Taking a Deep Breath in a Busy World Monique Jericho MD, FRCP(C) April Elliott MD, FRCP(C), FSAHM Child and Adolescent Psychiatrist CMD, Calgary Eating Disorder Program Chief, Division of Adolescent Medicine Clinical Associate Professor, University of Calgary
CFPC COI Template Slide1 Faculty/Presenter Disclosure Faculty: April Elliott / Monique Jericho Relationships with commercial interests: Grants/Research Support: Not applicable Speakers Bureau/Honoraria: This presentation has received financial support from the Alberta Physician & Family Support Program (PFSP) of the Alberta Medical Association (AMA) in the form of travel expense reimbursement and an honorarium. Consulting Fees: Not applicable Other: Not applicable
CFPC COI Template - Slide 2 ACFP 60 th ASA Disclosure of Commercial Support This program has received financial support in the form of sponsorship from: Alberta Medical Association RHS Canada/The Snore Centre Aspen Pharma Scotiabank Purdue Pharma VitalAire University of Alberta University of Calgary Health Quality Council of Alberta Alberta Health Services ereferral Janssen Eli Lilly Canada Medical Ltd. This program has received in-kind support from The Rimrock Resort Hotel in the form of a contribution to food/beverage at the Thursday Research Poster Presentations and Welcome Reception. Potential for conflict(s) of interest: Those speakers/faculty who have made COI disclosure are noted in the 60 th ASA Program and on the Salon A/B slide scroll.
CFPC COI Template - Slide 3 Mitigating Potential Bias ACFP: The ACFP s Sponsorship Guidelines apply to ASA Sponsorship. The ACFP abides by the Canadian Medical Association s Policy Guidelines for Physicians in Interactions With Industry and the Rx&D Association s Rx&D Code of Ethical Practices. As a non-profit organization, the ACFP complies with Canada Revenue Agency regulations. When considering acceptance of sponsorship, the ACFP considers and accepts sponsorship only from those whose products, services, policies and values align with the ACFP vision, values, goals and strategies priorities. ASA Planning Committee: Consideration was given by the 60 th ASA Planning Committee to identify when an speaker s personal or professional interest may compete with or have actual, potential or apparent influence over their presentation. Material/Learning Objectives and/or session description was developed and reviewed by a Planning Committee composed of experts/family physicians responsible for overseeing the program s needs assessment and subsequent content development to ensure accuracy and fair balance. The 60 th ASA Planning Committee reviewed Sponsorship Agreements to identify any actual, potential or apparent influence over the program. Information / recommendations in the program are evidence- and / or guidelinesbased, and opinions of the independent speakers will be identified as such
Workshop Objectives Explore being busy and the impact it has on presence and engagement with patients Practice mindfulness activities and other self-regulatory practices Develop your awareness of how ones frame of mind can impact clinical encounters for provider and patient
Goals To reflect on the concept of being busy and on how busyness impacts you clinical life. To understand and how self-regulation and a mindful orientation may help you to experience clinical life differently (more effective, less overwhelming). To appreciate how your state of mind impacts clinical interactions.
Noticing a Minute
Living in a BUSY World
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Being too busy robs us of our patience for our patients It leaves no room for connectedness and being in the moment
Overwhelmed Avoidance Tactic FULL SCHEDULE Angry Fulfilling BUSY SAD HAPPY Depleted
The Busy Challenge Notice when you use the word. Think about why you used it; what were you trying to communicate? Try to substitute the word busy with something more precise.
What is Mindfulness? Mindfulness means paying attention in a particular way; on purpose, in the present moment, without judgment Mindfulness is a conscious moment to moment awareness, cultivated by systematically paying attention on purpose (Kabat-Zinn, 1990).
Origins Began as Buddhist tradition Thich Nhat Hahn Mindfulness meditation is now recognized as a form of cognitive therapy Jon Kabat-Zinn Professor of Medicine Emeritus, UMASS Med School MBSR (1979) combines meditation and hatha yoga moment to moment awareness
Applications in Healthcare Regulate emotions Reduce stress Lower risk of heart disease Reduce symptoms of chronic illness/pain Reduce depression, anxiety, PTSD
Self-Regulation Remember stress is not a function of events; it s a function of the view you take of events. Mindfulness helps you realize that there are no positive or negative outcomes. There s A, B, C, D, and more, each with its challenges and opportunities.
Self-Regulation Can improve performance by improving concentration and enabling you to better prioritise tasks and make better decisions Think about work/life integration, not balance. Balance suggests that the two are opposite and have nothing in common.
Take a Breath..
The Three States of Mind (Linehan) Reasonable Emotion Wise
Who Struggles with accessing Wise Mind and Why? All of us. Some are more vulnerable; Attachment injury; fundamental inability to self-soothe/regulate Depression/Anxiety; cognitive distortions Trauma history; hypervigilant state
Feedback forms Did you learn anything new Did you learn anything useful to your practice What did you learn? (1-2-3) What would you change? (1-2-3)