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JULIE WELCH, MD DEPARTMENT OF EMERGENCY MEDICINE INDIANA UNIVERSITY SCHOOL OF MEDICINE IU HEALTH - METHODIST HOSPITAL EMTC [email protected] Work-Life Integration

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Page 1: JULIE WELCH, MD DEPARTMENT OF EMERGENCY MEDICINE INDIANA UNIVERSITY SCHOOL OF MEDICINE IU HEALTH - METHODIST HOSPITAL EMTC JLWELCH@IUPUI.EDU Work-Life

JULIE WELCH, MD

DEPARTMENT OF EMERGENCY MEDICINEINDIANA UNIVERSITY SCHOOL OF MEDICINE

IU HEALTH - METHODIST HOSPITAL EMTC

JLWELCH@IUPUI .EDU

Work-Life Integration

Page 2: JULIE WELCH, MD DEPARTMENT OF EMERGENCY MEDICINE INDIANA UNIVERSITY SCHOOL OF MEDICINE IU HEALTH - METHODIST HOSPITAL EMTC JLWELCH@IUPUI.EDU Work-Life

Work-Life Integration

Outline:

1. Why does it matter?2. Defining “Work-Life”3. Developing your Work-Life

Integration Strategy4. Tips and Tools

Page 3: JULIE WELCH, MD DEPARTMENT OF EMERGENCY MEDICINE INDIANA UNIVERSITY SCHOOL OF MEDICINE IU HEALTH - METHODIST HOSPITAL EMTC JLWELCH@IUPUI.EDU Work-Life

“Balance” “Integration”

Feeling derived from being whole and complete

Avoid viewing it as a scale of taking from one to give to another

Creating harmony in your life

Cultivating the areas of your life that are truly important

Mixture of…

Work-Life “Balance” & “Integration”

Page 4: JULIE WELCH, MD DEPARTMENT OF EMERGENCY MEDICINE INDIANA UNIVERSITY SCHOOL OF MEDICINE IU HEALTH - METHODIST HOSPITAL EMTC JLWELCH@IUPUI.EDU Work-Life

Why does it matter?

1. Workplace culture is changing

2. Major recruitment and retention issue

3. Research: Work Life Balance is a Priority

Page 5: JULIE WELCH, MD DEPARTMENT OF EMERGENCY MEDICINE INDIANA UNIVERSITY SCHOOL OF MEDICINE IU HEALTH - METHODIST HOSPITAL EMTC JLWELCH@IUPUI.EDU Work-Life

Why does it matter?

1. Workplace culture is changing Gender divide is narrowing : workforce 50%

women More dual-career couples

Shared child/family care responsibilities Generational issue no longer

Early career physicians want predictability Phased retirement

Page 6: JULIE WELCH, MD DEPARTMENT OF EMERGENCY MEDICINE INDIANA UNIVERSITY SCHOOL OF MEDICINE IU HEALTH - METHODIST HOSPITAL EMTC JLWELCH@IUPUI.EDU Work-Life

Why does it matter?

1. Workplace culture is changing

2. Major recruitment and retention issue Flexibility is #1 issue to keep good talent

Schedules Work Life Policies (Family leave, childcare, elder care,

benefits…)

Page 7: JULIE WELCH, MD DEPARTMENT OF EMERGENCY MEDICINE INDIANA UNIVERSITY SCHOOL OF MEDICINE IU HEALTH - METHODIST HOSPITAL EMTC JLWELCH@IUPUI.EDU Work-Life

Why does it matter?

1. Workplace culture is changing

2. Major recruitment and retention issue

3. Work Life Balance is a priority Theme of needs assessments of students, residents,

faculty

Page 8: JULIE WELCH, MD DEPARTMENT OF EMERGENCY MEDICINE INDIANA UNIVERSITY SCHOOL OF MEDICINE IU HEALTH - METHODIST HOSPITAL EMTC JLWELCH@IUPUI.EDU Work-Life

Do physicians succeed at work-life balance?

