PETER S. MOSKOWITZ, M.D.
EXECUTIVE DIRECTOR
CENTER FOR PROFESSIONAL & PERSONAL RENEWAL
PALO ALTO, CA
Foundation for Medica...
Disclosure Statement
• Peter S. Moskowitz, M.D. reports he
has no relevant financial relationship
with any commercial enti...
Maximizing Your Vital Resources
Learning Objectives
At the conclusion of this presentation physicians will:
1. Address per...
What is Your Career “APGAR”
1. I am satisfied with my commitment to personal growth.
2. I have a strategy for dealing with...
1 point for every “Yes” answer
0 point for every “No” answer
Add total points to get total APGAR SCORE
SCORE OF 9-10:
SCOR...
Why the Fuss about Time & Money?
• Both can be sources of great stress
• Good management required for renewal
• Docs don’t...
STRATEGIES FOR
PERSONAL RENEWAL
• Assess Values and Purpose Annually
• Institute Personal Wellness
- Healthy Diet
- Regula...
The Old Rules
vs
The New Rules
• The Linear Rule
• The Outside-In Rule
• Learning is just for
kids Rule
• The Steady State...
The Linear Rule
Be honest and
work hard and
you will
experience…
PROGRESS
HAPPINESSHAPPINESS
SECURITYSECURITY
SUCCESSSUCCE...
The Circular Rule
A CHAPTER OF
YOUR LIFE
NEW
BEGINNING
External ChangeExternal Change
• Dreams & PlansDreams & Plans
• Acc...
The Outside-In Rule
Family
Work, CareerWork, Career
VoluntaryVoluntary
Groups,Groups,
ProfessionalProfessional
Association...
The Inside-Out Rule
Family
Work, CareerWork, Career
VoluntaryVoluntary
Groups,Groups,
ProfessionalProfessional
Association...
The Learning-is-for-Kids Rule
AdulthoodChildhood
Launching
Elderhood
Working,
Doing and
Caring
Learning
Retired
The Learning-isn’t-just-for-
Kids Rule
Human Skills
Knowledge &
Information
Technical
Skills
Values &
Leadership
The Steady-State Rule
AdulthoodChildhood
Work + Love creates progress,
reaching self-perpetuating
levels of happiness, suc...
The Endless Change Rule
MidlifeYoung Adulthood Elderhood
PHYSICIAN COPING SKILLS
• Work Harder
• Work Harder
• Work Harder
• Bitch, Bitch, Bitch
• Hope Things Change
• Isolate
Cop...
CHANGING
CAREER / LIFE EXPECTATIONS
• The Burden of Educational Debt
• The Cost of Home Ownership
• The Desire for a Balan...
The CYCLE OF RENEWAL
as a Model of
Life and Career Change
PHASE 1PHASE 1
GO FOR ITGO FOR IT
PHASE 2PHASE 2
THE DOLDRUMSTHE DOLDRUMS
PHASE 4PHASE 4
GETTING READYGETTING READY
PHASE ...
PROLONGING “GO FOR IT”
• Engage in Continuous Learning
• Practice Effective Stress Management
Balance Your Life!
• Strateg...
Questions to Ponder:
• In which phase of the Renewal Cycle are you with your various roles:
______________________________...
Reconnecting to
Your Personal Values
The Importance of Values
• values are our personal anchors as we
are tossed about in the stormy, uncertain
seas of life.
•...
Your Personal Values
Questions to Ponder:
1. What is your most important
personal value(s) regarding your
time?
2. What is...
It All Begins
with a Re-evaluation
of Your Purpose
Question to Ponder:
What is YOUR Purpose?
Maximizing Your
Limited Resources
Time Management
The Time Management Matrix
Urgent Not Urgent
I
ACTIVITIES:
Crises
Pressing problems
Deadline-driven projects
II
ACTIVITIES...
I RESULTS:
• Stress
• Burnout
• Crisis management
• Always putting out fires
II
IV
III
FOCUSING ON QUADRANT I
I II
IV
III RESULTS:
• Short-term focus
• Crisis management
• Reputation-chameleon
character
• See goals and plans as
wort...
I II
RESULTS:
• Total irresponsibility
• Fired from jobs
• Dependent on others or
institutions for basics
III IV
FOCUSING ...
I, III, IV II
RESULTS:
• Vision, perspective
• Balance
• Discipline
• Control
• Few crises
FOCUSING ON QUADRANT II
Values-Based Time
Management
Questions to Ponder about Time
• Do you know how all of your 168 hrs/wk are spent?
• Are you happy with your time allocati...
Maximizing Your
Limited Resources
Money Management
Questions to Ponder:
• What are your basic values around money?
• Are your expenses less than your income? Are
you sure?
•...
Designing Your
Personal Balance Plan
The Dali Lama on Man
When asked what surprised him most about
humanity, the Dali Lama said,
“Man. Because he sacrifices hi...
PETER S. MOSKOWITZ, M.D.
EXECUTIVE DIRECTOR
CENTER FOR PROFESSIONAL & PERSONAL RENEWAL
PALO ALTO, CA
FOUNDATION FOR MEDICA...
Moskowitz plenary
Moskowitz plenary
Moskowitz plenary
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Moskowitz plenary

  1. 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. 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. 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. 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. 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. 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. 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. 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. 9. The Linear Rule Be honest and work hard and you will experience… PROGRESS HAPPINESSHAPPINESS SECURITYSECURITY SUCCESSSUCCESS
  10. 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. 11. The Outside-In Rule Family Work, CareerWork, Career VoluntaryVoluntary Groups,Groups, ProfessionalProfessional Associations,Associations, National RolesNational Roles Community,Community, ChurchChurch YOUYOU
  12. 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. 13. The Learning-is-for-Kids Rule AdulthoodChildhood Launching Elderhood Working, Doing and Caring Learning Retired
  14. 14. The Learning-isn’t-just-for- Kids Rule Human Skills Knowledge & Information Technical Skills Values & Leadership
  15. 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. 16. The Endless Change Rule MidlifeYoung Adulthood Elderhood
  17. 17. PHYSICIAN COPING SKILLS • Work Harder • Work Harder • Work Harder • Bitch, Bitch, Bitch • Hope Things Change • Isolate Copyright CPPR 2012
  18. 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. 19. The CYCLE OF RENEWAL as a Model of Life and Career Change
  20. 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. 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. 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. 23. Reconnecting to Your Personal Values
  24. 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. 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. 26. It All Begins with a Re-evaluation of Your Purpose
  27. 27. Question to Ponder: What is YOUR Purpose?
  28. 28. Maximizing Your Limited Resources Time Management
  29. 29. 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]
  30. 30. I RESULTS: • Stress • Burnout • Crisis management • Always putting out fires II IV III FOCUSING ON QUADRANT I
  31. 31. 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
  32. 32. I II RESULTS: • Total irresponsibility • Fired from jobs • Dependent on others or institutions for basics III IV FOCUSING ON QUADRANTS III AND IV
  33. 33. I, III, IV II RESULTS: • Vision, perspective • Balance • Discipline • Control • Few crises FOCUSING ON QUADRANT II
  34. 34. Values-Based Time Management
  35. 35. 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?
  36. 36. Maximizing Your Limited Resources Money Management
  37. 37. 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?
  38. 38. Designing Your Personal Balance Plan
  39. 39. 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.”
  40. 40. 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

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