TFME 2013 Organizational Professionalism Conference

1. PETER S. MOSKOWITZ, M.D.
EXECUTIVE DIRECTOR
CENTER FOR PROFESSIONAL & PERSONAL RENEWAL
PALO ALTO, CA
Foundation for Medical Excellence
October 6, 2012
Maximizing
Your Vital Resources:
Values-Based
Time & Money Management

2. Disclosure Statement
• Peter S. Moskowitz, M.D. reports he
has no relevant financial relationship
with any commercial entity, other than
his own consulting business, that
provides products or services relevant
to this presentation.

3. Maximizing Your Vital Resources
Learning Objectives
At the conclusion of this presentation physicians will:
1. Address personal values surrounding time allocation.
2. Assess personal time allocation.
3. Clarify personal values surrounding money allocation.
4. Evaluate personal wealth management.

4. What is Your Career “APGAR”
1. I am satisfied with my commitment to personal growth.
2. I have a strategy for dealing with career change.
3. I am satisfied that may career and life priorities are mine
only and reflect my current values.
4. I am satisfied with the way I use my 168 hours/week.
5. I have a financial plan which reflects my goals.
6. I have balance between work and my private life.
7. I practice an effective stress management routine.
8. I know my personal purpose and values.
9. I have an effective mentor and support network.
10.I do not feel stuck in my life or career.
Modified from: J.H. Pfifferling, Ph.D.

5. 1 point for every “Yes” answer
0 point for every “No” answer
Add total points to get total APGAR SCORE
SCORE OF 9-10:
SCORE OF 6-8:
SCORE OF 5 or less:
High Level of Career Wellness
Significant Imbalances / Stress
Your Life and Career are in Chaos
Seek Professional Help
Scoring Your Career “APGAR”
Modified from: J.H. Pfifferling, Ph.D.

6. Why the Fuss about Time & Money?
• Both can be sources of great stress
• Good management required for renewal
• Docs don’t have great stress toolboxes
• Life & practice conditions, effecting time
and money, are changing rapidly

7. STRATEGIES FOR
PERSONAL RENEWAL
• Assess Values and Purpose Annually
• Institute Personal Wellness
- Healthy Diet
- Regular Aerobic Exercise
- Consistent Sleep
- Preventative Medicine
- Regular Fun
• Manage Your Stress Effectively (healthy coping)
• Balance Your Life
• Develop a Support Network
• Manage Your Time and Money Strategically
• Build Good Communication Skills
Copyright CPPR 2012

8. The Old Rules
vs
The New Rules
• The Linear Rule
• The Outside-In Rule
• Learning is just for
kids Rule
• The Steady State Rule
• The Circular Rule
• The Inside-Out Rule
• Learning isn’t just for
kids Rule
• Endless Change Rule
Copyright CPPR 2012

9. The Linear Rule
Be honest and
work hard and
you will
experience…
PROGRESS
HAPPINESSHAPPINESS
SECURITYSECURITY
SUCCESSSUCCESS

10. The Circular Rule
A CHAPTER OF
YOUR LIFE
NEW
BEGINNING
External ChangeExternal Change
• Dreams & PlansDreams & Plans
• AccomplishmentsAccomplishments
• Decline & DiscordDecline & Discord
Internal RenewalInternal Renewal
• HealingHealing
• New Goals & PurposeNew Goals & Purpose
• TrainingTraining
A LIFE
TRANSITION
BETWEEN
CHAPTERS
ENDING

11. The Outside-In Rule
Family
Work, CareerWork, Career
VoluntaryVoluntary
Groups,Groups,
ProfessionalProfessional
Associations,Associations,
National RolesNational Roles
Community,Community,
ChurchChurch YOUYOU

12. The Inside-Out Rule
Family
Work, CareerWork, Career
VoluntaryVoluntary
Groups,Groups,
ProfessionalProfessional
Associations,Associations,
National RolesNational Roles
Community,Community,
ChurchChurch YOUYOU
Global RolesGlobal Roles
and Citizenshipand Citizenship
Winning at LifeWinning at Life
Works Best from theWorks Best from the
INSIDE-OUTINSIDE-OUT

13. The Learning-is-for-Kids Rule
AdulthoodChildhood
Launching
Elderhood
Working,
Doing and
Caring
Learning
Retired

14. The Learning-isn’t-just-for-
Kids Rule
Human Skills
Knowledge &
Information
Technical
Skills
Values &
Leadership

15. The Steady-State Rule
AdulthoodChildhood
Work + Love creates progress,
reaching self-perpetuating
levels of happiness, success,
and security that get better and
better with time.