Failure of work life integration leads to: STRESS Spillover Crossover

Physicians are at higher risk of: Divorce Substance abuse Depression/ Anxiety Domestic Violence

Page 9: JULIE WELCH, MD DEPARTMENT OF EMERGENCY MEDICINE INDIANA UNIVERSITY SCHOOL OF MEDICINE IU HEALTH - METHODIST HOSPITAL EMTC JLWELCH@IUPUI.EDU Work-Life

Career Satisfaction: 79% Work-Life Balance Satisfaction: 37-48%

Career/ Life Satisfaction (3 studies of 8,094 physicians total)

Page 10: JULIE WELCH, MD DEPARTMENT OF EMERGENCY MEDICINE INDIANA UNIVERSITY SCHOOL OF MEDICINE IU HEALTH - METHODIST HOSPITAL EMTC JLWELCH@IUPUI.EDU Work-Life

Career Satisfaction: 79% Work-Life Balance Satisfaction: 37-48%

Factors that were NOT strong predictors of career satisfaction, work-life balance, or burnout:

• GENDER• AGE• SPECIALTY

Career/ Life Satisfaction (3 studies of 8,094 physicians total)

Page 11: JULIE WELCH, MD DEPARTMENT OF EMERGENCY MEDICINE INDIANA UNIVERSITY SCHOOL OF MEDICINE IU HEALTH - METHODIST HOSPITAL EMTC JLWELCH@IUPUI.EDU Work-Life

Career Satisfaction: 79% Work-Life Balance Satisfaction: 37-48%

+ predictors: Income Academic career

- predictors: Working > 50hr/wk Full owner practice Reliance on managed

care Uncontrollable lifestyle

Career/ Life Satisfaction (3 studies of 8,094 physicians total)

Page 12: JULIE WELCH, MD DEPARTMENT OF EMERGENCY MEDICINE INDIANA UNIVERSITY SCHOOL OF MEDICINE IU HEALTH - METHODIST HOSPITAL EMTC JLWELCH@IUPUI.EDU Work-Life

Career Satisfaction: 79%

Work-Life Balance Satisfaction: 37-48%

+ predictors: Control over schedule Working part time <40

hr/wk Married, partnered Having children

- predictors: Working full time >40

hrs/wk Divorced/separated

Career/ Life Satisfaction (3 studies of 8,094 physicians total)

Page 13: JULIE WELCH, MD DEPARTMENT OF EMERGENCY MEDICINE INDIANA UNIVERSITY SCHOOL OF MEDICINE IU HEALTH - METHODIST HOSPITAL EMTC JLWELCH@IUPUI.EDU Work-Life

Career Satisfaction: 79%

Work-Life Balance Satisfaction: 37-48%

+ predictors: Income Academic career

- predictors: Working > 50hr/wk Full owner practice Reliance on managed

care Uncontrollable lifestyle

+ predictors: Control over schedule Working part time <40

hr/wk Married, partnered Having children

- predictors: Working full time >40

hrs/wk Divorced/separated

Career/ Life Satisfaction (3 studies of 8,094 physicians total)

Page 14: JULIE WELCH, MD DEPARTMENT OF EMERGENCY MEDICINE INDIANA UNIVERSITY SCHOOL OF MEDICINE IU HEALTH - METHODIST HOSPITAL EMTC JLWELCH@IUPUI.EDU Work-Life

What does “Work-Life” mean to you?

“WORK” Career Activities Consider areas of:

Patient care Education Research Service

“LIFE” Relationships Personal well being

Physical Mental Spiritual Hobbies/ Passions

Page 15: JULIE WELCH, MD DEPARTMENT OF EMERGENCY MEDICINE INDIANA UNIVERSITY SCHOOL OF MEDICINE IU HEALTH - METHODIST HOSPITAL EMTC JLWELCH@IUPUI.EDU Work-Life

WORK: My Emergency Medicine Career

EM physician level one trauma centerAcademic faculty at a medical school

Primary patient care Educate Scholarship Service Mentor

Fellowship Dean’s Office of Faculty Development

Page 16: JULIE WELCH, MD DEPARTMENT OF EMERGENCY MEDICINE INDIANA UNIVERSITY SCHOOL OF MEDICINE IU HEALTH - METHODIST HOSPITAL EMTC JLWELCH@IUPUI.EDU Work-Life

