1 00:00:11,440 --> 00:00:13,640 Welcome to the Clinical Center Grand Rounds, 2 00:00:13,640 --> 00:00:17,440 a weekly series of educational lectures for physicians and 3 00:00:17,440 --> 00:00:20,080 health care professionals broadcast from the Clinical 4 00:00:20,080 --> 00:00:23,040 Center at the National Institutes of Health in 5 00:00:23,040 --> 00:00:24,840 Bethesda, MD. 6 00:00:24,840 --> 00:00:28,400 The NIH Clinical Center is the world's largest hospital totally 7 00:00:28,400 --> 00:00:32,080 dedicated to investigational research and leads the global 8 00:00:32,080 --> 00:00:35,040 effort in training today's investigators and discovering 9 00:00:35,040 --> 00:00:37,200 tomorrow's cures. 10 00:00:37,200 --> 00:00:46,920 Learn more by visiting us online at http://clinicalcenter.nih.gov 11 00:00:46,920 --> 00:00:49,400 OUR SPEAKER TODAY IS Dr. SANSEA 12 00:00:49,400 --> 00:00:52,600 JACOBSON FROM PSYCHIATRY AT 13 00:00:52,600 --> 00:00:54,120 THE UNIVERSITY OF PITTSBURGH 14 00:00:54,120 --> 00:00:55,760 MEDICAL CENTER WHERE SHE'S THE 15 00:00:55,760 --> 00:00:57,880 PROGRAM DIRECTOR FOR CHILD AND 16 00:00:57,880 --> 00:00:59,800 ADOLESCENT CHILD PSYCHIATRY 17 00:00:59,800 --> 00:01:02,600 FELLOWSHIPS AND THE TRIPLE BOARD 18 00:01:02,600 --> 00:01:02,840 PROGRAM. 19 00:01:02,840 --> 00:01:04,720 SHE RECEIVED HER BACHELOR OF 20 00:01:04,720 --> 00:01:06,520 ARTS IN ENGLISH FROM DARTMOUTH 21 00:01:06,520 --> 00:01:08,840 COLLEGE. 22 00:01:08,840 --> 00:01:10,720 SHE THEN RECEIVED HER MEDICAL 23 00:01:10,720 --> 00:01:12,080 DEGREE FROM THE UNIVERSITY 24 00:01:12,080 --> 00:01:15,520 PITTSBURG SCHOOL OF MEDICINE. 25 00:01:15,520 --> 00:01:16,360 SUBSEQUENTLY SHE TRAINED IN 26 00:01:16,360 --> 00:01:27,280 GENERAL AND CHILD SIGH COULD PSE 27 00:01:27,280 --> 00:01:28,600 PREVENTION OF YOUTH SUICIDE 28 00:01:28,600 --> 00:01:29,840 THROUGH HER WORK A LOT THE 29 00:01:29,840 --> 00:01:31,880 SERVICES FOR TEENS AT RISK OR 30 00:01:31,880 --> 00:01:33,640 STAR CENTER WHERE SHE HAS BEEN A 31 00:01:33,640 --> 00:01:38,320 CORE MEMBER OF THE TEAMS SINCE 32 00:01:38,320 --> 00:01:38,680 2007. 33 00:01:38,680 --> 00:01:40,240 SHE IS RECOGNIZED FOR CREATING 34 00:01:40,240 --> 00:01:43,640 AND IMPLEMENT INNOVATIVE, 35 00:01:43,640 --> 00:01:46,320 EDUCATIONAL INITIATIVES TO HELP 36 00:01:46,320 --> 00:01:49,520 SUPPORT VULNERABLE YOUTH EXPOSED 37 00:01:49,520 --> 00:01:52,080 TO TOPICS IN THE MEDIA. 38 00:01:52,080 --> 00:01:56,280 Dr. JACOBSON IS ALSO AN 39 00:01:56,280 --> 00:01:57,400 ADVOCATE FOR PHYSICIAN WELL 40 00:01:57,400 --> 00:01:59,040 BEING THROUGH HER ROLE AS 41 00:01:59,040 --> 00:02:03,000 CO-CHAIR FOR THE UPMC, GME 42 00:02:03,000 --> 00:02:03,600 WELLNESS ENVIRONMENT LEARNING 43 00:02:03,600 --> 00:02:04,760 AND LIVING COMMITTEE WHERE SHE 44 00:02:04,760 --> 00:02:06,280 HELPS OVERSEE WELLBEING 45 00:02:06,280 --> 00:02:08,760 INITIATIVES TO SUPPORT THE 46 00:02:08,760 --> 00:02:09,840 NEARLY 2,000 RESIDENTS AND 47 00:02:09,840 --> 00:02:11,920 FELLOWS ACROSS A UPMC 48 00:02:11,920 --> 00:02:17,040 HEALTH-CARE SYSTEM. 49 00:02:17,040 --> 00:02:20,080 SHE IS THE CHILDCARE OF THE 50 00:02:20,080 --> 00:02:20,560 ADOLESCENT TRAINING AND 51 00:02:20,560 --> 00:02:23,120 EDUCATION COMMITTEE AND 52 00:02:23,120 --> 00:02:26,640 COLLABORATES WITH THE ACMAAA 53 00:02:26,640 --> 00:02:30,440 SCHOSCHOLAR AND SHE HAS CREATEDE 54 00:02:30,440 --> 00:02:35,040 WELL TOOLKIT CURBSIDE AND 55 00:02:35,040 --> 00:02:35,920 THRIVE. 56 00:02:35,920 --> 00:02:38,480 SHE'S AUTHORED PEER REVIEW 57 00:02:38,480 --> 00:02:39,560 ARTICLES AND BOOK CHAPTER AND 58 00:02:39,560 --> 00:02:42,360 BEEN THE RESILIENT OF SEVERAL 59 00:02:42,360 --> 00:02:43,400 TEACHING AWARDS. 60 00:02:43,400 --> 00:02:46,000 OF NOTE, PRIOR TO A EMPLOYING TO 61 00:02:46,000 --> 00:02:47,920 MEDICAL SCHOOL SHE WAS A FORMER 62 00:02:47,920 --> 00:02:50,320 NIH INTRAMURAL RESEARCH TRAINING 63 00:02:50,320 --> 00:02:53,080 AWARD RECIPIENT AND WORKED AT 64 00:02:53,080 --> 00:02:57,160 NCI UNDER EILEEN JAFFY SO 65 00:02:57,160 --> 00:02:58,840 WELCOME BACK TO THE NIH AFTER A 66 00:02:58,840 --> 00:02:59,200 LONG ABSENCE. 67 00:02:59,200 --> 00:03:00,520 THE TITLE OF HER PRESENTATION 68 00:03:00,520 --> 00:03:03,200 TODAY IS "PHYSICIAN WELL-BEING." 69 00:03:03,200 --> 00:03:05,800 WHICH NEED NOT ALWAYS BE HEROES. 70 00:03:05,800 --> 00:03:08,200 PLEASE JOIN ME IN WELCOMING 71 00:03:08,200 --> 00:03:10,280 TODAY'S GRAND ROUNDS SPEAKER 72 00:03:10,280 --> 00:03:13,320 Dr. SANSEA JACOBSON. 73 00:03:13,320 --> 00:03:15,120 >>THANK YOU SO MUCH, THAT WAS A 74 00:03:15,120 --> 00:03:16,320 LOVELY INTRODUCTION AND IT 75 00:03:16,320 --> 00:03:19,960 REALLY IS SO SPECIAL BEING BACK 76 00:03:19,960 --> 00:03:22,600 HERE AT THE NIH EVEN IN ONLY 77 00:03:22,600 --> 00:03:23,840 VIRTUALLY BUT I DO HOPE THAT 78 00:03:23,840 --> 00:03:26,040 PERHAPS I GET TO COME AND VISIT 79 00:03:26,040 --> 00:03:28,280 YOU ALL IN BUILDING 10 AND VISIT 80 00:03:28,280 --> 00:03:29,320 IN-PERSON WHEN THINGS NORMALIZE 81 00:03:29,320 --> 00:03:30,880 WITH THE PANDEMIC. 82 00:03:30,880 --> 00:03:32,960 SO, I WANTED TO START BECAUSE 83 00:03:32,960 --> 00:03:38,240 THE WORK THAT I DO REALLY IS A 84 00:03:38,240 --> 00:03:38,960 PRIORITIZE CONNECTEDNESS AND 85 00:03:38,960 --> 00:03:40,240 COMMUNITY WITH TRYING TO GET TO 86 00:03:40,240 --> 00:03:41,840 KNOW YOU A LITTLE BIT IN THIS 87 00:03:41,840 --> 00:03:43,520 VIRTUAL SPACE. 88 00:03:43,520 --> 00:03:45,400 SO, IF YOU COULD, I'M GOING TO 89 00:03:45,400 --> 00:03:47,800 SHARE WITH YOU, MY SCREEN. 90 00:03:47,800 --> 00:03:50,920 SO THAT YOU CAN SEE HERE A QR 91 00:03:50,920 --> 00:03:54,840 CODE HOPEFULLY AND IF YOU HAVE A 92 00:03:54,840 --> 00:03:57,240 PHONE, YOU CAN GO AHEAD AND JUST 93 00:03:57,240 --> 00:03:58,520 SCAN THE QR CODE WITH YOUR 94 00:03:58,520 --> 00:04:00,680 CAMERAS AND I'M GOING TO DO IT 95 00:04:00,680 --> 00:04:01,520 MYSELF AS WELL. 96 00:04:01,520 --> 00:04:03,800 AND THEN, GO AHEAD AND HIT THAT 97 00:04:03,800 --> 00:04:05,000 LITTLE HEART BUTTON TO LET ME 98 00:04:05,000 --> 00:04:06,400 KNOW YOU GUYS ARE STARTING TO 99 00:04:06,400 --> 00:04:06,720 JOIN. 100 00:04:06,720 --> 00:04:08,200 IF YOU ARE ON YOUR COMPUTER AND 101 00:04:08,200 --> 00:04:12,520 YOU PREFER TO JOIN ON THE 102 00:04:12,520 --> 00:04:17,240 LAPTOP, GO TO MENTI.COM AND USE 103 00:04:17,240 --> 00:04:17,760 9-1-1 03700. 104 00:04:17,760 --> 00:04:19,440 IT WILL BE FUN TO SORT OF GET TO 105 00:04:19,440 --> 00:04:20,880 KNOW WHO IS IN THE ROOM BEFORE 106 00:04:20,880 --> 00:04:22,400 WE GET STARTED SO THAT I CAN 107 00:04:22,400 --> 00:04:24,120 MAKE SURE THAT I AM INCLUDING 108 00:04:24,120 --> 00:04:25,440 YOU IN THE CONVERSATION THAT WE 109 00:04:25,440 --> 00:04:26,480 HAVE GOING FORWARD ON THIS 110 00:04:26,480 --> 00:04:29,560 REALLY IMPORTANT TOPIC, OF 111 00:04:29,560 --> 00:04:30,000 PHYSICIAN WELLBEING. 112 00:04:30,000 --> 00:04:32,480 SO LET'S JUST DO A LITTLE FUN 113 00:04:32,480 --> 00:04:32,680 QUIZ. 114 00:04:32,680 --> 00:04:34,680 IF YOU ARE HAVING LUNCH RIGHT 115 00:04:34,680 --> 00:04:36,080 NOW WITH SOMEONE OTHER THAN ME, 116 00:04:36,080 --> 00:04:37,400 WHO WOULD YOU CHOSE TO BE HAVING 117 00:04:37,400 --> 00:04:47,720 LUNCH WITH TODAY? 118 00:04:50,760 --> 00:04:52,800 >> THAT'S GREAT. 119 00:04:52,800 --> 00:04:54,920 YES, I HAVE TO SAY I'M LISTENING 120 00:04:54,920 --> 00:04:57,800 TO TREVOR NOAH'S AUTO BUY OT RA 121 00:04:57,800 --> 00:04:59,720 FEE RIGHT NOW BUT DEFINITELY NOT 122 00:04:59,720 --> 00:05:02,920 SURPRISED THAT MICHELLE OBAMA IS 123 00:05:02,920 --> 00:05:04,160 LEADING IN THIS POLL. 124 00:05:04,160 --> 00:05:06,000 THANK YOU FOR PARTICIPATING. 125 00:05:06,000 --> 00:05:09,280 WE'LL GO AHEAD TO THE NEXT 126 00:05:09,280 --> 00:05:09,920 SLIDE. 127 00:05:09,920 --> 00:05:11,640 SO, WHO ARE YOU OUT THERE? 128 00:05:11,640 --> 00:05:13,720 AND I REALLY WISH I COULD SEE 129 00:05:13,720 --> 00:05:16,760 YOU AND INTERACT WITH YOU IN THE 130 00:05:16,760 --> 00:05:17,160 AUDITORIUM. 131 00:05:17,160 --> 00:05:19,120 TELL ME, ARE YOU A STUDENT, ARE 132 00:05:19,120 --> 00:05:23,800 YOU A RESIDENT OR FELLOW, 133 00:05:23,800 --> 00:05:25,800 ATTENDING, FACULTY, ADMIN OR 134 00:05:25,800 --> 00:05:26,400 STAFF? 135 00:05:26,400 --> 00:05:30,080 WHO DO WE HAVE IN THE ROOM 136 00:05:30,080 --> 00:05:33,120 TODAY? 137 00:05:33,120 --> 00:05:34,400 IT LOOKS LIKE WE HAVE A 138 00:05:34,400 --> 00:05:35,440 COMBINATION HERE. 139 00:05:35,440 --> 00:05:38,200 TRAINING, ATTENDING, ADMIN/STAFF 140 00:05:38,200 --> 00:05:41,600 AND OTHER. 141 00:05:41,600 --> 00:05:42,400 WONDERFUL. 142 00:05:42,400 --> 00:05:43,520 COMING IN NOW. 143 00:05:43,520 --> 00:05:45,240 THANK YOU FOR JOINING. 144 00:05:45,240 --> 00:05:47,360 I APPRECIATE THE INTERACTIVE 145 00:05:47,360 --> 00:05:47,520 TEE. 146 00:05:47,520 --> 00:05:49,160 THERE'S A STUDENT HERE. 147 00:05:49,160 --> 00:05:50,240 WELCOME! 148 00:05:50,240 --> 00:05:50,560 IT'S GREAT. 149 00:05:50,560 --> 00:05:52,560 I HAVE TO SAY NIH IS WHERE I 150 00:05:52,560 --> 00:05:54,520 STARTED MY CAREER AND I COULDN'T 151 00:05:54,520 --> 00:05:56,120 BE MORE GRATEFUL, I'LL TELL YOU 152 00:05:56,120 --> 00:05:58,360 A LITTLE BIT MORE ABOUT THAT AS 153 00:05:58,360 --> 00:06:00,200 I BEGIN MY TALK. 154 00:06:00,200 --> 00:06:02,360 YOU MIGHT FEEL LOW PEOPLE ON THE 155 00:06:02,360 --> 00:06:03,600 TOTUMPOLE RIGHT NOW AND YET WHAT 156 00:06:03,600 --> 00:06:04,680 A BEAUTIFUL EXPERIENCE YOU HAVE 157 00:06:04,680 --> 00:06:05,960 BY BEING PART OF THE NIH 158 00:06:05,960 --> 00:06:09,840 COMMUNITY RIGHT NOW. 159 00:06:09,840 --> 00:06:10,840 LET'S GO AHEAD. 160 00:06:10,840 --> 00:06:13,720 THIS IS COMPLETELY ANONYMOUS, 161 00:06:13,720 --> 00:06:16,120 HOW WOULD YOU DESCRIBE YOUR OWN 162 00:06:16,120 --> 00:06:16,400 WELLBEING? 163 00:06:16,400 --> 00:06:18,560 I HAVE TO BE HONEST, AS A SINGLE 164 00:06:18,560 --> 00:06:20,920 MOTHER AND A FULL-TIME ACADEMIC 165 00:06:20,920 --> 00:06:24,000 ADMISSION AND WHATEVER ELSE I 166 00:06:24,000 --> 00:06:25,080 DO, MY MONTRA WITH MY TWO BOYS 167 00:06:25,080 --> 00:06:27,360 AND WORE HOLDING IT TOGETHER 168 00:06:27,360 --> 00:06:28,720 WITH SCOTCH TAPE SO THAT'S MY 169 00:06:28,720 --> 00:06:29,080 VOTE. 170 00:06:29,080 --> 00:06:33,160 I LOVE TO SEE THAT SOME OF YOU 171 00:06:33,160 --> 00:06:36,840 ARE WAXING AND WANING SO IT'S 172 00:06:36,840 --> 00:06:37,800 NOT SURPRISING THAT THIS STAGE 173 00:06:37,800 --> 00:06:39,040 OF THE PANDEMIC AND WHERE WE ARE 174 00:06:39,040 --> 00:06:40,720 IN THE WORLD RIGHT NOW, THAT OUR 175 00:06:40,720 --> 00:06:44,160 BELL CURVE HAS SHIFTED, ISN'T 176 00:06:44,160 --> 00:06:44,400 IT. 177 00:06:44,400 --> 00:06:45,880 LOOKS LIKE WE HAVE SOME 178 00:06:45,880 --> 00:06:47,880 WELLBEING CHAMPIONS IN THE ROOM 179 00:06:47,880 --> 00:06:48,280 POSSIBLY. 180 00:06:48,280 --> 00:06:51,680 AT LEAST TWO OF THEM. 181 00:06:51,680 --> 00:06:51,920 ALL RIGHT. 182 00:06:51,920 --> 00:06:58,320 THANK YOU, AGAIN FOR VOTING. 183 00:06:58,320 --> 00:07:01,520 LET'S GET REAL A LITTLE BIT. 184 00:07:01,520 --> 00:07:02,760 I'D LOVE TO HEAR WHAT YOU THINK 185 00:07:02,760 --> 00:07:05,400 THE BIGGEST WORK-RELATED 186 00:07:05,400 --> 00:07:09,280 STRESSORS ARE RIGHT NOW IN YOUR 187 00:07:09,280 --> 00:07:09,560 POSITIONS. 188 00:07:09,560 --> 00:07:10,360 WHATEVER ROLE IT IS THAT YOU 189 00:07:10,360 --> 00:07:12,040 HAVE RIGHT NOW AND WHETHER IT'S 190 00:07:12,040 --> 00:07:13,000 RESEARCH, WHETHER YOU ARE 191 00:07:13,000 --> 00:07:14,200 TRAINING, WHETHER YOU ARE DOING 192 00:07:14,200 --> 00:07:15,520 CLINICAL WORK, WHETHER YOU ARE A 193 00:07:15,520 --> 00:07:17,080 LEADER OR ADMINISTRATOR, WHAT 194 00:07:17,080 --> 00:07:19,440 ARE THE BIGGEST WORK-RELATED 195 00:07:19,440 --> 00:07:20,880 STRESSORS, GO AHEAD AND THROW A 196 00:07:20,880 --> 00:07:23,000 COUPLE OF THEM IN THERE AND 197 00:07:23,000 --> 00:07:27,360 MULTI TASK. 198 00:07:27,360 --> 00:07:28,080 YEAH. 199 00:07:28,080 --> 00:07:28,360 WORK ITSELF. 200 00:07:28,360 --> 00:07:28,920 VERY FUNNY. 201 00:07:28,920 --> 00:07:30,120 THANK YOU FOR BRINGING SOME 202 00:07:30,120 --> 00:07:32,600 HUMOR TO A VIRTUAL ROOM, WHOEVER 203 00:07:32,600 --> 00:07:34,200 THAT WAS I'M GRATEFUL. 204 00:07:34,200 --> 00:07:36,840 SELF, YEAH, RIGHT. 