paper Letrsquos discuss if you are comfortable sharing

End each day with what-went-well

and why

End rounds with WWW

or ldquoSomething I did well todayrdquo

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

the ability of something to return to its original shape after it has been pulled stretched pressed bent etc

the ability to become strong healthy or successful again after something bad happens

httpwwwmerriam-webstercomdictionaryresilience

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

Creates isolation decreases accomplishment

Can be minimalized

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

4 Learned helplessness

httpwwwintegratedsociopsychologynetwpimageswp13376ff2_1apng

Requires

Metacognition and

Cognitive restructuring Understand threats and minimalize them

Emotional self-regulation

Grocery store line

LEARNING POINTS

Burnout is bad

We can prevent burnout

Happiness is a choice

There are these two young fish swimming along and they happen to meet an older

fish swimming the other way who nods at them and says Morning boys Hows the

water And the two young fish swim on for a bit and then eventually one of them

looks over at the other and goes

What the hell is waterldquo hellipthere are all different kinds of freedom and the kind that is most precious you will

not hear much talked about in the great outside world of winning and achieving and

displaying The really important kind of freedom involves attention and awareness

and discipline and effort and being able truly to care about other people and to

sacrifice for them over and over in myriad petty little unsexy ways every day That

is real freedom The alternative is unconsciousness the default-setting the ldquorat

racerdquo mdash the constant gnawing sense of having had and lost some infinite thing It is

about simple awareness mdash awareness of what is so real and essential so hidden in

plain sight all around us that we have to keep reminding ourselves over and over

ldquoThis is water this is waterrdquo httpswwwyoutubecomwatchv=IYGaXzJGVAQ

Empathy increases with perceived similarity

Create desired mental habits

Formal ldquoJust Like Merdquo and ldquoLoving Kindnessrdquo Meditation

Every time you see another person you wish for that person to be happy Becomes a mental habit

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Strength in self-awareness

Strength in empathy

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Kindness Empathy

Kindness drives empathy Empathy helps build

trust

Trust builds relationships and teams

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Kindness

Empathy

Trust

Team

Kindness drives empathy

Empathy helps build trust

Trust builds relationships and teams

Build trust

Practice giving people the benefit of the doubt

Trust begets trust Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Kindness

Empathy

Trust

Team

Be Kind for everyone you meet is involved in a great struggle

Practice giving people the benefit of the doubt

Kindness is a sustainable source of happiness

Kindness exercise 1 Find one unexpected and

kind thing to do tomorrow and just do it

2 Notice what happens to your mood

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

htt

p

ww

wh

om

esb

yoys

ter

cou

kim

age

envi

ron

men

ten

viro

nm

ent_

sust

ain

able

_so

urc

esj

pg

When we feel love and kindness toward others it not only makes others feel loved and cared for but it helps us also to develop inner happiness and peace

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Happiness

Life satisfaction

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Three good things

Gratitude letters

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and Hope

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and hope

Maximizing Happiness

is an individual Choice Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Maslach amp Leiter defined the antithesis of

burnout as Engagement

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Engagement bull Energy

bull Involvement

bull Efficacy

Burnout bull Exhaustion

bull Cynicism

bull Inefficacy

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Kindness

Empathy

Trust

Team

Meaning

Belonging to and serving something bigger than the self

Purpose

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

work life

Take a few minutes to write it on your paper Letrsquos discuss if you are comfortable sharing

End each day with what-went-well

and why

End rounds with WWW

or ldquoSomething I did well todayrdquo

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

the ability of something to return to its original shape after it has been pulled stretched pressed bent etc

the ability to become strong healthy or successful again after something bad happens

httpwwwmerriam-webstercomdictionaryresilience

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

Creates isolation decreases accomplishment

Can be minimalized

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

4 Learned helplessness

httpwwwintegratedsociopsychologynetwpimageswp13376ff2_1apng

Requires

Metacognition and

Cognitive restructuring Understand threats and minimalize them

Emotional self-regulation

Grocery store line

LEARNING POINTS

Burnout is bad

We can prevent burnout

Happiness is a choice

There are these two young fish swimming along and they happen to meet an older

fish swimming the other way who nods at them and says Morning boys Hows the

water And the two young fish swim on for a bit and then eventually one of them

looks over at the other and goes

What the hell is waterldquo hellipthere are all different kinds of freedom and the kind that is most precious you will

not hear much talked about in the great outside world of winning and achieving and

displaying The really important kind of freedom involves attention and awareness

and discipline and effort and being able truly to care about other people and to

sacrifice for them over and over in myriad petty little unsexy ways every day That

is real freedom The alternative is unconsciousness the default-setting the ldquorat

racerdquo mdash the constant gnawing sense of having had and lost some infinite thing It is

about simple awareness mdash awareness of what is so real and essential so hidden in

plain sight all around us that we have to keep reminding ourselves over and over

ldquoThis is water this is waterrdquo httpswwwyoutubecomwatchv=IYGaXzJGVAQ

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Kindness Empathy

Kindness drives empathy Empathy helps build

trust

Trust builds relationships and teams

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Kindness

Empathy

Trust

Team

Kindness drives empathy

Empathy helps build trust

Trust builds relationships and teams

Build trust

Practice giving people the benefit of the doubt

Trust begets trust Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Kindness

Empathy

Trust

Team

Be Kind for everyone you meet is involved in a great struggle

Practice giving people the benefit of the doubt

Kindness is a sustainable source of happiness

Kindness exercise 1 Find one unexpected and

kind thing to do tomorrow and just do it

2 Notice what happens to your mood

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

htt

p

ww

wh

om

esb

yoys

ter

cou

kim

age

envi

ron

men

ten

viro

nm

ent_

sust

ain

able

_so

urc

esj

pg

When we feel love and kindness toward others it not only makes others feel loved and cared for but it helps us also to develop inner happiness and peace

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Happiness

Life satisfaction

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Three good things

Gratitude letters

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and Hope

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and hope

Maximizing Happiness

is an individual Choice Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Maslach amp Leiter defined the antithesis of

burnout as Engagement

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Engagement bull Energy

bull Involvement

bull Efficacy

Burnout bull Exhaustion

bull Cynicism

bull Inefficacy

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Kindness

Empathy

Trust

Team

Meaning

Belonging to and serving something bigger than the self

Purpose

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

work life

Take a few minutes to write it on your paper Letrsquos discuss if you are comfortable sharing