WORK: My Emergency Medicine Career

Other EM opportunities during my career:

Page 17: JULIE WELCH, MD DEPARTMENT OF EMERGENCY MEDICINE INDIANA UNIVERSITY SCHOOL OF MEDICINE IU HEALTH - METHODIST HOSPITAL EMTC JLWELCH@IUPUI.EDU Work-Life

LIFE: My Other “Career”

Relationships Dual physician marriage (to an EM physician) Mother of 2 busy boys Sister, aunt, and daughter Network of friends, mentors, mentees

Personal well being musician, exercise, travel, cooking, church

Page 18: JULIE WELCH, MD DEPARTMENT OF EMERGENCY MEDICINE INDIANA UNIVERSITY SCHOOL OF MEDICINE IU HEALTH - METHODIST HOSPITAL EMTC JLWELCH@IUPUI.EDU Work-Life

“Work Life Integration” factors:

Work- Life

Page 19: JULIE WELCH, MD DEPARTMENT OF EMERGENCY MEDICINE INDIANA UNIVERSITY SCHOOL OF MEDICINE IU HEALTH - METHODIST HOSPITAL EMTC JLWELCH@IUPUI.EDU Work-Life

Understand what motivates you?

3 elements:

1. Autonomy2. Mastery3. Purpose

Page 20: JULIE WELCH, MD DEPARTMENT OF EMERGENCY MEDICINE INDIANA UNIVERSITY SCHOOL OF MEDICINE IU HEALTH - METHODIST HOSPITAL EMTC JLWELCH@IUPUI.EDU Work-Life

Develop your own plan: Individual Development Plan

&Work-Life Integration Strategy

Tools for Planning, Inspiring, and Integrating your

Professional & Personal Goals

Page 21: JULIE WELCH, MD DEPARTMENT OF EMERGENCY MEDICINE INDIANA UNIVERSITY SCHOOL OF MEDICINE IU HEALTH - METHODIST HOSPITAL EMTC JLWELCH@IUPUI.EDU Work-Life

IDP &

Work-Life Integration Strategy

1. Complete annually2. “SMART” (assess viability)3. Share with mentor/ spouse4. Reflect on advice5. Actively implement6. Follow progress and revise

Page 22: JULIE WELCH, MD DEPARTMENT OF EMERGENCY MEDICINE INDIANA UNIVERSITY SCHOOL OF MEDICINE IU HEALTH - METHODIST HOSPITAL EMTC JLWELCH@IUPUI.EDU Work-Life

Planning worksheet exercise: “Opportunity is Knocking”

Tool to objectively evaluate a new opportunity

Page 23: JULIE WELCH, MD DEPARTMENT OF EMERGENCY MEDICINE INDIANA UNIVERSITY SCHOOL OF MEDICINE IU HEALTH - METHODIST HOSPITAL EMTC JLWELCH@IUPUI.EDU Work-Life

10 Work Life Integration

Tips

Page 24: JULIE WELCH, MD DEPARTMENT OF EMERGENCY MEDICINE INDIANA UNIVERSITY SCHOOL OF MEDICINE IU HEALTH - METHODIST HOSPITAL EMTC JLWELCH@IUPUI.EDU Work-Life

Work-Life Integration Tips

1. Focus on your values and priorities. Make an Individual Development Plan Set and know your limits and boundaries With a new opportunity – don’t say “yes”

immediately Protect your time

Page 25: JULIE WELCH, MD DEPARTMENT OF EMERGENCY MEDICINE INDIANA UNIVERSITY SCHOOL OF MEDICINE IU HEALTH - METHODIST HOSPITAL EMTC JLWELCH@IUPUI.EDU Work-Life

Work-Life Integration Tips

2. Hone your time management skills. Find your time wasters Utilize all available time (listen to audio CME on

drive)

Page 26: JULIE WELCH, MD DEPARTMENT OF EMERGENCY MEDICINE INDIANA UNIVERSITY SCHOOL OF MEDICINE IU HEALTH - METHODIST HOSPITAL EMTC JLWELCH@IUPUI.EDU Work-Life

