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Healthier Doctors, Safer Patients
 

Healthier Doctors, Safer Patients

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    Healthier Doctors, Safer Patients Healthier Doctors, Safer Patients Presentation Transcript

    • Enspire Learning Healthy Doctors, Safer Patients: Teaching Stress Management to Medical Professionals
    • Enspire Presenters Jessica Shadoian Instructional Strategist Medical Content Lead Copyright © Enspire Learning Mindy Jackson Director of Instructional Design Christine Quinn Vice President for Risk Management Services Marjorie Thomas Senior Vice President for Risk Management and Underwriting Tristan Mueck Content Development Coordinator
    • Today’s Agenda
      • Case Study
      • Best Practices – Top Ten
      • Question & Answer
      Copyright © Enspire Learning
    • Poll
      • What is your role in healthcare? Choose one that best fits your current job description.
      • Manager
      • Trainer
      • Practitioner
      • Regulator
      • Advocate
      • Insurer
      Copyright © Enspire Learning
    • Case Study Copyright © Enspire Learning
    • Which Pilot Would You Choose? Copyright © Enspire Learning
    • Which Surgeon Would You Choose? Copyright © Enspire Learning
    • Patient Safety
      • How Are We Doing? (1999)
      • 98,000 deaths
      • 1 million injuries
      Copyright © Enspire Learning Institute of Medicine, 1999
    • Patient Safety: No Improvement Copyright © Enspire Learning
      • How Are We Doing? (2010)
      • No statistically significant improvements
      • 25.1 incidents of preventable harm/100 admissions
      Landrigan et al, Temporal Trends in Rates of Patient Harm Resulting from Medical Care. N Engl J Med 2010; 363:2124-2134
    • Burnout and American Physicians Copyright © Enspire Learning
      • 1 in 4 physicians suffering from burnout.
      • Burnout rates range from 25%-60%
      Shanafelt TD, Bradley KA, Wipf JE, Back AL. Burnout and Self-reported Patient Care in an Internal Residency Program. Ann Int Med. 2002;136:358-357 Zuger A. Dissatisfaction with Medical Practice. N Eng J Med 350:69-75
    • Burnout and Medical Error
      • Tiredness 57%
      • Pressure of Overwork 28%
      • Depression or Anxiety 8%
      • Effects of Alcohol 5%
      Copyright © Enspire Learning Firth-Cozens J. Doctors' Perceptions of the Links Between Stress and Lowered Clinical Care Social Science & Medicine, Volume 44(7), 1017-1022
    • Bi-Directional Nature of Medical Error
      • “ Major medical errors reported by surgeons are strongly related to a surgeon's degree of burnout and their mental quality of life.”
      Copyright © Enspire Learning Shanafelt et.al. Burnout and Medical Error Among American Surgeons. Ann Surg. 2010 Jun;251(6):995-1000
    • Interrupting the Cycle: Experiment
      • Mindfulness Workshop
      • 70 physicians
      • 1 year
      Copyright © Enspire Learning Krasner et al. Association of an Educational Program in Mindful Communication With Burnout, Empathy, and Attitudes Among Primary Care Physicians. JAMA. 2009;302(12):1284-1293
    • Findings: Physician Resilience
      • After a year-long program on mindfulness, participating doctors became more mindful, less burned out, and less emotionally exhausted.
      Copyright © Enspire Learning Krasner et al. Association of an Educational Program in Mindful Communication With Burnout, Empathy, and Attitudes Among Primary Care Physicians. JAMA. 2009;302(12):1284-1293
    • Findings: Improved Therapeutic Efficacy
      • Stronger sense of empathy
      • Stronger value of psychosocial factors of illness experience
      Copyright © Enspire Learning Krasner et al. Association of an Educational Program in Mindful Communication With Burnout, Empathy, and Attitudes Among Primary Care Physicians. JAMA. 2009;302(12):1284-1293
    • Poll
      • What is your biggest challenge in training healthcare providers?
      • Maintaining learner interest and motivation
      • Personalizing the learning experience
      • Providing sufficient practice and feedback sessions
      • Identifying and implementing what works best
      Copyright © Enspire Learning
    • Best Practices for Training Medical Professionals Copyright © Enspire Learning
    • 1. Start With a Design Workshop Copyright © Enspire Learning
      • Two-day design workshop to discover:
      • Who is the learner?
      • What are we teaching?
      • How to motivate the learner?
      • How to make it interactive?
    • 2. Focus on Performance Copyright © Enspire Learning
    • 2. Focus on Performance Copyright © Enspire Learning Elaborate Simple
    • 2. Focus on Performance Copyright © Enspire Learning
    • 3. Show the Numbers Copyright © Enspire Learning
    • 3. Show the Numbers Copyright © Enspire Learning
    • 4. Simulate the Social Copyright © Enspire Learning
    • 4. Simulate the Social Copyright © Enspire Learning Insert screenshot from PRI Communications Simulation
    • 5. Personalize the Experience Copyright © Enspire Learning
    • 5. Personalize the Experience Copyright © Enspire Learning
    • 5. Personalize the Experience Copyright © Enspire Learning
    • 6. Follow Up with Feedback and Reflection Copyright © Enspire Learning
    • 6. Follow Up with Feedback and Reflection Copyright © Enspire Learning
    • 7. Choose and Mix Multimedia Copyright © Enspire Learning
    • 7. Choose and Mix Multimedia
      • Don’t forget audio
      • Set and get the tone right
      • Music and sound design
      Copyright © Enspire Learning
    • 8. Practice Makes Performance Copyright © Enspire Learning
    • 8. Practice Makes Performance Copyright © Enspire Learning
    • 9. Look Ahead to Build Capacity Copyright © Enspire Learning
      • Research continues
      • Medicine marches on
      • Build accordingly
      • Make your content manageable and your courses nimble .
      • Design rubrics and data indicators
      • Stakeholder reviews
      • Prototyping components
      • 1:1 and small group testing (Rule of 5)
      • Pilot testing
      10. What Works
    • Copyright © Enspire Learning 10. What Works
    • Questions & Answers Enspire Learning 1708 Guadalupe St. Austin, TX 78701 (512)472-8400 www.enspire.com Copyright © Enspire Learning