Paging Dr. Mom with Julie La Barba, MD, FAAP

Stop saying yes to things you really don't want to do, to make time for the ones that really matter. AKA: How to say “No!” ARRIVAL FALLACY: Is this all there is? When will the tasks/to do list ever end? They won't. ABSOLUTELY YES or NO! Figure out your priorities based on your values…your calendar should directly reflect this. What does it look like to be a good enough wife, mom, doctor, friend? How can we stop saying yes to what we think we SHOULD do based on others expectations and choose to prioritize what's truly the most imp to us. Have to really look downstream to figure out exactly what we want in 5 years, 10 years, etc. THE BIG STUFF What is urgent and what is important. Urgent often steals the white space from Important, but if we don't know what important is, it's hard to protect that time. https://www.psychologytoday.com/us/blog/smart-relationships/201311/why-women-have-hard-time-saying-no Why Women Have a Hard Time Saying No Women often play to get along, whereas men often play to win. Kathryn J Lively Ph.D. What's So Hard About Saying No? Most women have a difficult time saying no, especially if they think someone's feelings may be at stake or if they think they'll not be liked. Despite what most women think, this is not some immutable gene or biological defect. Rather, it's actually a socially learned coping mechanism that can, with a little time and attention, be unlearned. As young children, girls are socialized to be nice and to be more in touch with their own and other people's feelings than are boys. There's nothing wrong with being nice. And there is definitely nothing wrong with being liked. Boys, on the other hand, are socialized to be less attuned to people's feelings, and to win. What this means is that when girls and boys and women and men start playing together – and for some, dating is a game – women are at a slight disadvantage. They want to play nice, whereas guys just want to win. As we said, there's nothing wrong with wanting to not hurt anyone's feelings as a general rule, but there is something wrong when girls, and women, learn to subject their own needs to the point that they are taken advantage or they end up doing things they don't want to do.   http://thewordgrandma.com "Over the years I've worked with talented women from all fields. Lawyers, doctors, office managers, engineers, you name it. But one thing that even the smartest and most hard-working women have in common, is that they don't know how to say “No.” Lacking the skills of resistance can be costly, leading you to take on unreasonable workloads. You don't want to be stuck in the office at 9 p.m. on a Friday night while your friends are out having fun, all because you didn't know how to say no." Dr. Phyllis Mindell, Ed.D. 5 situations you're going to face this year and how to gracefully decline, aka say NO!  Alternatively, Offer other options and offer a solution School volunteer ask- standing weekly or monthly commitment: “I'm actually on a red light status right now I'm not taking on any new projects on a regular basis.” OR If Huge job like fundraising chair or PTO PRESIDENT: “I know this sounds crazy but I am the President of the Smith committee (insert last name) and I really have my hands full with my own family right now” Then ask if there's a one and done opportunity instead: ex. Pumpkin patch monitor at the carnival, or serve booster club by monitoring concessions during a certain game   Someone asks you In the hallway/elevator - your name came up for Work volunteer commitment: ex. Lead committee on workplace professionalism “It sounds interesting! Is there anyway you can email me the time commitment commitment and responsibilities and I can get back to you?” If you know the answer is a hard pass: “I so wish I could take that on but right now I would need to clone myself for that to be possible!  I cannot take that on right now, but thank you for thinking of me.”   Title raise but no salary increase with increased workload: ex. Asst. Department Head with increased caseload but no change in pay/benefits “I'm so honored you have this confidence in my abilities. Can you tell me more and may I sleep on it and get back to you?” Or “I just committed this week to —— (activity)until ———(time) but I would love to consider in the future.”   Extended family obligation- ex. tradition you've taken on for years but have outgrown or need to hand off: Always hosted Christmas, cooked the turkey for Thanksgiving or maybe host 4th of July with all the cousins, but your kids are older now or you have been invited to be a guest elsewhere “Hey I know I traditionally hosted this holiday but would I be able to take over this other family gathering instead and hand it off to someone else this year?” Give options and offer a solution   Social ask: luncheons, girls trips, sponsorships, fundraisers…the list goes on… “Thank you so much for asking me - it sounds lovely & I am so grateful you guys thought of me! Unfortunately now isn't a great time.” “That doesn't work for me right now but may we set up a walk/lunch/call instead?”  

https://www.thepoetrypharmacy.com

@consciouspediatrician  https://www.nationwidechildrens.org   Show Notes: Dr. Yajnik shares authentic awareness about parenting and mindset including:  Real life struggles of working moms,  The need for support that we don't ask for.   Recognizing mom guilt and how to overcome that Recognizing that it is hard, and we don't have to pretend that it's not. "Your childs emotional health begins with you."   We don't realize how important our own mental health is when it comes to raising children,  and why that's so important for pediatricians to help parents understand.    “Even as a pediatrician we don't get parenting training!”  Parents are unnecessarily hard on themselves and it's time to put an end to it.  It's time to throw away the guilt and the need to be perfect.  It's time to thrive.   “Let's start by changing our perception of what's ‘normal'.” Who decides what is normal anyways?  And why did that become our measure for being a good parent?  Instead, what if we redefine “normal parenting” as “conscious parenting",  where parents make choices for their families based on what works for them?  The world would feel so different.   BIO Dr. Misha Yajnik, MD, FAAP is a Board-Certified Internal Medicine/Pediatrician with over 10 years' experience treating newborns to adolescents. Dr. Yajnik has a special interest in parenting, behavioral health, and emotional health at all ages.  She truly believes in supporting parents through this amazing journey of parenting.  In the changing social structure in the world, Dr. Yajnik recognizes that pediatricians are a crucial part of the support system for new parents.  She values these relationships with her patients and the entire family.

S.M.A.R.T. Goals Planner FREEBIE HERE  by Dr. Martha Kenney, creator of Time Matters Today We are half-way through 2022, and, I have a quick question for you. Have you achieved your New Year's resolutions? My guess is that most of you would say "no," because research shows that 80% of people abandon their New Year's resolutions by the beginning of February. Why? Because although New Year's resolutions may be the closest that most people will get to planning their goals in life, resolutions are more an expression of desires rather than "true goals."  Vaguely stated goals that lack relevance to your values and are not informed by the habits that you need to achieve them are not goals but wishful thinking.  Therefore, it is not surprising that 80% of people abandon their resolutions by February. So, how can you make realistic and attainable goals in life? I encourage you to use the SMART goals template. SMART is an acronym that stands for specific, measurable, achievable, relevant and time bound. Setting SMART goals allows you to know exactly where you want to go, how quickly you want to get there, and how many steps it will take to get there.” - Dr. Martha Kenney, Time Matters Today   Click here https://www.timematterstoday.com/blog/achievingyourgoalsinlife for Dr. Kenney's FREE downloadable template that provides specific and detailed questions for each SMART component and a goal planner that can help you clearly define your goals in life. Understanding SMART Goals  S – Specific  A goal that is specific answers the 5-Ws: “who, what, where, when, and why.”  M – Measurable  You need criteria to determine when you have successfully achieved your SMART goal. You also should have milestones or benchmarks that can track your progress. For instance, “I want to exercise for 30 minutes daily at least 5 times per week,” is measurable compared to “I want to exercise more.” A – Achievable and [Audacious] Audacious is not part of the SMART acronym but I believe it should be. Often, we think that if a goal is achievable, it shouldn't be bold. However, a goal can be both bold and achievable. I believe that part of the purpose of making goals is to push yourself to step outside of your comfort zone and attain something that you don't already have. So, you don't have to play it safe. Be bold. However, if you don't have the resources or skills to achieve your goal, identify how you can acquire those skills and resources. Or are there mentors or colleagues or friends who can fill in the gap and provide what you are lacking in skills?   R – Relevant  Your goal should be important to you. Each goal should really be a component of the bigger picture of who you want to be and where you want to go either personally or professionally. And, if it is a professional goal, it should align with the bigger mission of your organization.  T – Time-bound  Time is finite. Therefore, we don't have endless amount of time to achieve our goals. Therefore, your goal should have an associated deadline or timeframe that motivates you to action. Now that you understand the SMART goals template, let me share with you some principles that can help you maximize the usefulness of SMART goals.    Tune in as we review 7 Steps to put the SMART goals template to use and achieve your goals in life