End each day with what-went-well

and why

End rounds with WWW

or ldquoSomething I did well todayrdquo

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

the ability of something to return to its original shape after it has been pulled stretched pressed bent etc

the ability to become strong healthy or successful again after something bad happens

httpwwwmerriam-webstercomdictionaryresilience

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

Creates isolation decreases accomplishment

Can be minimalized

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

4 Learned helplessness

httpwwwintegratedsociopsychologynetwpimageswp13376ff2_1apng

Requires

Metacognition and

Cognitive restructuring Understand threats and minimalize them

Emotional self-regulation

Grocery store line

LEARNING POINTS

Burnout is bad

We can prevent burnout

Happiness is a choice

There are these two young fish swimming along and they happen to meet an older

fish swimming the other way who nods at them and says Morning boys Hows the

water And the two young fish swim on for a bit and then eventually one of them

looks over at the other and goes

What the hell is waterldquo hellipthere are all different kinds of freedom and the kind that is most precious you will

not hear much talked about in the great outside world of winning and achieving and

displaying The really important kind of freedom involves attention and awareness

and discipline and effort and being able truly to care about other people and to

sacrifice for them over and over in myriad petty little unsexy ways every day That

is real freedom The alternative is unconsciousness the default-setting the ldquorat

racerdquo mdash the constant gnawing sense of having had and lost some infinite thing It is

about simple awareness mdash awareness of what is so real and essential so hidden in

plain sight all around us that we have to keep reminding ourselves over and over

ldquoThis is water this is waterrdquo httpswwwyoutubecomwatchv=IYGaXzJGVAQ

Kindness drives empathy Empathy helps build

trust

Trust builds relationships and teams

Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Kindness

Empathy

Trust

Team

Kindness drives empathy

Empathy helps build trust

Trust builds relationships and teams

Build trust

Practice giving people the benefit of the doubt

Trust begets trust Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Kindness

Empathy

Trust

Team

Be Kind for everyone you meet is involved in a great struggle

Practice giving people the benefit of the doubt

Kindness is a sustainable source of happiness

Kindness exercise 1 Find one unexpected and

kind thing to do tomorrow and just do it

2 Notice what happens to your mood

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

htt

p

ww

wh

om

esb

yoys

ter

cou

kim

age

envi

ron

men

ten

viro

nm

ent_

sust

ain

able

_so

urc

esj

pg

When we feel love and kindness toward others it not only makes others feel loved and cared for but it helps us also to develop inner happiness and peace

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Happiness

Life satisfaction

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Three good things

Gratitude letters

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and Hope

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and hope

Maximizing Happiness

is an individual Choice Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Maslach amp Leiter defined the antithesis of

burnout as Engagement

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Engagement bull Energy

bull Involvement

bull Efficacy

Burnout bull Exhaustion

bull Cynicism

bull Inefficacy

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Kindness

Empathy

Trust

Team

Meaning

Belonging to and serving something bigger than the self

Purpose

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

work life

Take a few minutes to write it on your paper Letrsquos discuss if you are comfortable sharing

End each day with what-went-well

and why

End rounds with WWW

or ldquoSomething I did well todayrdquo

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

the ability of something to return to its original shape after it has been pulled stretched pressed bent etc

the ability to become strong healthy or successful again after something bad happens

httpwwwmerriam-webstercomdictionaryresilience

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

Creates isolation decreases accomplishment

Can be minimalized

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

4 Learned helplessness

httpwwwintegratedsociopsychologynetwpimageswp13376ff2_1apng

Requires

Metacognition and

Cognitive restructuring Understand threats and minimalize them

Emotional self-regulation

Grocery store line

LEARNING POINTS

Burnout is bad

We can prevent burnout

Happiness is a choice

There are these two young fish swimming along and they happen to meet an older

fish swimming the other way who nods at them and says Morning boys Hows the

water And the two young fish swim on for a bit and then eventually one of them

looks over at the other and goes

What the hell is waterldquo hellipthere are all different kinds of freedom and the kind that is most precious you will

not hear much talked about in the great outside world of winning and achieving and

displaying The really important kind of freedom involves attention and awareness

and discipline and effort and being able truly to care about other people and to

sacrifice for them over and over in myriad petty little unsexy ways every day That

is real freedom The alternative is unconsciousness the default-setting the ldquorat

racerdquo mdash the constant gnawing sense of having had and lost some infinite thing It is

about simple awareness mdash awareness of what is so real and essential so hidden in

plain sight all around us that we have to keep reminding ourselves over and over

ldquoThis is water this is waterrdquo httpswwwyoutubecomwatchv=IYGaXzJGVAQ

Kindness drives empathy

Empathy helps build trust

Trust builds relationships and teams

Build trust

Practice giving people the benefit of the doubt

Trust begets trust Tan C-M (2014) Search Inside Yourself The Unexpected Path to Achieving Success Happiness (and World Peace) HarperCollins

Kindness

Empathy

Trust

Team

Be Kind for everyone you meet is involved in a great struggle

Practice giving people the benefit of the doubt

Kindness is a sustainable source of happiness

Kindness exercise 1 Find one unexpected and

kind thing to do tomorrow and just do it

2 Notice what happens to your mood

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

htt

p

ww

wh

om

esb

yoys

ter

cou

kim

age

envi

ron

men

ten

viro

nm

ent_

sust

ain

able

_so

urc

esj

pg

When we feel love and kindness toward others it not only makes others feel loved and cared for but it helps us also to develop inner happiness and peace

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Happiness

Life satisfaction

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Three good things

Gratitude letters

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and Hope

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and hope

Maximizing Happiness

is an individual Choice Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Maslach amp Leiter defined the antithesis of

burnout as Engagement

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Engagement bull Energy

bull Involvement

bull Efficacy

Burnout bull Exhaustion

bull Cynicism

bull Inefficacy

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Kindness

Empathy

Trust

Team

Meaning

Belonging to and serving something bigger than the self

Purpose

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

work life

Take a few minutes to write it on your paper Letrsquos discuss if you are comfortable sharing

End each day with what-went-well

and why

End rounds with WWW

or ldquoSomething I did well todayrdquo

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

the ability of something to return to its original shape after it has been pulled stretched pressed bent etc

the ability to become strong healthy or successful again after something bad happens

httpwwwmerriam-webstercomdictionaryresilience

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

Creates isolation decreases accomplishment

Can be minimalized

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

4 Learned helplessness

httpwwwintegratedsociopsychologynetwpimageswp13376ff2_1apng

Requires

Metacognition and

Cognitive restructuring Understand threats and minimalize them

Emotional self-regulation

Grocery store line

LEARNING POINTS

Burnout is bad

We can prevent burnout

Happiness is a choice

There are these two young fish swimming along and they happen to meet an older

fish swimming the other way who nods at them and says Morning boys Hows the

water And the two young fish swim on for a bit and then eventually one of them

looks over at the other and goes

What the hell is waterldquo hellipthere are all different kinds of freedom and the kind that is most precious you will

not hear much talked about in the great outside world of winning and achieving and

displaying The really important kind of freedom involves attention and awareness

and discipline and effort and being able truly to care about other people and to

sacrifice for them over and over in myriad petty little unsexy ways every day That

is real freedom The alternative is unconsciousness the default-setting the ldquorat

racerdquo mdash the constant gnawing sense of having had and lost some infinite thing It is

about simple awareness mdash awareness of what is so real and essential so hidden in

plain sight all around us that we have to keep reminding ourselves over and over

ldquoThis is water this is waterrdquo httpswwwyoutubecomwatchv=IYGaXzJGVAQ

Be Kind for everyone you meet is involved in a great struggle

Practice giving people the benefit of the doubt

Kindness is a sustainable source of happiness

Kindness exercise 1 Find one unexpected and

kind thing to do tomorrow and just do it

2 Notice what happens to your mood

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

htt

p

ww

wh

om

esb

yoys

ter

cou

kim

age

envi

ron

men

ten

viro

nm

ent_

sust

ain

able

_so

urc

esj

pg

When we feel love and kindness toward others it not only makes others feel loved and cared for but it helps us also to develop inner happiness and peace

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Happiness

Life satisfaction

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Three good things

Gratitude letters

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and Hope

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and hope

Maximizing Happiness

is an individual Choice Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Maslach amp Leiter defined the antithesis of

burnout as Engagement

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Engagement bull Energy

bull Involvement

bull Efficacy

Burnout bull Exhaustion

bull Cynicism

bull Inefficacy

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Kindness

Empathy

Trust

Team

Meaning

Belonging to and serving something bigger than the self

Purpose

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

work life

Take a few minutes to write it on your paper Letrsquos discuss if you are comfortable sharing

End each day with what-went-well

and why

End rounds with WWW

or ldquoSomething I did well todayrdquo

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

the ability of something to return to its original shape after it has been pulled stretched pressed bent etc

the ability to become strong healthy or successful again after something bad happens

httpwwwmerriam-webstercomdictionaryresilience

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

Creates isolation decreases accomplishment

Can be minimalized

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

4 Learned helplessness

httpwwwintegratedsociopsychologynetwpimageswp13376ff2_1apng

Requires

Metacognition and

Cognitive restructuring Understand threats and minimalize them

Emotional self-regulation

Grocery store line

LEARNING POINTS

Burnout is bad

We can prevent burnout

Happiness is a choice

There are these two young fish swimming along and they happen to meet an older

fish swimming the other way who nods at them and says Morning boys Hows the

water And the two young fish swim on for a bit and then eventually one of them

looks over at the other and goes

What the hell is waterldquo hellipthere are all different kinds of freedom and the kind that is most precious you will

not hear much talked about in the great outside world of winning and achieving and

displaying The really important kind of freedom involves attention and awareness

and discipline and effort and being able truly to care about other people and to

sacrifice for them over and over in myriad petty little unsexy ways every day That

is real freedom The alternative is unconsciousness the default-setting the ldquorat

racerdquo mdash the constant gnawing sense of having had and lost some infinite thing It is

about simple awareness mdash awareness of what is so real and essential so hidden in

plain sight all around us that we have to keep reminding ourselves over and over

ldquoThis is water this is waterrdquo httpswwwyoutubecomwatchv=IYGaXzJGVAQ

Kindness is a sustainable source of happiness

Kindness exercise 1 Find one unexpected and

kind thing to do tomorrow and just do it

2 Notice what happens to your mood

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

htt

p

ww

wh

om

esb

yoys

ter

cou

kim

age

envi

ron

men

ten

viro

nm

ent_

sust

ain

able

_so

urc

esj

pg

When we feel love and kindness toward others it not only makes others feel loved and cared for but it helps us also to develop inner happiness and peace

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Happiness

Life satisfaction

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Three good things

Gratitude letters

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and Hope

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and hope

Maximizing Happiness

is an individual Choice Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Maslach amp Leiter defined the antithesis of

burnout as Engagement

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Engagement bull Energy

bull Involvement

bull Efficacy

Burnout bull Exhaustion

bull Cynicism

bull Inefficacy

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Kindness

Empathy

Trust

Team

Meaning

Belonging to and serving something bigger than the self

Purpose

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

work life

Take a few minutes to write it on your paper Letrsquos discuss if you are comfortable sharing

End each day with what-went-well

and why

End rounds with WWW

or ldquoSomething I did well todayrdquo

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

the ability of something to return to its original shape after it has been pulled stretched pressed bent etc

the ability to become strong healthy or successful again after something bad happens

httpwwwmerriam-webstercomdictionaryresilience

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

Creates isolation decreases accomplishment

Can be minimalized

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

4 Learned helplessness

httpwwwintegratedsociopsychologynetwpimageswp13376ff2_1apng

Requires

Metacognition and

Cognitive restructuring Understand threats and minimalize them

Emotional self-regulation

Grocery store line

LEARNING POINTS

Burnout is bad

We can prevent burnout

Happiness is a choice

There are these two young fish swimming along and they happen to meet an older

fish swimming the other way who nods at them and says Morning boys Hows the

water And the two young fish swim on for a bit and then eventually one of them

looks over at the other and goes

What the hell is waterldquo hellipthere are all different kinds of freedom and the kind that is most precious you will

not hear much talked about in the great outside world of winning and achieving and

displaying The really important kind of freedom involves attention and awareness

and discipline and effort and being able truly to care about other people and to

sacrifice for them over and over in myriad petty little unsexy ways every day That

is real freedom The alternative is unconsciousness the default-setting the ldquorat

racerdquo mdash the constant gnawing sense of having had and lost some infinite thing It is

about simple awareness mdash awareness of what is so real and essential so hidden in

plain sight all around us that we have to keep reminding ourselves over and over

ldquoThis is water this is waterrdquo httpswwwyoutubecomwatchv=IYGaXzJGVAQ

When we feel love and kindness toward others it not only makes others feel loved and cared for but it helps us also to develop inner happiness and peace

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Happiness

Life satisfaction

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Three good things

Gratitude letters

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and Hope

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and hope

Maximizing Happiness

is an individual Choice Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Maslach amp Leiter defined the antithesis of

burnout as Engagement

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Engagement bull Energy

bull Involvement

bull Efficacy

Burnout bull Exhaustion

bull Cynicism

bull Inefficacy

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Kindness

Empathy

Trust

Team

Meaning

Belonging to and serving something bigger than the self

Purpose

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

work life

Take a few minutes to write it on your paper Letrsquos discuss if you are comfortable sharing

End each day with what-went-well

and why

End rounds with WWW

or ldquoSomething I did well todayrdquo

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

the ability of something to return to its original shape after it has been pulled stretched pressed bent etc

the ability to become strong healthy or successful again after something bad happens

httpwwwmerriam-webstercomdictionaryresilience

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

Creates isolation decreases accomplishment

Can be minimalized

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

4 Learned helplessness

httpwwwintegratedsociopsychologynetwpimageswp13376ff2_1apng

Requires

Metacognition and

Cognitive restructuring Understand threats and minimalize them

Emotional self-regulation

Grocery store line

LEARNING POINTS

Burnout is bad

We can prevent burnout

Happiness is a choice

There are these two young fish swimming along and they happen to meet an older

fish swimming the other way who nods at them and says Morning boys Hows the

water And the two young fish swim on for a bit and then eventually one of them

looks over at the other and goes

What the hell is waterldquo hellipthere are all different kinds of freedom and the kind that is most precious you will

not hear much talked about in the great outside world of winning and achieving and

displaying The really important kind of freedom involves attention and awareness

and discipline and effort and being able truly to care about other people and to

sacrifice for them over and over in myriad petty little unsexy ways every day That

is real freedom The alternative is unconsciousness the default-setting the ldquorat

racerdquo mdash the constant gnawing sense of having had and lost some infinite thing It is

about simple awareness mdash awareness of what is so real and essential so hidden in

plain sight all around us that we have to keep reminding ourselves over and over

ldquoThis is water this is waterrdquo httpswwwyoutubecomwatchv=IYGaXzJGVAQ

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Happiness

Life satisfaction

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Three good things

Gratitude letters

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and Hope

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and hope

Maximizing Happiness

is an individual Choice Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Maslach amp Leiter defined the antithesis of

burnout as Engagement

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Engagement bull Energy

bull Involvement

bull Efficacy

Burnout bull Exhaustion

bull Cynicism

bull Inefficacy

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Kindness

Empathy

Trust

Team

Meaning

Belonging to and serving something bigger than the self

Purpose

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

work life

Take a few minutes to write it on your paper Letrsquos discuss if you are comfortable sharing

