having your cake and eating it too - appd · discussion of unapproved or off-label, experimental or...
TRANSCRIPT
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Having Your Cake And Eating It Too:Succeeding Personally And
Professionally In Medicine
Jennifer Crotty, MD
Rachel Boykan, MD
Sara Multerer, MD
Thanks to: Jennifer O’Toole, MD, Karen Jerardi, MD, MEd,
Maribeth Chitkara, MD, Ranjana Sinha, MD, MHA, CPE
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INTRODUCTIONS
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Disclosures & Conflicts Of Interest
• Drs. Boykan, Crotty, and Multerer have
documented no financial relationships to disclose
or Conflicts of Interest (COIs) to resolve.
• Drs. Boykan, Crotty, and Multerer have
documented this presentation will not involve
discussion of unapproved or off-label, experimental
or investigational use.
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Objectives
• Develop an individualized “life plan” for
one’s professional and personal lives
• Generate a concrete plan to increase
participation in activities that align with
one’s career and personal missions
• Describe strategies that will maximize
performance at work and at home
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PERSONAL AND PROFESSIONAL
SUCCESS
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What Is Success
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Definitions Of Success
• The accomplishment of an aim or
purpose
• The attainment of popularity or profit
• A person or thing that achieves desired
aims or attains prosperity
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Multiple Levels Of Success
• For the individual career success is
related to
• Life satisfaction
• General mental health
• For organizations, individual success is
coincident with organizational success
Pachulicz, Schmitt, Kuljanin; Journal of Vocational Behavior; 2008
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Satisfaction In Academic
Medicine• Organizational tenure, work experience
and educational level NOT found to
correlate with career satisfaction
• Locus of control consistently related to
career satisfaction
• Income was related to career success for
primary care physicians, but not
subspecialists
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Success In Academic Medicine
• Faculty with >50%
clinical effort valued
the following as part of
career success
• Patient care
• Their relationship with
patients
• Faculty with ≤50%
clinical effort felt
success was related to
• Promotion
• Clinical research
• Publications
• National committees and
meeting chairmanships
• Editorial positions
• National recognition
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Success In Academic Medicine
• Faculty with >50% clinical FTE were
• Less likely to be professors
• Less likely to report having a mentor
• Less likely to have a career plan
• More likely to be women
• More likely to report slower career progress
• More likely to have inadequate resources for academic projects
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Reflection
What does success mean personally and
professionally to me?
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Make An "Oprah" List
1. You
2. Family
3. Work (your consistent job expectations)
4. Personal (volunteer, community)
5. Other
• Work-related (research, national/committee work, curriculum)
• Family (kid’s commitments, family gatherings)
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Life As A Cake ChartPersonal Perspective
• Personal• Exercise• Music, theater, dance• Cooking• Reading• Friends & family – keeping diverse connections
• Other• Work-Related: Research & collaboration, national
committee work, manuscript writing, workshop preparation
• Non-Work-Related: Charity work, volunteerism, neighborhood/political groups
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Family/Personal
Associate PD
Other (Research)
Life As A Cake ChartFrom The Perspective Of Your Chair
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Family
Personal
Associate PD
Other
Life As A Cake ChartSpring/Summer
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Family
Personal
Associate PD
Other
Life As A Cake ChartFall/Winter
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Individual Activity
• Refer to your packets
• Complete your own “Life Cake”
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Structure Your Day
Ti
e
Time Activity
6:30 – 7:30
7:30 -8:30
8:30 - 12
12 - 1
1 - 3
3-5p
5-8p
8p-Bed
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Structure Your Day
Ti
e
Time Activity
6:00 -7:00 Quiet work or exercise
7:00 – 7:30 Noah breakfast/school
7:30 – 8:30 Work or exercise
8:30 – 12 Clinical time
12 - 3 Conferences/meetings
3-5p Homework/activities (piano, violin, tennis)
5-8p Dinner/activities/other work
8p-Bed Work/home/personal
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Structure Your DayExamples
homeworkTime Activity
5:30-6:30 Exercise
6:30-7:30 Kids to school
7:30-8:30Check emailsReview daily schedule
8:30-noon Rounds/clinic session
Noon-1pmCheck emailsPut out fires
1pm-4pm Meetings
4pm-5pmCheck emailsReview schedule for am
5pm-7pmDinner, homeworkActivities
8pm-BedVolunteer work, non-work emails, watch TV, read
Time Activity
Morning session Work: Rounds, bills
Afternoon sessionFamily: Mystery reader in class, parent teacher conf, exercise
Evening sessionWork: Research, emails, grant app
Time Activity
Morning session Personal: Exercise, errands, groceries
AfternoonWork: Clinic session, meetings, research
EveningFamily: Music lessons, gymnastics, homework
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YOUR INDIVIDUALIZED LIFE PLAN
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The Individualized Life Plan
• Cousin to the Individualized Learning Plan
• Allows reflection on where you are and where you want to be
• Documentation of
• Long and short term personal and career goals
• Detailed steps on how to achieve short and long goals
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The Individualized Life Plan
• Allows one to critically appraise their
current personal and career activities
• Are the activities aligned to their goals?