205 00:07:36,840 --> 00:07:41,400 WE ARE THE WHOLE MALE ADAPTIVE 206 00:07:41,400 --> 00:07:42,480 PERFECTIONISM AND WITHIN OUR 207 00:07:42,480 --> 00:07:47,040 FIELD OF MEDICINE IS REAL, RIGHT 208 00:07:47,040 --> 00:07:48,320 SOLVE, WE, OURSELVES, ARE PART 209 00:07:48,320 --> 00:07:50,600 OF THE PROBLEM. 210 00:07:50,600 --> 00:07:52,040 TOXIC WORK ENVIRONMENTS, 211 00:07:52,040 --> 00:07:53,200 PERSONNEL, THERE'S NOT ENOUGH 212 00:07:53,200 --> 00:07:55,120 PEOPLE NOT ENOUGH TIME. 213 00:07:55,120 --> 00:07:56,080 NOT ENOUGH SPACE. 214 00:07:56,080 --> 00:07:57,320 TOO MANY DEMANDS. 215 00:07:57,320 --> 00:08:00,160 MICRO MANAGEMENT. 216 00:08:00,160 --> 00:08:01,120 RIGHT. 217 00:08:01,120 --> 00:08:02,880 FEELING OF CONDENSE, TEAM 218 00:08:02,880 --> 00:08:03,920 DYNAMICS WHICH IS PART OF THE 219 00:08:03,920 --> 00:08:06,760 MAGIC AND ALSO BE PART OF THE 220 00:08:06,760 --> 00:08:07,480 PROBLEM. 221 00:08:07,480 --> 00:08:08,640 DEADLINES, DEADLINES. 222 00:08:08,640 --> 00:08:10,200 OVER SCHEDULED. 223 00:08:10,200 --> 00:08:12,640 WORK-LIFE IMBALANCE. 224 00:08:12,640 --> 00:08:13,400 BUDGET. 225 00:08:13,400 --> 00:08:15,440 MONEY, JOB IS STUPID. 226 00:08:15,440 --> 00:08:16,880 YOU GUYS ARE GREAT, I REALLY 227 00:08:16,880 --> 00:08:20,640 WISH I COULD BE WITH YOU 228 00:08:20,640 --> 00:08:21,320 IN-PERSON. 229 00:08:21,320 --> 00:08:23,880 A PERSONAL QUESTION THAT YOU 230 00:08:23,880 --> 00:08:25,640 DON'T HAVE TO ANSWER BUT HAVE 231 00:08:25,640 --> 00:08:29,280 YOU GONE AND GONE YOURSELF ANY 232 00:08:29,280 --> 00:08:29,640 PSYCHOTHERAPY. 233 00:08:29,640 --> 00:08:31,800 I HAVE, YOU WILL HEAR ABOUT 234 00:08:31,800 --> 00:08:32,000 THAT. 235 00:08:32,000 --> 00:08:33,120 BUT YOU KNOW, ONE OF THE THINGS 236 00:08:33,120 --> 00:08:36,600 WE ARE GOING TO TALK ABOUT TODAY 237 00:08:36,600 --> 00:08:38,720 IS MAYBE SOME OF US REALIZE THAT 238 00:08:38,720 --> 00:08:40,360 WE COULD HAVE USED ADDITIONAL 239 00:08:40,360 --> 00:08:41,800 HELP AT DIFFERENT TIMES WHETHER 240 00:08:41,800 --> 00:08:43,480 BY PROFESSIONAL MENTAL HEALTH 241 00:08:43,480 --> 00:08:45,240 PROVIDERS ARE JUST SUPPORT BUT 242 00:08:45,240 --> 00:08:47,240 THERE ARE EXPECTATIONS OF 243 00:08:47,240 --> 00:08:49,480 PERFECTIONISM IN OUR FIELD AND 244 00:08:49,480 --> 00:08:52,040 SO HOW CAN WE DECREASE THE 245 00:08:52,040 --> 00:08:54,440 BARRIERS SO PEOPLE CAN GET HELP 246 00:08:54,440 --> 00:08:56,440 WHEN THEY NED IT SO IT'S LOVELY 247 00:08:56,440 --> 00:08:58,640 TO SEE SO UM PEOPLE THAT HAVE 248 00:08:58,640 --> 00:09:01,400 SOUGHT HELP FOR MENTAL HEALTH 249 00:09:01,400 --> 00:09:02,400 BUT IT LOOKS LIKE UNSURPRISING 250 00:09:02,400 --> 00:09:08,840 LOW A LOT OF YOU HAVE NOT. 251 00:09:08,840 --> 00:09:09,440 ALL RIGHT. 252 00:09:09,440 --> 00:09:11,120 SO, IN THE MIND SET OF THE 253 00:09:11,120 --> 00:09:12,160 APPRECIATIVE INQUIRY WHICH I 254 00:09:12,160 --> 00:09:13,560 WILL TALK TO YOU ABOUT LATER, 255 00:09:13,560 --> 00:09:16,360 WHICH IS A POSITIVE-NODES BASE 256 00:09:16,360 --> 00:09:17,880 ASSESSMENT, WHAT IS GOING WELL 257 00:09:17,880 --> 00:09:19,920 FOR WELLNESS IN YOUR WORK 258 00:09:19,920 --> 00:09:21,800 ENVIRONMENT OR YOUR TRAINING 259 00:09:21,800 --> 00:09:22,880 ENVIRONMENT RIGHT NOW? 260 00:09:22,880 --> 00:09:24,520 WE TALKED ABOUT STRESSORS, BUT 261 00:09:24,520 --> 00:09:27,240 THERE HAS TO BE SOME THINGS THAT 262 00:09:27,240 --> 00:09:28,520 ACTUALLY YOU ARE FINDING 263 00:09:28,520 --> 00:09:31,360 HELPFUL, YOU ARE FINDING 264 00:09:31,360 --> 00:09:33,840 MEANINGFUL, LECTURES ON LOVE. 265 00:09:33,840 --> 00:09:37,360 WHEN I SEE A WELLNESS LECTURE I 266 00:09:37,360 --> 00:09:42,200 WONDER IF IT'S A GO A GOOD USE R 267 00:09:42,200 --> 00:09:43,240 TIME SO I'M HAPPY YOU ARE HERE 268 00:09:43,240 --> 00:09:44,120 AND PARTICIPATING. 269 00:09:44,120 --> 00:09:44,880 WORK FLEXIBILITY. 270 00:09:44,880 --> 00:09:45,880 LOOK AT THAT. 271 00:09:45,880 --> 00:09:48,360 SO WE NO FROM THE WELLNESS 272 00:09:48,360 --> 00:09:51,800 RESEARCH THAT IS RELATED TO 273 00:09:51,800 --> 00:09:53,240 PHYSICIANS THAT FLEXIBILITY HAS 274 00:09:53,240 --> 00:09:56,760 AN EVIDENCE-BASED INDICATION FOR 275 00:09:56,760 --> 00:10:04,080 IMPROVING WELLNESS IN DECREASING 276 00:10:04,080 --> 00:10:05,480 BURNOUT. 277 00:10:05,480 --> 00:10:07,960 I LOVE -- THERE'S A LOT OF YOU 278 00:10:07,960 --> 00:10:09,240 TALKING ABOUT COMMUNITY 279 00:10:09,240 --> 00:10:09,600 CONNECTIVENESS. 280 00:10:09,600 --> 00:10:10,280 COFFEE SHOPS. 281 00:10:10,280 --> 00:10:12,680 FINDING TIME TO DO LUNCH AND BE 282 00:10:12,680 --> 00:10:14,480 OUTSIDE AND FINDING MENTORSHIP. 283 00:10:14,480 --> 00:10:16,120 THE WELLNESS CULTURE, RIGHT. 284 00:10:16,120 --> 00:10:17,880 AT LEAST WORE TALKING ABOUT IT 285 00:10:17,880 --> 00:10:18,200 NOW. 286 00:10:18,200 --> 00:10:20,920 THIS DIDN'T EVEN EXIST BEFORE. 287 00:10:20,920 --> 00:10:23,240 GENERAL SUPPORTS AND SUPPORT OF 288 00:10:23,240 --> 00:10:24,400 SUPERVISORS AND YEAH, AND THEN 289 00:10:24,400 --> 00:10:28,080 YOU KNOW, PERSONAL VIDEO 290 00:10:28,080 --> 00:10:28,560 INTERACTIONS, RIGHT. 291 00:10:28,560 --> 00:10:29,800 SOMETIMES A VIDEO INTERACTION 292 00:10:29,800 --> 00:10:31,560 CAN BE NICE AND I DO A LOT OF MY 293 00:10:31,560 --> 00:10:33,000 OUT PATIENT WORK WITH 294 00:10:33,000 --> 00:10:34,640 ADOLESCENTS ONE-ON-ONE IN A 295 00:10:34,640 --> 00:10:35,920 VIRTUAL SPACE AND IT FEELS 296 00:10:35,920 --> 00:10:37,840 INTIMATE BUT IT DOESN'T ALWAYS 297 00:10:37,840 --> 00:10:44,240 FEEL INTIMATE SOMETIMES IT FEELS 298 00:10:44,240 --> 00:10:45,520 LIKE WE'RE REBOTS IN THESE 299 00:10:45,520 --> 00:10:46,520 STRANGE VIRTUAL REALM. 300 00:10:46,520 --> 00:10:48,360 SO LET'S GO AHEAD, I'M GOING TO 301 00:10:48,360 --> 00:10:50,120 STOP THE MENTEE, THANK YOU SO 302 00:10:50,120 --> 00:10:54,640 MUCH FOR DOING THAT. 303 00:10:54,640 --> 00:11:03,000 I KNOW JOYCE SAID WE WOULD IT 304 00:11:03,000 --> 00:11:04,720 WILL BE CHALLENGING FOR ME TO BE 305 00:11:04,720 --> 00:11:06,240 ABLE TO SEE THEM COME UP BUT I'M 306 00:11:06,240 --> 00:11:07,800 GOING TO COUNT ON THE OTHER 307 00:11:07,800 --> 00:11:11,440 AMAZING FOLKS IN THE ROOM FROM 308 00:11:11,440 --> 00:11:12,800 NIH TO INTERRUPT ME AND ASK ME 309 00:11:12,800 --> 00:11:14,080 QUESTIONS IF THEY COME UP AS 310 00:11:14,080 --> 00:11:15,880 THEY COME UP IF IT FEELS LIKE 311 00:11:15,880 --> 00:11:16,600 SOMETHING WE SHOULD TAKE CARE OF 312 00:11:16,600 --> 00:11:24,080 BEFORE THE END OF THE SESSION. 313 00:11:24,080 --> 00:11:26,840 SO, BUT MAKE IT AS INTERACTIVE 314 00:11:26,840 --> 00:11:29,160 AS YOU LIKE IT AS I DO LOVE 315 00:11:29,160 --> 00:11:30,480 MAKING MY TALKS AS USEFUL TO THE 316 00:11:30,480 --> 00:11:32,120 COMMUNITY I'M TALKING TO AS 317 00:11:32,120 --> 00:11:32,400 POSSIBLE. 318 00:11:32,400 --> 00:11:34,480 ALL RIGHT, SO, MY BROTHER WORKS 319 00:11:34,480 --> 00:11:35,720 FOR PIXAR SO IT'S A PICTURE OF 320 00:11:35,720 --> 00:11:42,040 ME WHEN I GO TO VISIT HIM ON 321 00:11:42,040 --> 00:11:42,240 CAMPUS. 322 00:11:42,240 --> 00:11:45,960 I DON'T HAVE ANY FINANCIAL 323 00:11:45,960 --> 00:11:50,960 DISCLOSURES SPEAKING OF 324 00:11:50,960 --> 00:11:53,080 GRATITUDE AND COMMUNITY, CAN YOU 325 00:11:53,080 --> 00:11:56,280 BELIEVE THIS, 23 YEARS AGO, I 326 00:11:56,280 --> 00:12:00,840 WAS IN IRDA UP THERE IS Dr. 327 00:12:00,840 --> 00:12:04,160 STEPHANO AND ELAINE JAFFEY WHO 328 00:12:04,160 --> 00:12:06,640 REALLY TREATED ME WITH THE 329 00:12:06,640 --> 00:12:07,000 UTMOST RESPECT. 330 00:12:07,000 --> 00:12:09,360 I WASN'T A MEDICAL STUDENT, YET, 331 00:12:09,360 --> 00:12:10,400 RIGHT AND THEY WERE INTERESTED 332 00:12:10,400 --> 00:12:13,760 IN WHO I WAS AND THEY NURTURE ME 333 00:12:13,760 --> 00:12:16,600 AND MY INTEREST AND SURE, I'M 334 00:12:16,600 --> 00:12:18,320 NOT A SPECIALIST ANYMORE BUT I 335 00:12:18,320 --> 00:12:20,360 AM HUGELY GRATEFUL FOR THEIR 336 00:12:20,360 --> 00:12:23,760 MENTORSHIP AND BELIEF IN ME AND 337 00:12:23,760 --> 00:12:25,120 I WOULDN'T BELIEVE WHERE I AM IF 338 00:12:25,120 --> 00:12:33,960 IT WEREN'T FOR THEM AND SO AND I 339 00:12:33,960 --> 00:12:35,280 WANT TO SAY THANK YOU TO ALL THE 340 00:12:35,280 --> 00:12:37,880 OTHER IRTA AND FELLOWS, IT WAS 341 00:12:37,880 --> 00:12:39,640 SUCH A TIME TO BE TOGETHER AND I 342 00:12:39,640 --> 00:12:42,120 HOPE THAT YOU ALL AT THE NIH ARE 343 00:12:42,120 --> 00:12:43,280 EXPERIENCING THAT EVEN IN THE 344 00:12:43,280 --> 00:12:45,080 MIDST OF A PANDEMIC, I'M SURE IT 345 00:12:45,080 --> 00:12:46,240 FEELS VERY DIFFERENT THAN IT HAS 346 00:12:46,240 --> 00:12:47,520 IN THE PAST. 347 00:12:47,520 --> 00:12:49,440 THE OTHER THING I WANTED TO 348 00:12:49,440 --> 00:12:51,440 MENTION IS THAT I HAVE SOUGHT 349 00:12:51,440 --> 00:12:52,880 THERAPY FOR MYSELF. 350 00:12:52,880 --> 00:12:54,280 THIS IS A SAFE PLACE TO TALK 351 00:12:54,280 --> 00:12:58,480 ABOUT THAT OBVIOUSLY. 352 00:12:58,480 --> 00:13:00,360 ALSO, EVEN THOUGH I'M A HUGE 353 00:13:00,360 --> 00:13:02,160 WELLBEING CHAMPION THE WORD 354 00:13:02,160 --> 00:13:04,120 WELLNESS MAKES ME CRINGE AND 355 00:13:04,120 --> 00:13:05,560 BURNOUT IS SOMETHING AS I 356 00:13:05,560 --> 00:13:07,720 MENTIONED TOO, THE FACILITATORS 357 00:13:07,720 --> 00:13:11,040 YESTERDAY, I THINK I MADE RITA 358 00:13:11,040 --> 00:13:12,280 CHUCKLE IS THAT BEEN OUT IS 359 00:13:12,280 --> 00:13:13,240 BORING, RIGHT. 360 00:13:13,240 --> 00:13:16,640 YOU GUYS DON'T WANT TO HEAR 361 00:13:16,640 --> 00:13:18,080 ABOUT BURNOUT, WE'RE ALL BURNED 362 00:13:18,080 --> 00:13:19,240 OUT ON BURNOUT. 363 00:13:19,240 --> 00:13:21,040 OVER THE NEXT 40 MINUTES, LET'S 364 00:13:21,040 --> 00:13:22,720 KEEP IT REAL, RELEVANT AND I 365 00:13:22,720 --> 00:13:24,560 HOPE I'M GOING TO GIVE YOU SOME 366 00:13:24,560 --> 00:13:25,880 LOOSE THAT'S YOU CAN WALK AWAY 367 00:13:25,880 --> 00:13:27,680 WITH AND THINK ABOUT WELLNESS IN 368 00:13:27,680 --> 00:13:31,400 YOUR COMMUNITY DIFFERENTLY AND 369 00:13:31,400 --> 00:13:34,720 THIS IS ANOTHER DISCLOSE YOUR, I 370 00:13:34,720 --> 00:13:45,800 AM A CHILD SIGH PSYCHIATRIST AY 371 00:13:46,920 --> 00:13:47,160 SON WILDER. 372 00:13:47,160 --> 00:13:48,320 SO FIRST I'LL TELL YOU A LITTLE 373 00:13:48,320 --> 00:13:49,480 BIT ABOUT MYSELF. 374 00:13:49,480 --> 00:13:52,880 THE CHAPTER I CALL A BEAUTIFUL 375 00:13:52,880 --> 00:13:53,080 MESS. 376 00:13:53,080 --> 00:13:54,560 AND THEN WE'LL DO A LITTLE BIT 377 00:13:54,560 --> 00:14:01,120 OF TERMINOLOGY ON BURNOUT AND 378 00:14:01,120 --> 00:14:03,280 LANGUISHING AND MORAL INJURY AND 379 00:14:03,280 --> 00:14:04,200 ALL THE REST. 380 00:14:04,200 --> 00:14:06,200 REALLY, I WANT TO SPEND THE 381 00:14:06,200 --> 00:14:08,600 MAJORITY OF THE TIME TALKING 382 00:14:08,600 --> 00:14:12,720 ABOUT PERSPECTIVES AND HOPES. 383 00:14:12,720 --> 00:14:14,760 SO, WHAT CAN WE DO TO IMPROVE 384 00:14:14,760 --> 00:14:16,160 PHYSICIAN WELL BEING RELATED TO 385 00:14:16,160 --> 00:14:17,440 MENTAL HEALTH AND ALSO WHAT 386 00:14:17,440 --> 00:14:19,000 KINDS OF SYSTEMS-LEVEL CHANGES 387 00:14:19,000 --> 00:14:21,400 CAN WE BE MAKING TO IMPROVE THE 388 00:14:21,400 --> 00:14:24,160 ENVIRONMENT AROUND US TO 389 00:14:24,160 --> 00:14:25,520 FACILITATE WELLNESS FOR OUR 390 00:14:25,520 --> 00:14:27,880 PHYSICIANS AND TRAINEES. 391 00:14:27,880 --> 00:14:29,640 SO THESE ARE MY TWO LITTLE BOYS. 392 00:14:29,640 --> 00:14:31,520 AND AS YOU CAN IMAGINE, THAT WAS 393 00:14:31,520 --> 00:14:36,760 A BEAUTIFUL MESS WITH THAT MUCH 394 00:14:36,760 --> 00:14:37,840 PINK CHALK. 395 00:14:37,840 --> 00:14:39,480 SO WHO AM I? 396 00:14:39,480 --> 00:14:40,640 WELL, YOU HEARD FROM THE 397 00:14:40,640 --> 00:14:42,920 INTRODUCTION AND I DON'T WANT TO 398 00:14:42,920 --> 00:14:46,080 BELABOR MY OWN CV BUT I'M HERE 399 00:14:46,080 --> 00:14:48,080 PRIMARILY BECAUSE I'M SOMEONE 400 00:14:48,080 --> 00:14:50,120 WHO REALLY CAN'T HELP MYSELF 401 00:14:50,120 --> 00:14:52,520 WHEN SOMETHING IS WRONG AND I 402 00:14:52,520 --> 00:14:56,040 TEND TO STAND UP AND SPEAK MY 403 00:14:56,040 --> 00:15:00,400 MIND WHETHER IT COMES TO SUICIDE 404 00:15:00,400 --> 00:15:02,080 PREVENTION, SOME OF YOU MIGHT 405 00:15:02,080 --> 00:15:04,400 KNOW ME FROM THE ADVOCACY WORK I 406 00:15:04,400 --> 00:15:06,200 DID AROUND 13 REASONS WHY AND 407 00:15:06,200 --> 00:15:08,520 WHERE ABLE TO WITH THE HELP OF 408 00:15:08,520 --> 00:15:10,240 RESEARCHERS AND THE FIELD AND 409 00:15:10,240 --> 00:15:12,160 ADVOCACY EDUCATION WITH NETFLIX, 410 00:15:12,160 --> 00:15:21,800 GET THEM TO REMOVE TH THREE-MINY 411 00:15:21,800 --> 00:15:26,200 FICTION OF SIGHS I'D. 412 00:15:26,200 --> 00:15:26,440 SUICIDE. 