Rob Orman, MD
St. Charles Medical Center ED
Bend, OR
Twitter: @emergencypdx
Objectives
- Discuss use of gratitude before and after an emergency medicine shift to improve satisfaction during patient care and decompress after returning home.
Outline
- Discuss stressors of typical emergency medicine shift and usual reflexive responses to them
- Discuss pre shift gratitude – I am open to accepting gratitude from my patients
- Discuss intra-shift gratitude with specific example of a patient encounter
- Discuss post shift gratitude practice using mindfulness meditation, visualization, and heart rate variability data
One Habit That Changed Rob’s Life
- If all you do is embrace the negative, then that shifts your perspective and mood to a negative one
- The opposite is also true. If you embrace the positive, then that shifts your perspective and mood to a positive one
- In general, negatives tend to get amplified, and positives tend to get diminished
- Gratitude however is the one habit that can help give us a cognitive reframe
- Gratitude can help us not only be better/feel better but also a reset/recharge
- Pre-Game Gratitude:
- There is not a lot of attention to the intention of our day
- Start the shift by saying, “I am open to accepting gratitude from my patients”
- Accepting gratitude from others can be uncomfortable
- Why is accepting gratitude so hard for each of us? Imposter syndrome. I didn’t really do anything. I was just doing my job. The answer is most likely different for each of us
- Accepting gratitude is simple, free, and has no negative side effects
- Post-Game Gratitude:
- At the end of the day, take a moment and intentionally evoke a feeling of gratitude
- Write it down
- Meditation
- 2 minutes of breathing exercise to remove stress of the day
- End the day with a review the day to find moments of greatness (making the ordinary, extraordinary)
- At the end of the day, take a moment and intentionally evoke a feeling of gratitude
- BOTTOM LINE: Gratitude predicts life satisfaction, BUT life satisfaction does not predict gratitude (Suggests causation not association)
Post Peer Reviewed By: Salim R. Rezaie, MD (Twitter: @srrezaie)
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