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Five Balls in the Air: Balancing Five Balls in the Air: Balancing Work, Family and YouWork, Family and You
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Relevant LiteratureRelevant Literature
Single status and female gender are risk factors for depression among EM residents (Whitley)
Survey studies of all MDs show correlates of life satisfaction with work satisfaction (Warde and Sobecks)
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Relevant LiteratureRelevant Literature
Academic female faculty who are mothers differ from fathers (Carr)– Lower career aspirations– Less institutional support– Greater obstacles to academic career– Lower career satisfaction despite similar job
descriptions
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Cydulka R, et al. AEM 2000;7:999-1007
Relevant LiteratureRelevant Literature
Female ED faculty less likely to:– Achieve senior academic rank– Publish in peer review journals– Hold leadership positions
Female ED faculty more likely to:– Spend time teaching– Working clinically
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Relevant LiteratureRelevant Literature
1997 National Study on Changing Workforce– Majority of working fathers have spouses that work
(67% from 49%)– Fathers spend more time with kids (2.3 hrs/day increase
from 1.8 hrs/day)– Fathers work avg 49 hrs/wk and mothers 41.4 hrs/wk – Parents have less time to themselves– 83% of the time mother takes time off for sick child
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Family LifeFamily Life
Maternity and Paternity Leave– Get institution/department’s policy in writing
Child, Elder or Pet Care– Unique problems to EM physicians
24 hr schedule Circadian rhythms Sick children
– Ask for help! You are NOT superman or superwoman! Employee Assistance Programs Friends/mentors
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Personal LifePersonal Life
Make time for youAssure time for your relationship(s)Plan time for physical and spiritual well-
beingTake care of your healthManage your money well
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Shift WorkShift Work
Block your schedule– Work 8 hour shifts if possible– Anchor sleep
Block your nights if possibleLess bouncing aroundProgressive hours
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Relevant LiteratureRelevant Literature
1997 National Study on Changing Workforce Predictors of Job Satisfaction– Autonomy– Learning Opportunities– Meaningfulness of work– Opportunities for Advancement– Security and flexibility– Support– Positive working environment– Respect– Equal Opportunity
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Women in Academic MedicineWomen in Academic MedicineLevinson, Kaufman and Tolle Levinson, Kaufman and Tolle
JAMWA 1992JAMWA 1992
Survey 1988 to academic women <50 yrsN = 862Coping strategies to career and personal life
– 73% hired help– 54% limited personal/social activities– 53% increased efficiency
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ResourcesResources
Self-help booksFamilies and Work Institute
– http://www.familiesandwork.org
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““You can’t get what you want, You can’t get what you want, ‘till you know what you want”‘till you know what you want”
- Joe Jackson- Joe Jackson
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The Balancing ActThe Balancing Act
What is your purpose in life?– How well do you know you?– So what it it you really want?
Set Goals– Are you committed?– Do you understand the trade offs?
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GoalsGoals
WrittenPersonalSpecificAchievableMeasurableTime-Sensitive
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Traversing a Career TransitionTraversing a Career Transition
Explore new possibilities in your “passion”– Seek/accept new responsibilities– Expand your network– Seek additional training
Formal Informal
– Begin to close doors, decide what you’re NOT going to do
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Moving UpMoving Up
Current Strengths may be less important
Strengths may become weaknesses
Flaws suddenly matter a lot
New skills are required
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POLI - TICSPOLI - TICS
(many) (blood sucking parasites)
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The Balancing ActThe Balancing Act
Make time for:– Yourself– Your social/family life– Your spiritual life– Your work
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Juggling StylesJuggling Styles
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Covey Time MatrixCovey Time Matrix
I
Urgent
Important
II
Not Urgent
Important
III
Urgent
Not Important
IV
Not Urgent
Not Important
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COPE CriteriaCOPE Criteria
CriticalObligatoryPreferableExtraneous
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Critical Issues in Critical Issues in Time ManagementTime Management
Saying noDelegation – doProcrastinate – don’t“Quiet hour” concept
– Control daily activities
Make everything you do count for twoRe-define or aggregate activities
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Critical Issues in Critical Issues in Time ManagementTime Management
Have one scheduleUse time-saving tools wiselyControl the phoneControl the mailUse travel time wellKnow and watch out for your “Achilles
heel”
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Many people define Many people define happiness as success.happiness as success.
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100 Simple Secrets of Successful 100 Simple Secrets of Successful People - David Niven, Ph.D.People - David Niven, Ph.D.