413 00:15:26,440 --> 00:15:28,120 IT WAS GETTING ME OUTSIDE AND A 414 00:15:28,120 --> 00:15:30,800 WONDERFUL RIDE IN TERMS OF 415 00:15:30,800 --> 00:15:31,880 ADVOCACY AND IT MADE ME REALIZE 416 00:15:31,880 --> 00:15:33,640 THERE ARE OTHER THINGS I WANTED 417 00:15:33,640 --> 00:15:35,520 TO ADVOCATE FOR AROUND THE 418 00:15:35,520 --> 00:15:37,560 CULTURE OF WELLNESS WITHIN THE 419 00:15:37,560 --> 00:15:40,280 COMMUNITY THAT I WORK BUT ALSO 420 00:15:40,280 --> 00:15:42,600 NATIONALLY AND THEN MORE 421 00:15:42,600 --> 00:15:45,640 SPECIFICALLY I'VE BEEN WORKING 422 00:15:45,640 --> 00:15:47,200 TO BECOME A PHYSICIAN COACH 423 00:15:47,200 --> 00:15:48,480 WHICH HAS BEEN FUN, A LITTLE 424 00:15:48,480 --> 00:15:50,000 OUTSIDE OF THE TOPIC TODAY, BUT 425 00:15:50,000 --> 00:15:51,680 I THINK IT DOES HELP US THINK 426 00:15:51,680 --> 00:15:53,200 ABOUT PERSPECTIVES AND IDENTITY 427 00:15:53,200 --> 00:15:54,880 THAT MIGHT BE DIFFERENT IN YOUR 428 00:15:54,880 --> 00:16:00,680 OWN CAREERS. 429 00:16:00,680 --> 00:16:01,840 SO WHILE THAT WAS HAPPENING WITH 430 00:16:01,840 --> 00:16:05,480 MY CAREER, I HAD WRITTEN AN 431 00:16:05,480 --> 00:16:06,240 IDYLLIC PERSONAL EXPERIENCE IN 432 00:16:06,240 --> 00:16:10,800 MY LIFE AND IN MY FAMILY LIFE. 433 00:16:10,800 --> 00:16:13,520 THIS IS US ARE FROM GOSH, I 434 00:16:13,520 --> 00:16:17,800 GUESS MY OLDEST SON IS 13 SO 435 00:16:17,800 --> 00:16:21,800 THIS IS LIKE A DECADE AGO AND 436 00:16:21,800 --> 00:16:23,800 EVERYTHING SEEMED SO GREAT BOTH 437 00:16:23,800 --> 00:16:27,560 TO ME AND TO OUTSIDE OBSERVERS. 438 00:16:27,560 --> 00:16:31,560 AND YET ON MAY 29th, 2016, I 439 00:16:31,560 --> 00:16:35,600 WAS UP IN VERMONT AT A 440 00:16:35,600 --> 00:16:37,600 CONFERENCE AND IT ALSO HAPPENED 441 00:16:37,600 --> 00:16:38,320 TO BE FATHER'S DAY WEEKEND AND I 442 00:16:38,320 --> 00:16:40,080 WAS VISITING WITH MY FAMILY OVER 443 00:16:40,080 --> 00:16:41,160 THE WEEKEND AND I REMEMBER 444 00:16:41,160 --> 00:16:45,720 SAYING TO MY MOTHER, EVERYTHING 445 00:16:45,720 --> 00:16:49,600 SHOULD BE SO GREAT AND YET 446 00:16:49,600 --> 00:16:51,720 SOMEHOW I FEEL ALONE. 447 00:16:51,720 --> 00:16:55,520 I FEEL LIKE MY PARTNER IS NOT 448 00:16:55,520 --> 00:16:56,560 AROUND, LIKE TO RIDE THIS SORT 449 00:16:56,560 --> 00:16:58,520 OF CHALLENGING RIDE OF HAVING 450 00:16:58,520 --> 00:17:01,200 YOUNG KIDS AND HAVING THESE 451 00:17:01,200 --> 00:17:02,600 AMBITIOUS CAREER AND WHAT HAVE 452 00:17:02,600 --> 00:17:02,760 YOU. 453 00:17:02,760 --> 00:17:04,360 I REMEMBER HER SAYING, WELL, DO 454 00:17:04,360 --> 00:17:05,840 YOU THINK HE IS HAVING AN 455 00:17:05,840 --> 00:17:06,400 AFFAIR? 456 00:17:06,400 --> 00:17:08,880 MEANING MY HUSBAND AND I THOUGHT 457 00:17:08,880 --> 00:17:09,440 ABSOLUTELY NOT. 458 00:17:09,440 --> 00:17:12,320 IT PLANTED A SEED. 459 00:17:12,320 --> 00:17:17,240 I WENT BACK TO PITTSBURG AND 460 00:17:17,240 --> 00:17:20,520 AFTER MANY, MANY, MANY 461 00:17:20,520 --> 00:17:22,760 CONVERSATIONS AND AFTER MANY, 462 00:17:22,760 --> 00:17:27,800 MANY HOURS OF THERAPY IN MARITAL 463 00:17:27,800 --> 00:17:29,360 COUNSELING, IT BECAME QUITE 464 00:17:29,360 --> 00:17:31,520 EVIDENT THAT BOTH OF OUR LIVES 465 00:17:31,520 --> 00:17:37,760 WERE NOT GOING TO BE GOING 466 00:17:37,760 --> 00:17:38,200 TOGETHER. 467 00:17:38,200 --> 00:17:39,480 AND THAT IN FACT I WAS GOING TO 468 00:17:39,480 --> 00:17:41,840 BE A SINGLE MOM. 469 00:17:41,840 --> 00:17:46,160 VERY DIFFERENT THAN THE CAREER I 470 00:17:46,160 --> 00:17:49,560 THOUGHT I WAS GOING TO HAVE. 471 00:17:49,560 --> 00:17:52,520 AND SO, THE MONTHS PROGRESSED 472 00:17:52,520 --> 00:17:55,600 AND WE SEPARATED AND I CONTINUED 473 00:17:55,600 --> 00:17:58,200 TO FEEL PRETTY SAD. 474 00:17:58,200 --> 00:18:00,120 PEOPLE WOULD ASK ME AT WORK, HOW 475 00:18:00,120 --> 00:18:01,640 ARE YOU DOING, AND I WOULD BURST 476 00:18:01,640 --> 00:18:02,440 NO TEARS. 477 00:18:02,440 --> 00:18:05,840 I HAD BEEN A VERY LONG TIME AT 478 00:18:05,840 --> 00:18:07,600 THAT POINT. 479 00:18:07,600 --> 00:18:09,360 IT TOOK MY STAR PHYSICIAN WHERE 480 00:18:09,360 --> 00:18:13,400 WE WERE ACTUALLY TRYING OUT SOME 481 00:18:13,400 --> 00:18:15,960 APPS FOR ME TO SEE THAT IN FACT 482 00:18:15,960 --> 00:18:17,800 I WAS SAD FROM THE EXPERIENCE 483 00:18:17,800 --> 00:18:20,560 THAT I WAS GOING THROUGH WITH 484 00:18:20,560 --> 00:18:22,840 THE DISSOLVING OF MY MARRIAGES 485 00:18:22,840 --> 00:18:24,320 BUT THAT I WAS ACTUALLY STARTING 486 00:18:24,320 --> 00:18:27,400 TO MEET SOME PRETTY SIGNIFICANT 487 00:18:27,400 --> 00:18:31,480 CRITERIA FOR A MAJOR DEPRESSIVE 488 00:18:31,480 --> 00:18:32,080 EPISODE. 489 00:18:32,080 --> 00:18:33,520 SO, I GUESS THE POINT S. I ASKED 490 00:18:33,520 --> 00:18:35,760 THESE QUESTIONS EVERY DAY AND 491 00:18:35,760 --> 00:18:37,160 FRANKLY, IT WAS A HUMBLING 492 00:18:37,160 --> 00:18:39,160 MOMENT TO REALIZE THAT I WASN'T 493 00:18:39,160 --> 00:18:41,440 SEEING IT FOR MYSELF. 494 00:18:41,440 --> 00:18:46,480 TRUTH OF THE MATTER IS, I'M NOT 495 00:18:46,480 --> 00:18:47,160 A IMMUNE AND YOU ARE NOT EITHER. 496 00:18:47,160 --> 00:18:50,160 IN FACT, PHYSICIANS HAVE HIGHER 497 00:18:50,160 --> 00:18:57,960 RISK OF DEPRESSION THAN THE 498 00:18:57,960 --> 00:19:00,880 GENERAL PERCENT OF 20% OF WOMEN 499 00:19:00,880 --> 00:19:03,400 PHYSICIAN AND 12% OF RECEIVE A 500 00:19:03,400 --> 00:19:04,120 MAJOR DEPRESSIVE EPISODE. 501 00:19:04,120 --> 00:19:08,680 THE RATES OF SUICIDE ARE DEBATED 502 00:19:08,680 --> 00:19:10,800 BUT THE MOST RESENT RESEARCH 503 00:19:10,800 --> 00:19:13,280 SHOWS THAT ABOUT 119 PHYSICIANS 504 00:19:13,280 --> 00:19:17,160 DIED BY SUICIDE ANNUALLY IN THE 505 00:19:17,160 --> 00:19:17,640 UNITED STATES. 506 00:19:17,640 --> 00:19:20,680 WHICH IS EXTREMELY HIGH. 507 00:19:20,680 --> 00:19:22,440 THE SUBSTANCE USE DISORDERS, WE 508 00:19:22,440 --> 00:19:23,880 DON'T EVEN LIKE TO TALK ABOUT 509 00:19:23,880 --> 00:19:25,880 THAT RIGHT BUT IN FACT WE ARE AT 510 00:19:25,880 --> 00:19:30,440 EQUAL RISK OF THE GENERAL 511 00:19:30,440 --> 00:19:34,320 POPULATION BETWEEN 10% AND 12% 512 00:19:34,320 --> 00:19:36,200 OF PHYSICIANS EXPERIENCE A 513 00:19:36,200 --> 00:19:36,880 SUBSTANCE ABUSE ORDER. 514 00:19:36,880 --> 00:19:38,680 I DID WANT TO HIGHLIGHT THAT 515 00:19:38,680 --> 00:19:40,320 SUICIDE IS ACTUALLY VERY RARE 516 00:19:40,320 --> 00:19:43,520 AND YET WHEN IT HAPPENS IT ROCKS 517 00:19:43,520 --> 00:19:44,760 THE COMMUNITY AND IT'S 518 00:19:44,760 --> 00:19:46,880 INTERESTING THAT ATTEND'S ARE 519 00:19:46,880 --> 00:19:49,560 ACTUALLY AT THE HIGHER RISK WITH 520 00:19:49,560 --> 00:19:53,360 MID-KA ROARCAREER TO LATER BEING 521 00:19:53,360 --> 00:19:54,840 HIGHEST RISK BUT TRAINING 522 00:19:54,840 --> 00:19:56,880 SUICIDE IS THE NUMBER ONE AND 523 00:19:56,880 --> 00:19:58,080 NUMBER TWO CAUSE OF DEATH IN 524 00:19:58,080 --> 00:20:02,400 MALE AND FEMALE RESIDENTS 525 00:20:02,400 --> 00:20:03,880 BECAUSE THEY'RE HEALTHY AND THEY 526 00:20:03,880 --> 00:20:07,240 TEND TO NOT DIE FOR OTHER 527 00:20:07,240 --> 00:20:08,160 REASONS. 528 00:20:08,160 --> 00:20:09,240 SO WHAT'S IS KNOWN. 529 00:20:09,240 --> 00:20:10,880 BECAUSE I AM A ROOM HERE WITH 530 00:20:10,880 --> 00:20:12,920 STUDENTS, RESIDENTS AND PEOPLE 531 00:20:12,920 --> 00:20:15,720 WHO CARE ABOUT THEM AND WE NEED 532 00:20:15,720 --> 00:20:17,440 TO LOOK OUT FOR THEM, RIGHT. 533 00:20:17,440 --> 00:20:19,320 ESPECIALLY IF THOSE TIMES OF 534 00:20:19,320 --> 00:20:19,920 TRANSITIONS AND SO I THOUGHT 535 00:20:19,920 --> 00:20:23,880 THIS IS A REALLY INTERESTING 536 00:20:23,880 --> 00:20:25,400 STUDY THAT SHOWS THERE ARE 537 00:20:25,400 --> 00:20:27,720 TEMPORAL RISK FACTORS FOR 538 00:20:27,720 --> 00:20:29,960 SUICIDE RISK IN TRAINEES AND 539 00:20:29,960 --> 00:20:31,600 SPECIFICALLY EARLIER IN TRAINING 540 00:20:31,600 --> 00:20:34,000 AND THE INTERN YEAR AND THE 541 00:20:34,000 --> 00:20:41,280 FIRST AND THIRD QUARTERS. 542 00:20:41,280 --> 00:20:42,960 WHILE PHYSICIANS SOMETIMES HAVE 543 00:20:42,960 --> 00:20:44,280 AWARENESS THAT THEY'RE 544 00:20:44,280 --> 00:20:47,960 STRUGGLING, THIS STUDY OF NEARLY 545 00:20:47,960 --> 00:20:49,320 8,000 SURGEONS SHOWED THAT WHILE 546 00:20:49,320 --> 00:20:51,520 ONE AND 16 OF THEM ADMITTED TO 547 00:20:51,520 --> 00:20:53,080 HAVING SUICIDAL THOUGHTS, ONLY 548 00:20:53,080 --> 00:20:57,200 ONE IN FOUR OF THEM SOUGHT 549 00:20:57,200 --> 00:21:00,680 PROFESSIONAL HELP. 550 00:21:00,680 --> 00:21:04,640 AND WHY? 551 00:21:04,640 --> 00:21:05,680 WHEN PHYSICIANS ARE ASKED GIVE 552 00:21:05,680 --> 00:21:06,880 ALL SORTS OF REASONS WHY THEY'RE 553 00:21:06,880 --> 00:21:08,440 NOT SEEKING TREATMENT. 554 00:21:08,440 --> 00:21:10,040 MORE THAN 80% OF DEPRESSED 555 00:21:10,040 --> 00:21:11,720 INTERNS DIDN'T GET MENTAL 556 00:21:11,720 --> 00:21:16,320 HEALTHCARE AND YOU CAN SEE HERE 557 00:21:16,320 --> 00:21:17,640 CONFIDENTIALLY, AND STIGMA AS 558 00:21:17,640 --> 00:21:28,160 WELL AS TIME AND OTHER REASONS 559 00:21:28,840 --> 00:21:30,040 CHART THE COURTS AS A PHYSICIAN 560 00:21:30,040 --> 00:21:31,480 CHAMPION AT THE UNIVERSITY OF 561 00:21:31,480 --> 00:21:32,920 PITTSBURG, SOMETIMES I TALK TO 562 00:21:32,920 --> 00:21:34,800 PHYSICIANS AND TRAINEES WHO ARE 563 00:21:34,800 --> 00:21:36,960 TRULY, TRULY STRUGGLING AND IN 564 00:21:36,960 --> 00:21:37,840 CRISIS EVEN. 565 00:21:37,840 --> 00:21:40,440 I SPOKE TO ONE RESIDENT WHO WAS 566 00:21:40,440 --> 00:21:42,240 SORT OF TURNED INTO ME BECAUSE 567 00:21:42,240 --> 00:21:44,600 HER COLLEAGUES WERE CONCERNED 568 00:21:44,600 --> 00:21:47,680 ABOUT HER MAKING SUICIDAL 569 00:21:47,680 --> 00:21:48,840 STATEMENTS AND I WAS HAPPY TO 570 00:21:48,840 --> 00:21:50,840 TALK TO HER AND SO HAPPY TO 571 00:21:50,840 --> 00:21:52,400 CONNECT HER TO CARE AND IT FELT 572 00:21:52,400 --> 00:21:53,960 REALLY MEANINGFUL TO DO SO AND 573 00:21:53,960 --> 00:21:55,720 YET WHEN I TALKED TO HER YEARS 574 00:21:55,720 --> 00:21:58,240 LATER AND NOW SHE'S A VERY 575 00:21:58,240 --> 00:22:01,920 SUCCESSFUL ATTENDING IN PER 576 00:22:01,920 --> 00:22:09,280 FIELD AND SHE SAID TALKING TO 577 00:22:09,280 --> 00:22:10,760 YOU MADE ME FEEL IT WAS THE END 578 00:22:10,760 --> 00:22:13,240 OF HER CAREER. 579 00:22:13,240 --> 00:22:14,640 SHE WAS CERTAIN BECAUSE SHE WAS 580 00:22:14,640 --> 00:22:15,880 TURNED INTO ME, SHE WASN'T GOING 581 00:22:15,880 --> 00:22:18,640 TO BE ABLE TO RELISH IN ALL THE 582 00:22:18,640 --> 00:22:22,280 HARD WORK SHE PUT IN UNDERGRAD 583 00:22:22,280 --> 00:22:31,320 AND MEDICAL SCHOOL AND THERE I 584 00:22:31,320 --> 00:22:33,680 AM WITH MY RESIDENTS ATTENDING 585 00:22:33,680 --> 00:22:35,080 DOING AMAZING THINGS IN THE 586 00:22:35,080 --> 00:22:35,280 WORLD. 587 00:22:35,280 --> 00:22:37,480 IT'S EASY TO HELP SOMEONE WHO IS 588 00:22:37,480 --> 00:22:40,000 HAD THE UNHAPPY TRIAD AND TORN 589 00:22:40,000 --> 00:22:43,480 EVERYTHING IN HER KNEE TRYING TO 590 00:22:43,480 --> 00:22:45,160 TAKE CARE OF HER WELLNESS IN A 591 00:22:45,160 --> 00:22:46,680 SOCCER MATCH WHEN SHE'S PROBABLY 592 00:22:46,680 --> 00:22:48,840 TOO OLD TO DO SO BUT IT'S NOT AS 593 00:22:48,840 --> 00:22:50,120 EASY TO RECOGNIZE WHEN SOMEONE 594 00:22:50,120 --> 00:22:53,280 IS STRUGGLING EMOTIONALLY AND 595 00:22:53,280 --> 00:22:53,640 PSYCHOLOGICALLY. 596 00:22:53,640 --> 00:22:54,720 SO WHAT IF PEOPLE LIKE OURSELVES 597 00:22:54,720 --> 00:22:56,240 WHO ARE A LITTLE FURTHER ALONG 598 00:22:56,240 --> 00:22:59,800 IN OUR CAREER MODELED 599 00:22:59,800 --> 00:23:01,280 VULNERABILITY AND HUMILITY SO WE 600 00:23:01,280 --> 00:23:05,440 CAN BE PART OF THE CHANGE 601 00:23:05,440 --> 00:23:07,800 TOWARDS CHANGING PERFECTIONISM 602 00:23:07,800 --> 00:23:10,400 IN MEDICINE AND OUR FRIEND IN 603 00:23:10,400 --> 00:23:11,560 YALE AND HIS COLLEAGUES HAVE 604 00:23:11,560 --> 00:23:13,800 DONE SOME RESEARCH ON THIS AND 605 00:23:13,800 --> 00:23:19,040 THEY DID FIND THAT STUDENTS WHO 606 00:23:19,040 --> 00:23:21,040 NEW ONE OF THEIR MENTORS HAD 607 00:23:21,040 --> 00:23:22,280 SOUGHT TREATMENT FOR MENTAL 608 00:23:22,280 --> 00:23:26,240 HEALTH THAT THEY WOULD BE 91% 609 00:23:26,240 --> 00:23:30,240 MORE LIKELY TO SEEK TREATMENT 610 00:23:30,240 --> 00:23:35,800 FOR THEMSELVES. 611 00:23:35,800 --> 00:23:37,920 PHYSICIANS NEED TO KNOW HOW TO 612 00:23:37,920 --> 00:23:39,960 ACCESS HEALTH AND UNDERSTAND THE 613 00:23:39,960 --> 00:23:41,360 PRACTICAL IMPLICATIONS OF DOING 614 00:23:41,360 --> 00:23:41,800 SO. 615 00:23:41,800 --> 00:23:42,200 ALL RIGHT. 616 00:23:42,200 --> 00:23:44,160 BEFORE WE TALK ABOUT PRACTICAL 617 00:23:44,160 --> 00:23:46,200 IMPLICATIONS OF DOING SO, WE'RE 618 00:23:46,200 --> 00:23:47,840 GOING TO FLY THROUGH THIS 619 00:23:47,840 --> 00:23:49,400 SECTION BECAUSE IT'S A LITTLE 620 00:23:49,400 --> 00:23:51,040 BIT LESS INTERESTING BUT I THINK 621 00:23:51,040 --> 00:23:52,560 IT'S IMPORTANT AND FOUNDATION. 622 00:23:52,560 --> 00:23:56,840 THAT'S MY SON, YES, BOTH OF HIS 623 00:23:56,840 --> 00:23:58,760 PARENTS ARE PSYCHIATRISTS SO 624 00:23:58,760 --> 00:24:00,080 WHEN HE WAS THREE OR 625 00:24:00,080 --> 00:24:01,400 FOUR-YEARS-OLD HE WAS NEEDING TO 626 00:24:01,400 --> 00:24:06,680 WRITE DOWN ALL OF HIS FEELINGS. 627 00:24:06,680 --> 00:24:08,400 WE HAVE UNIQUE STRESSORS. 628 00:24:08,400 --> 00:24:10,080 I DON'T NEED TO TELL YOU THIS 629 00:24:10,080 --> 00:24:12,920 BUT BOTH ACUTELY AND 630 00:24:12,920 --> 00:24:16,320 CHRONICALLY, PHYSICIANS' 631 00:24:16,320 --> 00:24:17,240 WORK-LIFE IS DIFFERENT WHETHER 632 00:24:17,240 --> 00:24:19,000 IT'S MORBIDITY AND MORTALITY OF 633 00:24:19,000 --> 00:24:21,520 OUR PATIENTS, MALL PRACTICE 634 00:24:21,520 --> 00:24:23,280 LAWSUITS, MEDICAL I REMEMBERERS 635 00:24:23,280 --> 00:24:24,600 CAN BE VERY PRICE ETEN 636 00:24:24,600 --> 00:24:28,760 ESPECIALLY EARLY ON IN ONE'S 637 00:24:28,760 --> 00:24:37,200 CAREER AND SO 638 00:24:37,200 --> 00:24:39,800 HERE IS THE TRIAD. 639 00:24:39,800 --> 00:24:42,160 EMOTIONAL, LOW SENSE OF PERSONAL 640 00:24:42,160 --> 00:24:44,320 ACCOMPLISHMENT OF WORK. 641 00:24:44,320 --> 00:24:46,160 THERE'S STARTING TO BE SOME GOOD 642 00:24:46,160 --> 00:24:47,480 LITERATURE LOOKING AT BURNOUT 643 00:24:47,480 --> 00:24:49,920 AND WE DO KNOW THAT THESE 644 00:24:49,920 --> 00:24:51,440 SYSTEMS-LEVEL CONTRIBUTORS SUCH 645 00:24:51,440 --> 00:24:54,600 AS THE BUREAUCRATIC PAST, THE 646 00:24:54,600 --> 00:24:55,160 ELECTRONIC MEDICAL RECORDS 647 00:24:55,160 --> 00:24:59,200 SYSTEM AND ALL THE REST DOES 648 00:24:59,200 --> 00:25:04,320 SEEM TO BE READING PERCENTAGELY 649 00:25:04,320 --> 00:25:05,200 AND PROFESSIONALLY RADIO LATED 650 00:25:05,200 --> 00:25:07,920 TO BURNOUT AND SO BROKEN 651 00:25:07,920 --> 00:25:08,720 RELATIONSHIPS, ALCOHOL AND 652 00:25:08,720 --> 00:25:11,880 SUBSTANCE USE, DEPRESSION, AS 653 00:25:11,880 --> 00:25:14,240 WELL AS IMPACTS OUR SYSTEMS, OUR 654 00:25:14,240 --> 00:25:16,240 PATIENTS AREN'T AS HAPPY WHEN 655 00:25:16,240 --> 00:25:17,760 WE'RE BURNED OUT AND WE MAKE 656 00:25:17,760 --> 00:25:20,240 MORE MEDICAL ERRORS AND OUR 657 00:25:20,240 --> 00:25:22,960 CONCENTRATION ISN'T AS GOOD. 658 00:25:22,960 --> 00:25:25,160 IT'S NOT JUST A HUMANNESS ISSUE, 659 00:25:25,160 --> 00:25:28,400 THIS IS A SYSTEM'S ISSUE AND 660 00:25:28,400 --> 00:25:29,520 IMPORTANT TO LEADERSHIP OR AT 661 00:25:29,520 --> 00:25:30,400 LEAST IT SHOULD BE. 662 00:25:30,400 --> 00:25:32,760 ONE THING AS A SUICIDE 663 00:25:32,760 --> 00:25:33,760 PREVENTION SPECIALIST I DO LIKE 664 00:25:33,760 --> 00:25:35,840 TO HIGHLIGHT, HOWEVER, IS IT 665 00:25:35,840 --> 00:25:38,520 DOES APPEAR THAT THERE'S NOT A 666 00:25:38,520 --> 00:25:41,560 CORRELATION BETWEEN BURNOUT AND 667 00:25:41,560 --> 00:25:44,000 SUICIDE THAT WHILE BURNOUT HAS 668 00:25:44,000 --> 00:25:45,760 MANY NEGATIVE POTENTIAL OUTCOMES 669 00:25:45,760 --> 00:25:47,440 INCLUDING INCREASING RISK FOR 670 00:25:47,440 --> 00:25:49,560 DEPRESSION AND WHAT HAVE YOU, 671 00:25:49,560 --> 00:25:51,200 THERE'S NOT AT THIS POINT SEEM 672 00:25:51,200 --> 00:25:55,760 TO BE A DIRECT CORRELATION 673 00:25:55,760 --> 00:25:56,320 FORTUNATELY. 674 00:25:56,320 --> 00:25:59,480 SO WHO IS AT RISK? 675 00:25:59,480 --> 00:26:02,200 WELL, FIRST AND FOR MOST ALL OF 676 00:26:02,200 --> 00:26:02,560 US. 677 00:26:02,560 --> 00:26:04,960 BUT SOME OF US ARE AT HIGHER 678 00:26:04,960 --> 00:26:06,960 RISK SO SPECIFICALLY WE KNOW 679 00:26:06,960 --> 00:26:08,480 THAT RACIAL AND ETHNIC 680 00:26:08,480 --> 00:26:10,840 MINORITIES RELATED TO A VARIETY 681 00:26:10,840 --> 00:26:17,040 OF FACTORS ARE AT HIGHER RISK 682 00:26:17,040 --> 00:26:18,120 FOR BURNOUT WHETHER IT'S 683 00:26:18,120 --> 00:26:19,800 DISCRIMINATION THAT IS HAPPENING 684 00:26:19,800 --> 00:26:22,280 THE MINORITY TAX THAT WE PUT 685 00:26:22,280 --> 00:26:27,160 UPON AND UNDER REPRESENTED 686 00:26:27,160 --> 00:26:34,880 COLLEAGUES AND THERE ARE SEXUAL 687 00:26:34,880 --> 00:26:36,880 AND GENDER MINORITY FACTORS THAT 688 00:26:36,880 --> 00:26:39,520 PLACE WOMEN IN SEXUAL MINORITIES 689 00:26:39,520 --> 00:26:41,480 AT HIGHER RISK FOR BURNOUT 690 00:26:41,480 --> 00:26:43,600 FACTORS AND ESPECIALLY EMOTIONAL 691 00:26:43,600 --> 00:26:46,240 EXHAUSTION AND PERSONALIZATION 692 00:26:46,240 --> 00:26:48,800 AND RELATED TO A VARIETY OF 693 00:26:48,800 --> 00:26:50,240 DIFFERENT INEQUALITIES THAT 694 00:26:50,240 --> 00:26:53,600 HAPPENED STILL IN OUR WORK 695 00:26:53,600 --> 00:26:54,240 SETTINGS. 696 00:26:54,240 --> 00:26:59,160 AND WE KNOW THAT THIS VARIES AND 697 00:26:59,160 --> 00:27:01,440 INTERESTINGLY THESE MEDICINE 698 00:27:01,440 --> 00:27:03,040 SCAPE SURVEYS HAVE VARIED 699 00:27:03,040 --> 00:27:03,920 DRASTICALLY DURING THE PANDEMIC 700 00:27:03,920 --> 00:27:07,600 BUT THAT PHYSICIAN BURNOUT 701 00:27:07,600 --> 00:27:09,400 CERTAINLY DOES VARY BY MEDICAL 702 00:27:09,400 --> 00:27:13,040 SPECIALTY AND INTERESTINGLY 703 00:27:13,040 --> 00:27:15,200 EARL' IN THE PANDEMIC BUT THERE 704 00:27:15,200 --> 00:27:17,320 WERE SIGNS WE WERE LESSED BURNED 705 00:27:17,320 --> 00:27:18,880 OUT WE WERE STRESSED, 706 00:27:18,880 --> 00:27:19,800 OVERWORKED, SCARED AND LESS 707 00:27:19,800 --> 00:27:21,240 BURNED OUT. 708 00:27:21,240 --> 00:27:23,000 THERE'S SOME INTERESTING 709 00:27:23,000 --> 00:27:24,720 LITERATURE OUT THERE TO SUGGEST 710 00:27:24,720 --> 00:27:25,920 YEAH, OF COURSE, BECAUSE WE WERE 711 00:27:25,920 --> 00:27:28,520 DOING WHAT WE SET OUT TO DO, 712 00:27:28,520 --> 00:27:28,720 RIGHT. 713 00:27:28,720 --> 00:27:31,000 WE WERE TAKING CARE OF PATIENTS 714 00:27:31,000 --> 00:27:33,240 AND VALUED BY OUR COMMUNITY MORE 715 00:27:33,240 --> 00:27:34,200 THAN EVER. 716 00:27:34,200 --> 00:27:39,360 THE HUGE BANNERS OF PHYSICIANS 717 00:27:39,360 --> 00:27:40,040 HEROES WORK HERE. 718 00:27:40,040 --> 00:27:41,800 I DROVE UNDER IT EVERYDAY, 719 00:27:41,800 --> 00:27:42,200 RIGHT. 720 00:27:42,200 --> 00:27:43,280 IT'S NICE TO BE CALLED A HERO ON 721 00:27:43,280 --> 00:27:46,120 THE WAY TO WORK, OR AT LEAST IT 722 00:27:46,120 --> 00:27:50,760 IS FOR A LITTLE WHILE. 723 00:27:50,760 --> 00:27:51,640 SO WHAT ABOUT COVID-19. 724 00:27:51,640 --> 00:27:53,480 AS I MENTIONED, YOU KNOW, WE 725 00:27:53,480 --> 00:27:55,800 HAVE OUR UNIQUE STRESSORS BUT 726 00:27:55,800 --> 00:27:57,680 EVEN MORE STRESSORS WHEN IT CAME 727 00:27:57,680 --> 00:27:59,920 TO THE PANDEMIC RELATED TO PPE 728 00:27:59,920 --> 00:28:02,560 AND ALL THE RISKS AND BE IT THE 729 00:28:02,560 --> 00:28:03,880 JUGGLE THAT WE HAD TO DO WITH 730 00:28:03,880 --> 00:28:06,920 OUR OWN FAMILIES AROUND 731 00:28:06,920 --> 00:28:09,320 CHILDCARE AND JUST FRANKLY THE 732 00:28:09,320 --> 00:28:10,000 PROCEDURE BOUNDARIES AND FEELING 733 00:28:10,000 --> 00:28:13,440 LIKE WE WERE WORKING ALL THE 734 00:28:13,440 --> 00:28:13,640 TIME. 735 00:28:13,640 --> 00:28:15,000 HERE IN THE UNIVERSITY OF 736 00:28:15,000 --> 00:28:16,520 PITTSBURG, WE DID SOME RESEARCH. 737 00:28:16,520 --> 00:28:18,280 WE DIDN'T MEAN TO DO IT DURING 738 00:28:18,280 --> 00:28:19,400 THE PANDEMIC BUT OF COURSE WE 739 00:28:19,400 --> 00:28:21,640 CAN'T BACKOUT JUST BECAUSE OF A 740 00:28:21,640 --> 00:28:22,480 PANDEMIC IS HAPPENING BECAUSE 741 00:28:22,480 --> 00:28:23,960 THE TRUTH OF THE MATTER IS, WE 742 00:28:23,960 --> 00:28:27,680 WERE FEELING LIKE BURNOUT WASN'T 743 00:28:27,680 --> 00:28:29,200 CAMTURING WHAT OUR RESIDENTS AND 744 00:28:29,200 --> 00:28:30,360 FELLOWS WERE EXPERIENCING AND IT 745 00:28:30,360 --> 00:28:33,400 WAS EARLY IN THE STAGES OF 746 00:28:33,400 --> 00:28:34,040 TALKING ABOUT MORALE INJURY 747 00:28:34,040 --> 00:28:37,280 WHICH IS MORE, LESS OF A 748 00:28:37,280 --> 00:28:38,080 STRESS-RELATED RESPONSE AND MORE 749 00:28:38,080 --> 00:28:40,840 OF A TRAUMA MODEL. 750 00:28:40,840 --> 00:28:43,880 THAT WE SET OUT WITH VERY HIGH 751 00:28:43,880 --> 00:28:44,560 EXPECTATIONS MORE ALS AND VALUES 752 00:28:44,560 --> 00:28:52,080 TO DO THIS WORK OF BEING A 753 00:28:52,080 --> 00:28:54,560 PHYSICIAN. 754 00:28:54,560 --> 00:28:55,840 AND WE'RE NOT ABLE TO ACCOMPLISH 755 00:28:55,840 --> 00:28:57,160 WHAT WE WANT TO ACCOMPLISH 756 00:28:57,160 --> 00:28:58,320 BECAUSE OF THE BUREAUCRATIC 757 00:28:58,320 --> 00:28:59,400 TASKS BECAUSE WE CAN'T DELIVER 758 00:28:59,400 --> 00:29:00,840 THE CARE WE FEEL LIKE THE 759 00:29:00,840 --> 00:29:03,320 PATIENTS SO DESPERATELY DESIRE 760 00:29:03,320 --> 00:29:06,120 AND NEED, THIS CAN LEAD TO 761 00:29:06,120 --> 00:29:08,200 SOMETHING CALLED DISENCHANTMENT. 762 00:29:08,200 --> 00:29:09,800 HOLD THIS SPACE BECAUSE I THINK 763 00:29:09,800 --> 00:29:11,360 THE RESEARCH ON THIS WILL BE 764 00:29:11,360 --> 00:29:12,120 REALLY INTERESTING. 765 00:29:12,120 --> 00:29:13,760 I'M SPEAKING OF THE NIH SO I HAD 766 00:29:13,760 --> 00:29:15,760 TO HAVE A BRAIN MODEL ON ONE OF 767 00:29:15,760 --> 00:29:19,360 MY SLIDES, RIGHT. 768 00:29:19,360 --> 00:29:21,280 I INCLUDED THIS HERE BECAUSE 769 00:29:21,280 --> 00:29:22,440 TRULY ALL OF THIS STRESS, NOT 770 00:29:22,440 --> 00:29:24,600 JUST THE ACUTE STRESS BUT THE 771 00:29:24,600 --> 00:29:28,720 CHRONIC STRESS OF YEARS OF 772 00:29:28,720 --> 00:29:29,920 PANDEMIC IN A MEDICAL 773 00:29:29,920 --> 00:29:30,880 ENVIRONMENT MEANS THAT WE'RE 774 00:29:30,880 --> 00:29:34,040 JUST IN A DIFFERENT SPACE NEURO 775 00:29:34,040 --> 00:29:36,040 BIOLOGICALLY IN TERMS OF HOW OUR 776 00:29:36,040 --> 00:29:38,000 BODIES ARE RESPONSING AND 777 00:29:38,000 --> 00:29:39,400 RESPONDING TO WORK AND FAMILY 778 00:29:39,400 --> 00:29:44,480 AND EXPECTATIONS AND FRANKLY THE 779 00:29:44,480 --> 00:29:44,680 WORLD. 780 00:29:44,680 --> 00:29:46,800 AND WE'RE SEEING IT SO I'M A 781 00:29:46,800 --> 00:29:47,680 ADOLESCENT SUICIDE PREVENTION 782 00:29:47,680 --> 00:29:49,120 SPECIALIST IN MY CLINICAL WORK 783 00:29:49,120 --> 00:29:50,520 AND BOY, BUSINESS DIDN'T 784 00:29:50,520 --> 00:29:52,040 SHOWDOWN THIS YEAR AND USUALLY 785 00:29:52,040 --> 00:29:54,320 IT DOES IN THE SUMMER BUT KIDS 786 00:29:54,320 --> 00:29:59,120 ARE REALLY SICK AND FRANKLY, 787 00:29:59,120 --> 00:30:01,160 EVERYONE IN THE WORLD IS AT 788 00:30:01,160 --> 00:30:03,160 SLIGHTLY HIGHER RISK RIGHT NOW 789 00:30:03,160 --> 00:30:04,840 IT SEEMS AND ONCE AGAIN 790 00:30:04,840 --> 00:30:06,720 PHYSICIANS AREN'T IMMUNE TO THIS 791 00:30:06,720 --> 00:30:08,760 SECOND PANDEMIC OF MENTAL 792 00:30:08,760 --> 00:30:09,200 ILLNESS. 793 00:30:09,200 --> 00:30:09,480 ALL RIGHT. 794 00:30:09,480 --> 00:30:12,200 WE GOT THROUGH THAT PRETTY 795 00:30:12,200 --> 00:30:12,520 QUICKLY. 796 00:30:12,520 --> 00:30:15,040 SO THIS IS MY SON WILDER. 797 00:30:15,040 --> 00:30:17,120 HE IS PHYSICALLY VERY CAPABLE SO 798 00:30:17,120 --> 00:30:19,600 HE IS ABLE TO LIVE UP TO HIS 799 00:30:19,600 --> 00:30:20,040 NAME. 800 00:30:20,040 --> 00:30:22,120 BUT I WANT TODAY HIGHLIGHT THAT 801 00:30:22,120 --> 00:30:28,360 THIS IS SORT OF DOOM-TYPE TALK 802 00:30:28,360 --> 00:30:29,640 BECAUSE OF HIGHWAY WE TALK ABOUT 803 00:30:29,640 --> 00:30:32,800 IN TERMS OF BURNOUT, SUICIDE AND 804 00:30:32,800 --> 00:30:34,000 DEPRESSION BUT I'M OPTIMISTIC 805 00:30:34,000 --> 00:30:36,880 AND I WANT TO BRING US TO SOME 806 00:30:36,880 --> 00:30:38,200 SOLUTIONS-FOCUSED CONVERSATIONS. 807 00:30:38,200 --> 00:30:40,560 SO, LET'S DO THIS. 808 00:30:40,560 --> 00:30:41,680 HOW WE HELP EACH AND FRANKLY HOW 809 00:30:41,680 --> 00:30:43,960 DO WE HELP OURSELVES? 810 00:30:43,960 --> 00:30:44,920 ALL RIGHT. 