Healthier Doctors, Safer Patients

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Healthier Doctors, Safer Patients

  1. 1. Enspire Learning Healthy Doctors, Safer Patients: Teaching Stress Management to Medical Professionals
  2. 2. 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
  3. 3. Today’s Agenda <ul><li>Case Study </li></ul><ul><li>Best Practices – Top Ten </li></ul><ul><li>Question & Answer </li></ul>Copyright © Enspire Learning
  4. 4. Poll <ul><li>What is your role in healthcare? Choose one that best fits your current job description. </li></ul><ul><li>Manager </li></ul><ul><li>Trainer </li></ul><ul><li>Practitioner </li></ul><ul><li>Regulator </li></ul><ul><li>Advocate </li></ul><ul><li>Insurer </li></ul>Copyright © Enspire Learning
  5. 5. Case Study Copyright © Enspire Learning
  6. 6. Which Pilot Would You Choose? Copyright © Enspire Learning
  7. 7. Which Surgeon Would You Choose? Copyright © Enspire Learning
  8. 8. Patient Safety <ul><li>How Are We Doing? (1999) </li></ul><ul><li>98,000 deaths </li></ul><ul><li>1 million injuries </li></ul>Copyright © Enspire Learning Institute of Medicine, 1999
  9. 9. Patient Safety: No Improvement Copyright © Enspire Learning <ul><li>How Are We Doing? (2010) </li></ul><ul><li>No statistically significant improvements </li></ul><ul><li>25.1 incidents of preventable harm/100 admissions </li></ul>Landrigan et al, Temporal Trends in Rates of Patient Harm Resulting from Medical Care. N Engl J Med 2010; 363:2124-2134
  10. 10. Burnout and American Physicians Copyright © Enspire Learning <ul><li>1 in 4 physicians suffering from burnout. </li></ul><ul><li>Burnout rates range from 25%-60% </li></ul>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
  11. 11. Burnout and Medical Error <ul><li>Tiredness 57% </li></ul><ul><li>Pressure of Overwork 28% </li></ul><ul><li>Depression or Anxiety 8% </li></ul><ul><li>Effects of Alcohol 5% </li></ul>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
  12. 12. Bi-Directional Nature of Medical Error <ul><li>“ Major medical errors reported by surgeons are strongly related to a surgeon's degree of burnout and their mental quality of life.” </li></ul>Copyright © Enspire Learning Shanafelt et.al. Burnout and Medical Error Among American Surgeons. Ann Surg. 2010 Jun;251(6):995-1000
  13. 13. Interrupting the Cycle: Experiment <ul><li>Mindfulness Workshop </li></ul><ul><li>70 physicians </li></ul><ul><li>1 year </li></ul>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
  14. 14. Findings: Physician Resilience <ul><li>After a year-long program on mindfulness, participating doctors became more mindful, less burned out, and less emotionally exhausted. </li></ul>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
  15. 15. Findings: Improved Therapeutic Efficacy <ul><li>Stronger sense of empathy </li></ul><ul><li>Stronger value of psychosocial factors of illness experience </li></ul>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
  16. 16. Poll <ul><li>What is your biggest challenge in training healthcare providers? </li></ul><ul><li>Maintaining learner interest and motivation </li></ul><ul><li>Personalizing the learning experience </li></ul><ul><li>Providing sufficient practice and feedback sessions </li></ul><ul><li>Identifying and implementing what works best </li></ul>Copyright © Enspire Learning
  17. 17. Best Practices for Training Medical Professionals Copyright © Enspire Learning
  18. 18. 1. Start With a Design Workshop Copyright © Enspire Learning <ul><li>Two-day design workshop to discover: </li></ul><ul><li>Who is the learner? </li></ul><ul><li>What are we teaching? </li></ul><ul><li>How to motivate the learner? </li></ul><ul><li>How to make it interactive? </li></ul>
  19. 19. 2. Focus on Performance Copyright © Enspire Learning
  20. 20. 2. Focus on Performance Copyright © Enspire Learning Elaborate Simple
  21. 21. 2. Focus on Performance Copyright © Enspire Learning
  22. 22. 3. Show the Numbers Copyright © Enspire Learning
  23. 23. 3. Show the Numbers Copyright © Enspire Learning
  24. 24. 4. Simulate the Social Copyright © Enspire Learning
  25. 25. 4. Simulate the Social Copyright © Enspire Learning Insert screenshot from PRI Communications Simulation
  26. 26. 5. Personalize the Experience Copyright © Enspire Learning
  27. 27. 5. Personalize the Experience Copyright © Enspire Learning
  28. 28. 5. Personalize the Experience Copyright © Enspire Learning
  29. 29. 6. Follow Up with Feedback and Reflection Copyright © Enspire Learning
  30. 30. 6. Follow Up with Feedback and Reflection Copyright © Enspire Learning
  31. 31. 7. Choose and Mix Multimedia Copyright © Enspire Learning
  32. 32. 7. Choose and Mix Multimedia <ul><li>Don’t forget audio </li></ul><ul><li>Set and get the tone right </li></ul><ul><li>Music and sound design </li></ul>Copyright © Enspire Learning
  33. 33. 8. Practice Makes Performance Copyright © Enspire Learning
  34. 34. 8. Practice Makes Performance Copyright © Enspire Learning
  35. 35. 9. Look Ahead to Build Capacity Copyright © Enspire Learning <ul><li>Research continues </li></ul><ul><li>Medicine marches on </li></ul><ul><li>Build accordingly </li></ul><ul><li>Make your content manageable and your courses nimble . </li></ul>
  36. 36. <ul><li>Design rubrics and data indicators </li></ul><ul><li>Stakeholder reviews </li></ul><ul><li>Prototyping components </li></ul><ul><li>1:1 and small group testing (Rule of 5) </li></ul><ul><li>Pilot testing </li></ul>10. What Works
  37. 37. Copyright © Enspire Learning 10. What Works
  38. 38. Questions & Answers Enspire Learning 1708 Guadalupe St. Austin, TX 78701 (512)472-8400 www.enspire.com Copyright © Enspire Learning

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