Balancing Work

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Balancing Work Family
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Balancing Work Family
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Balance Wheel
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Life Satisfaction and Medicine

• RF for depression in EM residents (Whitley)
• Single
• Female
• Life satisfaction correlates with work
  satisfaction (Warde and Sobecks)
• all MDs

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EM Academic faculty

• Mothers differ from fathers (Carr)
• Lower career aspirations
• Less institutional support
• Greater obstacles to career
• Lower career satisfaction

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Female EM faculty

• MORE likely to...
• Spend time teaching
• Working clinically

• LESS likely to...
• Achieve senior academic rank
• Publish in peer reviewed journals
• Hold leadership positions

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The Changing Workforce

• Most working fathers have working spouses
• 67 from 49
• Fathers spending more time with kids
• 2.3 hrs/d from 1.8 hrs/d (vs. 3.2 hrs/d for Mom)
• Average work week
• Fathers 49 hrs/wk
• Mothers 41.4 hrs/wk
• Parents have less time to themselves
• Still, mothers bear childcare responsibilities
• 83 of the time mother takes time off for sick
  child

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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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You cant get what you want, till you know what
you want- Joe Jackson
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Goals

• Written
• Personal
• Specific
• Achievable
• Measurable
• Time-Sensitive

• What is your purpose?
• Do you know you?
• What do you really want?
• Set Goals
• Are you committed?
• Do you understand the trade offs?

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Personal Life

• Make time for you
• Physical well being
• Spiritual well being
• Assure time for your relationship(s)
• Take care of your health
• Manage your money well

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Family Life

• Maternity and Paternity Leave
• Get institution/departments 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
• Family/Friends/mentors

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Triage
Things which matter most must never be at the
mercy of things which matter least. - Goethe
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Work Life Traversing a Career Transition

• Explore new possibilities
• Keep within your passion
• Seek/accept new responsibilities
• Expand your network
• Seek additional training
• Formal
• Informal
• Decide what youre NOT going to do

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Shift Work

• Block your schedule
• Work 8 hour shifts if possible
• Anchor sleep
• Block your nights if possible
• Less bouncing around
• Progressive hours

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Women in Academic MedicineLevinson, Kaufman
Tolle JAMWA 1992

• 1988 survey
• academic IM physicians
• lt50 yrs, full time
• N 862
• Coping strategies for career/personal life
• 73 hired help
• 54 limited personal/social activities
• 53 increased efficiency

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Resources

• Self-help books
• Families and Work Institute
• http//www.familiesandwork.org
• Mentors
• Colleagues/Friends

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Moving Up

• Current Strengths
• may be less important
• may become weaknesses
• Flaws suddenly matter
• New skills are required

• ?

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POLI - TICS
(many)
(blood-sucking parasites)
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The Balancing Act

• Make time for
• Yourself
• Your social/ family life
• Your spiritual life
• Your work

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Juggling Styles
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Covey Time Matrix
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COPE Criteria

• Critical
• Obligatory
• Preferable
• Extraneous

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Critical Issues inTime Management

• NO!
• Delegate Do
• Procrastinate Dont
• Quiet hour
• Control daily activities
• Make everything you do count for 2
• Re-define/aggregate activities

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Critical Issues inTime Management

• Have one schedule
• Use time-saving tools
• Control the phone
• Control the mail
• Use travel time
• Know your Achilles heel

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Many people define happiness as success

• Define your happiness

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100 Simple Secrets of Successful PeopleDavid
Niven, Ph.D.

• Easy read
• Author is a psychologist/social scientist
• Collection of studies on success
• Best selling book
• The 100 Simple Secrets of Happy People

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Burnout Warning SignsGoldberg et al. AEM Dec 1996

• Negative perception of self
• Negative practice habits
• Lack of job involvement
• Unhealthy lifestyles
• Substance/alcohol abuse
• Low levels of exercise

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Golden Advice

• They are only small once
• Prioritize be careful about yes
• Its OK to feel inadequate at times
• ACCEPT HELP!
• Involvement in EM outside shift work may be
  important for happiness
• Blend your work and home life
• Schedule time for important things

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I fulfill my own wishes!
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Every day is a gift, thats why they call it the
PRESENT
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Author Credit Balancing Work FamilySusan
Promes MD Elizabeth Datner MD

• Questions

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Postresidency Tools of the Trade CD

• 13) Negotiation Ramundo
• 14) ABEM Certifications Cheng
• 15) Patient Satisfaction Cheng
• 16) Billing, Coding Documenting Cheng/Hall
• 17) Financial Planning Hevia
• 18) Time Management Promes
• 19) Balancing Work Family Promes Datner
• 20) Physician Wellness Burnout Conrad /Wadman
• 21) Professionalism Fredrick
• 22) Cases for professionalism ethics SAEM
• 23) Medical Directorship Proctor
• 24) Academic Career Guide Chapter 1-8
  Nottingham
• 25) Academic career Guide Chapter 9-16 Noeller

• 1) Career Planning Garmel
• 2) Careers in Academic EM Sokolove
• 3) Private Practice Career Options - Holliman
• 4) Fellowship/EM Organizations Coates/Cheng
• 5) CV Garmel
• 6) Interviewing Garmel
• 7) Contracts for Emergency Physicians Franks
• 8) Salary Benefits Hevia
• 9) Malpractice Derse/Cheng
• 10) Clinical Teaching in the ED Wald
• 11) Teaching Tips Ankel
• 12) Mentoring - Ramundo