811 00:30:44,920 --> 00:30:46,840 SO, I ALREADY MENTIONED THIS -- 812 00:30:46,840 --> 00:30:49,440 WE NEED TO KNOW HOW TO ACCESS 813 00:30:49,440 --> 00:30:51,320 HELP BUT EVEN MORE IMPORTANTLY, 814 00:30:51,320 --> 00:30:52,600 PHYSICIANS NEED TO UNDERSTAND 815 00:30:52,600 --> 00:30:54,640 WHAT IS GOING TO HAPPEN IF THEY 816 00:30:54,640 --> 00:30:55,480 DO THAT. 817 00:30:55,480 --> 00:30:56,760 SO, YOU ARE ALL I'M SURE 818 00:30:56,760 --> 00:31:01,240 FAMILIAR WITH THE AMERICANS WITH 819 00:31:01,240 --> 00:31:02,200 DISABILITIES ACT, RIGHT. 820 00:31:02,200 --> 00:31:03,960 UNDER THIS IT SAYS THE EMPLOYERS 821 00:31:03,960 --> 00:31:05,240 REALLY AREN'T ALLOWED TO ASK 822 00:31:05,240 --> 00:31:10,840 ABOUT CURRENT IMPAIRMENT AND SO 823 00:31:10,840 --> 00:31:12,280 SPECIFICALLY AROUND HIRING AND 824 00:31:12,280 --> 00:31:14,680 ALSO WE WOULD PREFER TO NOT SEE 825 00:31:14,680 --> 00:31:20,240 THAT IN MEDICAL LICENSURE, 826 00:31:20,240 --> 00:31:21,200 HOSPITAL PRIVILEGING AND THE 827 00:31:21,200 --> 00:31:25,720 REST AND THIS RECENT 2021JAMA 828 00:31:25,720 --> 00:31:27,360 STUDY THAT WE HAVE SOMEWAY TO 829 00:31:27,360 --> 00:31:28,440 GO, RIGHT. 830 00:31:28,440 --> 00:31:30,800 SO, THE FEDERATION STATE MEDICAL 831 00:31:30,800 --> 00:31:33,200 BOARDS MADE RECOMMENDATIONS BACK 832 00:31:33,200 --> 00:31:35,440 IN 2018 RELATED TO DECREASING 833 00:31:35,440 --> 00:31:37,400 THE AMOUNT OF QUESTIONS AND TYPE 834 00:31:37,400 --> 00:31:41,040 OF QUESTIONS THAT WE ALL WERE 835 00:31:41,040 --> 00:31:42,640 BEING ASKED BY THE MEDICAL BOARD 836 00:31:42,640 --> 00:31:45,680 SYSTEM AND MEDICAL LICENSING. 837 00:31:45,680 --> 00:31:48,880 AND SO, FSMB SAID THAT YOU KNOW, 838 00:31:48,880 --> 00:31:50,960 PLEASE, IF YOU ARE GOING TO ASK 839 00:31:50,960 --> 00:31:51,960 THESE QUESTIONS, AND IT NEEDS TO 840 00:31:51,960 --> 00:31:55,280 BE ONLY IF IMPAIRED ONLY CURRENT 841 00:31:55,280 --> 00:31:57,320 AND IF THERE'S SEEKING HELP 842 00:31:57,320 --> 00:31:59,480 THROUGH A STATE PHYSICIAN HEALTH 843 00:31:59,480 --> 00:32:00,840 PROGRAM, THEN THEY DON'T EVEN 844 00:32:00,840 --> 00:32:01,760 NEED TO REPORT BECAUSE WE 845 00:32:01,760 --> 00:32:03,560 ALREADY KNOW ABOUT THEM, RIGHT, 846 00:32:03,560 --> 00:32:05,520 SO THEY DO NEED TO DISCLOSE SO 847 00:32:05,520 --> 00:32:07,600 THAT'S THAT SAFE HAVEN NON 848 00:32:07,600 --> 00:32:08,320 REPORTING. 849 00:32:08,320 --> 00:32:10,200 AND THEN, THEY ALSO ENCOURAGE 850 00:32:10,200 --> 00:32:12,960 THAT FRANKLY YOU DO NEED TO ASK 851 00:32:12,960 --> 00:32:15,760 THESE QUESTIONS AND YOU SUPPORT 852 00:32:15,760 --> 00:32:17,400 OF LANGUAGE NORMALIZES THE FACT 853 00:32:17,400 --> 00:32:18,640 THAT MENTAL HEALTH IS IMPORTANT 854 00:32:18,640 --> 00:32:20,400 FOR ALL AND SO YOU CAN SEE HERE 855 00:32:20,400 --> 00:32:22,520 THAT THE DARKER COLORS ON THE 856 00:32:22,520 --> 00:32:25,040 MAP REPRESENT WHERE THIS STATES 857 00:32:25,040 --> 00:32:26,760 ARE BETTER MEETING THESE 858 00:32:26,760 --> 00:32:29,160 RECOMMENDATIONS AND CRITERIA AND 859 00:32:29,160 --> 00:32:30,920 THE LIGHTER COLORS ARE THE LOWER 860 00:32:30,920 --> 00:32:32,840 NUMBERS ARE WHERE WE REALLY HAVE 861 00:32:32,840 --> 00:32:36,560 A LOT OF WORK TO DO. 862 00:32:36,560 --> 00:32:38,760 WHAT CAN YOU DO? 863 00:32:38,760 --> 00:32:40,640 SO, ANOTHER FRIEND AND COLLEAGUE 864 00:32:40,640 --> 00:32:42,440 FROM YALE, JULIE CHILTON HAS 865 00:32:42,440 --> 00:32:44,440 CREATED A WONDERFUL WEBSITE TO 866 00:32:44,440 --> 00:32:46,000 HELP ANYONE WHO IS INTERESTED IN 867 00:32:46,000 --> 00:32:48,640 THIS KIND OF PHYSICIAN WELLBEING 868 00:32:48,640 --> 00:32:50,440 ADVOCACY WORK, TO FIGURE OUT HOW 869 00:32:50,440 --> 00:32:53,680 TO WRITE LETTERS TO YOUR 870 00:32:53,680 --> 00:32:56,480 CONGRESSPEOPLE AND HOW TO BE 871 00:32:56,480 --> 00:32:57,680 WELLNESS EMBASSADORS LOCALLY AND 872 00:32:57,680 --> 00:33:00,160 ON THE NATIONAL LEVEL. 873 00:33:00,160 --> 00:33:04,800 SO WHAT CAN INSTITUTIONS DO? 874 00:33:04,800 --> 00:33:11,360 WELL, WE CAN LIST THE ACTUAL 875 00:33:11,360 --> 00:33:15,040 QUESTIONS SO PHYSICIANS KNOW 876 00:33:15,040 --> 00:33:16,160 WHAT THEY'RE FACING BEFORE THEY 877 00:33:16,160 --> 00:33:18,400 GO AND FILL OUT THESE FORMS. 878 00:33:18,400 --> 00:33:20,840 WE CAN DESCRIBE THE 879 00:33:20,840 --> 00:33:21,640 CONFIDENTIALALITY PROCESS BEFORE 880 00:33:21,640 --> 00:33:23,120 A DOCTOR SEEKS HELP SO IF YOU 881 00:33:23,120 --> 00:33:24,240 KNOW YOU HAVE TO TAKE TIME OFF 882 00:33:24,240 --> 00:33:26,080 TO TAKE CARE OF YOUR MENTAL 883 00:33:26,080 --> 00:33:27,880 HEALTH, WHO NEEDS TO KNOW. 884 00:33:27,880 --> 00:33:30,400 DOES YOUR PHYSICIAN ASSISTANCE 885 00:33:30,400 --> 00:33:32,400 PROGRAM NEED TO KNOW, DOES HR 886 00:33:32,400 --> 00:33:33,560 NEED TO KNOW? 887 00:33:33,560 --> 00:33:35,320 DOES YOUR BOSS NEED TO LOW. 888 00:33:35,320 --> 00:33:36,920 WILL IT BE REPORTED ANYWHERE. 889 00:33:36,920 --> 00:33:38,280 THESE THINGS, DOCTOR REALLY WANT 890 00:33:38,280 --> 00:33:40,680 TO KNOW ABOUT AND SO RELEVANT 891 00:33:40,680 --> 00:33:43,520 POLICIES REALLY NEED TO BE 892 00:33:43,520 --> 00:33:45,760 AVAILABLE AND UP-TO-DATE. 893 00:33:45,760 --> 00:33:48,520 SO HERE IS AN EXAMPLE IN 894 00:33:48,520 --> 00:33:49,680 PITTSBURGH, I PRESENT THIS ALL 895 00:33:49,680 --> 00:33:51,960 THE TIME TO TRAINEES AND FACULTY 896 00:33:51,960 --> 00:33:53,000 MEMBERS AND JUST SO YOU KNOW, 897 00:33:53,000 --> 00:33:55,040 THESE ARE THE ACTUAL QUESTIONS 898 00:33:55,040 --> 00:33:56,720 ON THE HOSPITAL PRIVILEGING 899 00:33:56,720 --> 00:33:58,040 QUESTIONNAIRE AND THE TAKE HOME 900 00:33:58,040 --> 00:33:59,560 IS FORTUNATE LOW FOR MY STATE 901 00:33:59,560 --> 00:34:02,880 AND FOR MY INSTITUTION, ONLY 902 00:34:02,880 --> 00:34:04,040 CURRENT MENTAL HEALTH CONDITIONS 903 00:34:04,040 --> 00:34:08,000 THAT CAUSE IMPAIRMENT ARE ASKED 904 00:34:08,000 --> 00:34:08,960 NOTHING ELSE. 905 00:34:08,960 --> 00:34:11,440 WE ALSO CREATED THIS COOL AND 906 00:34:11,440 --> 00:34:13,600 VERY OVERWHELMING ALGORITHM BUT 907 00:34:13,600 --> 00:34:15,560 YOU CAN IMAGINE IT WOULD FEEL 908 00:34:15,560 --> 00:34:17,160 VERY, VERY OVERWHELMING IF YOU 909 00:34:17,160 --> 00:34:21,600 ARE A PHYSICIAN HIDING WITH A 910 00:34:21,600 --> 00:34:23,600 SUBSTANCE USE DISORDER THAT WAS 911 00:34:23,600 --> 00:34:24,800 UNDISCLOSED AND YOU KNEW YOU 912 00:34:24,800 --> 00:34:26,200 NEEDED HELP BUT YOU WERE 913 00:34:26,200 --> 00:34:27,240 FRIGHTENED AND CONSEQUENCES TO 914 00:34:27,240 --> 00:34:29,200 LEAD TO THE END OF YOUR CAREER 915 00:34:29,200 --> 00:34:30,880 SO WE WORKED VERY HARD WITH 916 00:34:30,880 --> 00:34:32,440 SPECIALIST WHO'S WORKED WITH 917 00:34:32,440 --> 00:34:34,240 PHYSICIANS WHO HAD HAD SUBSTANCE 918 00:34:34,240 --> 00:34:35,920 USE DISORDERS TO BETTER 919 00:34:35,920 --> 00:34:37,240 UNDERSTAND WHAT WOULD HAPPEN IF 920 00:34:37,240 --> 00:34:39,960 A PHYSICIAN SELF-DISCLOSED 921 00:34:39,960 --> 00:34:41,360 VERSUS BEING SUSPECTED OR 922 00:34:41,360 --> 00:34:43,120 RECORDED AND THE STEPS THAT 923 00:34:43,120 --> 00:34:45,000 HAPPENED SO THOSE PHYSICIANS CAN 924 00:34:45,000 --> 00:34:48,520 KNOW HOW THAT COULD RESULT IN 925 00:34:48,520 --> 00:34:49,640 THEM REMAIN EXAMINING PHYSICIANS 926 00:34:49,640 --> 00:34:52,680 AND REMAINING PROFESSIONALS AND 927 00:34:52,680 --> 00:34:54,000 REMAINING PEOPLE WITHIN OUR 928 00:34:54,000 --> 00:34:55,280 COMMUNITY WHO WE TRUST, WHO WE 929 00:34:55,280 --> 00:34:59,000 KNOW AND WHO WE NEED. 930 00:34:59,000 --> 00:35:00,160 AND ANOTHER THING WE'VE DONE 931 00:35:00,160 --> 00:35:03,640 HERE IN PITTSBURGH IS WE'VE 932 00:35:03,640 --> 00:35:05,400 CREATED ONE-PAGE FLYERS. 933 00:35:05,400 --> 00:35:07,160 I'M FORTUNATE, I MEAN, WE HAVE 934 00:35:07,160 --> 00:35:09,480 UNOF THE LARGEST GMEs AND WE 935 00:35:09,480 --> 00:35:10,600 HAVE 2,000 RESIDENTS AND 936 00:35:10,600 --> 00:35:11,560 FELLOWS, WE HAVE A LOT OF 937 00:35:11,560 --> 00:35:11,800 PEOPLE. 938 00:35:11,800 --> 00:35:13,320 WE HAVE A LOT OF RESOURCES AND 939 00:35:13,320 --> 00:35:23,720 MORE THAN MOST PLACES. 940 00:35:26,280 --> 00:35:30,200 SO, WE CREATED THESE FLYERS THAT 941 00:35:30,200 --> 00:35:32,200 I UPDATE, I FEEL LIKE, EVERY 942 00:35:32,200 --> 00:35:32,880 OTHER MONTH NOW. 943 00:35:32,880 --> 00:35:36,080 IN FACT, WE JUST UPDATED IT WITH 944 00:35:36,080 --> 00:35:39,760 THE NEW 9-8-8 SUICIDE CRISIS 945 00:35:39,760 --> 00:35:42,080 HOTLINE NUMBER. 946 00:35:42,080 --> 00:35:43,560 THERE'S ONE THING FOR ATTENDEE 947 00:35:43,560 --> 00:35:44,840 AND ONE SPECIFIC TO RESIDENTS 948 00:35:44,840 --> 00:35:46,480 AND FELLOWS AND IF YOU ARE 949 00:35:46,480 --> 00:35:48,360 INTERESTED, YOU CAN GO TO THE 950 00:35:48,360 --> 00:35:50,320 WEBSITE WHERE WE KEEP THESE 951 00:35:50,320 --> 00:35:53,040 UPDATED BECAUSE I RECOMMEND 952 00:35:53,040 --> 00:35:54,720 USING SOMETHING LIKE THIS SO 953 00:35:54,720 --> 00:35:56,160 THAT PHYSICIANS AND RESIDENTS 954 00:35:56,160 --> 00:35:58,560 DON'T HAVE TO ASK THE QUESTIONS. 955 00:35:58,560 --> 00:36:00,360 THEY CAN FIND OUT WHAT IS 956 00:36:00,360 --> 00:36:02,240 AVAILABLE BY READING AND DOING 957 00:36:02,240 --> 00:36:03,800 THEIR OWN RESEARCH IF THEY'RE 958 00:36:03,800 --> 00:36:05,200 FEELING LIKE THAT'S THE BARRIER 959 00:36:05,200 --> 00:36:09,800 TO THEM UNDERSTANDING. 960 00:36:09,800 --> 00:36:11,120 SO THIS IS MY BABY. 961 00:36:11,120 --> 00:36:13,480 WE CREATED THIS ONE, GOSH, I 962 00:36:13,480 --> 00:36:19,480 GUESS WE START TOUC WE START IN. 963 00:36:19,480 --> 00:36:22,480 IT WAS CURBSIDE FOR BEHAVIORAL 964 00:36:22,480 --> 00:36:24,560 HEALTH AND WE REALIZED THAT 965 00:36:24,560 --> 00:36:26,240 PHYSICIANS WOULD CALL SOMEONE 966 00:36:26,240 --> 00:36:28,440 LIKE ME A FRIEND AND PSYCHIATRY 967 00:36:28,440 --> 00:36:30,600 AND MAYBE LIKE HEY, I NEED, YOU 968 00:36:30,600 --> 00:36:32,280 KNOW, A MENTAL HEALTH PROVIDERS 969 00:36:32,280 --> 00:36:33,800 LOCALLY AND I WOULD PREFER 970 00:36:33,800 --> 00:36:35,240 SOMEONE OUTSIDE OF THE 971 00:36:35,240 --> 00:36:37,320 INSTITUTION AND I HAVE, OCD OR 972 00:36:37,320 --> 00:36:40,760 MY KID HAS ADH D AND THEY'RE 973 00:36:40,760 --> 00:36:41,440 REALLY STRUGGLING DURING THE 974 00:36:41,440 --> 00:36:42,760 PANDEMIC AND WHO DO YOU 975 00:36:42,760 --> 00:36:43,600 RECOMMEND? 976 00:36:43,600 --> 00:36:45,120 I WAS GETTING ONE OF THESE 977 00:36:45,120 --> 00:36:47,000 E-MAILS OR PHONE CALLS OR TEXTS, 978 00:36:47,000 --> 00:36:48,160 IT FELT LIKE EVERY WEEK AND I 979 00:36:48,160 --> 00:36:50,800 KNOW SOME OF MY OTHER COLLEAGUES 980 00:36:50,800 --> 00:36:51,880 WERE GETTING THE SAME. 981 00:36:51,880 --> 00:36:54,720 WE THOUGHT, IT'S NOT BAD, HOW 982 00:36:54,720 --> 00:36:56,240 ABOUT WITH THESE PRIVATE CURB 983 00:36:56,240 --> 00:36:58,240 SIDES BUT YOU HAVE TO BE 984 00:36:58,240 --> 00:36:59,680 PRIVILEGED TO BE COMFORTABLE 985 00:36:59,680 --> 00:37:01,200 ENOUGH TO REACH OUT TO ME OR ONE 986 00:37:01,200 --> 00:37:02,760 OF MY COLLEAGUES, RIGHT. 987 00:37:02,760 --> 00:37:04,680 NOT EVERYONE HAS THAT IMMEDIATE 988 00:37:04,680 --> 00:37:06,200 ACCESS TO BE ABLE TO DO THAT. 989 00:37:06,200 --> 00:37:07,800 AND SO, WE REALIZED THAT WE 990 00:37:07,800 --> 00:37:10,120 NEEDED TO CREATE A CONFIDENTIAL 991 00:37:10,120 --> 00:37:11,920 MENTAL HEALTH REFERRAL SYSTEM 992 00:37:11,920 --> 00:37:13,840 THAT WAS SPECIFIC TO DOCTORS. 993 00:37:13,840 --> 00:37:16,240 BRANDING IS SO IMPORTANT. 994 00:37:16,240 --> 00:37:19,000 PHYSICIANS DON'T LIKE TO GO TO 995 00:37:19,000 --> 00:37:21,480 THE EMPLOYEE ASSISTANCE PROGRAM 996 00:37:21,480 --> 00:37:22,400 AT OUR INSTITUTION. 997 00:37:22,400 --> 00:37:24,920 WE DID RESEARCH ON IT AND WHEN 998 00:37:24,920 --> 00:37:28,000 WE GRANTED FROM EAP TO PHYSICIAN 999 00:37:28,000 --> 00:37:29,400 A EAST AS SOON AS PROGRAM THEY 1000 00:37:29,400 --> 00:37:30,240 REALIZED IT WAS FOR THEM AND 1001 00:37:30,240 --> 00:37:31,520 SAME THING WE CALLED THE RECEIPT 1002 00:37:31,520 --> 00:37:32,800 DEPARTMENT FELLOW ONE THE 1003 00:37:32,800 --> 00:37:34,560 RESIDENT AND FELLOW ASSISTANCE 1004 00:37:34,560 --> 00:37:35,040 PROGRAM. 1005 00:37:35,040 --> 00:37:37,600 THIS REBRANDING REALLY HELPS 1006 00:37:37,600 --> 00:37:39,160 NORMALIZE THERE ARE OTHER 1007 00:37:39,160 --> 00:37:40,200 PROFESSIONALS IN YOUR FIELD, WHO 1008 00:37:40,200 --> 00:37:42,960 NEED THESE SERVICES AND SO 1009 00:37:42,960 --> 00:37:46,800 CURBSIDE SPECIFICALLY IS NOT A 1010 00:37:46,800 --> 00:37:48,520 CLINICAL PROVIDING SYSTEM BUT 1011 00:37:48,520 --> 00:37:51,320 INSTEAD JUST A CONCIERGE 1012 00:37:51,320 --> 00:37:51,680 SERVICE. 