DRIVE TIME DEBRIEF: A Physician Wellness Podcast with The Whole Physician

Drs. Cazier, Dinsmore and Morrison
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Nov 17, 2022 • 29min

#36: Thoughts, Beliefs, and Neuroplasticity

Did you know that every thought that comes into your mind is not true?  This was a mind-blowing revelation!  Get it? Ok, well just because we capture a thought in our conscious mind doesn't mean that we need to keep it, especially if it isn't a thought that serves us.  In this episode, we talk about where thoughts come from and how they form into a belief and what we can do to change them if they aren't serving us anymore!  Good news is there is decades of research on neuroplasticity and we just touch the surface of it on this show.  Enjoy! we have tens of thousands of thoughts daily, 95% of those are on a nonconscious level. And so once you become aware of them and realize what is giving you your feelings, that then drives your actions and results, gives you a whole lot more explanation for why you are, where you are in life and what to do to change it...the idea of neuroplasticity beliefs are really thoughts that we have thought over and over again sometimes our beliefs and our reality reflect each other and they kind of compliment or coincide with each other and that's comfortable or that is what we've created so that we don't feel tension. When they contradict, on the other hand, tension is created. People/places/things mentioned: Byron Katie  The Hiding Place - https://en.wikipedia.org/wiki/The_Hiding_Place_(biography) Brooke Castillo  Bob Ross  Dr Caroline Leaf, "Cleaning Up Your Mental Mess"    If you want to work with us, visit our website: www.thewholephysician.com. We have private coaching and CME courses available. Additionally, we're happy to lecture for your institution. Sign up for our Weekly Well Check by clicking the link. The Weekly Well Check is your weekly dose of encouragement and your only access to secret insider sales on our products. If you'd like something you can use today, download our free Top 10 Mindset Hacks for Doctors here.   For a free quote on Own-Occupation Insurance, you're welcome to use our affiliate link: patternlife.com/drivetime  
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Nov 10, 2022 • 33min

#35: Organizational Wellbeing with Hani Chaabo, MD

Share this episode with your hospital leaders! In this episode, you get to meet one of our favorite humans, Dr. Hani Chaabo. He's a family doctor with integrative medicine training, now serving as the medical director of wellbeing at his hospital in Ridgecrest, CA He speaks with us about organizational wellbeing. Some highlights: 70-80% of burnout is actually institutional - related to high workload and job demand that are disproportionate to the available resources to the clinician burnout is the highest in healthcare, more than any other helping profession burnout leads to decreased quality of care the bureaucratic admin burden of healthcare is uniquely to the United States prioritizing wellbeing is actually lucrative to an organization in many ways some things that organizations do that don't work: scapegoat physicians many of the typical things done in the Era of Distress some things that organizations do that DO work: incorporating people's voice allowing more autonomy give a sense of meaning and purpose allow workers to feel like they're growing in their work environments leaders being led by the changes the team wants to see compassionate communication and culture appoint wellbeing leaders "Everybody who has traveled through their suffering and found healing was able to change the world somehow." - Dr. Hani Chaabo  Resources: Joy in Medicine Framework AMA Steps Forward Modules Wellbeing 2.0 Framework Hani Chaabo - Mindfulous hello@mindfulous.com     If you want to work with us, visit our website: www.thewholephysician.com. We have private coaching and CME courses available. Additionally, we're happy to lecture for your institution. Sign up for our Weekly Well Check by clicking the link. The Weekly Well Check is your weekly dose of encouragement and your only access to secret insider sales on our products. If you'd like something you can use today, download our free Top 10 Mindset Hacks for Doctors here.   For a free quote on Own-Occupation Insurance, you're welcome to use our affiliate link: patternlife.com/drivetime
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Nov 3, 2022 • 29min

#34: Our Prescriptions for Others

We are all very familiar writing a prescription.  But did you know that you actually have prescription for people?  You have a name (label), instructions on how they should act or behave and how much they should behave that way in a given situation.  This contributes to why we have the kinds of thoughts we have in certain situations.  This can be positive or negative.  Most of the time when a feeling is negative, it is because we have created a negative script about this person.  What can we do about it?  In this episode, the team candidly describes many examples of our effects of the prescriptions we have for people and how to change them to serve us in a more productive and positive way! Favorite quotables: ...the circumstance is neutral. It's our thoughts about it that give us our feelings. And here's the curious thing is that most of the time, we've never told these people that we have this prescription for them. They don't even know. We just think that they should somehow be able to read our minds and respond in the way that we want to. The biggest bottom line of everything that we're gonna try to teach you is that we are in control of our own experience. We're in control of ourselves. We are not in control of anyone else. We have to accept that people come in a package and that is them. That is on them, their choices to act how they're acting comes from their thoughts, which causes their feelings, which causes their action, which gives them their  result. None of that has anything to do with our happiness or our desired result. But getting curious is something that's usually available to me. Like I wonder what they're thinking, or I wonder why they said that... But what a lot of our clients are realizing is that, what serves us so well in the hospital building, many times is the same thing that is ruining our experience outside of the hospital building. We can just realize that our own experience is up to us and we can have a good experience whenever we choose to. That's always available to us. We can always be at peace. We can always feel gratitude. We can always feel some excitement. Sometimes it's harder than others, but these things are all available to us because they're just coming from our thoughts. If you want to work with us, visit our website: www.thewholephysician.com. We have private coaching and CME courses available. Additionally, we're happy to lecture for your institution. Sign up for our Weekly Well Check by clicking the link. The Weekly Well Check is your weekly dose of encouragement and your only access to secret insider sales on our products. If you'd like something you can use today, download our free Top 10 Mindset Hacks for Doctors here.   For a free quote on Own-Occupation Insurance, you're welcome to use our affiliate link: patternlife.com/drivetime
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Oct 27, 2022 • 28min

#33: Relationships

Relationships are strange because they're just the thoughts you have about someone. You can have a long distance relationship with someone and still feel close, and in comparison, you can have another person sitting next to you and feel lonely. It is your thoughts about the other person that is the experience of your relationship. A lot of our relationship problems stem from wanting someone to be different. When we can drop that and accept reality as it is, it frees up a lot of energy to serve ourselves better. While we can't change another adult person's behavior, we CAN change our own thoughts about it to better serve us. It's never the thing (eg. socks left on the ground) that upsets us - it's the meaning we assign to it (I'm being disrespected v This is low priority for my spouse but isn't necessarily about me). We can make requests and set boundaries and have consequences, but another person's behavior is ultimately up to them and doesn't cause emotions in us. Even with requests and boundaries, we remain responsible for our own feelings and reactions. Our most important relationship is the relationship with ourselves. This is the basis upon which all of our other relationships are founded. Loving and appreciating yourself is NOT the same as arrogance. We are all infinitely worthy. There is no "earning" your worth. This episode also discusses having grace with our family relationships. The principle is the same. We can have boundaries and consequences, but their behaviors and choices don't cause our emotions. And dropping our "prescriptions" for how another "should" be is key in getting our own emotional power back. We teach others how to treat us, and in turn, our children are watching us as the example for how to treat themselves. Resources: Louis Anderson's book- Dear Dad: Letters from an Adult Child   If you want to work with us, visit our website: www.thewholephysician.com. We have private coaching and CME courses available. Additionally, we're happy to lecture for your institution. Sign up for our Weekly Well Check by clicking the link. The Weekly Well Check is your weekly dose of encouragement and your only access to secret insider sales on our products. If you'd like something you can use today, download our free Top 10 Mindset Hacks for Doctors here.   For a free quote on Own-Occupation Insurance, you're welcome to use our affiliate link: patternlife.com/drivetime  
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Oct 20, 2022 • 19min

#32: Goals

On today's show, we talk about GOALS and what it is to set them and what we need to get started and KEEP GOING!  We talk about how we get in the way of just starting and how every excuse in the book sabotages us into staying stuck. Using the acronym, SMART, we give you a guideline of setting the goal and how to go about taking the small steps to accomplishing it!  Also, learning how to celebrate accomplishing the small actions steps on the way towards achieving our SMART goal.  Here are a few of our favorite comments: Happiness is a feeling that comes from the thoughts that we have about our circumstances. Happiness can happen regardless of our circumstances. We set goals to help us to bloom into the next version of ourselves. Setting goals helps us see ourselves more fully. It's more about the journey, but it gives you direction. Your priorities are what's important to you. The goal is the result that you want to create for yourself. That is dreaming and goal setting from a place of abundance. S.M.A.R.T, is one that's used frequently for goal and action planning. Be specific. Make it measurable. Action-oriented. Realistic. Timed. But a small adjustment on the rudder of a boat over time leads to a completely different direction. References: The Hiding Place: The Triumphant True Story of Corrie Ten Boom   If you want to work with us, visit our website: www.thewholephysician.com. We have private coaching and CME courses available. Additionally, we're happy to lecture for your institution. Sign up for our Weekly Well Check by clicking the link. The Weekly Well Check is your weekly dose of encouragement and your only access to secret insider sales on our products. If you'd like something you can use today, download our free Top 10 Mindset Hacks for Doctors here.   For a free quote on Own-Occupation Insurance, you're welcome to use our affiliate link: patternlife.com/drivetime
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Oct 13, 2022 • 24min

#31: Priorities

A priority is a thing that is regarded more important than another. So are you living your life in alignment with your own priorities? In this episode we discuss the importance of really looking at what is important to you in your own life and the questions to ask yourself in order to start your "do over" today. Highlights: Treat the minutes you have each day as if they were dollars. Steven Covey: "Most of us spend too much time on what is urgent and not enough time on what is important." A little planning goes a long way to spend more time on what's important rather than what's urgent. "Having our priorities in order will help us make those decisions in a way that is most in alignment with how we want to live and how we want to show up in the world." "Having priorities helps us identify the things that are truly needed in our life versus what someone else thinks is important." "If our goals are specific results that we want to achieve in our lives, then priorities are the things that we need that help to say yes or no in order to reach our goals." Alexander den Heijer: "You often feel tired, not because you've done too much, but because you've done too little of what sparks a light in you." We don't actually HAVE to do anything. We have free agency. Priorities in life change, but the goal is to be spending enough time on the priorities that matter to you now. Common priorities include: work, family, health, home, relationships, friendships, hobbies, recreation/fun, self-care, personal growth, sports, spirituality, religion, money, volunteering, etc. Questions to ask from Brooke Castillo at The Life Coach School: If you had 6 months to live, how would you live it? If you have 5 years to live, would you make any changes from how you're living now? When you're 100 years old, looking back, what will you regret most NOT doing? Are you willing to live with that regret? The beautiful part of doing this exercise is that you can start your do over now.   If you want to work with us, visit our website: www.thewholephysician.com. We have private coaching and CME courses available. Additionally, we're happy to lecture for your institution. Sign up for our Weekly Well Check by clicking the link. The Weekly Well Check is your weekly dose of encouragement and your only access to secret insider sales on our products. If you'd like something you can use today, download our free Top 10 Mindset Hacks for Doctors here.   For a free quote on Own-Occupation Insurance, you're welcome to use our affiliate link: patternlife.com/drivetime
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Oct 6, 2022 • 32min

#30: Difficult Patients with Joan Naidorf, DO

Joan Naidorf, a board-certified emergency physician and author, explores why some patients get labeled difficult and how clinician thinking shapes encounters. She talks about common cognitive errors, patient fears fueled by the internet, practical reframing strategies, empathy techniques, and tips for clinicians who want to write about their experiences.
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Sep 29, 2022 • 24min

#29: Self Determination Theory Part 2

In this episode we continue the discussion on the Self Determination Theory, originally presented by Deci and Ryan in 1985. It suggests intrinsic motivations lead to higher fulfillment than extrinsic motivations (see episode #28). For continued motivation, engagement, psychological growth and development, the following three components are necessary: competence - the feeling of mastery or being effective in one's environment relatedness - connected to others with a sense of belonging autonomy - the sense of feeling in control of the direction of one's life For many working in medicine, the sense that one or more of these essential components is weak or missing leads to disengagement, lack of fulfillment, burnout, and possibly even leaving medicine altogether. We discuss how using thought work can nourish what we may not have even realized we were missing. Resources: https://www.simplypsychology.org/self-determination-theory.html Deci and Ryan,1985 article, "Self-Determination and Intrinsic Motivation in Human Behavior." If you want to work with us, visit our website: www.thewholephysician.com. We have private coaching and CME courses available. Additionally, we're happy to lecture for your institution. Sign up for our Weekly Well Check by clicking the link. The Weekly Well Check is your weekly dose of encouragement and your only access to secret insider sales on our products. If you'd like something you can use today, download our free Top 10 Mindset Hacks for Doctors here.   For a free quote on Own-Occupation Insurance, you're welcome to use our affiliate link: patternlife.com/drivetime
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Sep 22, 2022 • 14min