Tune in with Dr. Martha Kenney who knows how much your time matters. Time management isn't just about productivity, not is it about doing MORE things. It's about freeing up your time and energy to do the RIGHT things. And “the right things” are those things that line up with your personal values. Martha references Alice in Wonderland: If you don't know where you're going then why should it matter which path you take? Any one will do if you don't have a true “destination” in mind. BIO: Dr. Martha Kenney is a board certified pediatrician and pediatric anesthesiologist, wife and mother of two young children who understands how it feels to juggle multiple roles and competing demands. She recently transitioned from a fully clinical role to building a research career centered on improving pain outcomes in sickle cell disease. This career shift has led her to look at productivity and time management in a way that brings more fulfillment to life and work. Her goal is to help other ambitious women manage their time through the articles and resources on her website: www.timematterstoday.com.  Books referenced: The Power of Habit: Why We Do What We Do in Life and Business   James Clear's Atomic Habits An Easy & Proven Way to Build Good Habits & Break Bad Ones-The Life Changing Million Copy Bestseller https://www.amazon.com/Atomic-Habits-Changing-Million-Bestseller/dp/B09GG8HM95/ref=tmm_pap_swatch_0?_encoding=UTF8&qid=1661031435&sr=8-1

Dinner with adolescents: https://docs.google.com/document/d/1JzmReRnWJ04_PANtpxe-cS6DibF28a4cG5l1INHdbgQ/edit#heading=h.96phn4gm8y38 Reducing conflict at the table: https://thefamilydinnerproject.org/food-for-thought/how-to-beat-tension-and-conflict-from-your-family-dinner/ The Family Dinner Project: thefamilydinnerproject.org 

@thefamilydinnerproject thefamilydinnerproject.org MAKING THE MOST OF DINNER WITH ADOLESCENTS Beat Dinner Table Tension for Good - The Family Dinner Project Home for Dinner: Mixing Food, Fun, and Conversation for a Happier Family and Healthier Kids (Harper Collins, 2015)  Eat, Laugh, Talk: The Family Dinner Playbook (Familius, 2019). WHY THE FAMILY DINNER PROJECT?  Research shows most think eating family dinner is a good idea, but fewer than 1/2 of American families do so. 70% of meals are eaten outside of the home and 20% in the car!    The Family Dinner Project is all about the not perfect but “good enough” meal to inspire families to get back to the diner table.    Bottom line: studies show regular family dinners reduce high-risk teenage behaviors such as: substance abuse, smoking, eating disorders, behavioral problems in school. Family dinner is also correlated with lower rates of depression and suicidal thoughts.    Dr. Fishel shares what motivated her in 2010 to create the Family Dinner Project and the evidence based benefits to the BODY (eating at home is healthier: lower rates of childhood obesity), BRAIN (cognitive benefits: school readiness, earlier reading and higher academic performance) & SPIRIT (mental health benefits: family dinner is a more powerful deterrent against high-risk adolescent behaviors than attending church or getting good grades!).    WHY DOES FAMILY DINNER HAVE SUCH AN IMPACT?  Long ago families had built in connections throughout the day, now we can all be “together” in the same house and be completely disconnected. Who doesn't sometimes text their kids in their own home?    The real power of family dinner is that it provides a reliable time for parents and kids to connect with one another- face to face!  At its core family dinner is a ritual with scripted and unscripted parts! Assigned seats, same meal rotation but new conversations re: what's happening in kids' lives and world events.    Family dinner is an opportunity for : Early detection of problems and conflicts in your child's life.  Storytelling, which is the main way we all make sense of the world!    HOW DO WE DEFINE FAMILY DINNER ANYWAY?   Ideally, NOT “Leave it to Beaver” but hopefully more of a “team sport” with many hands making lighter work.   For single parents or other families with a traveling parent, just 2 people have to eat together for it to be considered a family meal.    Take Out OK too! If a meal is eaten with conversation and story telling, that's a family dinner.    Once a week is better than none, and it doesn't have to be dinner. Possibilities: 7 breakfasts, 7 dinners, 2 weekend lunches, and even nighttime snacks! Goal is not to achieve a magic number but just to increase connection.    WHAT GETS IN THE WAY AND WHAT HAVE WE LEARNED FROM FAMILIES AND RESEARCHERS?  Lack of Time  Hard work of making dinner  Picky Eaters  Too much tension and conflict at the table Teens not wanting to eat with parents    Solutions: Flexible courses, push back on culture of extra time commitments, share the load, make double batches, cook with shortcuts, deconstructed ingredients for picky eaters but no bribes, go easy on criticism and avoid hot button topics. 80% of teens value family meals but it needs to be a bridge to their world, not a place where they feel like they can't be themselves.    Dr. Fishel shares her own experiences with her mom, Edith's, “speedy” cooking and her dad, James's, world class storytelling.    She is forthright re: experience as a working mom getting dinner on the table with 2 sons, sees dinner as an adjunct to family therapy and employs past family dinner experiences as a powerful teaching tool for psychiatry residents studying family dynamics.    BIO  Anne Fishel, Ph.D. is a family therapist, clinical psychologist, and Associate Professor of Psychiatry at the Harvard Medical School. She is Director of the Family and Couple Therapy Program at Massachusetts General Hospital (MGH) in Boston, MA. Dr. Fishel is also the executive director and co-founder of The Family Dinner Project, a non-profit initiative, based at MGH, that helps families on-line and in communities to have better and more frequent family dinners. She is the author of Home for Dinner: Mixing Food, Fun, and Conversation for a Happier Family and Healthier Kids (Harper Collins, 2015) and the co-author of Eat, Laugh, Talk: The Family Dinner Playbook (Familius, 2019).

The Book Blog - Tired Superheroine Epic Failures Revealed! 7 Things to Keep You Going Strong on a Path to Becoming a Doctor https://view.flodesk.com/pages/5f9f6ea4d722c94789d1962f http://instagram.com/tiredsuperheroine Bio/Show Notes:  Barbara Hamilton, MD is an interventional radiologist, leader, and the author of Save Lives, Enjoy Your Own: Finding Your Place in Medicine. She helps aspiring & early career doctors succeed in the surgically-oriented and traditionally male-dominated fields by pulling back the curtain on what it looks like to be a woman and parent in medicine. Ultimately, she strives to be an example of what is possible for those who would follow in her footsteps.Through her writing, speaking, and coaching, she aims to patch the leaky pipeline of women aspiring to the male-dominated fields, so more talented people of diverse backgrounds can join her as they transition into fulfilling, multifaceted lives as attending physicians.   How do you know where you really belong, if there's no female role model around to show the way?   THE CONCEPT: SAVE LIVES, ENJOY YOUR OWN This book is about finding your inner direction and following it, despite what other people may say. If you're interested in a male-dominated field of medicine, this book is for you.   Excerpt from podcast interview with page references in  Save Lives, Enjoy Your Own: Finding Your Place in Medicine Know yourself and the lifestyle you want: p. 54 Know your audience: p. 59, 65 Comparison trap: p. 72 Flexibility, inevitable failure at some point:  p. 125 : Epic Failures Revealed!    7 Things to Keep You Going Strong on a Path to Becoming a Doctor (recording) Biochemistry by skin of her teeth Weak stomach in anatomy even though you wanted to be a surgeon Fish out of water: Peds rotation- OF ALL ROTATIONS TO CRY!  “Discomfort is the currency of your dreams” Brooke Castillo Boys Club, some inevitable humiliation, people not getting your name straight w the only other female resident   Perseverance: teaching award, mistake    Questions Dr. Hamilton addresses head on: What has been the most challenging part of merging motherhood and medicine? What is a key foundational practice without which you wouldn't have accomplished all you have?

https://thephysicianphilosopher.com Podcast: The Physician Philosopher: An uncurated and unapologetic look into physician life. https://thephysicianphilosopher.com/podcasts/the-physician-philosopher/ The Alpha Coaching Experience https://thephysicianphilosopher.com/alpha-coaching-experience/ MDFU: Online personal finance curriculum  MDFU (Medical Degree Financial University), where we teach physicians and physicians-in-training how to create the financial freedom to practice medicine on their terms.   Dr. Jimmy Turner is a practicing academic anesthesiologist at Wake Forest, certified coach, and owner of The Physician Philosopher. Jimmy loves teaching doctors about mindset and money.  He is the founder of the Alpha Coaching Experience - the premier coaching program that has helped hundreds of doctors harness the power of their mindset, money, and time in order to create a life they love. Jimmy is also the host of The Physician Philosopher podcast and author of The Physician Philosopher's Guide to Personal Finance.   Doctor, Personal Finance Professor, Author, Certified Coach, Podcaster, Husband and Dad   Jimmy's “WHYs”:  TO FIX THE CULTURE OF MEDICINE,  TO HELP DOCTORS LEAD A LIFE THEY LOVE   The Physician Philosopher: started 2017. Idea that personal finance knowledge allows physicians to practice medicine because they want to, not because they have to.   In Dr. Turner's book: The Physician Philosopher's Guide to Personal Finance : THE 20% of PERSONAL FINANCE DOCTOR'S NEED TO KNOW to GET 80% of the RESULTS.  Good financial planning isn't to make the rich richer, but a way to heal the healers. It contributes to reduced stress, burnout, depression and in some cases divorce and suicide. A doctor who doesn't depend wholly on their paycheck from the hospital can make decisions that prolong her career, promote her wellness and even provide better patient care. Pareto principle : 80/20 rule Helpful in determining where you can focus your efforts to maximize your output.  The basis of the Pareto principle states that 80% of results come from 20% of actions, or 20% of the effort produces 80% of the biggest impact.    ALPHA COACHING EXPERIENCE:  Using self-determination theory to helping physicians love what they do by reclaiming  autonomy, belonging, & competence.  AUTONOMY:  both personal and professional BELONGING: feeling like a valued member of a team, attachment to a deeper collective purpose COMPETENCE: perceived competence, aka operating without imposter syndrome   The way to take back autonomy, belonging, competence is via  MINDSET, FINANCIAL INDEPENDENCE and TIME MANAGEMENT.  This allows us to focus on non-urgent but important events in our life which lead us to feel autonomy, belonging, and competence. 

https://thephysicianphilosopher.com Podcast: The Physician Philosopher: An uncurated and unapologetic look into physician life. https://thephysicianphilosopher.com/podcasts/the-physician-philosopher/ The Alpha Coaching Experience https://thephysicianphilosopher.com/alpha-coaching-experience/ MDFU: Online personal finance curriculum  MDFU (Medical Degree Financial University), where we teach physicians and physicians-in-training how to create the financial freedom to practice medicine on their terms.   Dr. Jimmy Turner is a practicing academic anesthesiologist at Wake Forest, certified coach, and owner of The Physician Philosopher. Jimmy loves teaching doctors about mindset and money.  He is the founder of the Alpha Coaching Experience - the premier coaching program that has helped hundreds of doctors harness the power of their mindset, money, and time in order to create a life they love. Jimmy is also the host of The Physician Philosopher podcast and author of The Physician Philosopher's Guide to Personal Finance.   Doctor, Personal Finance Professor, Author, Certified Coach, Podcaster, Husband and Dad   Jimmy's “WHYs”:  TO FIX THE CULTURE OF MEDICINE,  TO HELP DOCTORS LEAD A LIFE THEY LOVE   The Physician Philosopher: started 2017. Idea that personal finance knowledge allows physicians to practice medicine because they want to, not because they have to.   In Dr. Turner's book: The Physician Philosopher's Guide to Personal Finance : THE 20% of PERSONAL FINANCE DOCTOR'S NEED TO KNOW to GET 80% of the RESULTS.  Good financial planning isn't to make the rich richer, but a way to heal the healers. It contributes to reduced stress, burnout, depression and in some cases divorce and suicide. A doctor who doesn't depend wholly on their paycheck from the hospital can make decisions that prolong her career, promote her wellness and even provide better patient care. Pareto principle : 80/20 rule Helpful in determining where you can focus your efforts to maximize your output.  The basis of the Pareto principle states that 80% of results come from 20% of actions, or 20% of the effort produces 80% of the biggest impact.    ALPHA COACHING EXPERIENCE:  Using self-determination theory to helping physicians love what they do by reclaiming  autonomy, belonging, & competence.  AUTONOMY:  both personal and professional BELONGING: feeling like a valued member of a team, attachment to a deeper collective purpose COMPETENCE: perceived competence, aka operating without imposter syndrome   The way to take back autonomy, belonging, competence is via  MINDSET, FINANCIAL INDEPENDENCE and TIME MANAGEMENT.  This allows us to focus on non-urgent but important events in our life which lead us to feel autonomy, belonging, and competence. 

http://suzannekoven.com/ Health Story Collaborative https://thenocturnists.com/ http://suzannekoven.com/wp-content/uploads/2022/01/Literature-and-Medicine-List-2.pdf   Bio/Show Notes:Shownotes  Letter to a Young Female Physician    Suzanne Koven was born and raised in New York City. She received her B.A. in English literature from Yale and her M.D. from Johns Hopkins. She also holds an M.F.A. in nonfiction from the Bennington Writing Seminars. After her residency training at Johns Hopkins Hospital she joined the faculty of Harvard Medical School and has practiced primary care internal medicine at Massachusetts General Hospital in Boston for over 30 years. In 2019 she was named inaugural Writer in Residence at Mass General. Her essays, articles, blogs, and reviews have appeared in The Boston Globe, The New England Journal of Medicine, The Lancet, The New Yorker.com, Psychology Today, The L.A. Review of Books, The Virginia Quarterly, STAT, and other publications. Her monthly column “In Practice” appeared in the Boston Globe and won the Will Solimene Award for Excellence in Medical Writing from the American Medical Writers Association in 2012. Her interview column, “The Big Idea,” appears at The Rumpus. Suzanne conducts workshops, moderates panel discussions, and speaks to a variety of audiences about literature and medicine, narrative and storytelling in medicine, women's health, mental healthcare, and primary care. Suzanne's essay collection, Letter to a Young Female Physician, was published by W.W. Norton & Co. in 2021. Excerpts from podcast interview:   This conversation really starts with your 2017 essay describing the challenges faced by female physicians. Resounding message:  “Dear young colleague, you are not a fraud. Your training will serve you well. Your humanity will serve your patients even better.” Did it surprise you that this book still needed to be written some 30 years after your training experiences involving sexism and imposter syndrome? In the book you reference a NYT op-ed by a female anesthesiologist w/ 4 kids to asserted that “women physicians who work part-time are betraying their patients, their full-time colleagues, and the taxpayers who subsidized their medical education.”  You trained at Johns Hopkins and Harvard, were you an outlier among female colleagues since you chose to practice medicine part-time very early on in your career and do you think that was part of why you were constantly feeling like you needed to prove yourself?    Throughout the book you shared your incessant struggle with body image and dieting – revealing your family nickname “Big Tush” and joking “If I ever knew as much about medicine as I know about dieting, I would win the Noble Prize!”   One of my favorite passages towards the end of the book is your ultimate self-acceptance: “I now see that everything I have ever felt good about- in my marriage, my parenting, my writing, and my doctoring- has been the work of the loud, curvy, curly headed girl, operating on instinct and without self-consciousness. And every wrong turn I've ever taken has been in pursuit of …the woman I thought I was supposed to be. CURVY CURLY always wins. Always.”   Trend in med schools to accept more humanities students and to focus on BOTH competence and compassion in medicine. Reminds me of Dr. Kate Treadway's course for 1st year med students: “Introduction to the Profession”  Students are sent out into the hospital to speak with patients. They can ask anything, but REQUIRED to ask: “What advice would you give me as I begin my career?” #1 answer patients give: “I JUST WANT YOU TO LISTEN TO ME”? Do you think it's becoming easier to integrate humanities and storytelling into our practice and how does that change the way we see patients?  As much as it is a letter to other physicians, your book  is very much a personal memoir. The portrayal of your relationship with your mom was so vivid, all the way to her final stages of life after suffering from a stroke. There was something you wrote which I think can be really helpful to young stressed out professional moms: “ I was reminded of something my mother, not at all inclined to self-pity, said to me near the end of her life when I asked what I could do for her: “Bring me back my husband, my friends, my career, my health- that's what you could do.”   SUCH a Reminder that whatever stress you think you have now, you're going to miss it!    Was that also a wake up call for you to appreciate the busyness of life?    Describing another female physician who was a friend, but had a tendency to compare herself unfavorably to you… “She marveled at how I'd simultaneously served her coffee and cookies, cuddled my daughter in my lap, offerd my son, who lay on the floor in a car seat a bottle, and swatted away our Chesapeake Bay retriever who was determined to lick milk dribbles off the baby's face- all while we gossiped about work. “You should have seen her, She was a Goddess.” P. 120  In the book you write about your son's at one point intractable epilepsy and how terrifying it was despite BOTH your and your husbands training.   “People ask “Is it easier or harder to have a sick child when both parents are doctors?” But this is the wrong question. There is no hard, no easy. Only fear and love, panic and relief shaking and not shaking.”  Can you share one of your unforgettable PAGING DOCTOR MOM MOMENTS with us, a time that's etched in your mind when trying to balance medicine and motherhood collided?

@wealthymommd https://wealthymommd.com https://wealthymommd.com/defining-wealth-for-women/   Bonnie Koo, MD is a certified life coach, physician, and founder of Wealthy Mom MD. Bonnie shares her journey to becoming a dermatologist and how she learned about money from her male colleagues. She dived into her financial education like she has most things and soon realized that her female colleagues lacked this knowledge. This led to her helping other women physicians gain the knowledge and mindset they needed to take control of their finances and build wealth. Between being a writer, blogger, podcaster AND dermatologist, Bonnie is impacting the world with her new book and book club: Defining Wealth for Women. Peace, Purpose and Plenty of Cash! https://bit.ly/345v9NM    BOOK CLUB: chance for women to gather to talk about money, with coaching. Community building, women only- great way for women who are confused about what to do to not feel alone.  What you think about wealth will determine how wealthy you become The story you make up about your debt is what creates anxiety Paying off your debt quickly may NOT be the best financial decision  In order to get rich you have to buy and grow income producing assets (real estate) Having a lot of $ is really fun, and it's pretty empty and meaningless without PURPOSE There are 4 steps to create wealth inside of Money for Women Physicians: # 1 Know Your Mind Before we ever get into the nuts and bolts of personal finance, we'll get to the root cause of your financial woes: your money mindset. You'll learn how our brains are wired right out of the box and why that programming isn't designed to create wealth. You'll learn a shocking truth: the way you think about money affects how much money you have.   # 2 Know Your Money You'll learn what money really is and learn the truth about creating wealth (Hint: it's not paying off debt) and get your money in order for Step #3.    # 3 Buy & Grow Assets The secret to creating wealth is to buy and grow assets. This is how you make money while you sleep (instead of trading time for money).   # 4 Manage Your Mind & Money The key to being successful with Step #3 is to manage your mind around fear, self-doubt and taking risks. It's about cultivating self-trust and resiliency.    BONNIE'S Rx  and PUTTING IT ALL TOGETHER:  KNOW YOUR MIND KNOW YOUR MONEY Start making decisions to buy and grow assets Managing your mind during this time of flux and growth  Coaching can give you the tools to rewire your brain END GAME: MORE MONEY, LESS STRESS,  FEELING CONFIDENT THAT YOUR FUTURE IS POSSIBLE AND AVAILABLE TO YOU

My 13 year-old son, James, joins me to dedicate this show to the 21 victims of the Robb Elementary school shooting in Uvalde, Texas on May 24, 2022. May these precious souls rest in peace knowing we will not quietly fall back into a normal routine until gun control gets the attention it deserves.    Links:  Moms Demand Action Get Involved | Students Demand Action Everytown for Gun Safety American Academy of Pediatrics Mourns Death of Children and Teacher in Texas 10 ways you can channel your grief and rage into action—right now The Lives Lost in Texas: Uvalde Families Share the Victims' Stories - WSJ Gun Violence Must Stop. Here's What We Can Do to Prevent More Deaths   6 things parents can do in the aftermath of a school shooting Reach out to your state senator Call or email your child's teachers to thank them Educate yourself Talk to your children Be kind to yourself Connect The Poetry Pharmacy Returns: More Prescriptions for Courage, Healing and Hope: Sieghart, William Making a Fist by Naomi Shihab Nye   Here's what we know about the victims whose family members have publicly identified them so far: These Are the Names of the Uvalde School-Shooting Victims Uziyah Garcia, 8 or 9, was “the sweetest little boy that I've ever known,” his grandfather Manny Renfro told the Associated Press.   Jose Flores, 10, loved baseball and “going to school,” his uncle Christopher Salazar told the Washington Post. “He was a very happy little boy,” Salazar said, “loved to laugh and have fun.” He'd received an honor-roll award hours before the shooting.   Amerie Jo Garza, 10, died trying to call the police on the gunman, her grandmother Berlinda Irene Arreola told the Daily Beast. She had also won an honor-roll award earlier in the day, and her father reportedly spent hours waiting for information before confirming her death on Facebook.   Xavier Javier Lopez, 10, “was so full of life,” his mother, Felicha Martinez, told the Post. He liked sports, art class, and hamming it up for the camera. “He was funny, never serious and his smile,” Martinez said of her fourth-grade son. “That smile I will never forget. It would always cheer anyone up.”   Nevaeh Bravo, 10, was a fourth-grader. Per BuzzFeed, her cousin confirmed her death in a Facebook post, sharing a photo of Bravo smiling in a blue dress. “Our Nevaeh has been found,” her cousin wrote. “She is flying with the angels above.”   Alithia Ramirez, 10, loved to draw and wanted to be an artist, her father told KSAT 12 News.   Tess Marie Mata, 10, was confirmed dead by her sister, who posted on Facebook recalling Mata's “contagious laugh,” adding that the two played softball together. “I'm confused because how can something like this happen to my sweet, caring, and beautiful sister, and I'm angry because a coward took you from us,” Mata's sister wrote.   Alexandria Aniya Rubio, 10, was “beautiful and smart,” her mother, Kimberly Mata-Rubio, wrote in a Facebook tribute. Hours before the shooting, Mata-Rubio said she went to her daughter's honor-roll ceremony and watched her receive a good citizen award. “We told her we loved her and would pick her up after school,” Mata-Rubio wrote. “We had no idea this was goodbye.”   Layla Salazar, 10, used to sing along to “Sweet Child O' Mine” by Guns N' Roses on the way to school, her father told the Associated Press.   Makenna Lee Elrod, 10, was found dead in a classroom, her older sister confirmed on Twitter: “My sweet innocent baby sister…my heart will forever break for you my love.”   Jayce Luevanos, 10, was killed along with his cousin and classmate, Jailah Silguero. A cousin of theirs told ABC7 that “they always had a smile” on their faces.   Jailah Nicole Silguero, 11, was a “delighted, energetic, lovely little girl” who enjoyed making TikToks, according to a GoFundMe page her family friend made to cover her funeral expenses. The morning of the shooting, she reportedly asked her mother if she could stay home.   Eliana “Ellie” Garcia, 9, was the second eldest of five girls. She wanted to be a teacher, loved the film Encanto, and dreamed of wearing a purple dress to her quinceañera, her grandparents told the L.A. Times.    Eliahana Cruz Torres was also killed in the massacre, her family confirmed to KSAT.   Annabell Guadalupe Rodriguez, 10, was a third-grader, her family told KHOU-11. She was in the same classroom as her cousin, Jacklyn Cazares, when the shooter came in.   Jacklyn “Jackie” Cazares, 10, was in fourth grade. She was killed along with her cousin and classmate, Annabell Guadalupe Rodriguez, according to KSAT.   Maite Yuleana Rodriguez, 10, was a “sweet, smart little girl,” her family member wrote in a GoFundMe for her funeral expenses.   Rogelio Torres, 10, was among Tuesday's victims, his relatives told a Univision 14 KDTV reporter.   Miranda Matthis, 11, attended Robb Elementary with her brother, who survived the shooting. She was killed in her classroom, her parents told the Fort-Worth Star Telegram.   Eva Mireles, 44, was a fourth-grade teacher at Robb. Her aunt, Lydia Martinez Delgado, told the Post that Mireles was married to a police officer; their daughter just graduated from college. “She did all she could to live a long life,” Delgado said, “and here it was cut short.” She reportedly helped her students climb out the window before Ramos shot her. Irma Garcia, Mireles's co-teacher, was also killed in Tuesday's attack, her son, Christian Garcia, told NBC. She'd taught at Robb Elementary for 23 years and had four kids. “She sacrificed herself protecting the kids in her classroom,” said a Twitter user identifying himself as Garcia's nephew. “She died a HERO. She was loved by many and will truly be missed.”