1013 00:37:51,680 --> 00:37:53,240 YOU GET IN TOUCH WITH THEM AND 1014 00:37:53,240 --> 00:37:55,480 TELL THEM AS MUCH OR AS LITTLE 1015 00:37:55,480 --> 00:37:56,480 INFORMATION ABOUT THE CLINICAL 1016 00:37:56,480 --> 00:37:58,000 SITUATION THAT YOU ARE IN AND 1017 00:37:58,000 --> 00:37:59,640 THEN THEY CONNECT TO YOU TWO TO 1018 00:37:59,640 --> 00:38:02,920 THREE MENTAL HEALTH PROVIDERS 1019 00:38:02,920 --> 00:38:04,560 BASED ON YOUR REQUESTS AND NEEDS 1020 00:38:04,560 --> 00:38:05,880 WHETHER IT'S INSIDE THE 1021 00:38:05,880 --> 00:38:06,920 INSTITUTION, OUTSIDE OF THE 1022 00:38:06,920 --> 00:38:08,560 INSTITUTION, PRIVATE PAY AND 1023 00:38:08,560 --> 00:38:09,160 INSURANCE WHAT HAVE YOU. 1024 00:38:09,160 --> 00:38:12,240 YOU CAN SEE HERE, WE PUBLISHED 1025 00:38:12,240 --> 00:38:14,400 JUST THIS YEAR ON THE ORIGINAL 1026 00:38:14,400 --> 00:38:17,720 OUTCOMES AND ANXIETY AND STRESS 1027 00:38:17,720 --> 00:38:19,160 TOPPED THE CHARTS IN TERMS OF 1028 00:38:19,160 --> 00:38:25,840 WHY PEOPLE WERE CALLING CURBSIDE 1029 00:38:25,840 --> 00:38:27,120 AND WHO CONNECTED TO MENTAL 1030 00:38:27,120 --> 00:38:28,240 HEALTHCARE WHO MAY BE WOULDN'T 1031 00:38:28,240 --> 00:38:29,960 HAVE HAD CURBSIDE NOT EXIST 1032 00:38:29,960 --> 00:38:33,160 INSIDE THAT FIRST YEAR. 1033 00:38:33,160 --> 00:38:35,320 WHAT ELSE ARE WE DOING. 1034 00:38:35,320 --> 00:38:36,360 WE PAIRED UP WITH AMERICAN 1035 00:38:36,360 --> 00:38:38,920 FOUNDATION OF SUICIDE PREVENTION 1036 00:38:38,920 --> 00:38:40,440 AND YOU MIGHT BE FAMILIAR WITH 1037 00:38:40,440 --> 00:38:42,360 THE INTERACTIVE SCREENING 1038 00:38:42,360 --> 00:38:47,040 PROGRAM SO THIS IS A COMPLETELY 1039 00:38:47,040 --> 00:38:50,200 ANONYMOUS WAY TO ANSWER A MENTAL 1040 00:38:50,200 --> 00:38:54,000 HEALTH AND WELLBEING SURVEY. 1041 00:38:54,000 --> 00:38:55,880 ON PARAMETERS FROM SLEEPING, 1042 00:38:55,880 --> 00:38:57,800 EXERCISE AND DIET TO DEPRESSION, 1043 00:38:57,800 --> 00:38:59,920 SUBSTANCE USE AND SUICIDE AND 1044 00:38:59,920 --> 00:39:01,800 YOU ANSWER THE QUESTIONS BY 1045 00:39:01,800 --> 00:39:04,560 CREATING A UNIQUE I.D., A UNIQUE 1046 00:39:04,560 --> 00:39:08,560 PASSWWORD ON A UNIQUE SERVER SOO 1047 00:39:08,560 --> 00:39:09,520 ONE NEEDS TO KNOW YOU WERE THERE 1048 00:39:09,520 --> 00:39:11,760 AND YOU GO BACK INTO THE SERVER 1049 00:39:11,760 --> 00:39:16,520 WHEN YOU GET A MESSAGE IN THE 1050 00:39:16,520 --> 00:39:18,680 SERVER, TELLING YOU THAT ONE OF 1051 00:39:18,680 --> 00:39:21,120 THE ISP CLINICIANS HAS ANSWERED 1052 00:39:21,120 --> 00:39:22,880 EX THEIR PERSONALIZED SO IT 1053 00:39:22,880 --> 00:39:25,120 MIGHT SAY I NOTICED IN YOUR SUR 1054 00:39:25,120 --> 00:39:33,040 HAVE I HAVEA THAT YOU HAD A DEAE 1055 00:39:33,040 --> 00:39:34,000 FAMILY AND THAT PHYSICIAN CAN 1056 00:39:34,000 --> 00:39:35,040 CONNECT THROUGH THAT SERVER AND 1057 00:39:35,040 --> 00:39:37,080 CONTINUE TO KEEP THEIR ANONYMITY 1058 00:39:37,080 --> 00:39:39,440 OR THEY CAN CONNECT EITHER 1059 00:39:39,440 --> 00:39:44,480 VIRTUALLY OR IN-PERSON WITH A 1060 00:39:44,480 --> 00:39:45,400 CLINICIAN IF THEY FEEL THAT 1061 00:39:45,400 --> 00:39:47,240 WOULD BE HELPFUL. 1062 00:39:47,240 --> 00:39:50,520 WE HAVE A PEER-TO-PEER SUPPORT 1063 00:39:50,520 --> 00:39:53,560 PROGRAM FOR PHYSICIANS AND 1064 00:39:53,560 --> 00:39:54,160 PHYSICIAN TRAINEES AND IT'S 1065 00:39:54,160 --> 00:39:56,040 CALLED PHYSICIANS FOR 1066 00:39:56,040 --> 00:39:56,360 PHYSICIANS. 1067 00:39:56,360 --> 00:39:58,800 THIS IS DIFFERENT THAN MENTAL 1068 00:39:58,800 --> 00:39:59,080 HEALTHCARE. 1069 00:39:59,080 --> 00:40:00,680 THIS IS CHALLENGING OUTCOMES 1070 00:40:00,680 --> 00:40:02,720 HAPPEN AT WORK ALL THE TIME AND 1071 00:40:02,720 --> 00:40:04,520 YOU MIGHT BE REALLY STRUGGLING 1072 00:40:04,520 --> 00:40:06,560 WITH THE RELATIONSHIP WITH A 1073 00:40:06,560 --> 00:40:08,560 COLLEAGUES, ONE YOU SAID THAT, 1074 00:40:08,560 --> 00:40:08,800 RIGHT. 1075 00:40:08,800 --> 00:40:12,200 A TOXIC ENVIRONMENT ON YOUR 1076 00:40:12,200 --> 00:40:12,680 TEAM. 1077 00:40:12,680 --> 00:40:14,120 SO TALKING TO ANOTHER PHYSICIAN 1078 00:40:14,120 --> 00:40:17,720 IN A DIFFERENT DISCIPLINE IN A 1079 00:40:17,720 --> 00:40:18,280 CONFIDENTIAL ENVIRONMENT TO 1080 00:40:18,280 --> 00:40:19,560 VENT, GAIN SUPPORT, IDEAS, HAVE 1081 00:40:19,560 --> 00:40:26,640 SOME TRUST WITH SOMEONE WHO CAN 1082 00:40:26,640 --> 00:40:28,240 EXPERIENCED SOMETHING SIMILAR. 1083 00:40:28,240 --> 00:40:30,600 IT'S HELPFUL IF YOU HAVE NAMED 1084 00:40:30,600 --> 00:40:31,360 IN A MALPRACTICE LAWSUIT OR YOU 1085 00:40:31,360 --> 00:40:34,160 JUST HAD A REALLY CHALLENGING 1086 00:40:34,160 --> 00:40:39,760 CLINICAL INTERACTION OR OUTCOME. 1087 00:40:39,760 --> 00:40:41,520 I JUST WANT TO REMIND YOU THAT 1088 00:40:41,520 --> 00:40:43,440 THERE ARE AMAZING SERVICES AND 1089 00:40:43,440 --> 00:40:48,240 I'M SURE AT THE NIH, BUT ALSO 1090 00:40:48,240 --> 00:40:49,200 NATIONALLY AND SO THESE 1091 00:40:49,200 --> 00:40:50,280 BEAUTIFUL PROGRAMS LIKE THE 1092 00:40:50,280 --> 00:40:52,680 PHYSICIAN SUPPORT LINE, THE 1093 00:40:52,680 --> 00:40:58,440 EMOTIONAL PPE PROJECT AND THEY 1094 00:40:58,440 --> 00:40:59,360 ARE GEARED TWO PHYSICIAN AND 1095 00:40:59,360 --> 00:41:02,000 FRONTLINE WORKERS TO PROVIDE 1096 00:41:02,000 --> 00:41:03,200 MENTAL HEALTH SUPPORT AS WELL AS 1097 00:41:03,200 --> 00:41:04,960 THE NATIONAL SUICIDE PREVENTION 1098 00:41:04,960 --> 00:41:06,840 LIFELINE WHICH YOU CAN CALL, 1099 00:41:06,840 --> 00:41:11,240 CHAT OR TEXT AND NOW JUST THAT 1100 00:41:11,240 --> 00:41:16,400 9-8-8 NUMBER IS SO EASY TO 1101 00:41:16,400 --> 00:41:16,840 REMEMBER. 1102 00:41:16,840 --> 00:41:17,440 SPREAD THE WORD. 1103 00:41:17,440 --> 00:41:24,920 IT WILL SAVE SO MANY LIVES. 1104 00:41:24,920 --> 00:41:27,600 >> THE RESIDENT WHO HIT DISCLOSE 1105 00:41:27,600 --> 00:41:29,600 TO HER FRIENDS AND SHE WAS 1106 00:41:29,600 --> 00:41:30,920 HAVING SUICIDAL THOUGHTS AND SHE 1107 00:41:30,920 --> 00:41:32,480 GOT SENT TO ME. 1108 00:41:32,480 --> 00:41:33,400 SHE HAD A QUOTE. 1109 00:41:33,400 --> 00:41:36,240 THE HELP THAT I GAVE HER, SO I 1110 00:41:36,240 --> 00:41:37,320 CONNECTED HER WITH MENTAL 1111 00:41:37,320 --> 00:41:39,080 HEALTHCARE, SHE SAID, IT WAS 1112 00:41:39,080 --> 00:41:43,560 ABSOLUTELY NOT WHAT I WANTED AND 1113 00:41:43,560 --> 00:41:45,840 EXACTLY WHAT I NEEDED, RIGHT. 1114 00:41:45,840 --> 00:41:48,680 SO WE ALWAYS THINK AND I GUESS I 1115 00:41:48,680 --> 00:41:49,680 ALWAYS THINK, WHEN I'M HELPING 1116 00:41:49,680 --> 00:41:51,160 SOMEONE OUT IT'S GOING TO BE 1117 00:41:51,160 --> 00:41:51,720 THIS BEAUTIFUL MOMENT WHERE 1118 00:41:51,720 --> 00:41:53,280 THEY'RE GOING TO BE SO GRATEFUL, 1119 00:41:53,280 --> 00:41:54,920 THANK YOU SO MUCH FOR HELPING ME 1120 00:41:54,920 --> 00:41:56,520 CONNECT WITH THE THERAPIST AND 1121 00:41:56,520 --> 00:41:59,160 WHAT WOULD I DO IN THIS CRISIS 1122 00:41:59,160 --> 00:42:00,560 MOMENT IF IT WEREN'T FOR A 1123 00:42:00,560 --> 00:42:02,360 FRIEND AND PSYCHIATRY. 1124 00:42:02,360 --> 00:42:03,920 THE TRUTH OF THE MATTER, IT CAN 1125 00:42:03,920 --> 00:42:05,640 BE MESSIER THAN THAT AND YOU 1126 00:42:05,640 --> 00:42:07,440 MIGHT SEE A COLLEAGUE, A FRIEND, 1127 00:42:07,440 --> 00:42:10,120 A PEER, WHO IS STRUGGLE AGO THE 1128 00:42:10,120 --> 00:42:11,800 WORK AND YOU MIGHT VOICE THAT 1129 00:42:11,800 --> 00:42:13,000 YOU ARE CONCERNED ABOUT THEM AND 1130 00:42:13,000 --> 00:42:21,840 THEY MIGHT NOT BE AS WARM AND 1131 00:42:21,840 --> 00:42:22,800 ACCEPTING AS YOUR HELP AND 1132 00:42:22,800 --> 00:42:23,480 THAT'S OK. 1133 00:42:23,480 --> 00:42:25,480 WE'RE ON TO CHAPTER 4 AND IT'S 1134 00:42:25,480 --> 00:42:26,680 GREAT BECAUSE I WILL TIME FOR 1135 00:42:26,680 --> 00:42:28,680 QUESTIONS AT THE END AND 1136 00:42:28,680 --> 00:42:30,080 CERTAINLY AT THIS POINT JOYCE, 1137 00:42:30,080 --> 00:42:30,920 IF THERE ARE ALREADY QUESTIONS 1138 00:42:30,920 --> 00:42:36,440 IN THE CHAT, FEEL FREE TO 1139 00:42:36,440 --> 00:42:38,560 INTERRUPT ME. 1140 00:42:38,560 --> 00:42:42,080 THIS BEAUTIFUL LITTLE GOLDEN 1141 00:42:42,080 --> 00:42:43,160 OUTHOUSE HAS A LITTLE STORY AND 1142 00:42:43,160 --> 00:42:46,000 I'LL ONLY TAKE A MOMENT TO TELL 1143 00:42:46,000 --> 00:42:49,520 IT BUT MY GRANDFATHER TRAVELED 1144 00:42:49,520 --> 00:42:54,880 ACROSS EUROPE AND HE COLLECTED 1145 00:42:54,880 --> 00:42:56,760 LITTLE TRINKET FOR HIS WIFE, MY 1146 00:42:56,760 --> 00:42:57,800 GRAND MOTHER, DURING HIS TRAVELS 1147 00:42:57,800 --> 00:43:02,760 WHEN THEY WERE APART AND CREATED 1148 00:43:02,760 --> 00:43:03,720 BEAUTIFUL LITTLE CHARM BRACELET 1149 00:43:03,720 --> 00:43:06,000 THAT WAS GIVEN TO ME WHEN MY 1150 00:43:06,000 --> 00:43:06,960 GRANDMOTHER PASSED AND I 1151 00:43:06,960 --> 00:43:08,960 REMEMBER AS A CHILD PLAYING WITH 1152 00:43:08,960 --> 00:43:11,120 ALL THE LITTLE PIECES INCLUDING 1153 00:43:11,120 --> 00:43:12,760 A FERRIS WHEEL WITH ALL THE 1154 00:43:12,760 --> 00:43:14,200 PARTS THAT MOVED AND WORKED. 1155 00:43:14,200 --> 00:43:14,920 THIS WAS MY FAVORITE. 1156 00:43:14,920 --> 00:43:16,960 THE GOLDEN OUTHOUSE AND CAN YOU 1157 00:43:16,960 --> 00:43:18,400 OPEN THAT DOOR AND THERE WAS A 1158 00:43:18,400 --> 00:43:22,160 LITTLE GOLDEN MAN SITTING 1159 00:43:22,160 --> 00:43:22,400 INSIDE. 1160 00:43:22,400 --> 00:43:27,040 IT WAS JUST SO SWEET. 1161 00:43:27,040 --> 00:43:27,680 WHEN MY EXHUSBAND MOVED OUT OF 1162 00:43:27,680 --> 00:43:29,480 THE HOUSE, IT WAS JUST ME AND MY 1163 00:43:29,480 --> 00:43:33,400 BOYS AND I REMEMBER THAT WE CAME 1164 00:43:33,400 --> 00:43:34,920 HOME FROM THE POOL LATE ONE 1165 00:43:34,920 --> 00:43:36,920 EVENING AND I TOLD THE KIDS TO 1166 00:43:36,920 --> 00:43:39,320 RUN UPSTAIRS AND GET READY FOR 1167 00:43:39,320 --> 00:43:40,280 BED BECAUSE IT WAS LATE. 1168 00:43:40,280 --> 00:43:42,240 MY OLDER SON YELLED DOWN FROM UP 1169 00:43:42,240 --> 00:43:44,840 STAIRS, AND HE SAID, MOM, 1170 00:43:44,840 --> 00:43:46,520 SOMEONE STOLE MY PIGGY BANK 1171 00:43:46,520 --> 00:43:47,600 MONEY AND I WAS LIKE WHAT? 1172 00:43:47,600 --> 00:43:49,120 AND I CAME UPSTAIRS AND SURE 1173 00:43:49,120 --> 00:43:51,640 ENOUGH THE WHOLE UPSTAIRS WAS 1174 00:43:51,640 --> 00:43:51,920 RANSACKED. 1175 00:43:51,920 --> 00:43:53,760 THE JEWELRY BOX WAS TURNED OVER 1176 00:43:53,760 --> 00:43:55,440 AND EVERYTHING WAS TURNED OVER 1177 00:43:55,440 --> 00:43:58,840 SO SOMEONE WAS IN OUR HOUSE. 1178 00:43:58,840 --> 00:44:03,080 ANYWAY, TERRIFYING. 1179 00:44:03,080 --> 00:44:05,640 WE WERE SAFE, IT WAS OK. 1180 00:44:05,640 --> 00:44:06,840 SO SAD THOUGH. 1181 00:44:06,840 --> 00:44:09,320 I'M NOT MUCH OF A JEWELRY WEARER 1182 00:44:09,320 --> 00:44:12,280 BUT I LOST ALL OF MY GRAND 1183 00:44:12,280 --> 00:44:17,720 MOTHER'S JOWL RE JEWELRY GIVEN D 1184 00:44:17,720 --> 00:44:19,800 IT WASN'T UNTIL TWO WEEKS LATER 1185 00:44:19,800 --> 00:44:22,800 THAT MY SON WAS UNDERNEATH THE 1186 00:44:22,800 --> 00:44:24,720 BED IN THE BEDROOM AND HE SAID 1187 00:44:24,720 --> 00:44:26,160 MOM, LOOK WHAT I FOUND. 1188 00:44:26,160 --> 00:44:28,040 HE FOUND THE GOLDEN OUTHOUSE. 1189 00:44:28,040 --> 00:44:32,360 I DON'T KNOW HOW IT FELL OFF 1190 00:44:32,360 --> 00:44:35,240 DURING THE BURGLAR REBUT IT GAVE 1191 00:44:35,240 --> 00:44:37,120 ME HOPE AND I HOPE I CAN GIVE 1192 00:44:37,120 --> 00:44:37,840 YOU HOPE TOO. 1193 00:44:37,840 --> 00:44:41,280 THE TRUTH OF THE MATTER, 1194 00:44:41,280 --> 00:44:42,720 WELLNESS DOES MAKE ME CRINGE 1195 00:44:42,720 --> 00:44:45,560 BECAUSE IT DOESN'T FEEL 1196 00:44:45,560 --> 00:44:46,840 AUTHENTIC OR IT CAPTURES THE 1197 00:44:46,840 --> 00:44:48,560 EXPERIENCE WE'RE HAVING AS HUMAN 1198 00:44:48,560 --> 00:44:48,760 BEINGS. 1199 00:44:48,760 --> 00:44:50,800 IT DOESN'T HAPPENTURE THE FACT 1200 00:44:50,800 --> 00:44:52,720 THE MEDICAL CULTURE AND MEDICAL 1201 00:44:52,720 --> 00:44:56,000 SYSTEMS ARE JUST BROKEN. 1202 00:44:56,000 --> 00:44:57,200 THINK NOT BEEN MODERNIZED TO 1203 00:44:57,200 --> 00:44:58,480 MEET THE NEEDS THAT WE HAVE NOW 1204 00:44:58,480 --> 00:45:00,840 WITH ALL THE VIRTUAL 1205 00:45:00,840 --> 00:45:02,120 COMMUNICATIONS, WITH ALL THE 1206 00:45:02,120 --> 00:45:03,680 EXTRA NEEDS, WITH ALL THE EXTRA 1207 00:45:03,680 --> 00:45:08,400 DIAGNOSIS WE'RE STILL LIVING IN 1208 00:45:08,400 --> 00:45:09,840 THE VERY OLD SYSTEM. 