#28: Self Determination Theory Part 1

Today's show introduces this concept of the self-determination theory originally written about in a book by two psychologists in 1985. It focuses on how it's so important for our psychological well being that we can do things from a place of wanting growth rather than wanting reward. Self determination theory is a theory of human motivation and personality. That suggests that people are able to become self-determined when their needs for competence, relatedness and autonomy are fulfilled. Check out part 2 for more discussion on this theory and how it relates to physicians and working in healthcare.   Referenced website: https://www.simplypsychology.org/self-determination-theory.html Deci and Ryan,1985 book, "Self-Determination and Intrinsic Motivation in Human Behavior." If you want to work with us, visit our website: www.thewholephysician.com. We have private coaching and CME courses available. Additionally, we're happy to lecture for your institution. Sign up for our Weekly Well Check by clicking the link. The Weekly Well Check is your weekly dose of encouragement and your only access to secret insider sales on our products. If you'd like something you can use today, download our free Top 10 Mindset Hacks for Doctors here.   For a free quote on Own-Occupation Insurance, you're welcome to use our affiliate link: patternlife.com/drivetime
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Sep 15, 2022 • 43min

#27: When You Get Sued with Laura Fortner, MD

This episode we talk with Dr. Laura Fortner, an OB/Gyn, about medical malpractice, the distress associated with it, some statistics, and how physicians can get support if needed. Highlights: Statistics: Average malpractice cases last around 5 years ~75% of primary care will get sued ~99% of surgical specialties will get sued Most cases don't go to trial The ones that do go to trial are usually won by the physician Biggest myths surrounding MedMal: you cannot talk about it it's normal to be sued (see statistics above) Definitions: Litigation stress is intrusive thoughts, buffering behaviors, taking things out on spouses, etc, but still going about your day. Around 95% of physicians get this. Medical Malpractice Stress Syndrome is in the DSM! It a depressive state characterized by depression, anxiety, and apathy. Common reactions to being sued: wanting to quit medicine feeling alone and isolated second guessing your decisions equating this with some judgement about yourself as a doctor or a human avoiding feelings about the situation Helpful charting tips: Include your differential and plan Inlcude "not limited to" for risk/benefit discussions The number one reason people sue is they think something has been hidden or they were not told everything about what happened and why. So be honest, empathetic and open about complications Patient's want to heard - so LISTEN way more than you talk when there is a complication If you get sued, DO NOT to a chart review or even look up related topics on Up To Date from the work computer. Everything is electronically time stamped on these systems. If you must do a Google search, do it from your home computer. If you get sued today: Don't look at the chart until your lawyer talks to you and has a copy Don't read the language in what you're served - your lawyer will help you Write down the caring advice you'd give a best friend in this situation and carry it around with you. Give yourself this same advice. Repeat as often as you need: "It's okay to be sued. It's normal to be sued." Go to TheMedMalCoach.com for more information. There is a free mini-course and group coaching classes available. It isn't reportable, can be very anonymous, and most importantly, can give you the support you likely need in this stressful time.   If you want to work with us, visit our website: www.thewholephysician.com. We have private coaching and CME courses available. Additionally, we're happy to lecture for your institution. Sign up for our Weekly Well Check by clicking the link. The Weekly Well Check is your weekly dose of encouragement and your only access to secret insider sales on our products. If you'd like something you can use today, download our free Top 10 Mindset Hacks for Doctors here.   For a free quote on Own-Occupation Insurance, you're welcome to use our affiliate link: patternlife.com/drivetime

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