@drsusanlanders https://susanlandersmd.com/   Girls who grew up in the 1950s Deep South had little to no cultural nudge to pursue a career in any field, let alone in medicine. This story of Dr. Susan Landers' ability to catapult herself into the world of top-notch academic medicine while mothering 3 children amidst the twists and turns inherent in her physician husband's own advancement is truly something to behold. Did I mention after moving cross country with three little ones, she also pioneered a grant funded Mother's Milk Bank and eventually led the Section for Breastfeeding at the American Academy of Pediatrics? So Many Babies were lucky to have a doctor with so much grit.   Prominent themes in the daily lives of doctors and mothers are the themes of Susan Landers' life: Teaching and Quality Improvement. And she dealt with complications in both. From navigating complex workplace issues beyond patient care to managing crises at home including accidents, behavioral issues, unfathomable nanny emergencies and the teenage years in general. Susan has seen more than her fair share, and So Many Babies is her love letter to any mother tackling medicine and motherhood together.   As she deftly navigated medicine and motherhood, I would argue Dr. Susan Landers is not “Good Enough Mom” as she had to sometimes convince herself, or even “Super Mom” as her husband and children dubbed her one Mother's Day with a glittery homemade broach, but actually "Wonder Woman” complete with bullet proof arm cuffs, a golden lasso and that trulsty invisible jet we all used to want to ride in. Truly, Susan is a superheroine. Not only did she use her super powers to nutture her own 3 children at home, not to mention the countless tiny ones she healed in the NICU, but she shares them again today in So Many Babies as she reassures today's Dr. Moms by revealing her own truths and vulnerability   From Cognitive Behavioral Therapy and self-imposed time-outs to sewing Halloween costumes and eventually sending herself monthly bouquets, Dr. Susan Landers offers today's moms in medicine plenty of actionable ideas to ‘heal the healer' as she explores the fine line between a complete devotion to her patients and the insidious way a medical career can overtake marriage and family life.   After completing medical school in Charleston, South Carolina, Susan moved to Texas and completed pediatrics residency at the University of Texas Southwestern Medical School in Dallas, and neonatology fellowship at Texas Children's Hospital and Baylor College of Medicine in Houston. Dr.Landers practiced full-time neonatology (the intensive care of critically ill premature and newborn infants) for thirty-four years. Initially she worked in academic medicine, on the faculty of two medical schools, Baylor College of Medicine and University of Arkansas for Medical Sciences. Later in her career, she worked for Mednax, a private neonatology practice in Austin, for twenty-two years. Susan raised three children while practicing medicine full-time. Her children presented her and her physician husband with many challenges over the years, trials and struggles which she considers typical for all working mothers. She wrote a book about her experiences: "So Many Babies: My Life Balancing a Busy Medical Career and  Motherhood." For many years, Susan worked for the American Academy of Pediatrics as an expert in breastfeeding medicine, writing policy and teaching at national conferences. She has been interviewed by many news outlets about her work using donor human milk in the NICU and her work with the Mother's Milk Bank of Austin. She currently resides in Austin, TX.

Website: amandahaascooks.com Instagram: @amandahaascooks Facebook: amandahaascooks Foody: A recipe marketplace for culinary creators Getting food on the family table: a universal pain point! Amanda Haas is with us today to talk about her Upcoming book: “How To Feed Your Family” Tips and tricks for working moms to get a family meal on the table and why we should never begin cooking dinner when it's time to eat!    People imagine they need to make dinner this perfect, precious setting, but Amanda reminds us, gathering around the table is about so much more than the food.   We're not aiming for perfection, we're aiming to create moments of gathering with our families, and the meal is our excuse to get everyone there. If you can get the people you love the most around the table, the dishes can wait! Even though it's tempting to get right into the cleanup, there's no party killer like getting up to do the dishes while company is still there.    Amanda teaches us which shortcuts are worth it (a freshly roasted rotisserie chicken) and which should be skipped all together (don't fall for the bottled salad dressing when homemade is cheaper, more delicious & better for you).    The more we plan and the more we grocery shop, the more savvy we get in terms of both time and money.    Simplicity is something we all need in the kitchen…Our kids' expectations are so different from our own!  The simpler and more organized the meal prep, the more of mom's undivided attention shows up at the table: the place where kids offer up little pieces of themselves at the end of the day.  If we plan ahead, there's a greater chance we won't miss that.    Learn about:  Meal Planning,  Batch Cooking   Generating grocery lists and kitchen tasks for helpers Valuable tools for working women to spend less time alone in the kitchen, and more time around the table with family.   Tips for Planning ahead: Once a week, sit down and identify when you'll be eating at home and any other meals/snacks you need to prepare, then make a chart that has a spot for every meal you'll be eating at home. Start to select the recipes you want to make for the week, scheduling time for the ones that might take longer to cook or can be used in multiple meals up front, e.g. roasted chicken, something slow-cooked, etc. Fill in your chart.  Assess if you have a good balance of meals/ingredients and ample time to cook them. Also, are some items too pricey?  Reevaluate and make changes if necessary. Make your shopping list by department/aisle. SHOP! Get rid of any unused food from the week before, unload groceries, and pick 1-2 easy things to prep to help you get ahead for the week!   Bio: Amanda Haas is an accomplished food writer, cooking instructor, video host, and cookbook author.  She has contributed to over a dozen cookbooks and written three of her own, including  The Anti-Inflammation Cookbook:  The Delicious Way to Reduce Inflammation and Stay Healthy  (Chronicle Books, 2016) and  The Vibrant Life: Eat Well, Be Well (Chronicle Books, August 2019).    After seven years overseeing the test kitchen as Williams Sonoma's Culinary Director, Amanda launched her own brand amandahaascooks in 2018, where she devotes her time to improving people's lives through cooking and an exploration of a variety of wellness modalities.  

