Work life balance in medical practice


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Lecture delivered in API CME in jan 2013

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Work life balance in medical practice

  1. 1. Wor k Life balance in Medical pr actice Vijay sardana MD , DM ( Neurology) Professor & Head, Deptt. of Neurology, Chairman Medical Education Unit Government Medical college kota
  2. 2. Doctor : Facts One of the every three dissatisfied due to lack of time for themselves or their families Average life 10 year less Depression 4 times higher than general population 8.6% higher risk of emotional exhaustion, 10% higher risk of burnout US- Physician suicide 3 time than general population 10% - Develop drug addiction
  3. 3. Job satisfaction among Doctors 69.5% –satisfied (AIIMS) Medical doctor in Armed Force – 40% Choudhary et al MIAFI 2004;60:329-32Madan N. job satisfaction among doctor in a Tertiary Care Hospital jk science:2008,10(2)81-83
  4. 4. work life balance: Issues Managing burn out Time management Managing marriage and family When to retire?
  5. 5. Manage boredom & burnout
  6. 6. Stages of careerMedical studentResidentDoctor- professional workBoredom by 40-50 years? What to do next
  7. 7. Burnout Work/family/ community/ self work – more than 60% self _ less than 10% Lossof Physical, Emotional & Mental Energy
  8. 8. Burnout : Symptoms Behavioral – Angry/Depressed, poor concentration, Chronically late or psychologically absent, work avoidance Excessive drinking/Drugs Tiredness, lethargy, sleep disorders
  9. 9. Burnout – Things to do Learn to take care of yourself – learn to rest - learn to Exercise Learn to say No Have fulfilling life outside of clinic - develop your hobbies & activities Learn to cut routine work Develop strong support system
  10. 10. Exercise has life transforming benefits
  11. 11. Regular exercise: benefits Improves cardio vascular fitness Improves mood Reduces stress Loses fat, not lean muscle Decrease back & joint pain Decrease loss of bone density Decrease chol., HT, insulin sensitivity, incidence & mortality from CAD, risk of colonic cancer
  12. 12. Ultradian performance rhythm
  13. 13. Time management science
  14. 14. Time as a Commodity most precious thing we have ultimately the most valuable resource Time cannot be stored up for later use
  15. 15. Very Busy ? Just because you are busy does not mean that you are productive Differentiate between – Effectiveness -- doing the right things – Efficiency -- doing the right things correctly
  16. 16. Spent Time Matrix stephen covey’s matrix Urgent Not Urgent Q1 MANAGE Q2 FOCUS Crisis Preparation/planningImportant Medical emergencies Prevention Pressing problems Values clarification Deadline-driven projects Exercise Last-minute exam preparations Relationship-building True recreation/relaxation Q3 AVOID Q4 AVOID Not Interruptions, some calls Some mail & reports Junk mail Some phone messageImportant Some meetings Many “pressing” matters Time wasters Viewing mindless TV shows Many popular activities 18
  17. 17. Quadrant 1 Being in Quadrant 1 brings – Stress – Burnout – Crises management – Focus on the immediate
  18. 18. Quadrant 3 Being in Quadrant 3 brings – Short term focus – Crises management – Low value on goal
  19. 19. Characteristics of a Quadrant 2 Person --Coherence – Balance – Focus – An ability to get on with people – Flexibility – Portability
  20. 20. Time saving techniques Control paperwork – action/ file / throw Delegate your job Learn to say no Analyze what we do -need to do it? - can someone else do it? - any quicker/ easier way to do
  21. 21. Physicians: problematic spouse?
  22. 22. Mar riages Perfectionism,compulsiveness & wor kholism – good doctor but problematic spouse Many mar ried to Profession – no time to cultivate intimacy with spouse
  23. 23. Issues Threatening marriage Money & Financial arguments Infidelity Boredom Career crisis Empty nest syndrome Retirement.
  24. 24. Mar ria ges Spend time together Respect each other Have fun together Treat your spouse as your most impor tant VIP patient -- A loved spouse is also loving spouse
  25. 25. Parenting and medicine Pressure of balancing family and work commitment enormous Notspending enough time/ daily inattention over the years detrimental to parent child relationship High expectations
  26. 26. children and medicineA meal together ever yday Fun together once a week One holiday ever y year together Make sure children meet grand parents, relatives periodically attend famil y functions/ mar riages Help children honor family tradition,
  27. 27. Retirement : final careerThink of Retiring when you feel time is right
  28. 28. Preparing to Retire What would you do if you didn’t have to work for living Where do you want to live How will you use your time so that you remain productive & inspired Want to be close to children or away What role the family will play Arrangement for possible decline in health
  29. 29. Retirement Don’t retire unless you have enough financial security Studies-Retirement has Predominantly positive impact on emotional state – less demand of practice, more time for travel, pleasurable activities 25% depression 30% feel retirement years better 1st year difficult later integration / adjustment takes place
  30. 30. Retirement Keep alive what matters to you Explore you hobbies Explore your spirituality Serve other selflessly-do charity work/volunteer work Physical activity/light exercise
  31. 31. Take Home Enjoy being a Doctor. Focus on sunny side of it Effective time management is key to work life balance Work short of causing burnout and know when to retire Evolve as a comprehensive human being with physician incorporated
  32. 32. T hanks