Attending To Presence: Improving Physicians’ Interpersonal and Professional Well-Being through Mindfulness Training by Wendland, Mooney, Krasner, Beckman
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Attending To Presence: Improving Physicians’ Interpersonal and Professional Well-Being through Mindfulness Training by Wendland, Mooney, Krasner, Beckman
1. Attending To Presence: Improving Physicians’ Interpersonal and Professional Well-Being through Mindfulness Training Melissa Wendland, BS, Christopher Mooney, MA Michael Krasner, MD, FACP Howard Beckman, MD, FACP, FAACH ICCH -Miami October 3, 2009
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7. Results Most Frequent Themes 1 – Being together in a community was most meaningful; having the chance to talk about the complexities of practice with colleagues 16 2 – Appreciation for dedicated time to think, reflect and communicate 9 3 – Improved listening skills; without assuming the responsibility to fix something 8 4 – Extended silence was valuable in deepening self-awareness 8 5 – Becoming more self-aware improved communication with self and others 8 6 – Feeling less rushed and more focused and present in the moment 6 7 – Exploring own issues after the course concluded 6
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Hinweis der Redaktion
Thank you; I’m very excited to be here and share some of the work that we’ve done over the past couple of years. First I’d like to acknowledge and introduce our research team; Christopher Mooney and Dr. Michael Krasner could not be with us today; Christopher Mooney is the University of Rochester School of Medicine and Dentistry, and Dr. Michael Krasner is Associate Professor of Clinical Medicine at the University of Rochester. In the back, Dr. Howard Beckman many of you know as one of the Academy’s founding Fathers, he is the Medical Director of RIPA, Clinical Director of Medicine and Family Medicine at the University of Rochester. It’s truly a privilege for me to have the opportunity to be surrounded by such an accomplished group of professionals that I can learn from
The biopsychosocial approach to medical education and training is longstanding however integrating these skills into every day practice is not apparent. An alarming 60% of practicing primary care physicians report dissatisfaction describing emotional exhaustion, lack of a meaningful connection, a low sense of accomplishment where the joy of doctoring is lost and they feel very alone amidst the stressful, chaotic complexities and administrative burdens of clinical life.
Last week the JAMA published results about researcher conducted by Drs. Krasner, Beckman and colleagues about the effects of intensive training in mindful communication; reduce the psychological distress and burnout and promote a more patient centered orientation to care. Mindfulness speaks to improving the quality of attention, awareness is purposeful; making the conscious choice to be fully present, in the moment; having the ability to be open with a curious mind, observing attentively and non-judgmental. It includes the capacity for lowering ones own reactivity to challenging experiences with an enhanced ability to be aware of thoughts and feelings and acting with intentionality.
Guided experiential meditation exercises included the body scan; giving attention to sensations and their cognitive reactions without trying to change them, guided meditation – awareness of thoughts and feelings – all foster interpersonal self awareness, AI where physicians explored strategies in which they successfully worked with challenging clinical situations and identified personal qualities that promoted their success.
Over 75% reported that sharing personal experiences with colleagues….When asked about initial hopes and expectations upon registering, 20% explicitly stated their desire to share the curriculum with colleagues, and although the importance of sharing was not anticipated, those interviewed became acutely aware of the absence of meaningful peer interactions in their practice lives.
We took all of the themes that we heard and these were the most common
The most recent model in the redesigning practice and payment in health care is the PCMH is a model whereby the physician works within a team who have roles of soliciting, understanding and responding to the patients needs and ensuring appropriate services . EARLY STUDIES have shown this to be more complex than originally anticipated.