www.mamadoclifecoach.com www.instagram.com/mamadoclifecoach If you're a physician or med student  in need of help, please call the  Physician Support Line: 1 (888) 409-0141, or visit: https://www.physiciansupportline.com/   Bio/Show Notes: Michelle Chestovich, MD is a family physician, certified life coach and mom of four.  Her passion for physician wellness has recently been amplified by the unexpected death by suicide of her younger sister, Dr Gretchen Butler in March 2021.  She is using her voice to raise awareness about the high risk of suicide in medicine, in particular for women. She loves encouraging organizations to find more effective solutions to burnout in medicine.  And while the culture of medicine must indeed change, she loves empowering physicians to take care of their needs and mental health through coaching. You can catch her on her weekly podcast , Re-Mind Yourself, where she shares tips for physician moms who are trying to find more balance in their lives; She loves helping other physician moms realize that life doesn't need to be so hard and that they can enjoy this life they have worked so hard to create.   This show is dedicated to Michelle's younger sister, the formidable Dr. Gretchen Butler, described here in an excerpt from her obituary:  “Her strong work ethic, openness to other perspectives and eye for detail made Gretchen an excellent radiologist and entertainer extraordinaire. The only thing better tan having Gretchen attend your party was having her plan it! She made everything she did more beautiful and more fun with her infectious laugh and kind heart. Gretchen was a doting daughter, loving wife, skilled physician, elegant hostess and generous friend. While she had many accomplishments and excelled at these roles, nothing made her more proud or brought her more joy than her three children : Hudson, Harriet and Oliver. The void left in the lives of those who loved her is beyond words.”    The suicide rate among male physicians is 1.41 times higher than the general male population. And among female physicians, the relative risk is even more pronounced — 2.27 times greater than the general female population.   5 HIGH ACHIEVER TRAITS THAT PROVOKE ANXIETY: HAVE A HARD TIME SAYING NO,  HARD TIME ASKING FOR HELP,  COMPARE OURSELVES TO SUCCESSFUL PEOPLE,  LOOK SO FAR AHEAD WE'RE NOT PRESENT IN THE MOMENT, RELY ON ACHIEVEMENT to FEEL WORTHY.  https://www.psychologytoday.com/us/blog/anxiety-in-high-achievers/202011/5-anxiety-provoking-habits-among-high-achievers Physicians are stuck in a Catch-22:  the high self-expectations, intense professional pressure, and prevailing culture of the medical profession contribute to the rise in mental health issues among physicians, but these factors also discourage struggling physicians from seeking help. The Medscape National Physician Burnout & Depression Report 2018(www.medscape.com) showed that  66% of male physicians and 58% of female physicians who reported burnout, depression, or both had never received professional help, were not currently seeking professional help, and did not plan to seek professional help.   Barriers to Seeking Help Through her research at the University of Michigan Depression Center in Ann Arbor, Gold seeks to understand why physician mental health issues remain largely untreated(www.ncbi.nlm.nih.gov). “There's definitely a stigma inside medicine around mental health,” she says. She has found that physicians as a group tend to hold themselves to high standards, so a mental health issue is often perceived as a weakness. “Physicians don't want to appear as if they can't do their job,” says Gold. “We tend to be great masqueraders.” “Gretchen was a perfect example of what we need more of in medicine: We want people who are both driven and empathic, perfectionists who also care about helping colleagues learn and grow. Now we need to create a system to support this kind of doctor.”    - Dr. Michelle Chestovich   So what are some of the solutions? Changes within healthcare culture Work hour restrictions- not just for residents but also attendings Standardized maternity leave policies   Making Coaching standard of care  If you're a physician or med student  in need of help, please call the  Physician Support Line: 1 (888) 409-0141, or visit: https://www.physiciansupportline.com/  

www.mamadoclifecoach.com www.instagram.com/mamadoclifecoach If you're a physician or med student  in need of help, please call the  Physician Support Line: 1 (888) 409-0141, or visit: https://www.physiciansupportline.com/   Bio/Show Notes: Michelle Chestovich, MD is a family physician, certified life coach and mom of four.  Her passion for physician wellness has recently been amplified by the unexpected death by suicide of her younger sister, Dr Gretchen Butler in March 2021.  She is using her voice to raise awareness about the high risk of suicide in medicine, in particular for women. She loves encouraging organizations to find more effective solutions to burnout in medicine.  And while the culture of medicine must indeed change, she loves empowering physicians to take care of their needs and mental health through coaching. You can catch her on her weekly podcast , Re-Mind Yourself, where she shares tips for physician moms who are trying to find more balance in their lives; She loves helping other physician moms realize that life doesn't need to be so hard and that they can enjoy this life they have worked so hard to create.   This show is dedicated to Michelle's younger sister, the formidable Dr. Gretchen Butler, described here in an excerpt from her obituary:  “Her strong work ethic, openness to other perspectives and eye for detail made Gretchen an excellent radiologist and entertainer extraordinaire. The only thing better tan having Gretchen attend your party was having her plan it! She made everything she did more beautiful and more fun with her infectious laugh and kind heart. Gretchen was a doting daughter, loving wife, skilled physician, elegant hostess and generous friend. While she had many accomplishments and excelled at these roles, nothing made her more proud or brought her more joy than her three children : Hudson, Harriet and Oliver. The void left in the lives of those who loved her is beyond words.”    The suicide rate among male physicians is 1.41 times higher than the general male population. And among female physicians, the relative risk is even more pronounced — 2.27 times greater than the general female population.   5 HIGH ACHIEVER TRAITS THAT PROVOKE ANXIETY: HAVE A HARD TIME SAYING NO,  HARD TIME ASKING FOR HELP,  COMPARE OURSELVES TO SUCCESSFUL PEOPLE,  LOOK SO FAR AHEAD WE'RE NOT PRESENT IN THE MOMENT, RELY ON ACHIEVEMENT to FEEL WORTHY.  https://www.psychologytoday.com/us/blog/anxiety-in-high-achievers/202011/5-anxiety-provoking-habits-among-high-achievers Physicians are stuck in a Catch-22:  the high self-expectations, intense professional pressure, and prevailing culture of the medical profession contribute to the rise in mental health issues among physicians, but these factors also discourage struggling physicians from seeking help. The Medscape National Physician Burnout & Depression Report 2018(www.medscape.com) showed that  66% of male physicians and 58% of female physicians who reported burnout, depression, or both had never received professional help, were not currently seeking professional help, and did not plan to seek professional help.   Barriers to Seeking Help Through her research at the University of Michigan Depression Center in Ann Arbor, Gold seeks to understand why physician mental health issues remain largely untreated(www.ncbi.nlm.nih.gov). “There's definitely a stigma inside medicine around mental health,” she says. She has found that physicians as a group tend to hold themselves to high standards, so a mental health issue is often perceived as a weakness. “Physicians don't want to appear as if they can't do their job,” says Gold. “We tend to be great masqueraders.” “Gretchen was a perfect example of what we need more of in medicine: We want people who are both driven and empathic, perfectionists who also care about helping colleagues learn and grow. Now we need to create a system to support this kind of doctor.”    - Dr. Michelle Chestovich   So what are some of the solutions? Changes within healthcare culture Work hour restrictions- not just for residents but also attendings Standardized maternity leave policies   Making Coaching standard of care  If you're a physician or med student  in need of help, please call the  Physician Support Line: 1 (888) 409-0141, or visit: https://www.physiciansupportline.com/

Ukraine  https://www.usnews.com/news/world/articles/2022-04-12/ukraine-tells-russia-return-prisoners-if-you-want-top-ally-back   Covid https://www.nytimes.com/live/2022/04/11/world/covid-19-mandates-cases-vaccine   LAST SHOW  Dr. Jill Cruz: Therapy vs. Coaching  2 studies (PRE-COVID) support Coaching as an evidence based strategy for keeping our doctors well.   Effect of a Professional Coaching Intervention on the Well-being and Distress of Physicians A Pilot Randomized Clinical Trial. Dyrbye LN, Shanafelt TD, Gill PR, Satele DV, West CP.(2019) https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2740206   Coaching for primary care physician well-being: A randomized trial and follow-up analysis. Journal of Occupational Health Psychology, 25(5), 297–314.McGonagle, A. K., Schwab, L., Yahanda, N., Duskey, H., Gertz, N., Prior, L., Roy, M., & Kriegel, G. (2020).  https://doi.org/10.1037/ocp0000180   NEXT SHOW  Dr. Michelle Chestovich  Physician Mental Health  Show dedicated to her sister, Dr. Gretchen Butler   ACE CONFERENCE  https://www.authenticphysicians.com   Prioritizing Physician Mental Health as COVID-19 Marches On Jennifer Abbasi JAMA. 2020;323(22):2235-2236. doi:10.1001/jama.2020.5205 https://jamanetwork.com/journals/jama/article-abstract/2766525   Psychologically Immunize Yourself  Doctor Lifeline: Preventing Physician Suicide Doctor Lifelinehttps://www.doctorlifeline.org Steven A. Reid, M.D., F.A.A.N.S.   “Physicians are smart, tough, durable, resourceful people. If there was a way to MacGyver themselves out of this situation by working harder, smarter, or differently, they would have done it already.” -- Dr. Simon G. Talbot & Dr. Wendy Dean Founders of Moral Injury of Healthcare, LLC   https://www.statnews.com/2018/07/26/physicians-not-burning-out-they-are-suffering-moral-injury/   Physician Support Line https://www.physiciansupportline.com 1 (888) 409-0141 No appointment necessary                 Open 7 days a week 8:00AM - 1:00AM ET       