Easy readAuthor is a psychologist and social scientistCollection of studies on successWrote best selling book
– The 100 Simple Secrets of Happy People
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Scherneck, M 1988 "The relationship between Self-Esteem and Academic Performance." Ph.D dissertation, State Univ. of NY at Albany
# 2# 2It’s Not How Hard You TryIt’s Not How Hard You Try
• Effort is an overrated trait:– By itself, effort, is a terrible predictor of
outcomes.– Inefficient effort is a tremendous source of
discouragement.
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Orlick T. 1998. Embracing Your Potential. Champaign, IL: Human Kinetics.
# 3# 3Take Small VictoriesTake Small Victories
Life satisfaction is 22% more likely for those with a steady stream of minor accomplishments than those who express interest only in major accomplishments.
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Barto V. 1998. "The Relationship Between Personality Traits of Selected NJ Public School Educators and Successful Academic Achievement of At-Risk Students." Ph.D dissetation, Seton Hall Univ.
# 5# 5You Can’t Force Yourself to You Can’t Force Yourself to
Like BroccoliLike Broccoli
People do not change.– Underlying personality remains constant after
about age sixteen.
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Tuuli P. and Karisalmi S"Impact of Working Life Quality on Burnout." Experimental Aging Research 25:53-72.. 1988.
# 7# 7There Is Plenty Of TimeThere Is Plenty Of Time
Age is unrelated to people’s commitment to their job and their job performance.
EXCEPTION – Tenure Clock
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#17#17Get Experience Any Way You Get Experience Any Way You
CanCan
Take the first chance you can to get into the area you want to pursue.
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Dickinson MJ 1999. "Do Gooders or Do Betters?" Eduactional Research 41:221-27.
#21#21Use Your Own Self InterestUse Your Own Self Interest
Self Interest – rewards one believes are at stake– Most significant factor in predicting dedication
and satisfaction toward work– Accounts for 75% of personal motivation
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Harrison Y and Horne J 1999. "One Night of Sleep Loss Impairs Innovative Thinking and Flexible Decision Making." Organizational Behavior and Human Decision Processes 78:128-145.
#30#30Get A Good Night’s SleepGet A Good Night’s Sleep
Most Americans have been sleepy at their jobs.– 2 in 5 report making errors because of
sleepiness– Inadequate sleep reduces innovative thinking
by 60% and flexibility in decision making 39%
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#39#39Learn From LossesLearn From Losses
Opportunities to LearnUnderstand what lead you to make the
choices you made
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# 51# 51You Will Give Up Faster If You You Will Give Up Faster If You
Are Not In ControlAre Not In Control
When you are in control, what you do matters, and giving up will not seem very attractive.
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# 52# 52Life Is Not A Zero Sum GameLife Is Not A Zero Sum Game
Quality not Quantity
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# 56# 56Your Work And Home Lives Your Work And Home Lives
Must Fit TogetherMust Fit Together
Successful living is not a matter of success in the workplace or success at home. It is the product of their combination.
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Austin L 2000. What's Holding You Back? New York: Basic Books
# 62# 62Be An ExpertBe An Expert
Sixty eight percent of people who consider themselves successful say that there is at least one area of their job in which they are an expert.
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#70#70It Might Get Worse Before It It Might Get Worse Before It
Gets BetterGets Better
The things you want most aren’t easy to get.Maximize your efforts now and create an
ideal future.
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# 82# 82Find Your Own PathFind Your Own Path
Know yourself and be who you are…– Don’t try to live up to someone else’s
expectations or reproduce someone else’s success
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#83#83Own What You DoOwn What You Do
You do it, therefore do it well– What you do represents your ability,
commitment, and ultimately… Your potential to do something more
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Burnout Warning SignsBurnout Warning SignsGoldberg et al. AEM Dec 1996Goldberg et al. AEM Dec 1996
Negative perception of selfNegative practice habitsLack of job involvementUnhealthy lifestylesSubstance/alcohol abuseLow levels of exercise
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Golden AdviceGolden Advice
Remember they are only small once. Prioritize: be careful about what and when you say
“yes” It’s OK to feel inadequate at times – we are only
human ACCEPT HELP! Involvement in EM outside shift work is important
for happiness Blend your work and home life Schedule time for important things in life
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Every day is a gift, that’s why Every day is a gift, that’s why they call it the PRESENT.they call it the PRESENT.
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