1209 00:45:09,840 --> 00:45:12,080 SO WHAT CAN WE DO? 1210 00:45:12,080 --> 00:45:15,240 WELL, WE KNOW THAT EARLY STAGES, 1211 00:45:15,240 --> 00:45:16,760 IT LOOKS LIKE WELLNESS 1212 00:45:16,760 --> 00:45:17,400 INITIATIVES BOTH THE INDIVIDUAL 1213 00:45:17,400 --> 00:45:20,280 AND ORGANIZATIONAL LEVEL DO WORK 1214 00:45:20,280 --> 00:45:22,840 AND THEY CAN INCREASE WELLNESS 1215 00:45:22,840 --> 00:45:25,080 AND DECREASE BURNOUT IN THE 1216 00:45:25,080 --> 00:45:25,640 REST. 1217 00:45:25,640 --> 00:45:27,400 SO, FIRST AND FOR MOST, IF YOU 1218 00:45:27,400 --> 00:45:29,800 DO FEEL LIKE YOUR ENVIRONMENT IS 1219 00:45:29,800 --> 00:45:31,080 REALLY UNDERSTANDING HOW 1220 00:45:31,080 --> 00:45:36,640 IMPORTANT WELLNESS IS, FARCE AN 1221 00:45:36,640 --> 00:45:37,840 ADVOCACY EFFORT GO TO THE 1222 00:45:37,840 --> 00:45:39,400 WEBSITE AND I'LL SHOW YOU THE 1223 00:45:39,400 --> 00:45:41,480 URL AND THE BURNOUT SECTION ARE 1224 00:45:41,480 --> 00:45:44,720 THESE FLYERS AND THEY'RE 1225 00:45:44,720 --> 00:45:46,040 THREE-PAGE FOLD OUTS THAT WERE 1226 00:45:46,040 --> 00:45:47,920 MADE WITH CAROLE BERNSTEIN AND 1227 00:45:47,920 --> 00:45:50,080 SOME OTHER COLLABORATORS ACROSS 1228 00:45:50,080 --> 00:45:53,720 THE NATION TO HELP INSTITUTIONS 1229 00:45:53,720 --> 00:45:56,160 AND LEADERSHIP UNDERSTAND WHY 1230 00:45:56,160 --> 00:45:59,480 WELLBEING INITIATIVES ARE 1231 00:45:59,480 --> 00:45:59,760 IMPORTANT. 1232 00:45:59,760 --> 00:46:01,960 WE NEED TO GET OUR LEADERSHIP TO 1233 00:46:01,960 --> 00:46:08,120 BUY INTO PHYSICIAN WELL BE WELLO 1234 00:46:08,120 --> 00:46:11,080 WE HAVE A SYMPOSIUM EVERY WINTER 1235 00:46:11,080 --> 00:46:13,560 FOR FACULTY AND RESIDENTS AND 1236 00:46:13,560 --> 00:46:15,720 APPs AND FOR I GUESS NOW THE 1237 00:46:15,720 --> 00:46:18,320 THIRD YEAR WE'VE INVITED THE 1238 00:46:18,320 --> 00:46:19,880 EXECUTIVES TO COME TO THE TABLE 1239 00:46:19,880 --> 00:46:21,520 AND DISCUSS WITH OUR PHYSICIANS 1240 00:46:21,520 --> 00:46:23,320 THE ISSUES AT HAND. 1241 00:46:23,320 --> 00:46:26,200 I GET TO BE OPRAH AS IT WERE AND 1242 00:46:26,200 --> 00:46:28,560 TROY TO FACILITATE THESE 1243 00:46:28,560 --> 00:46:30,160 CONVERSATIONS BETWEEN THESE 1244 00:46:30,160 --> 00:46:30,440 PARTIES. 1245 00:46:30,440 --> 00:46:32,600 BY THINK YOU KNOW, IT'S REALLY 1246 00:46:32,600 --> 00:46:35,600 IMPORTANT AT LEAST TO FEEL HEARD 1247 00:46:35,600 --> 00:46:37,000 AND TO HAVE IMPORTANT 1248 00:46:37,000 --> 00:46:40,360 CONVERSATIONS AT LEAST BEING 1249 00:46:40,360 --> 00:46:42,080 HAD. 1250 00:46:42,080 --> 00:46:43,360 YOU ALREADY HEARD LAST GRAND 1251 00:46:43,360 --> 00:46:44,800 ROUNDS ON THE TOPIC OF WELLNESS 1252 00:46:44,800 --> 00:46:46,440 ABOUT BURNOUT AND HOW TO MEASURE 1253 00:46:46,440 --> 00:46:47,040 IT. 1254 00:46:47,040 --> 00:46:54,560 SO I'M NOT GOING TO BOW LABOR BE 1255 00:46:54,560 --> 00:46:55,880 POINT BUT WHERE IS YOUR 1256 00:46:55,880 --> 00:46:56,600 COMMUNITY IN TERMS OF WELL 1257 00:46:56,600 --> 00:46:56,880 BEING. 1258 00:46:56,880 --> 00:46:58,720 HAVING TEAMS, ADVOCACY CHAMPIONS 1259 00:46:58,720 --> 00:47:00,720 AND PEOPLE DEDICATE TODAY THIS 1260 00:47:00,720 --> 00:47:03,360 WORK HERE AT UPMC WE HAVE 1261 00:47:03,360 --> 00:47:04,000 SOMETHING CALLED THRIVE WHICH IS 1262 00:47:04,000 --> 00:47:09,400 FOR THE ATTENDINGS AND THE WELL 1263 00:47:09,400 --> 00:47:12,400 COMMITTEE AND AND WE'RE IN 1264 00:47:12,400 --> 00:47:14,040 CHARGE OF WELL. 1265 00:47:14,040 --> 00:47:16,440 PLEASE, IF NOTHING ELSE, TAKE A 1266 00:47:16,440 --> 00:47:19,640 SCREEN SHOT OF THIS URL. 1267 00:47:19,640 --> 00:47:21,640 IT'S JUST G. 1268 00:47:21,640 --> 00:47:22,560 >> Marie: WELLNESS AND YOU CAN 1269 00:47:22,560 --> 00:47:26,240 HAVE ANY OF MY MATERIALS FOR 1270 00:47:26,240 --> 00:47:26,440 FREE. 1271 00:47:26,440 --> 00:47:28,320 IT'S OUT THERE AND IT'S OUTSIDE 1272 00:47:28,320 --> 00:47:30,160 OF OUR FIRE WALL AND IT'S 1273 00:47:30,160 --> 00:47:30,640 ACCESSIBLE TO YOU. 1274 00:47:30,640 --> 00:47:31,960 A LOT OF THE SLIDES THAT YOU SAW 1275 00:47:31,960 --> 00:47:33,880 TODAY ARE AVAILABLE OUT THERE 1276 00:47:33,880 --> 00:47:36,960 AND INCLUDING SLIDES FROM THE 1277 00:47:36,960 --> 00:47:37,400 WELL TOOLKIT. 1278 00:47:37,400 --> 00:47:40,360 THIS WAS AN INITIATIVE THAT WAS 1279 00:47:40,360 --> 00:47:43,920 IN RESPONSE TO THE ACGME 1280 00:47:43,920 --> 00:47:44,880 REQUIREMENTS RELATED TO MAKING 1281 00:47:44,880 --> 00:47:47,080 SURE THAT PHYSICIANS KNEW HOW TO 1282 00:47:47,080 --> 00:47:48,120 SEE THE SIGNS AND SYMPTOMS OF 1283 00:47:48,120 --> 00:47:49,560 THESE SIX THINGS. 1284 00:47:49,560 --> 00:47:51,440 AND SO WE HAD EXPERTS FROM 1285 00:47:51,440 --> 00:47:55,680 ACROSS A VARIETY OF DISCIPLINE 1286 00:47:55,680 --> 00:47:57,320 PROVIDE BOTH PRESENTATIONS AND 1287 00:47:57,320 --> 00:47:59,240 AUDIO RECORDINGS AND RESOURCES 1288 00:47:59,240 --> 00:48:02,120 AND INTERACTIVE SESSIONS AND 1289 00:48:02,120 --> 00:48:05,240 FAQs AND BIBLIOGRAPHIES ON 1290 00:48:05,240 --> 00:48:07,000 FATIGUE BURNOUT, RISK FOR 1291 00:48:07,000 --> 00:48:09,360 VIOLENCE AND SUICIDE PREVENTION. 1292 00:48:09,360 --> 00:48:11,160 AND WE HAD A REALLY GOOD OUTCOME 1293 00:48:11,160 --> 00:48:12,680 SO WE DIDN'T START TRACKING 1294 00:48:12,680 --> 00:48:14,480 RIGHT AWAY BUT CAN SEE HERE, 1295 00:48:14,480 --> 00:48:16,760 SINCE JANUARY OF 2021, WE'VE HAD 1296 00:48:16,760 --> 00:48:18,400 MORE THAN 12,000 VIEWS TO OUR 1297 00:48:18,400 --> 00:48:22,320 WEBSITE AND HOPEF HOPELY YOU GUO 1298 00:48:22,320 --> 00:48:24,320 OUT AND CHECK IT OUT TODAY. 1299 00:48:24,320 --> 00:48:25,280 THERE'S PRACTICAL STUFF OUT 1300 00:48:25,280 --> 00:48:25,480 THERE. 1301 00:48:25,480 --> 00:48:28,480 FOR INSTANCE, DO YOU FEEL LIKE 1302 00:48:28,480 --> 00:48:30,240 YOU HAVE THE QUESTIONS TO ASK A 1303 00:48:30,240 --> 00:48:31,200 COLLEAGUE IF YOU ARE WORRIED 1304 00:48:31,200 --> 00:48:34,040 THEY'RE STRUGGLING? 1305 00:48:34,040 --> 00:48:37,320 WE BORROWED REALLY AMAZING 1306 00:48:37,320 --> 00:48:40,200 RESOURCES FROM ALL OVER THE 1307 00:48:40,200 --> 00:48:40,440 NATION. 1308 00:48:40,440 --> 00:48:42,320 FOR INSTANCE THIS ONE HERE. 1309 00:48:42,320 --> 00:48:44,640 LANGUAGE THAT YOU MIGHT WANT TO 1310 00:48:44,640 --> 00:48:47,160 USE FROM THE AMA RELATED TO HOW 1311 00:48:47,160 --> 00:48:48,680 TO HAVE A CONVERSATION WITH A 1312 00:48:48,680 --> 00:48:53,000 PHYSICIAN YOU ARE CURRENTLY 1313 00:48:53,000 --> 00:48:55,600 CONCERNED ABOUT. 1314 00:48:55,600 --> 00:48:56,760 WE HAD INTERESTING RESOURCES ON 1315 00:48:56,760 --> 00:48:58,200 THE APPRECIATIVE INQUIRY AND 1316 00:48:58,200 --> 00:49:02,480 IT'S A POSITIVE NEEDS BASE 1317 00:49:02,480 --> 00:49:05,160 ASSETMENT AND ACGME AND THE RRC 1318 00:49:05,160 --> 00:49:06,960 AND THE PSYCHIATRY STARTED 1319 00:49:06,960 --> 00:49:09,440 DISCUSSING THIS A LONG TIME AGO, 1320 00:49:09,440 --> 00:49:11,720 OF USING THIS ASSESSMENT TOOL TO 1321 00:49:11,720 --> 00:49:13,520 SECRETARY QUESTION LIKE, WHAT IS 1322 00:49:13,520 --> 00:49:15,600 WORKING WELL FOR WELLNESS WITHIN 1323 00:49:15,600 --> 00:49:20,360 YOUR WORK COMMUNITY? 1324 00:49:20,360 --> 00:49:21,400 HOW DO YOU BUILD ON THOSE 1325 00:49:21,400 --> 00:49:22,400 STRENGTH WITH THESE FOUR 1326 00:49:22,400 --> 00:49:23,640 DIFFERENT STEPS SO AT MY PROGRAM 1327 00:49:23,640 --> 00:49:25,400 WE DO THAT AS A HALF-DAY 1328 00:49:25,400 --> 00:49:27,880 WORKSHOP AND YOU CAN DO IT IN AN 1329 00:49:27,880 --> 00:49:30,240 HOUR AND TRY TO FIGURE OUT WHAT 1330 00:49:30,240 --> 00:49:32,240 CAN WE BE DOING ON A SYSTEMS 1331 00:49:32,240 --> 00:49:35,320 LEVELS TO IMPROVE WELLBEING FOR 1332 00:49:35,320 --> 00:49:35,840 OUR COMMUNITY. 1333 00:49:35,840 --> 00:49:37,880 AND SO HERE ARE JUST SOME SAMPLE 1334 00:49:37,880 --> 00:49:40,600 OUTCOMES OF AN APPRECIATIVE 1335 00:49:40,600 --> 00:49:42,360 INQUIRY WE DID WITHIN OUR 1336 00:49:42,360 --> 00:49:43,040 DEPARTMENT. 1337 00:49:43,040 --> 00:49:44,320 SO, FOR INSTANCE, SOME OF THEM 1338 00:49:44,320 --> 00:49:45,320 DON'T COST ANY MONEY. 1339 00:49:45,320 --> 00:49:47,360 THE INTERVENTION IS JUST MAKING 1340 00:49:47,360 --> 00:49:50,200 SURE THAT THERE ARE STANDARD 1341 00:49:50,200 --> 00:49:50,840 ROUNDING TIMES SO PEOPLE KNOW 1342 00:49:50,840 --> 00:49:52,440 WHEN TO DROP THEIR KIDS OFF AT 1343 00:49:52,440 --> 00:49:54,960 CAM AND WHEN THEY CAN GO AND 1344 00:49:54,960 --> 00:49:56,440 HAVE THEIR OWN MENTAL HEALTH 1345 00:49:56,440 --> 00:49:58,000 TREATMENT, RIGHT. 1346 00:49:58,000 --> 00:49:59,200 WE DID SOMETHING LIKE A 1347 00:49:59,200 --> 00:50:00,400 NUTRITION TASK FORCE THAT DIDN'T 1348 00:50:00,400 --> 00:50:02,240 COST MONEY BUT FOOD WAS BEING 1349 00:50:02,240 --> 00:50:03,240 CHOSEN THAT PEOPLE ACTUALLY 1350 00:50:03,240 --> 00:50:05,720 WANTED AT THE WELLBEING EVENTS. 1351 00:50:05,720 --> 00:50:08,680 SOME BIGGER THINGS LIKE HAVING A 1352 00:50:08,680 --> 00:50:09,600 WELLBEING CHIEF RESIDENT WITHIN 1353 00:50:09,600 --> 00:50:11,960 OUR RESIDENCY WAS A NEW 1354 00:50:11,960 --> 00:50:14,760 LEADERSHIP ROLE AND IT HAS BEEN 1355 00:50:14,760 --> 00:50:16,080 REALLY SUCCESSFUL FOR OUR CHAIR 1356 00:50:16,080 --> 00:50:23,760 AND SUPPORTED HIGHERING A NUMBER 1357 00:50:23,760 --> 00:50:24,480 PRACTITIONER BECAUSE THERE WERE 1358 00:50:24,480 --> 00:50:35,000 SO MANY HMPs OVERNIGHT AND WE 1359 00:50:36,760 --> 00:50:38,240 REALIZE AND WE DIDN'T JUST WANT 1360 00:50:38,240 --> 00:50:39,560 TO ACKNOWLEDGE THAT THE BLACK 1361 00:50:39,560 --> 00:50:43,120 LIVES MATTER MOVEMENT WAS 1362 00:50:43,120 --> 00:50:44,920 HAPPENING BUT WE WANTED TO 1363 00:50:44,920 --> 00:50:46,320 CREATE SOMETHING REAL AND 1364 00:50:46,320 --> 00:50:54,200 IMPORTANT AND WE CREATED A 1365 00:50:54,200 --> 00:51:02,560 FOUR-YEAR AROUND US AND ONE WAY 1366 00:51:02,560 --> 00:51:05,240 TO DO THAT EVIDENCE-BASED 1367 00:51:05,240 --> 00:51:07,000 INTERVENTION WISE AND IS TO GET 1368 00:51:07,000 --> 00:51:09,280 ACCESS TO PHYSICIANS AND WHO ARE 1369 00:51:09,280 --> 00:51:10,680 STRUGGLING AND OR STAGNATING IN 1370 00:51:10,680 --> 00:51:13,080 THE CAREERS AND COACHING, WHICH 1371 00:51:13,080 --> 00:51:15,920 IS DEFINITELY THAN THERAPY OR 1372 00:51:15,920 --> 00:51:26,480 MENTORSHIP AND INSTEAD REALLY -- 1373 00:51:40,400 --> 00:51:44,640 THIS IS ME AND JOE WHO ARE IS A 1374 00:51:44,640 --> 00:51:45,800 DEAR FRIEND AND WELLBEING 1375 00:51:45,800 --> 00:51:48,480 CHAMPION AND ELSE THE HEAD OF 1376 00:51:48,480 --> 00:51:52,040 PHYSICIAN THRIVE HERE AT UPM 1377 00:51:52,040 --> 00:51:56,840 WITH CARDIOLOGIST AND NATIONALY 1378 00:51:56,840 --> 00:51:58,000 RENOWNED PLASTIC SURGEON AND 1379 00:51:58,000 --> 00:51:59,920 WEDS A CONVERSATION ON STAGE 1380 00:51:59,920 --> 00:52:04,920 PRE-PANDEMIC ABOUT HIM, ABOUT 1381 00:52:04,920 --> 00:52:05,800 BEING A DEAN AND A NATIONAL 1382 00:52:05,800 --> 00:52:08,800 PRESIDENT OF SEW ASSOCIATION AND 1383 00:52:08,800 --> 00:52:19,360 LGBTQ MINORITY FACULTY MEMBER WE 1384 00:52:22,760 --> 00:52:23,800 HAD A BEAUTIFUL NIGHT OF 1385 00:52:23,800 --> 00:52:24,760 PHYSICIANS AND TRAINING AND 1386 00:52:24,760 --> 00:52:26,040 GETTING TO KNOW EACH OTHER AS 1387 00:52:26,040 --> 00:52:26,880 HUMAN BEINGS. 1388 00:52:26,880 --> 00:52:30,520 WE'VE CONTINUED THE CONNECTION 1389 00:52:30,520 --> 00:52:31,960 SERIES AND IT'S VIRTUAL AND 1390 00:52:31,960 --> 00:52:33,960 FIGURE OUT HOW TO MAKE THEM 1391 00:52:33,960 --> 00:52:35,600 MEANINGFUL VIRTUALLY AS 1392 00:52:35,600 --> 00:52:37,160 IN-PERSON AND WE NEED YOUNG 1393 00:52:37,160 --> 00:52:40,120 INNOVATIVE MINDS TO HELP OUT 1394 00:52:40,120 --> 00:52:40,320 WITH. 1395 00:52:40,320 --> 00:52:42,960 SO, THIS IS MY LAST SLIDE IN 1396 00:52:42,960 --> 00:52:44,640 TERMS OF IDEAS AND IT'S ONE 1397 00:52:44,640 --> 00:52:46,560 THING THAT WE CAME UP WITH 1398 00:52:46,560 --> 00:52:47,600 THROUGH PHYSICIAN THRIVE AND THE 1399 00:52:47,600 --> 00:52:49,640 TRUTH OF THE MATTER IS, 1400 00:52:49,640 --> 00:52:53,640 PHYSICIAN WELLNESS CHAMPIONS, WE 1401 00:52:53,640 --> 00:52:54,880 DON'T HAVE ALL THE ANSWERS IN 1402 00:52:54,880 --> 00:52:57,080 FACT MOST OF THE REALLY GOOD 1403 00:52:57,080 --> 00:52:58,720 IDEAS COME FROM PEOPLE WHO DO 1404 00:52:58,720 --> 00:53:00,280 NECESSARILY HAVE THE TIME TO BE 1405 00:53:00,280 --> 00:53:04,880 WELL BEING CHAMPIONS AND SO THIS 1406 00:53:04,880 --> 00:53:06,760 IDEA OF THE PHYSICIAN WELLNESS 1407 00:53:06,760 --> 00:53:08,320 GRANTS FOR CHANGE WAS TO PUT 1408 00:53:08,320 --> 00:53:12,960 FOURTH A LITTLE INSTITUTIONAL 1409 00:53:12,960 --> 00:53:13,600 MONEY, $10,000 FOR LARGE GRANTS 1410 00:53:13,600 --> 00:53:15,640 AND UP TO $1,000 FOR SMALLER 1411 00:53:15,640 --> 00:53:17,440 GRANTS FOR PEOPLE WHO ARE NOT 1412 00:53:17,440 --> 00:53:19,680 NECESSARILY IN LEADERSHIP ROLES 1413 00:53:19,680 --> 00:53:22,280 TO PITCH THEIR WELLNESS IDEAS 1414 00:53:22,280 --> 00:53:24,920 VERSUS SYSTEMS LEVEL CHANGE AND 1415 00:53:24,920 --> 00:53:27,720 TO POTENTIALLY BRING NEW IDEAS 1416 00:53:27,720 --> 00:53:33,240 TO THE TABLE FOR WIDER 1417 00:53:33,240 --> 00:53:33,560 DISSEMINATION. 