End each day with what-went-well

and why

End rounds with WWW

or ldquoSomething I did well todayrdquo

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

the ability of something to return to its original shape after it has been pulled stretched pressed bent etc

the ability to become strong healthy or successful again after something bad happens

httpwwwmerriam-webstercomdictionaryresilience

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

Creates isolation decreases accomplishment

Can be minimalized

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

4 Learned helplessness

httpwwwintegratedsociopsychologynetwpimageswp13376ff2_1apng

Requires

Metacognition and

Cognitive restructuring Understand threats and minimalize them

Emotional self-regulation

Grocery store line

LEARNING POINTS

Burnout is bad

We can prevent burnout

Happiness is a choice

There are these two young fish swimming along and they happen to meet an older

fish swimming the other way who nods at them and says Morning boys Hows the

water And the two young fish swim on for a bit and then eventually one of them

looks over at the other and goes

What the hell is waterldquo hellipthere are all different kinds of freedom and the kind that is most precious you will

not hear much talked about in the great outside world of winning and achieving and

displaying The really important kind of freedom involves attention and awareness

and discipline and effort and being able truly to care about other people and to

sacrifice for them over and over in myriad petty little unsexy ways every day That

is real freedom The alternative is unconsciousness the default-setting the ldquorat

racerdquo mdash the constant gnawing sense of having had and lost some infinite thing It is

about simple awareness mdash awareness of what is so real and essential so hidden in

plain sight all around us that we have to keep reminding ourselves over and over

ldquoThis is water this is waterrdquo httpswwwyoutubecomwatchv=IYGaXzJGVAQ

Happiness

Life satisfaction

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Three good things

Gratitude letters

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and Hope

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and hope

Maximizing Happiness

is an individual Choice Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Maslach amp Leiter defined the antithesis of

burnout as Engagement

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Engagement bull Energy

bull Involvement

bull Efficacy

Burnout bull Exhaustion

bull Cynicism

bull Inefficacy

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Kindness

Empathy

Trust

Team

Meaning

Belonging to and serving something bigger than the self

Purpose

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

work life

Take a few minutes to write it on your paper Letrsquos discuss if you are comfortable sharing

End each day with what-went-well

and why

End rounds with WWW

or ldquoSomething I did well todayrdquo

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

the ability of something to return to its original shape after it has been pulled stretched pressed bent etc

the ability to become strong healthy or successful again after something bad happens

httpwwwmerriam-webstercomdictionaryresilience

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

Creates isolation decreases accomplishment

Can be minimalized

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

4 Learned helplessness

httpwwwintegratedsociopsychologynetwpimageswp13376ff2_1apng

Requires

Metacognition and

Cognitive restructuring Understand threats and minimalize them

Emotional self-regulation

Grocery store line

LEARNING POINTS

Burnout is bad

We can prevent burnout

Happiness is a choice

There are these two young fish swimming along and they happen to meet an older

fish swimming the other way who nods at them and says Morning boys Hows the

water And the two young fish swim on for a bit and then eventually one of them

looks over at the other and goes

What the hell is waterldquo hellipthere are all different kinds of freedom and the kind that is most precious you will

not hear much talked about in the great outside world of winning and achieving and

displaying The really important kind of freedom involves attention and awareness

and discipline and effort and being able truly to care about other people and to

sacrifice for them over and over in myriad petty little unsexy ways every day That

is real freedom The alternative is unconsciousness the default-setting the ldquorat

racerdquo mdash the constant gnawing sense of having had and lost some infinite thing It is

about simple awareness mdash awareness of what is so real and essential so hidden in

plain sight all around us that we have to keep reminding ourselves over and over

ldquoThis is water this is waterrdquo httpswwwyoutubecomwatchv=IYGaXzJGVAQ

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Three good things

Gratitude letters

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and Hope

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and hope

Maximizing Happiness

is an individual Choice Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Maslach amp Leiter defined the antithesis of

burnout as Engagement

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Engagement bull Energy

bull Involvement

bull Efficacy

Burnout bull Exhaustion

bull Cynicism

bull Inefficacy

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Kindness

Empathy

Trust

Team

Meaning

Belonging to and serving something bigger than the self

Purpose

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

work life

Take a few minutes to write it on your paper Letrsquos discuss if you are comfortable sharing

End each day with what-went-well

and why

End rounds with WWW

or ldquoSomething I did well todayrdquo

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

the ability of something to return to its original shape after it has been pulled stretched pressed bent etc

the ability to become strong healthy or successful again after something bad happens

httpwwwmerriam-webstercomdictionaryresilience

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

Creates isolation decreases accomplishment

Can be minimalized

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

4 Learned helplessness

httpwwwintegratedsociopsychologynetwpimageswp13376ff2_1apng

Requires

Metacognition and

Cognitive restructuring Understand threats and minimalize them

Emotional self-regulation

Grocery store line

LEARNING POINTS

Burnout is bad

We can prevent burnout

Happiness is a choice

There are these two young fish swimming along and they happen to meet an older

fish swimming the other way who nods at them and says Morning boys Hows the

water And the two young fish swim on for a bit and then eventually one of them

looks over at the other and goes

What the hell is waterldquo hellipthere are all different kinds of freedom and the kind that is most precious you will

not hear much talked about in the great outside world of winning and achieving and

displaying The really important kind of freedom involves attention and awareness

and discipline and effort and being able truly to care about other people and to

sacrifice for them over and over in myriad petty little unsexy ways every day That

is real freedom The alternative is unconsciousness the default-setting the ldquorat

racerdquo mdash the constant gnawing sense of having had and lost some infinite thing It is

about simple awareness mdash awareness of what is so real and essential so hidden in

plain sight all around us that we have to keep reminding ourselves over and over

ldquoThis is water this is waterrdquo httpswwwyoutubecomwatchv=IYGaXzJGVAQ

Cultivate positive emotions

Three good things

Gratitude letters

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and Hope

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and hope

Maximizing Happiness

is an individual Choice Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Maslach amp Leiter defined the antithesis of

burnout as Engagement

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Engagement bull Energy

bull Involvement

bull Efficacy

Burnout bull Exhaustion

bull Cynicism

bull Inefficacy

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Kindness

Empathy

Trust

Team

Meaning

Belonging to and serving something bigger than the self

Purpose

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

work life

Take a few minutes to write it on your paper Letrsquos discuss if you are comfortable sharing

End each day with what-went-well

and why

End rounds with WWW

or ldquoSomething I did well todayrdquo

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

the ability of something to return to its original shape after it has been pulled stretched pressed bent etc

the ability to become strong healthy or successful again after something bad happens

httpwwwmerriam-webstercomdictionaryresilience

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

Creates isolation decreases accomplishment

Can be minimalized

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

4 Learned helplessness

httpwwwintegratedsociopsychologynetwpimageswp13376ff2_1apng

Requires

Metacognition and

Cognitive restructuring Understand threats and minimalize them

Emotional self-regulation

Grocery store line

LEARNING POINTS

Burnout is bad

We can prevent burnout

Happiness is a choice

There are these two young fish swimming along and they happen to meet an older

fish swimming the other way who nods at them and says Morning boys Hows the

water And the two young fish swim on for a bit and then eventually one of them

looks over at the other and goes

What the hell is waterldquo hellipthere are all different kinds of freedom and the kind that is most precious you will

not hear much talked about in the great outside world of winning and achieving and

displaying The really important kind of freedom involves attention and awareness

and discipline and effort and being able truly to care about other people and to

sacrifice for them over and over in myriad petty little unsexy ways every day That

is real freedom The alternative is unconsciousness the default-setting the ldquorat

racerdquo mdash the constant gnawing sense of having had and lost some infinite thing It is

about simple awareness mdash awareness of what is so real and essential so hidden in

plain sight all around us that we have to keep reminding ourselves over and over

ldquoThis is water this is waterrdquo httpswwwyoutubecomwatchv=IYGaXzJGVAQ

Cultivate positive emotions

Practice forgiveness

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and Hope

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and hope

Maximizing Happiness

is an individual Choice Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Maslach amp Leiter defined the antithesis of

burnout as Engagement

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Engagement bull Energy

bull Involvement

bull Efficacy

Burnout bull Exhaustion

bull Cynicism

bull Inefficacy

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Kindness

Empathy

Trust

Team

Meaning

Belonging to and serving something bigger than the self

Purpose

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

work life

Take a few minutes to write it on your paper Letrsquos discuss if you are comfortable sharing

End each day with what-went-well

and why

End rounds with WWW

or ldquoSomething I did well todayrdquo

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

the ability of something to return to its original shape after it has been pulled stretched pressed bent etc

the ability to become strong healthy or successful again after something bad happens

httpwwwmerriam-webstercomdictionaryresilience

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

Creates isolation decreases accomplishment

Can be minimalized

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

4 Learned helplessness

httpwwwintegratedsociopsychologynetwpimageswp13376ff2_1apng

Requires

Metacognition and

Cognitive restructuring Understand threats and minimalize them

Emotional self-regulation

Grocery store line

LEARNING POINTS

Burnout is bad

We can prevent burnout

Happiness is a choice

There are these two young fish swimming along and they happen to meet an older

fish swimming the other way who nods at them and says Morning boys Hows the

water And the two young fish swim on for a bit and then eventually one of them

looks over at the other and goes

What the hell is waterldquo hellipthere are all different kinds of freedom and the kind that is most precious you will

not hear much talked about in the great outside world of winning and achieving and

displaying The really important kind of freedom involves attention and awareness

and discipline and effort and being able truly to care about other people and to

sacrifice for them over and over in myriad petty little unsexy ways every day That

is real freedom The alternative is unconsciousness the default-setting the ldquorat

racerdquo mdash the constant gnawing sense of having had and lost some infinite thing It is

about simple awareness mdash awareness of what is so real and essential so hidden in

plain sight all around us that we have to keep reminding ourselves over and over

ldquoThis is water this is waterrdquo httpswwwyoutubecomwatchv=IYGaXzJGVAQ

Cultivate positive emotions

Practice forgiveness

Optimism and Hope

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Cultivate positive emotions

Practice forgiveness

Optimism and hope

Maximizing Happiness

is an individual Choice Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Maslach amp Leiter defined the antithesis of

burnout as Engagement

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Engagement bull Energy

bull Involvement

bull Efficacy

Burnout bull Exhaustion

bull Cynicism

bull Inefficacy

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Kindness

Empathy

Trust

Team

Meaning

Belonging to and serving something bigger than the self

Purpose

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

work life

Take a few minutes to write it on your paper Letrsquos discuss if you are comfortable sharing

End each day with what-went-well

and why

End rounds with WWW

or ldquoSomething I did well todayrdquo

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

the ability of something to return to its original shape after it has been pulled stretched pressed bent etc

the ability to become strong healthy or successful again after something bad happens

httpwwwmerriam-webstercomdictionaryresilience

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

Creates isolation decreases accomplishment

Can be minimalized

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

4 Learned helplessness

httpwwwintegratedsociopsychologynetwpimageswp13376ff2_1apng

Requires

Metacognition and

Cognitive restructuring Understand threats and minimalize them

Emotional self-regulation

Grocery store line

LEARNING POINTS

Burnout is bad

We can prevent burnout

Happiness is a choice

There are these two young fish swimming along and they happen to meet an older

fish swimming the other way who nods at them and says Morning boys Hows the

water And the two young fish swim on for a bit and then eventually one of them

looks over at the other and goes

What the hell is waterldquo hellipthere are all different kinds of freedom and the kind that is most precious you will

not hear much talked about in the great outside world of winning and achieving and

displaying The really important kind of freedom involves attention and awareness

and discipline and effort and being able truly to care about other people and to

sacrifice for them over and over in myriad petty little unsexy ways every day That

is real freedom The alternative is unconsciousness the default-setting the ldquorat

racerdquo mdash the constant gnawing sense of having had and lost some infinite thing It is

about simple awareness mdash awareness of what is so real and essential so hidden in

plain sight all around us that we have to keep reminding ourselves over and over

ldquoThis is water this is waterrdquo httpswwwyoutubecomwatchv=IYGaXzJGVAQ

Cultivate positive emotions

Practice forgiveness

Optimism and hope

Maximizing Happiness

is an individual Choice Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Maslach amp Leiter defined the antithesis of

burnout as Engagement

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Engagement bull Energy

bull Involvement

bull Efficacy

Burnout bull Exhaustion

bull Cynicism

bull Inefficacy

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Kindness

Empathy

Trust

Team

Meaning

Belonging to and serving something bigger than the self

Purpose

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

work life

Take a few minutes to write it on your paper Letrsquos discuss if you are comfortable sharing

End each day with what-went-well

and why

End rounds with WWW

or ldquoSomething I did well todayrdquo

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

the ability of something to return to its original shape after it has been pulled stretched pressed bent etc

the ability to become strong healthy or successful again after something bad happens

httpwwwmerriam-webstercomdictionaryresilience

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

Creates isolation decreases accomplishment

Can be minimalized

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

4 Learned helplessness

httpwwwintegratedsociopsychologynetwpimageswp13376ff2_1apng

Requires

Metacognition and

Cognitive restructuring Understand threats and minimalize them

Emotional self-regulation

Grocery store line

LEARNING POINTS

Burnout is bad

We can prevent burnout

Happiness is a choice

There are these two young fish swimming along and they happen to meet an older

fish swimming the other way who nods at them and says Morning boys Hows the

water And the two young fish swim on for a bit and then eventually one of them

looks over at the other and goes

What the hell is waterldquo hellipthere are all different kinds of freedom and the kind that is most precious you will

not hear much talked about in the great outside world of winning and achieving and

displaying The really important kind of freedom involves attention and awareness

and discipline and effort and being able truly to care about other people and to

sacrifice for them over and over in myriad petty little unsexy ways every day That

is real freedom The alternative is unconsciousness the default-setting the ldquorat

racerdquo mdash the constant gnawing sense of having had and lost some infinite thing It is

about simple awareness mdash awareness of what is so real and essential so hidden in

plain sight all around us that we have to keep reminding ourselves over and over

ldquoThis is water this is waterrdquo httpswwwyoutubecomwatchv=IYGaXzJGVAQ

Maslach amp Leiter defined the antithesis of

burnout as Engagement

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Engagement bull Energy

bull Involvement

bull Efficacy

Burnout bull Exhaustion

bull Cynicism

bull Inefficacy

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Kindness

Empathy

Trust

Team

Meaning

Belonging to and serving something bigger than the self

Purpose

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

work life

Take a few minutes to write it on your paper Letrsquos discuss if you are comfortable sharing

