This document discusses preventing burnout among physicians. It begins by outlining learning objectives around understanding why physicians are vulnerable to stress, recognizing signs of stress, defining burnout, and identifying strategies to manage stress. It then discusses various biological, psychological, social, and work-related factors that can contribute to burnout. Key points include the personality traits common among physicians, issues arising from past experiences, and occupational hazards of medicine. Burnout is defined as a syndrome involving emotional exhaustion, depersonalization, and reduced personal accomplishment. The document concludes by emphasizing the importance of perceiving control and choice in managing stress, prioritizing self-care, and adopting a balanced approach to the various demands on physicians' time and energy
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Compare and contrast chemical and behavioral addictions signs, interventions and functions.
Examine Behavioral Addictions...Their similarity and differences to chemical addictions, effective interventions for addictive behaviors in which abstinence is not the treatment goal (i.e. eating, sex)
Addiction and Mental Health Counselors can earn continuing education credits (CEs) for this course at: https://www.allceus.com/member/cart/index/product/id/466/c/
Unlimited Counseling CEUs for $59 https://www.allceus.com/
Specialty Certificate tracks starting at $89 https://www.allceus.com/certificate-tracks/
Live Webinars $5/hour https://www.allceus.com/live-interactive-webinars/
Patreon: https://www.patreon.com/CounselorToolbox Help us keep the videos free for everyone to learn by becoming a patron.
Pinterest: drsnipes
AllCEUs has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6261. Programs that do not qualify for NBCC Credit are clearly identified. AllCEUs is solely responsible for all aspects of the programs.
AllCEUs is also approved as an education provider for NAADAC, the States of Florida and Texas Boards of Social Work and Mental Health/Professional Counseling, the California Consortium for Addiction Professionals and Professions. Our courses are accepted in most states through those approvals.
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Compare and contrast chemical and behavioral addictions signs, interventions and functions.
Examine Behavioral Addictions...Their similarity and differences to chemical addictions, effective interventions for addictive behaviors in which abstinence is not the treatment goal (i.e. eating, sex)
Addiction and Mental Health Counselors can earn continuing education credits (CEs) for this course at: https://www.allceus.com/member/cart/index/product/id/466/c/
Unlimited Counseling CEUs for $59 https://www.allceus.com/
Specialty Certificate tracks starting at $89 https://www.allceus.com/certificate-tracks/
Live Webinars $5/hour https://www.allceus.com/live-interactive-webinars/
Patreon: https://www.patreon.com/CounselorToolbox Help us keep the videos free for everyone to learn by becoming a patron.
Pinterest: drsnipes
AllCEUs has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6261. Programs that do not qualify for NBCC Credit are clearly identified. AllCEUs is solely responsible for all aspects of the programs.
AllCEUs is also approved as an education provider for NAADAC, the States of Florida and Texas Boards of Social Work and Mental Health/Professional Counseling, the California Consortium for Addiction Professionals and Professions. Our courses are accepted in most states through those approvals.
Physician Burnout Prevention - The Portal to Physician EngagementDike Drummond MD
Physician Burnout Prevention is the Portal to Physician Engagement
Presentation to the ACPE Annual Meeting 2013
The biggest risk in healthcare at the moment is not reform, changing reimbursements, EMR or the tidal wave of newly insured patients. The #1 danger to healthcare is the stress that ALL of this is placing on the front line workers - the physicians, nurses and staff.
In this presentation you will learn
1) The #1 Threat to Healthcare - Physician Burnout
2) Why addressing Physician Burnout Head On will give your group a competitive advantage in the years ahead
3) Physician Burnout New Information with a complete mini-training update
- Physician Burnout Vs. Stress
- Prevalence and Trends
- Symptoms & Gender Differences
- Effects & Complications
- Pathophysiology
- 4 Main Causes of Physician Burnout
- Over 117 Prevention Methods
4) Why it's time to stop the Physician Wellness Crusade
5) A Shortcut to Physician Engagement
6) Why Physician Executives are uniquely positioned to champion these changes for the benefit of
- The Physicians and their families
- The patients and staff
Get your copy of the MATRIX report with 117 ways physicians and organizations can work together to prevent burnout
http://www.tinyurl.com/bpmatrix
Dike
Dike Drummond MD
http://www.thehappymd.com
- The health and bottom line of the Organization
This is a presentation for student nurses helping them to learn ways to live stress free during nursing school and carry those techniques to their future profession as nurses.
It is an approach to help all to know the stress and can able to reduce and manage stress for a healthy, happy life in this modern world. Wishing you all the best. May God help you all.....
This presenation by Jodie Butler from St Vincents Hospital discusses the spectrum of mental health issues and how to recognise problems and support and refer people. This presentation was given at the AFAO Positive Services Forum in June 2009.
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Unlimited Counseling CEUs for $59 https://www.allceus.com/
Specialty Certificate tracks starting at $89 https://www.allceus.com/certificate-tracks/
Live Webinars $5/hour https://www.allceus.com/live-interactive-webinars/
Patreon: https://www.patreon.com/CounselorToolbox Help us keep the videos free for everyone to learn by becoming a patron.
Pinterest: drsnipes
https://www.youtube.com/user/allceuseducation
Nurses, addiction and mental health counselors, social workers and marriage and family therapists can earn continuing education credits (CEs) for this and other course at:
View the New Harbinger Catalog and get your 25% discount on their products by entering coupon code: 1168SNIPES at check out
AllCEUs has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6261. Programs that do not qualify for NBCC Credit are clearly identified. AllCEUs is solely responsible for all aspects of the programs.
AllCEUs is also approved as an education provider for NAADAC, the States of Florida and Texas Boards of Social Work and Mental Health/Professional Counseling, the California Consortium for Addiction Professionals and Professions. Our courses are accepted in most states through those approvals.
Mental Health Nursing
Psychiatric Nursing
Dr. Rahul Sharma
Associate Professor
H.O.D. of Mental Health Nursing
Ph. D Coordinator
Seedling School of Nursing,
Jaipur National University, Jaipur
reaction to stressful experiences. the normal reactions and psychological disorders related to it. short discussion of PTSD, acute stress reaction and Adjustment disorder along with treatment options.
very summarized management of each condition. good for medical students
Physician Burnout Prevention - The Portal to Physician EngagementDike Drummond MD
Physician Burnout Prevention is the Portal to Physician Engagement
Presentation to the ACPE Annual Meeting 2013
The biggest risk in healthcare at the moment is not reform, changing reimbursements, EMR or the tidal wave of newly insured patients. The #1 danger to healthcare is the stress that ALL of this is placing on the front line workers - the physicians, nurses and staff.
In this presentation you will learn
1) The #1 Threat to Healthcare - Physician Burnout
2) Why addressing Physician Burnout Head On will give your group a competitive advantage in the years ahead
3) Physician Burnout New Information with a complete mini-training update
- Physician Burnout Vs. Stress
- Prevalence and Trends
- Symptoms & Gender Differences
- Effects & Complications
- Pathophysiology
- 4 Main Causes of Physician Burnout
- Over 117 Prevention Methods
4) Why it's time to stop the Physician Wellness Crusade
5) A Shortcut to Physician Engagement
6) Why Physician Executives are uniquely positioned to champion these changes for the benefit of
- The Physicians and their families
- The patients and staff
Get your copy of the MATRIX report with 117 ways physicians and organizations can work together to prevent burnout
http://www.tinyurl.com/bpmatrix
Dike
Dike Drummond MD
http://www.thehappymd.com
- The health and bottom line of the Organization
This is a presentation for student nurses helping them to learn ways to live stress free during nursing school and carry those techniques to their future profession as nurses.
It is an approach to help all to know the stress and can able to reduce and manage stress for a healthy, happy life in this modern world. Wishing you all the best. May God help you all.....
This presenation by Jodie Butler from St Vincents Hospital discusses the spectrum of mental health issues and how to recognise problems and support and refer people. This presentation was given at the AFAO Positive Services Forum in June 2009.
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Unlimited Counseling CEUs for $59 https://www.allceus.com/
Specialty Certificate tracks starting at $89 https://www.allceus.com/certificate-tracks/
Live Webinars $5/hour https://www.allceus.com/live-interactive-webinars/
Patreon: https://www.patreon.com/CounselorToolbox Help us keep the videos free for everyone to learn by becoming a patron.
Pinterest: drsnipes
https://www.youtube.com/user/allceuseducation
Nurses, addiction and mental health counselors, social workers and marriage and family therapists can earn continuing education credits (CEs) for this and other course at:
View the New Harbinger Catalog and get your 25% discount on their products by entering coupon code: 1168SNIPES at check out
AllCEUs has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6261. Programs that do not qualify for NBCC Credit are clearly identified. AllCEUs is solely responsible for all aspects of the programs.
AllCEUs is also approved as an education provider for NAADAC, the States of Florida and Texas Boards of Social Work and Mental Health/Professional Counseling, the California Consortium for Addiction Professionals and Professions. Our courses are accepted in most states through those approvals.
Mental Health Nursing
Psychiatric Nursing
Dr. Rahul Sharma
Associate Professor
H.O.D. of Mental Health Nursing
Ph. D Coordinator
Seedling School of Nursing,
Jaipur National University, Jaipur
reaction to stressful experiences. the normal reactions and psychological disorders related to it. short discussion of PTSD, acute stress reaction and Adjustment disorder along with treatment options.
very summarized management of each condition. good for medical students
Mental health in the workplace
Implications of Mental Health
Factors that may result to poor Mental Health
Early signs of Negative Mental Health
Ways to maintain Positive Mental Health
Creating a MH Friendly workplace
What employees, co-workers, and employers can do.
