work life balance in surgery · work life balance what is work life balance? what is at stake? how...
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Work Life Balance in Surgery Colette Marshall
Consultant Surgeon
Executive Medical Director Bedford Hospital
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Work Life Balance What is work life balance?
What is at stake?
How to achieve it?
How can the RCS help?
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Work life balance:
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Work
Relationship Self-Care
Work Life Triangle:
(what we do, careers, housework, chores, etc)
(personal, friendships, partners, spouses, children)
(spiritual, physical, intellectual, emotional, health, wellness, exercise)
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Doctor : Facts One out of three dissatisfied due to lack of time for themselves or their families
Average life span 10 years less
Depression 4 times higher than general population
8.6% higher risk of emotional exhaustion, 10% higher risk of burnout
Suicide risk 3 times that of general population
1:6 admits to having been dependent on alcohol or drugs
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Stages of career:
Medical student
Junior Doctor
Consultant
Boredom by 50 years
? What to do next
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Burnout:
Loss of Physical, Emotional and Mental Energy
Patient Safety
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Burnout : Symptoms Behavioral – Angry/Depressed, poor concentration,
Chronically late or psychologically absent, work avoidance
Excessive drinking/Drugs
Tiredness, lethargy, sleep disorders
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Burnout - avoidance:
Learn to take care of yourself
– learn to rest
- learn to exercise
Learn to say No
Have fulfilling life outside of surgery - develop your hobbies & activities
Learn to cut routine work
Develop strong support system
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Portfolio career: variety is the spice of life: Teaching
College Tutor
Deanery roles
ATLS Instructor/CcRISP Instructor
Research
Leadership and Management
Clinical Lead,
Clinical Director, Medical Director
Other sectors
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The Consultant Contract: Negotiate to keep the balance
Annual job-planning
BMA work diary
Normal working day 7am – 7pm
Weekend working – elective work by agreement only
SPA time
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Mentorship and coaching: Transition points in career
Formal/informal
Career advice
Leadership roles
Emotional support
In-hospital or regional schemes
RCS - website
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Time Management: The key to success
Dramatic increase in communication channels
Social media
Patient expectations
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Spent Time Matrix: Stephen Covey’s matrix
15
Q1
Q3
Q2
Q4
MANAGE
Crisis
Medical emergencies
Pressing problems
Deadline-driven projects
Last-minute exam preparations
FOCUS
Preparation/planning
Prevention
Values clarification
Exercise
Relationship-building
True recreation/relaxation
AVOID
Interruptions, some calls
Some mail & reports
Some meetings
Many “pressing” matters
Many popular activities
AVOID
Junk mail
Time wasters
Viewing mindless TV shows
Urgent Not Urgent
Important
Not
Important
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Characteristics of a Quadrant 2 Person
--Coherence Balance Focus An ability to get on with people Flexibility Portability
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Getting things done:
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Time saving techniques: Control paperwork – action/ file / throw
Delegate your job
Learn to say no
Analyze what we do
need to do it?
can someone else do it?
any quicker/ easier way to do?
Systems Standard letters Operation note templates
Smart use of technology Phone apps, email, scanning docs, camera Outlook diary Slide share (thanks Vijay Sardana)
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Resilience: “Bounce backability”
Being self-aware
Managing emotions
Positive psychology
Keeping in perspective
Ref: Be Bulletproof: How to achieve success in tough times at work, James Brooke, Simon Brooke
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De-stressing: Exercise
Meditation
Mindfulness
Time with family
Prioritise time
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Relationships:
Surgeons: Perfectionism, compulsiveness & workholism – good doctor but problematic partner
Many married to Profession – no time to cultivate intimacy with spouse
Spend time together
Respect each other
Have fun together
Treat your partner as your most important VIP patient
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Parenting and medicine:
Pressure of balancing family and work commitment enormous
Not spending enough time/ daily inattention over the years detrimental to parent child relationship
High expectations
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Children and surgery:
A meal together everyday
Fun together once a week
One holiday every year together
Make sure children meet grand parents, relatives periodically
Attend family functions/ marriages
Create family rituals
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Summary:
Enjoy being a Surgeon: focus on the good things.
Effective time management is key to work life balance
Work short of causing burnout
Evolve as a comprehensive human being with surgeon incorporated
Plan ahead for a whole career
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References: The Seven Habits of Highly Effective People
Stephen Covey
Getting Things Done
David Allen
Be Bulletproof: How to achieve success in tough times at work
James Brooke, Simon Brooke