End each day with what-went-well

and why

End rounds with WWW

or ldquoSomething I did well todayrdquo

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

the ability of something to return to its original shape after it has been pulled stretched pressed bent etc

the ability to become strong healthy or successful again after something bad happens

httpwwwmerriam-webstercomdictionaryresilience

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

Creates isolation decreases accomplishment

Can be minimalized

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

4 Learned helplessness

httpwwwintegratedsociopsychologynetwpimageswp13376ff2_1apng

Requires

Metacognition and

Cognitive restructuring Understand threats and minimalize them

Emotional self-regulation

Grocery store line

LEARNING POINTS

Burnout is bad

We can prevent burnout

Happiness is a choice

There are these two young fish swimming along and they happen to meet an older

fish swimming the other way who nods at them and says Morning boys Hows the

water And the two young fish swim on for a bit and then eventually one of them

looks over at the other and goes

What the hell is waterldquo hellipthere are all different kinds of freedom and the kind that is most precious you will

not hear much talked about in the great outside world of winning and achieving and

displaying The really important kind of freedom involves attention and awareness

and discipline and effort and being able truly to care about other people and to

sacrifice for them over and over in myriad petty little unsexy ways every day That

is real freedom The alternative is unconsciousness the default-setting the ldquorat

racerdquo mdash the constant gnawing sense of having had and lost some infinite thing It is

about simple awareness mdash awareness of what is so real and essential so hidden in

plain sight all around us that we have to keep reminding ourselves over and over

ldquoThis is water this is waterrdquo httpswwwyoutubecomwatchv=IYGaXzJGVAQ

Engagement bull Energy

bull Involvement

bull Efficacy

Burnout bull Exhaustion

bull Cynicism

bull Inefficacy

Maslach C amp Leiter MP The truth about burnout New York Jossey-Bass 1997 Bakker et al (2014) in [[Burnout and Work Engagement The JDndashR Approach]] makes the same argument as Leiter

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Kindness

Empathy

Trust

Team

Meaning

Belonging to and serving something bigger than the self

Purpose

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

work life

Take a few minutes to write it on your paper Letrsquos discuss if you are comfortable sharing

End each day with what-went-well

and why

End rounds with WWW

or ldquoSomething I did well todayrdquo

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

the ability of something to return to its original shape after it has been pulled stretched pressed bent etc

the ability to become strong healthy or successful again after something bad happens

httpwwwmerriam-webstercomdictionaryresilience

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

Creates isolation decreases accomplishment

Can be minimalized

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

4 Learned helplessness

httpwwwintegratedsociopsychologynetwpimageswp13376ff2_1apng

Requires

Metacognition and

Cognitive restructuring Understand threats and minimalize them

Emotional self-regulation

Grocery store line

LEARNING POINTS

Burnout is bad

We can prevent burnout

Happiness is a choice

There are these two young fish swimming along and they happen to meet an older

fish swimming the other way who nods at them and says Morning boys Hows the

water And the two young fish swim on for a bit and then eventually one of them

looks over at the other and goes

What the hell is waterldquo hellipthere are all different kinds of freedom and the kind that is most precious you will

not hear much talked about in the great outside world of winning and achieving and

displaying The really important kind of freedom involves attention and awareness

and discipline and effort and being able truly to care about other people and to

sacrifice for them over and over in myriad petty little unsexy ways every day That

is real freedom The alternative is unconsciousness the default-setting the ldquorat

racerdquo mdash the constant gnawing sense of having had and lost some infinite thing It is

about simple awareness mdash awareness of what is so real and essential so hidden in

plain sight all around us that we have to keep reminding ourselves over and over

ldquoThis is water this is waterrdquo httpswwwyoutubecomwatchv=IYGaXzJGVAQ

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Kindness

Empathy

Trust

Team

Meaning

Belonging to and serving something bigger than the self

Purpose

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

work life

Take a few minutes to write it on your paper Letrsquos discuss if you are comfortable sharing

End each day with what-went-well

and why

End rounds with WWW

or ldquoSomething I did well todayrdquo

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

the ability of something to return to its original shape after it has been pulled stretched pressed bent etc

the ability to become strong healthy or successful again after something bad happens

httpwwwmerriam-webstercomdictionaryresilience

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

Creates isolation decreases accomplishment

Can be minimalized

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

4 Learned helplessness

httpwwwintegratedsociopsychologynetwpimageswp13376ff2_1apng

Requires

Metacognition and

Cognitive restructuring Understand threats and minimalize them

Emotional self-regulation

Grocery store line

LEARNING POINTS

Burnout is bad

We can prevent burnout

Happiness is a choice

There are these two young fish swimming along and they happen to meet an older

fish swimming the other way who nods at them and says Morning boys Hows the

water And the two young fish swim on for a bit and then eventually one of them

looks over at the other and goes

What the hell is waterldquo hellipthere are all different kinds of freedom and the kind that is most precious you will

not hear much talked about in the great outside world of winning and achieving and

displaying The really important kind of freedom involves attention and awareness

and discipline and effort and being able truly to care about other people and to

sacrifice for them over and over in myriad petty little unsexy ways every day That

is real freedom The alternative is unconsciousness the default-setting the ldquorat

racerdquo mdash the constant gnawing sense of having had and lost some infinite thing It is

about simple awareness mdash awareness of what is so real and essential so hidden in

plain sight all around us that we have to keep reminding ourselves over and over

ldquoThis is water this is waterrdquo httpswwwyoutubecomwatchv=IYGaXzJGVAQ

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

Kindness

Empathy

Trust

Team

Meaning

Belonging to and serving something bigger than the self

Purpose

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

work life

Take a few minutes to write it on your paper Letrsquos discuss if you are comfortable sharing

End each day with what-went-well

and why

End rounds with WWW

or ldquoSomething I did well todayrdquo

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

the ability of something to return to its original shape after it has been pulled stretched pressed bent etc

the ability to become strong healthy or successful again after something bad happens

httpwwwmerriam-webstercomdictionaryresilience

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

Creates isolation decreases accomplishment

Can be minimalized

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

4 Learned helplessness

httpwwwintegratedsociopsychologynetwpimageswp13376ff2_1apng

Requires

Metacognition and

Cognitive restructuring Understand threats and minimalize them

Emotional self-regulation

Grocery store line

LEARNING POINTS

Burnout is bad

We can prevent burnout

Happiness is a choice

There are these two young fish swimming along and they happen to meet an older

fish swimming the other way who nods at them and says Morning boys Hows the

water And the two young fish swim on for a bit and then eventually one of them

looks over at the other and goes

What the hell is waterldquo hellipthere are all different kinds of freedom and the kind that is most precious you will

not hear much talked about in the great outside world of winning and achieving and

displaying The really important kind of freedom involves attention and awareness

and discipline and effort and being able truly to care about other people and to

sacrifice for them over and over in myriad petty little unsexy ways every day That

is real freedom The alternative is unconsciousness the default-setting the ldquorat

racerdquo mdash the constant gnawing sense of having had and lost some infinite thing It is

about simple awareness mdash awareness of what is so real and essential so hidden in

plain sight all around us that we have to keep reminding ourselves over and over

ldquoThis is water this is waterrdquo httpswwwyoutubecomwatchv=IYGaXzJGVAQ

Meaning

Belonging to and serving something bigger than the self

Purpose

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

work life

Take a few minutes to write it on your paper Letrsquos discuss if you are comfortable sharing

