The document provides 10 suggestions for creating balance in personal and professional life: 1) Continually learn and grow, 2) Act ethically, 3) Set priorities like family first, 4) Learn to say no, 5) Make a positive difference, 6) Manage finances well, 7) Find a supportive partner, 8) Surround yourself with different ages of friends, 9) Exceed patient expectations, and 10) Maintain a sense of humor and have fun. It emphasizes the importance of balance and recharging.

1. 10 Suggestions to Create Balance and Enjoyment in Your Personal and Professional Life Neil Baum New Orleans, LA

2. Why we have trouble with balance? Medical school Post-graduate training Practice We take our work home We are seldom “off” We don’t take the time to recharge our batteries

3. #1 Be a student You are never done learning Medicine is a journey not a destination

5. Be a student

6. Podcasting

11. Take home message Always find time to be a student for your entire career

12. 2. Be ethical Hippocratic Oath - do no harm Don’t be afraid or embarrassed to have your action on the front page of the paper on told on 60 minutes Ethic courses (?)

13. Story of the Jehovah’s Witness

14. Story of Dr. Seybold

15. 2. Be ethical Use good judgment At the end of the day, just do what’s right and in the best interest of the patient

16. 3. Set priorities-God, Family, and Practice Rabbi Harold Kushner

17. Set Priorities “ I never met a man (doctor) on his\her death bed who said ‘I wish I would have spent one more day at the office (seen one more patient)’” Rabbi Harold Kushner

18. 4. Learn to say no

19. Just say no There is no faster road to burn-out than taking on too many projects and accepting too many responsibilities.

20. The “magic” questions Will the obligation enhance my career? Will the commitment take away from my time with my family and friends? Will this obligation lead to balance or imbalance in my life?

21. Take home message… It is not a sin to say "no".

22. 5. Make a difference You have incredible education and skills Are you making a difference in this world?

23. Three doctors who made a difference

24. Dr. Bill Krissoff

25. Example of Dr. Bill Krissoff "Both my sons were hugely affected by the events of 9/11, and Nate was proud to serve in the Marines, as Austin is," Closed his Truckee practice, leaving his Reno home, relocating to San Diego and taking on a brand new persona, that of Navy Lt. Commander Will serve as a Navy surgeon for three years.

26. Dr. Paul Farmer

27. Dr. Paul Farmer Pioneered novel, community-based treatment strategies for AIDS and tuberculosis (including multidrug-resistant tuberculosis) in three underdeveloped countries

29. Dr. Ian Jackson

30. David Lopez Jackson

31. David’s Story

32. David Lopez Jackson A baby abandoned in the Amazonian jungle of Peru suffering horrific facial disfigurement. Performed >100 operations on the child Then adopted him

33. What difference are you making? The Dash By Linda Ellis

34. 19XX - 20XX What will your dash say about you?

35. 6. Control your finances Many students, residents, fellows have debt ~$225,000 Start saving early

36. Medical School Debt Load of Graduate Doctors 1992-2007* If debt levels increase for future physicians and income levels remain the same, the amount of gross income of future physicians devoted to debt service will increase as well. * Private Practice Management, 3\09

37. Take home message… Don’t confuse your net-worth with with your self-worth

38. Michael Jackson

39. Was he happy? He weighed less than 133 lbs. He was 5'10" His stomach was empty except for a few pills He was bald...nothing but 'peach fuzz' He had unexplained bruising on his knees and on the fronts of both shins His hips, thighs and shoulders were riddled with needle wounds- result of injections of narcotic painkillers given three times a day for years

40. Bottom line on finances Achieving balance in your life is far more important than the balance in your check book

41. 7. Find a lifetime partner Can’t do this alone Have someone who is on the same page\team

42. 8. Who are your associates? If you are older, hang out with young people If you are younger, have older friends

43. My neighbors

45. 9. Exceed patients’ expectations Find out what patients want and give them more of it Find out what the patients don’t want and avoid it.

46. Always ask… Would you go to a doctor like you? Story of the bathroom

47. 10. Have fun! Take your practice seriously- not yourself Medicine is the most enjoyable profession and it can be the most fun and rewarding

48. Finally advice from Chris Gardner… Pursuit of Happiness

49. Pursuit of Happiness “ Always pursue happiness…just start right where you are.” Chris Gardner

50. From Da Whiz Always pursue BALANCE…just start right where you are!

51. Have fun: Take your profession-job seriously but not yourself Will Rogers, we are all here for a spell, get all good laughs you can. Inject a dose of humor into your daily activities: Book Learn to tell a joke, you have 5 senses, learn to engage 6 th sense, sense of humor Laughter and stress are incompatible. MSG: You can’t be experiencing stress and laughter at the same time. If you want to lighten up a stressful situation find something to laugh about.

52. Be a disciplined doer and a decider, not a procrastinator. Nothing adds more anxiety to our lives than having deadlines and commitments that we are having trouble meeting. If you have several projects looming in the future,break them down into smaller projects and make a calendar marking off the completion of these little projects. That way you won't be left with a huge project with only days to complete. Discipline can bring balance to the busy professional: clean out your inbox, fill up your outbox, complete your medical records before the delinquency notice arrives, and look for an endpoint to your day. There will be a new set of mail, results, and problems tomorrow and a clean slate creates a balanced perspective. Confront those challenging decisions: a professional who can decide in a few minutes to recommend radical extirpative cancer operation to a relative stranger ought to be able to decide about the new 3 year lease with a few day's reflection.

53. 4) Learn to say "no". There is no faster road to burn out than taking ontoo many projects and accepting too many responsibilities. The next time you are called to join a hospital committee, to become a member of a board in the community, or to accept an invitation for an evening dinner ask yourself these questions: Will the obligation enhance my career? Will the commitment take away from my time with my family and friends? Will this obligation lead to balance or imbalance in my life? If the answer is that you aren't furthering your career and if it distracts from your family time,then you should probably turn down these requests. Remember it is not a sin to say "no".

57. A day without a smile is like a day without sunshine! And a day without sunshine is like.....night!!!

59. Average of 5 M.D.s\day* patients seen\day 20 phone calls returned 20 e-mails\day 17 prescriptions\day 42 review labs and x-ray 31 review specialist reports 14 *Ann Intern Med 2007;147:693-698

60. Work-Mare