interdisciplinary stress buster: balint research and experience kristi vanderkolk, md mary wassink,...

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Interdisciplinary Stress Buster: Balint Research and Experience Kristi VanDerKolk, MD Mary Wassink, MD Collaborative Family Healthcare Association 17 th Annual Conference October 15-17, 2015 Portland, Oregon U.S.A. Session # F5 Focus Area D October 17, 2015

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Learning Objectives At the conclusion of this session, the participant will be able to: Discuss the benefits of an interprofessional Balint group to medical and behavioral health providers in a Federally Qualified Health Center Define Balint groups and identify their purpose in improving provider/patient relationships Experience and appreciate first-hand the divergent thinking and uncertainty inherent in a Balint group

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Page 1: Interdisciplinary Stress Buster: Balint Research and Experience Kristi VanDerKolk, MD Mary Wassink, MD Collaborative Family Healthcare Association 17 th

Interdisciplinary Stress Buster: Balint Research and

Experience Kristi VanDerKolk, MD

Mary Wassink, MD

Collaborative Family Healthcare Association 17th Annual ConferenceOctober 15-17, 2015 Portland, Oregon U.S.A.

Session # F5Focus Area D

October 17, 2015

Page 2: Interdisciplinary Stress Buster: Balint Research and Experience Kristi VanDerKolk, MD Mary Wassink, MD Collaborative Family Healthcare Association 17 th

Faculty Disclosure

The presenters of this session• have NOT had any relevant financial

relationships during the past 12 months.

Page 3: Interdisciplinary Stress Buster: Balint Research and Experience Kristi VanDerKolk, MD Mary Wassink, MD Collaborative Family Healthcare Association 17 th

Learning ObjectivesAt the conclusion of this session, the participant will be able

to:

• Discuss the benefits of an interprofessional Balint group to medical and behavioral health providers in a Federally Qualified Health Center

• Define Balint groups and identify their purpose in improving provider/patient relationships

• Experience and appreciate first-hand the divergent thinking and uncertainty inherent in a Balint group

Page 4: Interdisciplinary Stress Buster: Balint Research and Experience Kristi VanDerKolk, MD Mary Wassink, MD Collaborative Family Healthcare Association 17 th

Bibliography / Reference

1. IsHak WW, Lederer S, Mandili C, et al. Burnout during residency training: A literature review. J Grad Med Educ. 2009 Dec; 1(2):236-242.

2. Romani M, Ashkar K. Burnout among physicians. Libyan J Med. 2014;9:23556. doi: 10.3402/ljm.v9.23556. Accessed April 4, 2014.

3. Shanafelt TD, Boone S, Tan L, et al. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med. 2012;172(18):1377-1385. doi: 10.1001/archinternmed.2012.3199. Accessed April 23, 2014.

4. Seiji Hayashi A, Selia E, McDonnell K. Stress and provider retention in underserved communities. J Health Care Poor Underserved. 2009;20:597-604.

5. Baker DP, Day R, Salas E. Teamwork as an essential component of high-reliability organizations. Health Serv Res. 2006 Aug;41(4 Pt 2):1576-1598.

6. Baker MJ, Fowler Durham C. Interprofessional education: A survey of students’ collaborative competency outcomes. J Nurs Educ. 2013;52(12):713-718.

7. Interprofessional Education Collaborative Expert Panel. Core competencies for interprofessional collaborative practice: Report of an expert panel. Washington, D.C.: Interprofessional Education Collaborative. 2011.

Page 5: Interdisciplinary Stress Buster: Balint Research and Experience Kristi VanDerKolk, MD Mary Wassink, MD Collaborative Family Healthcare Association 17 th

Bibliography / Reference

1. Sdf2. S

3. D4. D5. D

1. D6. D7. 8df8. Dornfest FD, et al. Balint training: A “how to” manual in development. American

Balint Society. http://ambalintsociety.clubexpress.com/docs.ashx?id=122876. Accessed April 4, 2014.

9. Perry ZH, Lauden A, Arbelle S. Emotional processing – The use of Balint groups for medical students as a means for improving interpersonal and communication skills and competence. Ann Behav Sci Med Educ. 2013;19(2):16-21.

10.Kjeldman D, Holmstrom I. Balint groups as a means to increase job satisfaction and prevent burnout among general practitioners. Ann Fam Med. 2008;6(2):138-145.

11. Cohen S. Perceived stress scale. http://www.mindgarden.com/docs/PerceivedStressScale.pdf. Accessed May 20, 2014.

12.West CP, Dyrbye LN, Sloan JA, Shanafelt TD. Single item measures of emotional exhaustion and depersonalization are useful for assessing burnout in medical professionals. J Gen Intern Med. 2009;24(12):1318-21. doi: 10.1007/s11606-009-1129-z. Accessed May 8, 2014.

Page 6: Interdisciplinary Stress Buster: Balint Research and Experience Kristi VanDerKolk, MD Mary Wassink, MD Collaborative Family Healthcare Association 17 th

Learning Assessment• A learning assessment is required for

CE credit.

• A question and answer period will be conducted at the end of this presentation.

Page 7: Interdisciplinary Stress Buster: Balint Research and Experience Kristi VanDerKolk, MD Mary Wassink, MD Collaborative Family Healthcare Association 17 th

Stress and Burnout

Page 8: Interdisciplinary Stress Buster: Balint Research and Experience Kristi VanDerKolk, MD Mary Wassink, MD Collaborative Family Healthcare Association 17 th

Groups

Page 9: Interdisciplinary Stress Buster: Balint Research and Experience Kristi VanDerKolk, MD Mary Wassink, MD Collaborative Family Healthcare Association 17 th

Results

Page 10: Interdisciplinary Stress Buster: Balint Research and Experience Kristi VanDerKolk, MD Mary Wassink, MD Collaborative Family Healthcare Association 17 th

Comments

Page 11: Interdisciplinary Stress Buster: Balint Research and Experience Kristi VanDerKolk, MD Mary Wassink, MD Collaborative Family Healthcare Association 17 th

What is Balint?

Page 12: Interdisciplinary Stress Buster: Balint Research and Experience Kristi VanDerKolk, MD Mary Wassink, MD Collaborative Family Healthcare Association 17 th

Let’s Give it a Try

Page 13: Interdisciplinary Stress Buster: Balint Research and Experience Kristi VanDerKolk, MD Mary Wassink, MD Collaborative Family Healthcare Association 17 th

Debrief

• How was it?– Why I like Balint

• Combination of physical and mental health in integrated care

• Is this the only way?• How can I learn more about Balint?

Page 14: Interdisciplinary Stress Buster: Balint Research and Experience Kristi VanDerKolk, MD Mary Wassink, MD Collaborative Family Healthcare Association 17 th

Questions and Discussion

Page 15: Interdisciplinary Stress Buster: Balint Research and Experience Kristi VanDerKolk, MD Mary Wassink, MD Collaborative Family Healthcare Association 17 th

Session Evaluation

Please complete and return theevaluation form to the classroom

monitor before leaving this session.Thank you!