End each day with what-went-well

and why

End rounds with WWW

or ldquoSomething I did well todayrdquo

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

the ability of something to return to its original shape after it has been pulled stretched pressed bent etc

the ability to become strong healthy or successful again after something bad happens

httpwwwmerriam-webstercomdictionaryresilience

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

Creates isolation decreases accomplishment

Can be minimalized

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

4 Learned helplessness

httpwwwintegratedsociopsychologynetwpimageswp13376ff2_1apng

Requires

Metacognition and

Cognitive restructuring Understand threats and minimalize them

Emotional self-regulation

Grocery store line

LEARNING POINTS

Burnout is bad

We can prevent burnout

Happiness is a choice

There are these two young fish swimming along and they happen to meet an older

fish swimming the other way who nods at them and says Morning boys Hows the

water And the two young fish swim on for a bit and then eventually one of them

looks over at the other and goes

What the hell is waterldquo hellipthere are all different kinds of freedom and the kind that is most precious you will

not hear much talked about in the great outside world of winning and achieving and

displaying The really important kind of freedom involves attention and awareness

and discipline and effort and being able truly to care about other people and to

sacrifice for them over and over in myriad petty little unsexy ways every day That

is real freedom The alternative is unconsciousness the default-setting the ldquorat

racerdquo mdash the constant gnawing sense of having had and lost some infinite thing It is

about simple awareness mdash awareness of what is so real and essential so hidden in

plain sight all around us that we have to keep reminding ourselves over and over

ldquoThis is water this is waterrdquo httpswwwyoutubecomwatchv=IYGaXzJGVAQ

work life

Take a few minutes to write it on your paper Letrsquos discuss if you are comfortable sharing

End each day with what-went-well

and why

End rounds with WWW

or ldquoSomething I did well todayrdquo

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

the ability of something to return to its original shape after it has been pulled stretched pressed bent etc

the ability to become strong healthy or successful again after something bad happens

httpwwwmerriam-webstercomdictionaryresilience

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

Creates isolation decreases accomplishment

Can be minimalized

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

4 Learned helplessness

httpwwwintegratedsociopsychologynetwpimageswp13376ff2_1apng

Requires

Metacognition and

Cognitive restructuring Understand threats and minimalize them

Emotional self-regulation

Grocery store line

LEARNING POINTS

Burnout is bad

We can prevent burnout

Happiness is a choice

There are these two young fish swimming along and they happen to meet an older

fish swimming the other way who nods at them and says Morning boys Hows the

water And the two young fish swim on for a bit and then eventually one of them

looks over at the other and goes

What the hell is waterldquo hellipthere are all different kinds of freedom and the kind that is most precious you will

not hear much talked about in the great outside world of winning and achieving and

displaying The really important kind of freedom involves attention and awareness

and discipline and effort and being able truly to care about other people and to

sacrifice for them over and over in myriad petty little unsexy ways every day That

is real freedom The alternative is unconsciousness the default-setting the ldquorat

racerdquo mdash the constant gnawing sense of having had and lost some infinite thing It is

about simple awareness mdash awareness of what is so real and essential so hidden in

plain sight all around us that we have to keep reminding ourselves over and over

ldquoThis is water this is waterrdquo httpswwwyoutubecomwatchv=IYGaXzJGVAQ

Take a few minutes to write it on your paper Letrsquos discuss if you are comfortable sharing

End each day with what-went-well

and why

End rounds with WWW

or ldquoSomething I did well todayrdquo

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

the ability of something to return to its original shape after it has been pulled stretched pressed bent etc

the ability to become strong healthy or successful again after something bad happens

httpwwwmerriam-webstercomdictionaryresilience

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

Creates isolation decreases accomplishment

Can be minimalized

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

4 Learned helplessness

httpwwwintegratedsociopsychologynetwpimageswp13376ff2_1apng

Requires

Metacognition and

Cognitive restructuring Understand threats and minimalize them

Emotional self-regulation

Grocery store line

LEARNING POINTS

Burnout is bad

We can prevent burnout

Happiness is a choice

There are these two young fish swimming along and they happen to meet an older

fish swimming the other way who nods at them and says Morning boys Hows the

water And the two young fish swim on for a bit and then eventually one of them

looks over at the other and goes

What the hell is waterldquo hellipthere are all different kinds of freedom and the kind that is most precious you will

not hear much talked about in the great outside world of winning and achieving and

displaying The really important kind of freedom involves attention and awareness

and discipline and effort and being able truly to care about other people and to

sacrifice for them over and over in myriad petty little unsexy ways every day That

is real freedom The alternative is unconsciousness the default-setting the ldquorat

racerdquo mdash the constant gnawing sense of having had and lost some infinite thing It is

about simple awareness mdash awareness of what is so real and essential so hidden in

plain sight all around us that we have to keep reminding ourselves over and over

ldquoThis is water this is waterrdquo httpswwwyoutubecomwatchv=IYGaXzJGVAQ

End each day with what-went-well

and why

End rounds with WWW

or ldquoSomething I did well todayrdquo

Seligman M E P (2011) Flourish A visionary new understanding of happiness and well-being NY Atria

Positive Emotion Engagement Positive

Relationships Meaning Accomplishment

the ability of something to return to its original shape after it has been pulled stretched pressed bent etc

the ability to become strong healthy or successful again after something bad happens

httpwwwmerriam-webstercomdictionaryresilience

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

Creates isolation decreases accomplishment

Can be minimalized

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

4 Learned helplessness

httpwwwintegratedsociopsychologynetwpimageswp13376ff2_1apng

Requires

Metacognition and

Cognitive restructuring Understand threats and minimalize them

Emotional self-regulation

Grocery store line

LEARNING POINTS

Burnout is bad

We can prevent burnout

Happiness is a choice

There are these two young fish swimming along and they happen to meet an older

fish swimming the other way who nods at them and says Morning boys Hows the

water And the two young fish swim on for a bit and then eventually one of them

looks over at the other and goes

What the hell is waterldquo hellipthere are all different kinds of freedom and the kind that is most precious you will

not hear much talked about in the great outside world of winning and achieving and

displaying The really important kind of freedom involves attention and awareness

and discipline and effort and being able truly to care about other people and to

sacrifice for them over and over in myriad petty little unsexy ways every day That

is real freedom The alternative is unconsciousness the default-setting the ldquorat

racerdquo mdash the constant gnawing sense of having had and lost some infinite thing It is

about simple awareness mdash awareness of what is so real and essential so hidden in