• Are there other activities one should
pursue?
• Provides a stimulus for career and
personal development and planning
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Complete Your ILP
Let’s get started!
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Small Group Discussion
• What were some realizations and
challenges you found in completing your
ILP?
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STRIVING FOR ALIGNMENT
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Just Say "Yes"
• Junior faculty member having lunch with
the dean
• Junior faculty member: "What is one
piece of advice you have for me at the
start of my career?"
• Dean: "Just say 'Yes'!"
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When Saying Yes Is A No
• Can accumulate friends and favors
• Can open opportunities but...
• If not done thoughtfully, can result in
being overwhelmed with work that
doesn't align with your values
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Saying No...Why Is It So Hard?
• We fear
• Losing a job or role
• Hurting a relationship
• Losing respect
• Feeling guilty
• Retaliation
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Know Your "Yes"
• Mission, Vision, Values
• Strengths, Passions, Values
• Interests, Needs, Values
• What really matters?
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Finding Meaning
• Altering tasks: devote most time and
energy to gratifying activities
• Relationships:
• Avoid toxic co-workers
• Spend time with positive influences
• Reframing: See "the big picture"
“Work gives you
meaning and purpose,
and life is empty
without it.”
– Stephen Hawking
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Specific Strategies
• Show the evidence
• Offer an alternative
• Propose a problem-solving process
• Offer an If-Then
• Change the timing
• Allow [insert boss here] the opportunity
to say "no"
• Delegate appropriately
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Alignment Activity
• Review current tasks
• For those not associated with a goal:
• Do you enjoy it?
• Does it cultivate an important relationship?
• Is it a job requirement?
• What's left: make an action plan
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WAYS TO MAXIMIZE YOUR
SUCCESS
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Strategy 1: Identify Priorities
• Closet Example
• Best Opportunities
• Passion
• Talent
• Meets a Need
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Strategy 2: 60 Seconds To
Clarity
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Strategy 3: Mentors & Partners
• Mentors
• How to choose
• How to schedule
• Partners
• Who to include
• What to run by them
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Strategy 4: The Many Ways To
Say No
• Automated
• "Monk Mode"
• Graciously
• No, No but, Yes!
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Strategy 5: Outsourcing
• Don’t do things you don’t enjoy
• Our tips
• Feeding the family
• Creative childcare
• Home care
• Reading
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Wellness
• Selecting
• Scheduling
• Rewarding
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How To NOT Procrastinate
• Utilize your calendar
• Deadlines
• Alarms
• Quick Jobs
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What We Do?
• Child Care
• House Cleaning
• Food Preparation
• Calendars
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Use What We’ve Learned
• Apply some of our techniques to a
current situation in your life OR to one of
the sample situations
• Report back out to large group with your
favorites
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WRAP UP
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Take Home Points
• The demands physicians face personally
and professionally can be overwhelming
• Thoughtful reflection on one’s goals and
activities should be completed regularly
• Aligning activities requiring a large
amount of time with one’s goals will
promote success
• Know “your yes” and become
comfortable with saying no
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Thank You!!