Jill's Website Get Out of Your Own Way Blog    Jill is a certified executive coach and career development consultant with over 20+ years of experience specializing in women attorneys' career and talent development within the legal profession. As a long-term champion for gender diversity and inclusion in the legal profession, her primary mission and professional focus are to help women attorneys and leaders navigate, enhance, and advance their careers more successfully.    As a preeminent scholar and thought leader for gender and racioethnic diversity, equity, and inclusion in the legal profession, Jill has particular expertise around the unique issues and critical success factors for Latina lawyers. Dr. Cruz has published, both individually and in collaboration with others, over a dozen academic, professional, and law review articles and book chapters on this topic. She is also a frequent presenter and keynote speaker at many national and regional women and minority legal bar association events and conferences. She has also served as a Commissioner, researcher, presenter, and coach for the Hispanic National Bar Associations Latina Commission and a member of the Research Advisory Board for the American Bar Association's Commission on Women in the Profession.    Before starting her coaching and consulting practice, Jill served in various human resource management and recruiting roles within the legal profession, including most recently as the Chief Human Resources Officer for an AmLaw 100 DC-based law firm. She has also served as an Associate Professor, Dissertation Chair, and Research Affiliate for the University of Phoenix Graduate School of Business and Technology and College of Doctoral Studies and previously as an Adjunct Professor for the University of Maryland University College.    Jill has a Ph.D. in Organizational Management from Capella University, an MS in Management from the University of Maryland, and a BS in Psychology from the University of Maryland. She is also an ICF Professional Certified Coach (PCC), Global Career Development Facilitator (GCDF), and Senior Professional in Human Resources (SPHR).

Know the signs of job burnout Maslach Burnout Inventory (MBI) - Assessments, Tests | Mind Garden Test Yourself | WellMD & WellPhD | Stanford Medicine Self-Assessment | WellMD & WellPhD | Stanford Medicine Physician Support Line   Bio/Show Notes: Do you feel emotionally overextended? Does getting out of bed to head into work seem like a daily uphill battle? Have you felt more impersonal with patients or more detached from family members than usual? Do you ever feel so physically exhausted you've questioned your own competence at work? If so, you're not alone. Take a closer look at which areas you might need to focus on and reach out for accountability.    4 ways to recognize and address burnout: Know the signs of job burnout Self-assess: Test Yourself | WellMD & WellPhD | Stanford Medicine Self-Assessment | WellMD & WellPhD | Stanford Medicine Seek Help  Employee Assistance Program Faith institution Family member Co-worker   Utilize confidential physician support line below: Physician Support Line  1 (888) 409-0141       Psychiatrists helping US physician colleagues and medical students navigate intersections of personal and professional lives.  Free & Confidential | No appointment necessary                 Open 7 days a week | 8:00AM - 1:00AM ET     Maslach Theory of Burnout: Burnout is defined as the end state of long-term chronic stress (Maslach, 2003), and is a syndrome represented by three dimensions; mental fatigue or emotional exhaustion, negative feelings and perceptions about the people one works with or depersonalization, and a decrease in feelings of personal accomplishment    Maslach Burnout Inventory Scales Emotional Exhaustion  The 9-item Emotional Exhaustion (EE) scale measures feelings of being emotionally overextended and exhausted by one's work. Higher scores correspond to greater experienced burnout. Depersonalization  The 5-item Depersonalization (DP) scale measures an unfeeling and impersonal response toward recipients of one's service, care, treatment, or instruction. Higher scores indicate higher degrees of experienced burnout. Personal Accomplishment  The 8-item Personal Accomplishment (PA) scale measures feelings of competence and successful achievement in one's work. Lower scores correspond to greater experienced burnout.    The Maslach Burnout Inventory (MBI): Christina Maslach, Susan E. Jackson, Michael P. Leiter, Wilmar B. Schaufeli, & Richard L. Schwab  The MBI and MBI Manual are copyrighted publications. To obtain the survey items, scoring information, and research manual, please contact the publisher, Maslach Burnout Inventory (MBI) - Assessments, Tests | Mind Garden

ACE Conference Nora's Website Nora's Instagram   Dr. Nora Vasquez is a Certified Physician Coach, the founder of Renew Your Mind MD and a Board-Certified Internal Medicine Physician with over a decade of experience.  She created an highly effective 8-week coaching program that helps doctors and healthcare professionals overcome burnout to lead empowered and fulfilled lives.  She coaches medical groups at hospitals and universities so that physicians and APPs can lead with confidence while enjoying a more harmonious work-life balance.  Her mission is to “Heal the Healers” and help her clients achieve their personal and professional goals. Her evidenced based physician coaching programs empower clients to create the clarity, peace and blueprint to thrive.

Balancing Work And Family How to Let Go of Working-Mom Guilt by Sheryl G. Ziegler September 04, 2020 Harvard Business Review  https://hbr.org/2020/09/how-to-let-go-of-working-mom-guilt   Summary.    Working moms are chasing the balance of working a job that they want and being the mom that they envisioned. They feel bad about letting their kids, team, or boss down, and also feel guilt about practicing self-care, remorse for not helping aging parents enough, or embarrassment about admitting their stress. Additionally, the COVID-19 pandemic has left working parents — and in particular mothers, who still disproportionately take care of the housework and children — having to find solutions for education and childcare. If you're a working mother, you must let go of this guilt. Consider these five tips. First, forgive yourself for your choices and circumstances. Second, revisit your values and make them your top priorities. Third, ask for help from those around you. Fourth, remember the basics of being a good parent and let yourself be “good enough.” Finally, unfollow those on social media that bring you down.   Forget "Having It All": How America Messed Up Motherhood--and How to Fix It  by Amy Westervelt  https://www.amazon.com/Forget-Having-All-America-Motherhood/dp/1580057861   “We still ask women to work like they don't have kids and parent like they don't work.It's well past time to change all that.”   What Exactly IS Mom Guilt Anyway? A Clinical Psychotherapist Explains by Lori Mihalich-Levin | Oct 21, 2017 | Working Mom https://www.mindfulreturn.com/mom-guilt/   Summary: So-called “mom-guilt” is pervasive among mothers.  It can strike at any time and can show itself in any number of “mom” situations.  There are enormous expectations from society, media, family and friends about what mothers “should be like” and what we “should do.”  Should a mom return to work or not?  Breastfeed or not?  Be happy she is a mom?   Unreasonable expectations of happiness are also commonly drilled into new mothers.  However, at least 1 in 7 mothers experience postpartum depression or anxiety following the birth of a baby. Voicing true feelings may lead to judgement, though and then guilt begins to take a toll.    Being a mother can be filled with anxiety, stress, chaos, and can feel like one of the worst jobs on the planet. But we don't have to let guilt shame and fear control our experiences, but rather work towards self-acceptance and letting go of guilt. 

This week we have some very special guests: my 4 kids! Addressing the pitfalls of having a mom who's a doctor (with ADD no less), I invited them to basically tee off on me and say whatever they wanted! There were more candy wrapper crinkles, extraneous video clips and snickering than my usual guests…thanks to the magic of editing, it should be tolerable now. Buckle up as we touch on many dropped balls, Mom Guilt and what it's like to have an overbearing parent during COVID. 