16. The Endless Change Rule
MidlifeYoung Adulthood Elderhood

17. PHYSICIAN COPING SKILLS
• Work Harder
• Work Harder
• Work Harder
• Bitch, Bitch, Bitch
• Hope Things Change
• Isolate
Copyright CPPR 2012

18. CHANGING
CAREER / LIFE EXPECTATIONS
• The Burden of Educational Debt
• The Cost of Home Ownership
• The Desire for a Balanced Life
• New Work Options
• Early Retirement

19. The CYCLE OF RENEWAL
as a Model of
Life and Career Change

20. PHASE 1PHASE 1
GO FOR ITGO FOR IT
PHASE 2PHASE 2
THE DOLDRUMSTHE DOLDRUMS
PHASE 4PHASE 4
GETTING READYGETTING READY
PHASE 3PHASE 3
COCOONINGCOCOONING
MINITRANSITION
RESTRUCTURE YOUR CHAPTER
A LIFE CHAPTER
A LIFE TRANSITON
The
Disenchanted
Self
The
Inner
Self
The
Passionate
Self
The
Heroic
Self
THE CYCLE OF RENEWAL

21. PROLONGING “GO FOR IT”
• Engage in Continuous Learning
• Practice Effective Stress Management
Balance Your Life!
• Strategic Use of Time and Money
• Schedule Frequent Fun!

22. Questions to Ponder:
• In which phase of the Renewal Cycle are you with your various roles:
_______________________________Spouse/Partner
_______________________________Parent
_______________________________Friend
_______________________________Physician
_______________________________Community Leader
_______________________________Other
• In which phase of the Renewal Cycle are you as a whole person?
• What are the key actions you can do to make the best use of your time in
this phase?
• What are the key actions you can stop doing to make the best use of your
time in this phase?

23. Reconnecting to
Your Personal Values

24. The Importance of Values
• values are our personal anchors as we
are tossed about in the stormy, uncertain
seas of life.
• values define our character and sense of
self
• values help to establish meaning in our
lives

25. Your Personal Values
Questions to Ponder:
1. What is your most important
personal value(s) regarding your
time?
2. What is your most important
personal value(s) about money?

26. It All Begins
with a Re-evaluation
of Your Purpose

27. Question to Ponder:
What is YOUR Purpose?

29. Maximizing Your
Limited Resources
Time Management

30. The Time Management Matrix
Urgent Not Urgent
I
ACTIVITIES:
Crises
Pressing problems
Deadline-driven projects
II
ACTIVITIES:
Prevention, PC activities*
Relationship building
Recognizing new opportunities
Planning, recreation
III
ACTIVITIES:
Interruptions, some calls
Some mail, some reports
Some meetings
Proximate, pressing matters
Popular activities
IV
ACTIVITIES:
Trivia, busy work
Some mail
Some phone calls
Time wasters
Pleasant activities
NotImportantImportant
[S. Covey: The Seven Habits of Highly Effective People]

31. I RESULTS:
• Stress
• Burnout
• Crisis management
• Always putting out fires
II
IV
III
FOCUSING ON QUADRANT I

32. I II
IV
III RESULTS:
• Short-term focus
• Crisis management
• Reputation-chameleon
character
• See goals and plans as
worthless
• Feel victimized, out of control
• Shallow or broken
relationships
FOCUSING ON QUADRANT III

33. I II
RESULTS:
• Total irresponsibility
• Fired from jobs
• Dependent on others or
institutions for basics
III IV
FOCUSING ON QUADRANTS III AND IV

34. I, III, IV II
RESULTS:
• Vision, perspective
• Balance
• Discipline
• Control
• Few crises
FOCUSING ON QUADRANT II

35. Values-Based Time
Management

36. Questions to Ponder about Time
• Do you know how all of your 168 hrs/wk are spent?
• Are you happy with your time allocation?
• Do you spend your time in alignment with your
values?
• If you could change one thing about your schedule,
what would it be?

37. Maximizing Your
Limited Resources
Money Management

38. Questions to Ponder:
• What are your basic values around money?
• Are your expenses less than your income? Are
you sure?
• What are your short/long term money goals?
• Are you on track to succeed with them?
• Is your family protected with a will, trust, and a
durable power of attorney for health care?

39. Designing Your
Personal Balance Plan

41. The Dali Lama on Man
When asked what surprised him most about
humanity, the Dali Lama said,
“Man. Because he sacrifices his health in order to
make money. He sacrifices money to recuperate
his health. He is so anxious about the future that
he does not enjoy the present. The result being
that he does not live in the present or the future.
He lives as if he is never going to die, and then
dies having never fully lived.”

43. PETER S. MOSKOWITZ, M.D.
EXECUTIVE DIRECTOR
CENTER FOR PROFESSIONAL & PERSONAL RENEWAL
PALO ALTO, CA
FOUNDATION FOR MEDICAL EXCELLENCE
October 6, 2012
Maximizing
Your Vital Resources:
Values-Based
Time & Money Management