Work-Life Integration Tips

3. Get ORGANIZED! Keep a “TO DO” list, Prioritize, Retrograde plan Email Strategy

Empty inbox (4 D’s – do, delegate, delete, decision) Schedule time vs on-the-go phone/ipad (limit 2-3x day) Turn off interrupting dings

Page 27: JULIE WELCH, MD DEPARTMENT OF EMERGENCY MEDICINE INDIANA UNIVERSITY SCHOOL OF MEDICINE IU HEALTH - METHODIST HOSPITAL EMTC JLWELCH@IUPUI.EDU Work-Life

Work-Life Integration Tips

4. Find a “usable” calendar system. Easy, sharable, real-time, integrative

Share it with family and caregivers Plan your vacations/ personal/ family time in

advance Schedule time for yourself (exercise, spa,

writing)

Page 28: JULIE WELCH, MD DEPARTMENT OF EMERGENCY MEDICINE INDIANA UNIVERSITY SCHOOL OF MEDICINE IU HEALTH - METHODIST HOSPITAL EMTC JLWELCH@IUPUI.EDU Work-Life

Work-Life Integration Tips

5. Establish a mentor network. At work

Career guidance, advice, sponsorship, skill acquisition

At home make friends with other families in your

neighborhood.

Page 29: JULIE WELCH, MD DEPARTMENT OF EMERGENCY MEDICINE INDIANA UNIVERSITY SCHOOL OF MEDICINE IU HEALTH - METHODIST HOSPITAL EMTC JLWELCH@IUPUI.EDU Work-Life

Work-Life Integration Tips

6. Double Dip. With every project, find a second goal it could

satisfy. Turn a lecture or program into scholarship Combine the activities you love with your

family/friends.

Page 30: JULIE WELCH, MD DEPARTMENT OF EMERGENCY MEDICINE INDIANA UNIVERSITY SCHOOL OF MEDICINE IU HEALTH - METHODIST HOSPITAL EMTC JLWELCH@IUPUI.EDU Work-Life

Work-Life Integration Tips

7. Know the Work-Life Policies of your

employer.

Family Leave policies Part-time policies / flexibility in scheduling Childcare options (on-site, back-up sick care) Academic center – promotion and tenure clocks

Page 31: JULIE WELCH, MD DEPARTMENT OF EMERGENCY MEDICINE INDIANA UNIVERSITY SCHOOL OF MEDICINE IU HEALTH - METHODIST HOSPITAL EMTC JLWELCH@IUPUI.EDU Work-Life

Work-Life Integration Tips

8. Cultivate relationships with family and

friends. Family time, date-night, & “no electronic” times With your partner : communication is the key! Be accountable to someone in your life (mentor,

spouse, friend)

Page 32: JULIE WELCH, MD DEPARTMENT OF EMERGENCY MEDICINE INDIANA UNIVERSITY SCHOOL OF MEDICINE IU HEALTH - METHODIST HOSPITAL EMTC JLWELCH@IUPUI.EDU Work-Life

Work-Life Integration Tips

9. Invest in Family/Home Responsibilities.

Foster teamwork – coordinate/ delegate activities and chores.

Find reliable childcare and have backup. “Hire it done!” (house cleaning, yard work, food

delivery) Keep numbers for home/car repairs accessible.

Page 33: JULIE WELCH, MD DEPARTMENT OF EMERGENCY MEDICINE INDIANA UNIVERSITY SCHOOL OF MEDICINE IU HEALTH - METHODIST HOSPITAL EMTC JLWELCH@IUPUI.EDU Work-Life

Work-Life Integration Tips

10.Build Healthy Personal Habits. (physical, mental, spiritual well-being)

Exercise, eat healthy, sleeping habits Read, relax, hobby, music Let go of guilt & maintain a sense of humor!

Page 34: JULIE WELCH, MD DEPARTMENT OF EMERGENCY MEDICINE INDIANA UNIVERSITY SCHOOL OF MEDICINE IU HEALTH - METHODIST HOSPITAL EMTC JLWELCH@IUPUI.EDU Work-Life

JLWELCH@IUPUI .EDU

Questions: