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OUR COMMITMENT TO EMPLOYEE WELLNESS

OUR COMMITMENT TO EMPLOYEE WELLNESS. John Chuck, MD Chairperson, Physician Health & Wellness The Permanente Medical Group. Three opening thoughts. “ Your health & wellness are a top priority because you can ’ t effectively take care of others unless you first take care of yourself. ”

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OUR COMMITMENT TO EMPLOYEE WELLNESS

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  1. OUR COMMITMENT TO EMPLOYEE WELLNESS John Chuck, MD Chairperson, Physician Health & Wellness The Permanente Medical Group

  2. Three opening thoughts “Your health & wellness are a top priority because you can’t effectively take care of others unless you first take care of yourself.” — Lots of people “Peace and satisfaction are possible on this planet, in this place, in this body, in this moment.” — Dennis Warren, Mindfulness Instructor More than any other health care organization, Kaiser Permanente is committed to promoting employee wellness as a strategic priority alongside service, access, quality, and cost.

  3. What is wellness? “Wellness is a state of mind and being in which you are aware of your circumstances and relationships and within that context choose thoughts and actions that help you fulfill your purpose in life.” — JMC

  4. Why do we have to talk about wellness? • The serving nature of medicine does not naturally lead to us being well. • Medicine is a long haul that doesn’t really end until we retire i.e “The first 40 years are the hardest.” • We don’t know how to turn off the driven side of ourselves. The gear we know best is one that moves us furiously forward. • When subjected to Multiple Simultaneous Conflicting Imperatives (MSCI), our needs often come last.

  5. MSCI = pulled in different directions

  6. Life is also full of contradictions “Do I contradict myself? Very well then, I contradict myself. I am large, I contain multitudes.” — Walt Whitman

  7. The only way we can begin to wrap our arms around big thoughts like contradictions and MSCI is to put on our big boy pants. Siddhartha Mukherjee (Pulitzer Prize winning author of The Emperor of All Maladies): the same cells that are the source of our life and wellness are also the source of our suffering and destruction. Similarly, our careers at Kaiser Permanente which are the source of our greatest fulfillment and triumphs are also a cornucopia of fatigue, frustration, and heartbreak.

  8. Hope for your wellness and personal renewal in the face of MSCI, contradictions, and suffering “For many this life is a vale of tears; for no one is it free of pain. But we are so designed that we can cope with it if we can live within some context of meaning. Given that powerful help, we can draw on the deep springs of the human spirit, to see our suffering in the framework of all human suffering, to accept the gifts of life with thanks and endure life’s indignities with dignity.” — Gardner JW: Personal renewal. West J Med 1992 Oct; 157:457-459

  9. “Choices are more powerful than circumstance.” — Roger Crawford

  10. A modest proposal for a partial solution NASA History Office, www.history.nasa.gov/moondec

  11. Here’s the G.E.A.R. you’ll need to get the job done Gratitude: start with a daily reminder of what’s going right in your life. Exercise: exercise on a regular basis and many good things will follow. Adapt:adapt to change by adopting best practices. Relationships: invest in the relationships that give your life meaning and purpose.

  12. You’ve got to find your thing

  13. But what if you’ve already tried to G.E.A.R. up and are left feeling frustrated, unsettled, or in some other way “stuck?”

  14. Introducing: The Three Legs of Wellness • Gain INSIGHTinto your current circumstances and relationships. • Define your life’s PURPOSE, preferably now. • Make CHOICESabout the thoughts and actions that will help you to achieve your life’s purpose.

  15. The 3 legs are like your Google map directions to wellness

  16. NEWS ALERT:health care professionals are below average with regards to thoughtful introspection because the building phase of our careers is rigid and pre-determined.

  17. Step 1: INSIGHT i.e. take inventory of your circumstances and relationships. It’s all a matter of perspective.

  18. Step 2: Define your life’s PURPOSE, preferably now. • A visceral sense of urgency will get the ball rolling. • This can be brought on by either a brush with death or being extremely pissed off or petrified.

  19. Option 1: Facing death (not preferable) “I NEVER want to forget this feeling I have right now. This attitude about life that I'm lucky to be living it. Lucky to have such a beautiful wife and kids and family and friends. Lucky to have a frickin identical HLA sibling! Lucky to have a good chance at surviving this thing! I think many of you reading have reflected on life and your appreciation of it and the meaning and purpose of it. How long will that last? Will you let it fade away? Is it human nature to allow the magnitude of this reflection which is loosely correlated to how close you are to tragedy which is then inversely related to the length of time in which it takes to fade away? I know that was a convoluted question. Basically, the closer you are to tragedy, the more it makes you think and the longer it takes to fade away. I think that would be generally true, but maybe the key is in some people there is an unknown factor that allows that lesson to stick for longer than it should have.” — A colleague fighting leukemia