1418 00:53:33,560 --> 00:53:36,320 SO, THAT IS THE FORMAL END OF MY 1419 00:53:36,320 --> 00:53:36,520 TALK. 1420 00:53:36,520 --> 00:53:38,880 TO PUT A POSITIVE SPIN ON A 1421 00:53:38,880 --> 00:53:42,160 CHALLENGING FAMILY EXPERIENCE 1422 00:53:42,160 --> 00:53:44,880 AND I AM DIVORCED, MY TWO BOYS 1423 00:53:44,880 --> 00:53:47,240 ARE AMAZINGLY WELL AND THIS IS 1424 00:53:47,240 --> 00:53:49,160 ME WITH MY BOYFRIEND AND HIS 1425 00:53:49,160 --> 00:53:53,880 THROW KIDS IN OUR MODERN-BLENDED 1426 00:53:53,880 --> 00:53:57,960 FAMILY AND LIFE IS GOOD AND I 1427 00:53:57,960 --> 00:53:59,040 HAVE MUCH GRATITUDE FOR MY 1428 00:53:59,040 --> 00:54:00,520 PERSONAL LIFE, FOR MY 1429 00:54:00,520 --> 00:54:03,080 PROFESSIONAL LIFE AND FOR HAVING 1430 00:54:03,080 --> 00:54:04,480 HAD THE OPPORTUNITY TO SPEND 1431 00:54:04,480 --> 00:54:06,040 THIS TIME WITH YOU ALL. 1432 00:54:06,040 --> 00:54:07,800 SO, THANK YOU. 1433 00:54:07,800 --> 00:54:10,120 THANK YOU SO MUCH. 1434 00:54:10,120 --> 00:54:11,200 REALLY APPRECIATE THIS. 1435 00:54:11,200 --> 00:54:12,760 I JUST WANT TO HIGHLIGHT THE 1436 00:54:12,760 --> 00:54:14,920 REMINDER ON THE SLIDE THAT OUR 1437 00:54:14,920 --> 00:54:17,560 NIH CLINICAL CENTER GRAND ROUNDS 1438 00:54:17,560 --> 00:54:18,600 IS CONCLUDING FOR THE SUMMER 1439 00:54:18,600 --> 00:54:22,200 AND WE'LL RECONVENE ON WEDNESDAY 1440 00:54:22,200 --> 00:54:24,800 SEPTEMBER 7th IN THE MEANTIME 1441 00:54:24,800 --> 00:54:25,920 I'D LIKE TO RAISE A QUESTION 1442 00:54:25,920 --> 00:54:28,440 THAT WAS IN THE CHAT. 1443 00:54:28,440 --> 00:54:29,840 THIS ONE IS SOMEONE WHO ASKED, 1444 00:54:29,840 --> 00:54:32,040 CAN YOU COMMENT ON THE CURRENT 1445 00:54:32,040 --> 00:54:34,880 STATUS OF THE STIGMA/FEAR OF 1446 00:54:34,880 --> 00:54:36,560 GETTING A PSYCHIATRIC DIAGNOSIS 1447 00:54:36,560 --> 00:54:39,720 WHEN SEEKING THERAPY PROACTIVELY 1448 00:54:39,720 --> 00:54:41,600 FOR THINGS LIKE LIFE-WORK 1449 00:54:41,600 --> 00:54:41,840 STRESS. 1450 00:54:41,840 --> 00:54:42,560 SPECIFICALLY, THE FEAR WOULD BE 1451 00:54:42,560 --> 00:54:44,960 HAVING A DIAGNOSIS FOLLOW YOU 1452 00:54:44,960 --> 00:54:46,280 WITH REGARDS TO INSURANCE AND 1453 00:54:46,280 --> 00:54:48,720 THE EFFECT THIS WOULD HAVE ON 1454 00:54:48,720 --> 00:54:50,120 SEEING OTHER MEDICAL PROVIDERS 1455 00:54:50,120 --> 00:54:54,200 SUCH AS PRIMARY CARE OR NON 1456 00:54:54,200 --> 00:54:54,720 PSYCHIATRIC SPECIALISTS? 1457 00:54:54,720 --> 00:54:58,200 >> I MEAN, IT'S SUCH AN AMAZING 1458 00:54:58,200 --> 00:54:58,720 QUESTION, RIGHT. 1459 00:54:58,720 --> 00:55:02,120 FIRST AND FOR MOST, I THINK MORE 1460 00:55:02,120 --> 00:55:04,720 PEOPLE WHO ARE NOT PSYCHIATRISTS 1461 00:55:04,720 --> 00:55:07,560 IT'S NOT THAT SURPRISING TO HEAR 1462 00:55:07,560 --> 00:55:08,880 A SIGH SKY TERRORIST SEEKS 1463 00:55:08,880 --> 00:55:14,960 MENTAL HEALTHCARE AND Y DON'T 1464 00:55:14,960 --> 00:55:17,440 STIGMATIZE ME AS MUCH AS A 1465 00:55:17,440 --> 00:55:17,760 SURGEON. 1466 00:55:17,760 --> 00:55:20,520 SO HOW DO WE OVERCOME THIS 1467 00:55:20,520 --> 00:55:23,480 PARADIGM THERE'S STIGMA BECAUSE 1468 00:55:23,480 --> 00:55:25,520 THE TRUTH OF THE MATTER THE 1469 00:55:25,520 --> 00:55:26,360 REASON WHY I'M THRIVING AND 1470 00:55:26,360 --> 00:55:28,960 DOING WELL IN MY CAREER BECAUSE 1471 00:55:28,960 --> 00:55:31,080 AMAZING MENTORSHIP AND 1472 00:55:31,080 --> 00:55:32,120 OPPORTUNITY BECAUSE I DID SEEK 1473 00:55:32,120 --> 00:55:33,800 MENTAL HEALTHCARE AND MY 1474 00:55:33,800 --> 00:55:35,080 THERAPISTS HELPED ME OF 1475 00:55:35,080 --> 00:55:36,400 CHALLENGING TIMES AND SO 1476 00:55:36,400 --> 00:55:39,440 FIGURING OUT HOW TO DECREASE 1477 00:55:39,440 --> 00:55:41,160 STIGMA IS, I THINK, FIRST AND 1478 00:55:41,160 --> 00:55:44,080 FOR MOST BUT THEN SECONDLY, 1479 00:55:44,080 --> 00:55:45,320 CREATING AN ENVIRONMENT WHERE 1480 00:55:45,320 --> 00:55:46,480 PHYSICIANS REALLY UNDERSTAND 1481 00:55:46,480 --> 00:55:48,200 THAT ACTUALLY, THE IMPLICATION 1482 00:55:48,200 --> 00:55:51,200 OF HAVING A PSYCHIATRIC 1483 00:55:51,200 --> 00:55:53,720 DIAGNOSIS IN YOUR MEDICAL 1484 00:55:53,720 --> 00:55:57,920 PROFESSION EVEN SUBSTANCE USE 1485 00:55:57,920 --> 00:55:58,960 DISORDERS, FOR PHYSICIANS IN 1486 00:55:58,960 --> 00:56:00,200 TREATMENT AND THEIR SYSTEMS ARE 1487 00:56:00,200 --> 00:56:03,000 NOT IMPACTING THEIR CAREERS, CAN 1488 00:56:03,000 --> 00:56:08,880 HAVE AMAZINGLY FRUITFUL LIES AND 1489 00:56:08,880 --> 00:56:10,240 DO AMAZING THING TO NORMALIZE 1490 00:56:10,240 --> 00:56:12,560 THAT WE'RE ALL HUMAN AND AT 1491 00:56:12,560 --> 00:56:14,360 TIMES WE NEED SUPPORT AND SO I 1492 00:56:14,360 --> 00:56:15,720 THINK FOR THOSE WHO ARE STILL 1493 00:56:15,720 --> 00:56:17,080 FEELING UNNECESSARY FOR 1494 00:56:17,080 --> 00:56:20,640 THEMSELVES, WE NEED TO CREATE 1495 00:56:20,640 --> 00:56:21,440 ENVIRONMENTS LIKE VIRTUAL 1496 00:56:21,440 --> 00:56:23,360 WAITING ROOMS AND VIRTUAL CARE, 1497 00:56:23,360 --> 00:56:24,920 PARING OUT OF POCKET, SELF CARE, 1498 00:56:24,920 --> 00:56:27,160 THAT KIND OF THING SO PHYSICIANS 1499 00:56:27,160 --> 00:56:32,320 WHO STILL AREN'T REALLY BUYING 1500 00:56:32,320 --> 00:56:34,280 INTO BEING OPEN WITH THEIR 1501 00:56:34,280 --> 00:56:37,000 DIAGNOSIS AND CONFIDENTIALLY AND 1502 00:56:37,000 --> 00:56:39,080 KNOWING THAT WHAT IS MY HOSPITAL 1503 00:56:39,080 --> 00:56:41,320 AND WHAT DOES MY STATE SAY AND 1504 00:56:41,320 --> 00:56:43,080 YOU MIGHT BE FORTUNATE ENOUGH IN 1505 00:56:43,080 --> 00:56:44,480 AN ENVIRONMENT WHERE YOU DON'T 1506 00:56:44,480 --> 00:56:46,920 HAVE TO DISCLOSE ANYTHING TO 1507 00:56:46,920 --> 00:56:49,400 ANYONE AND IF YOU ARE TAKING 1508 00:56:49,400 --> 00:56:51,880 CARE OF YOURSELF PROACTIVELY. 1509 00:56:51,880 --> 00:56:54,240 >> SO, ON THAT NOTE, CAN YOU 1510 00:56:54,240 --> 00:56:56,280 COMMENT ON THE STATE PHYSICIAN 1511 00:56:56,280 --> 00:56:56,880 HEALTH PROGRAMS. 1512 00:56:56,880 --> 00:56:58,320 A LOT OF PEOPLE ARE NOT FAMILIAR 1513 00:56:58,320 --> 00:57:00,720 WITH THEM AND IT WAS ON YOUR 1514 00:57:00,720 --> 00:57:02,200 SLIDE BUT IT WAS NOT REALLY 1515 00:57:02,200 --> 00:57:02,560 TALKED ABOUT. 1516 00:57:02,560 --> 00:57:04,120 I THINK IT'S A RESOURCE OR 1517 00:57:04,120 --> 00:57:05,240 SOMETHING THAT PEOPLE NEED TO 1518 00:57:05,240 --> 00:57:05,640 KNOW ABOUT. 1519 00:57:05,640 --> 00:57:11,640 >> YEAH, ABSOLUTELY. 1520 00:57:11,640 --> 00:57:13,840 IF YOU ARE INTERESTED GO TO THE 1521 00:57:13,840 --> 00:57:16,000 WELL TOOLKIT SUBSTANCE USE 1522 00:57:16,000 --> 00:57:16,400 DISORDER SECTION. 1523 00:57:16,400 --> 00:57:19,240 THERE ARE ARTICLES ON THAT. 1524 00:57:19,240 --> 00:57:23,240 THE PHYSICIAN HEALTH PROGRAMS 1525 00:57:23,240 --> 00:57:26,080 ARE A LOT OF TIMES DREADED AND 1526 00:57:26,080 --> 00:57:30,160 FEARED BECAUSE A LOT OF TIMES 1527 00:57:30,160 --> 00:57:32,960 THEY'RE UTILIZED RELATED 1528 00:57:32,960 --> 00:57:36,400 PROBLEMS THAT HAVE GOTTEN THEM 1529 00:57:36,400 --> 00:57:38,880 AND LEGAL AND PROFESSIONAL 1530 00:57:38,880 --> 00:57:40,960 ISSUES THAT NEED TO BE TRACKED 1531 00:57:40,960 --> 00:57:43,080 OVER TIME AND INTERESTING THOUGH 1532 00:57:43,080 --> 00:57:46,200 IF YOU LOCK AT THE RESEARCH, THE 1533 00:57:46,200 --> 00:57:51,600 PEOPLE WHO A, VOLUNTEER GO DO 1534 00:57:51,600 --> 00:57:53,400 MAR RUSSLY BUT EVEN THE PEOPLE 1535 00:57:53,400 --> 00:57:55,920 WHO RELUCTANTLY HAVE TO GO DO 1536 00:57:55,920 --> 00:57:56,720 MARVELOUSLY AND MUCH BETTER THAN 1537 00:57:56,720 --> 00:57:57,680 THE GENERAL POPULATION. 1538 00:57:57,680 --> 00:57:59,400 PHYSICIANS HAVE HUGELY WONDERFUL 1539 00:57:59,400 --> 00:58:01,080 OUTCOMES AND WE'RE RULE 1540 00:58:01,080 --> 00:58:02,760 FOLLOWERS AND LIKE WE WANTED TO 1541 00:58:02,760 --> 00:58:04,560 REALLY WELL AND SO WHEN WE'RE IN 1542 00:58:04,560 --> 00:58:06,560 TREATMENT, WE DO REALLY WELL AND 1543 00:58:06,560 --> 00:58:10,000 SO IN FACT, BEING PART OF LIKE A 1544 00:58:10,000 --> 00:58:12,520 MONITORED STATE PROGRAM AND IF 1545 00:58:12,520 --> 00:58:13,880 FOR INSTANCE AND IF YOU HAVE 1546 00:58:13,880 --> 00:58:18,520 COLOMBIAISALCOHOLISM YOU HAVE TK 1547 00:58:18,520 --> 00:58:20,560 INNS AND BE MONITORED TO KEEP 1548 00:58:20,560 --> 00:58:22,560 PRACTICING IF YOU HAVE HAD 1549 00:58:22,560 --> 00:58:23,840 CHARGES AGAINST OR WHAT HAVE YOU 1550 00:58:23,840 --> 00:58:25,160 BUT THE TRUTH OF THE MATTER IS 1551 00:58:25,160 --> 00:58:32,640 YOU CAN BE A DOCTOR AND TAKE 1552 00:58:32,640 --> 00:58:34,440 CARE OF YOUR FAMILY AND YOU GET 1553 00:58:34,440 --> 00:58:35,920 THE REALLY IMPORTANT HELP THAT 1554 00:58:35,920 --> 00:58:37,440 YOU NEED AND SO THAT'S A LITTLE 1555 00:58:37,440 --> 00:58:38,640 BIT ABOUT THAT AND I'M GLAD YOU 1556 00:58:38,640 --> 00:58:47,280 BROUGHT IT UP. 1557 00:58:47,280 --> 00:58:48,920 >> I THOUGHT THE COMMENT OR THE 1558 00:58:48,920 --> 00:58:54,560 INFORMATION ON TRANSPARENCY AND 1559 00:58:54,560 --> 00:58:56,160 ABOUT LICENSURE ARE REALLY 1560 00:58:56,160 --> 00:58:57,120 IMPORTANT I DON'T KNOW HOW MUCH 1561 00:58:57,120 --> 00:59:00,840 PEOPLE -- FIRST OF ALL KNOW 1562 00:59:00,840 --> 00:59:03,560 ABOUT THAT AND DECIDED SOMETHING 1563 00:59:03,560 --> 00:59:08,040 THAT WE HAVE SOMEONE TO HAVE 1564 00:59:08,040 --> 00:59:11,600 MORE ATTENTION I SUPPOSE >> IN 1565 00:59:11,600 --> 00:59:15,360 PREPARATION FOR THIS TALK TO YOU 1566 00:59:15,360 --> 00:59:25,920 AND I AND I KNOW YOU HAVE DC AND 1567 00:59:33,440 --> 00:59:36,120 TO BE A LITTLE BIT MORE AND 1568 00:59:36,120 --> 00:59:39,480 ASKING QUESTIONS ABOUT 1569 00:59:39,480 --> 00:59:45,440 IMPAIRMENT AND AS OPPOSED TO 1570 00:59:45,440 --> 00:59:47,360 DYING SIS OF TREATMENT AND DON'T 1571 00:59:47,360 --> 00:59:48,880 QUOTE ME ON THAT IT'S JUST WHAT 1572 00:59:48,880 --> 00:59:50,200 I LOOKED AT. 1573 00:59:50,200 --> 00:59:51,480 IT'S WORTH WHILE FOR LEADERSHIP 1574 00:59:51,480 --> 00:59:53,080 WITHIN WELLNESS TO COLLECT THAT 1575 00:59:53,080 --> 00:59:54,720 INFORMATION AND CREATE YOUR OWN 1576 00:59:54,720 --> 00:59:56,400 SLIDES SETS AND WELL TOOLKIT IS 1577 00:59:56,400 --> 00:59:59,480 REALLY INTENDED TO HAVE PEOPLE 1578 00:59:59,480 --> 01:00:02,120 LIKE YOURSELF MODIFY THE SLIDES 1579 01:00:02,120 --> 01:00:04,480 AND TO MEET YOUR OWN COMMUNITY 1580 01:00:04,480 --> 01:00:06,360 NEEDS AND MAYBE YOU ALL WILL BE 1581 01:00:06,360 --> 01:00:10,840 SEEING Dr. CHUNG PRESENTING ON 1582 01:00:10,840 --> 01:00:12,600 LOCATIONS SPECIFIC WELLBEING 1583 01:00:12,600 --> 01:00:12,880 KNOWLEDGE. 1584 01:00:12,880 --> 01:00:14,400 >> SO WE REACHED THE END OF THE 1585 01:00:14,400 --> 01:00:14,960 HOUR. 1586 01:00:14,960 --> 01:00:17,440 REALLY WANT TO THANK OUR 1587 01:00:17,440 --> 01:00:21,080 SPEAKERS Dr. SANSEA JACOBSON 1588 01:00:21,080 --> 01:00:22,760 FOR AN INCREDIBLE TALK THAT 1589 01:00:22,760 --> 01:00:24,280 SPEAKS TO US IN THE DOCTORING 1590 01:00:24,280 --> 01:00:25,840 FIELD AND WE REALLY APPRECIATE 1591 01:00:25,840 --> 01:00:27,360 YOUR COMMITMENT AND 1592 01:00:27,360 --> 01:00:27,720 CHAMPIONSHIP. 1593 01:00:27,720 --> 01:00:28,000 THANK YOU. 1594 01:00:28,000 --> 01:00:28,680 >> THANK YOU. 1595 01:00:28,680 --> 01:00:30,720 IT WAS SUCH A PLEASURE TO BE 1596 01:00:30,720 --> 01:00:32,720 HERE AND I MISS SEEING ALL OF MY 1597 01:00:32,720 --> 01:00:34,040 FRIENDS AT NIH. 1598 01:00:34,040 --> 01:00:35,600 TAKE CARE AND BE IN TOUCH. 1599 01:00:35,600 --> 01:00:36,000 VERY GOOD. 1600 01:00:36,000 --> 00:00:00,000 THANK YOU.