Depression is a mood disorder that causes a persistent feeling of sadness and loss of interest. Also called major depressive disorder or clinical depression, it affects how you feel, think and behave and can lead to a variety of emotional and physical problems.
Supporting the mental health and wellbeing of Anaesthetists. What can the workplace do? Presentation by Hunter Institute of Mental Health Director, Jaelea Skehan.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...GL Anaacs
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The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
4. Disclosure of Conflict of Interest
Conflicts to Declare:
• No affiliation with a pharmaceutical,
medical device or communications
organization.
• President and CEO – PEAK MD
5. Learning Objectives
• Understand why we are vulnerable to
stress in medicine
• Recognize the early warning signs of
stress
• Define burnout
• Identify strategies to manage stress and
prevent burnout
12. COMMON PERSONALITY TRAITS
•
•
•
•
•
•
•
•
Overly conscientious
People pleasing
Sense of Responsibility and Guilt
Unrelenting perfectionism
Need to control others
Chronic self doubts
Uncomfortable with love, approval
Ability to delay gratification
14. ISSUES ARISING FROM PAST
EXPERIENCES
•
•
•
•
Establish sense of self as children
Believe three main assumptions
Develop “Personal Historian”
Perception: We are not good enough.
We do not measure up.
37. IN ALL OF THIS,
THE PERSONAL NEEDS OF THE
PHYSICIAN ARE LAST, AND
OFTEN LOST.
38. FIVE EARLY DANGER SIGNS
• Increase in physical problems and
illnesses.
• More problems with relationships.
• Increase in negative thoughts and
feelings.
• Significant increase in bad habits.
• Exhaustion.
39. BURNOUT
A syndrome of emotional exhaustion, chronic
overstress. (Maslach)
-Distinct work-related syndrome – demands exceed
individual resources
-Not a psychiatric diagnosis
-Most likely to occur in jobs that require extensive
care of others
-Common among practicing physicians
40. BURNOUT
Three Stages (Maslach Burnout Inventory):
• Emotional Exhaustion
• Depersonalization
• Reduced Personal Accomplishment
41. Review of Burnout Studies
• Emotional exhaustion = 46-80%
• Depersonalization = 22-93%
• Low Personal Satisfaction = 16-79%
42. Starts early in our training
• Burnout prevalent during medical school
• Major US multi-institutional studies estimate
at least half of all medical students may be
affected by burnout
• Persists beyond medical school – between
20-60% of practicing physicians
• Highest prevalence reported in residents (4076%)
43. Work Related
• Demands of the workplace exceed individual
resources – way of life for many physicians
• 2001 CMA PRQ:
–
–
–
–
–
–
–
64% have workload too heavy
58% felt family and personal life suffered
57% felt patients’ expectations too high
29% felt on call too often
33% felt lack of locums and could not take holidays
64% felt difficulty getting referrals for patients,
46% felt limited in changing specialty/career path
44. Possible Risk Factors
• High Workload - demands exceed resources
• Age - inverse relation between age and
burnout. ? Survivor bias.
• Spousal support – inverse relation between
emotional exhaustion and support from
partner
• Personality traits
45. SERIOUS CONSEQUENCES
1.
2.
3.
4.
5.
6.
Impaired job performance and
Professional Problems
Changing jobs, reducing work hours
Difficulty with Relationships – home
and work
Physical Illnesses
Addictions
Psychiatric Illnesses – Anxiety,
Depression, Suicide
46. Even the healthiest and strongest of
us can become unhealthy
in an unhealthy environment.
48. General Strategy
• The number one cause of stress
leading to burnout:
THE PERCEPTION THAT WE HAVE
NO CHOICE, NO CONTROL.
49. • The number one skill in dealing with stress:
CHALLENGE YOUR PERCEPTION.
50. STEPS IN MANAGING STRESS
• Identify the stressor
• Recognize that you have more control than
you think you do
• Identify what parts you do, and do not,
control
• Focus on what you do control, and learn to
cope with what you do not control
51.
52.
53. MAKING CHOICES
•
•
•
•
Recognize that you have choices
Focus on what you can control.
Set priorities - self, family, work.
Accept that you will not be perfect.
“Good enough is good enough.”
• Phases – A Work in Progress
54.
55. The Five Balls
•
•
•
•
•
The Work Ball
The Home and Family Ball
The Relationships Ball
The Friends Ball
The Self Care Ball
57. Take Away Messages
• The very traits that help us succeed can
make us vulnerable to stress and burnout
• None of us are immune
• We can look for warning signs of stress in
ourselves and our colleagues
• Prevention is key. Take care of yourself first
• There are things we can do to be resilient;
stay tuned!