  20. Option 2: being pissed off and/or petrified • They obviously don’t understand what I’m going through if they want me to work even harder. • I can’t handle all this work. There are only so many hours in a day. • How can I help our patients to be well if I’m not even well myself? • Why aren’t my leaders and colleagues doing their part to support this work? • “I’m a human being and godammit my life has value . . . I’m mad as hell and I’m not going to take this anymore!”— Peter Finch in Network

  21. Suffering is a gift. Don’t waste it.

  22. “After the Darkest Hour: How Suffering Begins the Journey to Wisdom.” Real suffering is an authentic and realist response to the ragged wounds of living a human life. It's also unavoidable and an essential part of every human life. Illness, loss of loved ones, disappointment, decline, death, limitations, and imperfections startle and shake us. But they awaken us to find meaning, dignity, and significance in our lives. They open the heart to pure compassion and newfound creative energy. Real suffering is useful. It propels us to new levels of consciousness and self-knowledge. It is through suffering and pain that we break down our habitual barriers between ourselves and others and allow for the entrance of a transpersonal, transcendent perspective: a full appreciation of our intimate and profound spiritual connections. — Kathleen Brehony, Ph.D

  23. Serving suggestion for how to define your life’s purpose: Compose your epitaph. Make it uplifting and inspirational. A friend to honesty and a foe to crime — AP He could have added fortune to fame, but caring for neither, he found happiness and honor in being helpful to the world — GWC Even amidst fierce flames the golden lotus can be planted — SP He wanted for other people’s children what he wanted for his own. God give me work while I may live, and life till my work is done — WH Every day she jumped out of bed, the devil proclaimed “Oh shit, she’s up!” When he died, all he had left to do was to die.

  24. Then ask yourself, “For the coming year, is this the best place for me to achieve my life’s PURPOSE?” • If it is, then give it your all and be part of the solution. • If it’s not, articulate the realistic picture postcard of your ideal job, and work towards it. • If after one year, you are not making progress and you need a better fit, move on.

  25. A big thought from Jack “At the core of the journey must be a fundamental sense of who I am, what I am inspired by, and what I am willing to commit to In making a difference for what I truly care about.” — Jack Rozance, M.D., Physician in Chief Emeritus, Sacramento

  26. Step 3: Choose thoughts and actions that will help you achieve your life’s purpose. You’ll need some role models for this.

  27. It won’t be easy “Between the idea And the realityBetween the motionAnd the actFalls the Shadow.” -T.S. Eliot, The Hollow Men

  28. You’ll need a composite role model — The Liger as featured in Napolean Dynamite

  29. Here’s my liger

  30. More role models

  31. A refreshing focus on the joy of teamwork

  32. Missy for President Swimming has never been about the money for Missy. It has been about the love of the sport and her pure desire to be part of a team. “The friends I swim with in college will be the bridesmaids at my wedding,” Franklin said. “You can’t put a price on friendship. You can't put a price on being part of a team.” To her home state of Colorado, Franklin is much more than the success she has accomplished in the pool. Franklin was an infusion of joy and positivity in a time when the state needed it. The Olympics started soon after the shooting at an Aurora movie theater. She dedicated her races to the victims and to the community. — 9News

  33. If you need some help to think this through, go see a counselor. There’s a reason why rich people do it. It helps!

  34. Don’t let the turkeys keep you down

  35. A final admonition from a colleague facing the wall “Take care of yourselves those of you that spend too much time putting yourself too low on your priority list. At least make it a point once a week to do something for yourself . . . just check yourself emotionally — how close are you letting yourself get to those that are the closest to you? Do you keep a distance consciously or subconsciously? I used to be that way, but then I found out that it‘s ok to be vulnerable and let yourself and your flaws be available to someone else and vice versa. It’s not easy, but, in my opinion, the rewards are worth it.”

  36. Recommended YouTube viewing • Dr. Mike Evans on exercise: 23 and 1/2 hours: What is the single best thing we can do for our health? http://www.youtube.com/watch?v=aUaInS6HIGo • Rev. Dr. James Chuck speaks about making choices that will give your life meaning in Greatness Redefinedhttp://www.youtube.com/watch?v=M6jkK81Kyps • Steve Jobs speaks to finding opportunities in adversity at Stanford’s 2006 graduation commencementhttp://www.youtube.com/watch?v=UF8uR6Z6KLc • Brene Brown’s TED Talk on human connection, empathy, belonging and love.http://www.youtube.com/watch?v=iCvmsMzlF7o • Shawn Achor’s TEDTalk The Happy Secret to Better Work http://www.youtube.com/watch?v=fLJsdqxnZb0

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