War and violence following the Russian invasion of Ukraine have forced over 1 million refugees to flee. Anyone watching this unfold is heartbroken and feels helpless. At the same time, we can find inspiration in the creativity, courage and strength of the Ukrainian people.    Want to help? You can learn how to support humanitarian efforts in Ukraine here.    ADHD SCREEN FOR WOMEN   “SUPERMOM” is overrated (and unachievable with ADHD)   TIPS FOR PARENTS WITH ADHD    Moms with ADD by Christine Adamec

(Note: Recorded 1/19/22. Information that was correct and relevant at the time may be outdated.)   Susan H. Wootton, MD | McGovern Medical School Physicians Mom's Group Ask Lisa: The Psychology of Parenting on Apple Podcasts https://podcasts.apple.com/us/podcast/a-bit-of-optimism/id1515385282 Three Steps https://anewamericanwe.com/accelerating-a-paradigm-shift-towards-interbeing/ Your Local Epidemiologist Vaccine Education Center | Children's Hospital of Philadelphia   How is Covid affecting families, especially working moms in healthcare who can't do their jobs remotely?   In this anxiety-filled time, there's so much we cannot control. What we can do is connect to ourselves and connect to each other.   Rather than more Covid data which is readily available, we want to provide a different conversation today, steeped in hope and real social strategies for both work and home in terms of navigating it all.    Dr. Wooton focuses on the hope that we will get through this together, shares her own personal challenges, and highlights steps to make it through each long day, including personal experience in navigating everything from birthday parties to family reunions.    Doctor moms with kids under 5 and how stressful Covid has been to not be able to work from home/ all the pivoting it has required Strategies to stay sane and avoid burnout in the process: exercise, sleep, nutrition, asking for help Future outlook: historical knowledge and confidence that by definition, pandemics end at some point. Navigating invitations to gather with unvaccinated friends and family   As the Co-Chair of the Women Faculty Forum, she also shares helpful advocacy resources for moms in medicine.   Dr. Susan Wootton is a professor in Pediatric Infectious Diseases and member of the Center for Clinical Research and Evidence Based Medicine at the McGovern Medical School at UTHealth.  She graduated from Washington and Lee University with a B.A. in Mathematics, the Medical College of Georgia and then completed her pediatric residency at the University of Virginia.  She served as an Epidemic Intelligence Officer with the Centers for Disease Control and Prevention after which time she completed her pediatric infectious disease fellowship at Texas Children's Hospital and post-doctoral fellowship in Vaccinology at the University of British Columbia's Vaccine Evaluation Center in Vancouver, B.C.  Since joining the McGovern Medical School in 2007,  Dr. Wootton has been involved in all levels of teaching, clinical care and has received multiple clinical research awards.  Her research focuses primarily on vaccine-preventable infections and vaccine delivery.  She serves on the Texas Pediatric Society Infectious Disease Committee, The Immunization Partnership's Scientific Advisory Committee, and the Pediatric Infectious Disease Society's Vaccine Advocacy Committee.

Zibby Owens edited essays in 2 books:  Moms Don't Have Time To- A Quarantine Anthology and Moms Don't Have Time to Have Kids  “The perfect reminder for every mom that none of us have it all together, all of us are doing our best and, perhaps most important, even our worst days make great stories!” By the way, if that doesn't absolve every working mom's guilt, I don't know what would!    Besides Zibby's self-deprecating humor, she also shared her family's personal loss throughout Covid. She was  generous not only in sharing the effect the tragic loss had on her life, but also in her efforts to help others by contributing to vaccine research through her literary work.   That brings us to our next guest: Dr. Susan Wootton. (RECORDED 1/19/22) She's a professor in Pediatric Infectious Diseases and member of the Center for Clinical Research and Evidence Based Medicine at the McGovern Medical School at UTHealth. Her research focuses primarily on vaccine-preventable infections and vaccine delivery, so she has been unknowingly preparing for this pandemic for the past 25 years!   Rather than more Covid data which is readily available, we wanted to provide a different conversation , steeped in hope and real social strategies for both work and home in terms of navigating it all.    Dr. Wootton focuses on the hope that we will get through this together, shares her own personal challenges, and highlights steps to make it through each long day, including personal experience in navigating everything from birthday parties to family reunions, she also reveals that her own extended family has been no exception to the tensions we have all felt Doctor moms with kids under 5 and how stressful Covid has been to not be able to work from home/ all the pivoting it has required Strategies to stay sane and avoid burnout in the process: exercise, sleep, nutrition, asking for help Future outlook: historical knowledge and confidence that by definition, pandemics end at some point. Navigating invitations to gather with unvaccinated friends and family

https://www.22in22.net/ Moms Don't Have Time to Have Kids: A Timeless Anthology Moms Don't Have Time to: A Quarantine Anthology @zibbyowens on Instagram zibbyowens.com Moms Don't Have Time to Read Books Podcast "How Relentless Work Masked My Anxiety and Ultimately Hurt My Health — and What I'm Doing About It"   In this episode we learn about Zibby Owens' constant quest to find stories, big and small, to make our lives more meaningful. When writing and working became her coping mechanism during the pandemic, relentless work masked her anxiety and ultimately hurt her health. Zibby shares her “something's gotta give” moment and the tools she used to cope. In her Moms Don't Have Time To essay collections, she shows us that no moms have it all together, all of us are doing our best and, most important, even our worst days make great stories!  Through humor and self-deprecation, Zibby Owens reminds us that what makes life truly worth living is all the things we think we don't have time for.   Zibby is an author, publisher, podcaster and mother of four and runs Zibby Owens Media, a media company comprised of Zibby Books and Moms Don't Have Time To. She is the award-winning creator and host of the popular daily podcast Moms Don't Have Time to Read Books in which she interviews authors about their books. An author herself, Zibby has edited two anthologies, Moms Don't Have Time To: A Quarantine Anthology and Moms Don't Have Time to Have Kids. She has two children's picture books forthcoming including Princess Charming and her memoir Bookends will be published in July 2022. Zibby is the Editor-in-Chief of and regular contributor to Moms Don't Have Time to Write, a Medium publication. Zibby is also the weekly books columnist for Katie Couric Media and the KCM Wake Up Call newsletter, a monthly contributor to Good Morning America, a frequent TV personality, and has contributed to the Washington Post, Parents, Slate, and other publications. She always has a book nearby.

On this episode, I'm going to review our last podcast with Dr. Dawn Sears and go over an article she wrote for KevinMD.com. Then, we're going to tee up our next guest episode with author and “bookfluencer” Zibby Owens with a little preview of her work.   10 Replaceable Thoughts Article Moms Don't Have Time To: A Quarantine Anthology by Zibby Owens Moms Don't Have Time to Have Kids: A Timeless Anthology

Join us as Dr. Dawn Sears reminds moms in medicine: You're not alone. You don't have to be perfect. Your “good enough” is way more than good enough. You are enough!    ACE Conference: https://www.authenticphysicians.com Dawn's Twitter: https://twitter.com/GutGirlMD Dawn's Youtube Channel: https://www.youtube.com/channel/UC4a1MubzSrKMBaAHwHCe0DQ Dawn's Website: https://www.gutgirlmdconsulting.com 10 Replaceable Thoughts Blog Post: https://www.gutgirlmdconsulting.com/blog/10-replaceable-thoughts-and-15-books-to-help-you-survive-burnout   Dawn Sears is a gastroenterologist and hepatologist who can be reached on Twitter @GutGirlMD, YouTube, and at GutGirlMD Consulting. Dr. Sears is passionate about helping physicians thrive in health care. She is a successful wellness grant recipient who ran a two-year women leaders in medicine program which moved the needle for engagement, retention and burnout.   Her latest passion is forming GutGirlMD Consulting to provide a roadmap to formulating women in medicine programs at any institution, consulting and executive coaching. She works with organizations to leverage their strengths and understand their unique challenges to create thriving environments to help retain their most valuable asset: their physicians. You can download a free 18-page PDF of business cases, agendas, timelines, budgets, and sample surveys for your women in medicine program.   Dr. Sears is also the lead author of the papers, Evaluation of gastric bypass patients 1 year after surgery: changes in quality of life and obesity-related conditions and Frequency and clinical outcome of capsule retention during capsule endoscopy for GI bleeding of obscure origin.   Lancet Gastroenterol Hepatol. 2021 Nov;6(11):881-884. doi: 10.1016/S2468-1253(21)00339-3.   Proc (Bayl Univ Med Cent). 2019 Aug 12;32(4):477-480. doi: 10.1080/08998280.2019.1646591. eCollection 2019 Oct.PMID: 31656400

Paging Dr. Mom Launches on 2/2/22!

The first episode of Paging Dr. Mom with Dr. Julie La Barba is coming out on February 2nd, 2022. Subscribe now to get each new episode as they come out!