plain sight all around us that we have to keep reminding ourselves over and over

ldquoThis is water this is waterrdquo httpswwwyoutubecomwatchv=IYGaXzJGVAQ

the ability of something to return to its original shape after it has been pulled stretched pressed bent etc

the ability to become strong healthy or successful again after something bad happens

httpwwwmerriam-webstercomdictionaryresilience

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

Creates isolation decreases accomplishment

Can be minimalized

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

4 Learned helplessness

httpwwwintegratedsociopsychologynetwpimageswp13376ff2_1apng

Requires

Metacognition and

Cognitive restructuring Understand threats and minimalize them

Emotional self-regulation

Grocery store line

LEARNING POINTS

Burnout is bad

We can prevent burnout

Happiness is a choice

There are these two young fish swimming along and they happen to meet an older

fish swimming the other way who nods at them and says Morning boys Hows the

water And the two young fish swim on for a bit and then eventually one of them

looks over at the other and goes

What the hell is waterldquo hellipthere are all different kinds of freedom and the kind that is most precious you will

not hear much talked about in the great outside world of winning and achieving and

displaying The really important kind of freedom involves attention and awareness

and discipline and effort and being able truly to care about other people and to

sacrifice for them over and over in myriad petty little unsexy ways every day That

is real freedom The alternative is unconsciousness the default-setting the ldquorat

racerdquo mdash the constant gnawing sense of having had and lost some infinite thing It is

about simple awareness mdash awareness of what is so real and essential so hidden in

plain sight all around us that we have to keep reminding ourselves over and over

ldquoThis is water this is waterrdquo httpswwwyoutubecomwatchv=IYGaXzJGVAQ

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

Creates isolation decreases accomplishment

Can be minimalized

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

4 Learned helplessness

httpwwwintegratedsociopsychologynetwpimageswp13376ff2_1apng

Requires

Metacognition and

Cognitive restructuring Understand threats and minimalize them

Emotional self-regulation

Grocery store line

LEARNING POINTS

Burnout is bad

We can prevent burnout

Happiness is a choice

There are these two young fish swimming along and they happen to meet an older

fish swimming the other way who nods at them and says Morning boys Hows the

water And the two young fish swim on for a bit and then eventually one of them

looks over at the other and goes

What the hell is waterldquo hellipthere are all different kinds of freedom and the kind that is most precious you will

not hear much talked about in the great outside world of winning and achieving and

displaying The really important kind of freedom involves attention and awareness

and discipline and effort and being able truly to care about other people and to

sacrifice for them over and over in myriad petty little unsexy ways every day That

is real freedom The alternative is unconsciousness the default-setting the ldquorat

racerdquo mdash the constant gnawing sense of having had and lost some infinite thing It is

about simple awareness mdash awareness of what is so real and essential so hidden in

plain sight all around us that we have to keep reminding ourselves over and over

ldquoThis is water this is waterrdquo httpswwwyoutubecomwatchv=IYGaXzJGVAQ

1 Negativity bias

2 Maladaptive perfectionism

3 Imposter syndrome

4 Learned helplessness

httpwwwintegratedsociopsychologynetwpimageswp13376ff2_1apng

Requires

Metacognition and

Cognitive restructuring Understand threats and minimalize them

Emotional self-regulation

Grocery store line

LEARNING POINTS

Burnout is bad

We can prevent burnout

Happiness is a choice

There are these two young fish swimming along and they happen to meet an older

fish swimming the other way who nods at them and says Morning boys Hows the

water And the two young fish swim on for a bit and then eventually one of them

looks over at the other and goes

What the hell is waterldquo hellipthere are all different kinds of freedom and the kind that is most precious you will

not hear much talked about in the great outside world of winning and achieving and

displaying The really important kind of freedom involves attention and awareness

and discipline and effort and being able truly to care about other people and to

sacrifice for them over and over in myriad petty little unsexy ways every day That

is real freedom The alternative is unconsciousness the default-setting the ldquorat

racerdquo mdash the constant gnawing sense of having had and lost some infinite thing It is

about simple awareness mdash awareness of what is so real and essential so hidden in

plain sight all around us that we have to keep reminding ourselves over and over

ldquoThis is water this is waterrdquo httpswwwyoutubecomwatchv=IYGaXzJGVAQ

Requires

Metacognition and

Cognitive restructuring Understand threats and minimalize them

Emotional self-regulation

Grocery store line

LEARNING POINTS

Burnout is bad

We can prevent burnout

Happiness is a choice

There are these two young fish swimming along and they happen to meet an older

fish swimming the other way who nods at them and says Morning boys Hows the

water And the two young fish swim on for a bit and then eventually one of them

looks over at the other and goes

What the hell is waterldquo hellipthere are all different kinds of freedom and the kind that is most precious you will

not hear much talked about in the great outside world of winning and achieving and

displaying The really important kind of freedom involves attention and awareness

and discipline and effort and being able truly to care about other people and to

sacrifice for them over and over in myriad petty little unsexy ways every day That

is real freedom The alternative is unconsciousness the default-setting the ldquorat

racerdquo mdash the constant gnawing sense of having had and lost some infinite thing It is

about simple awareness mdash awareness of what is so real and essential so hidden in

plain sight all around us that we have to keep reminding ourselves over and over

ldquoThis is water this is waterrdquo httpswwwyoutubecomwatchv=IYGaXzJGVAQ

LEARNING POINTS

Burnout is bad

We can prevent burnout

Happiness is a choice

There are these two young fish swimming along and they happen to meet an older

fish swimming the other way who nods at them and says Morning boys Hows the

water And the two young fish swim on for a bit and then eventually one of them

looks over at the other and goes

What the hell is waterldquo hellipthere are all different kinds of freedom and the kind that is most precious you will

not hear much talked about in the great outside world of winning and achieving and

displaying The really important kind of freedom involves attention and awareness

and discipline and effort and being able truly to care about other people and to

sacrifice for them over and over in myriad petty little unsexy ways every day That

is real freedom The alternative is unconsciousness the default-setting the ldquorat

racerdquo mdash the constant gnawing sense of having had and lost some infinite thing It is

about simple awareness mdash awareness of what is so real and essential so hidden in

plain sight all around us that we have to keep reminding ourselves over and over

ldquoThis is water this is waterrdquo httpswwwyoutubecomwatchv=IYGaXzJGVAQ

There are these two young fish swimming along and they happen to meet an older

fish swimming the other way who nods at them and says Morning boys Hows the

water And the two young fish swim on for a bit and then eventually one of them

looks over at the other and goes

What the hell is waterldquo hellipthere are all different kinds of freedom and the kind that is most precious you will

not hear much talked about in the great outside world of winning and achieving and

displaying The really important kind of freedom involves attention and awareness

and discipline and effort and being able truly to care about other people and to

sacrifice for them over and over in myriad petty little unsexy ways every day That

is real freedom The alternative is unconsciousness the default-setting the ldquorat

racerdquo mdash the constant gnawing sense of having had and lost some infinite thing It is

about simple awareness mdash awareness of what is so real and essential so hidden in

plain sight all around us that we have to keep reminding ourselves over and over

ldquoThis is water this is waterrdquo httpswwwyoutubecomwatchv=IYGaXzJGVAQ