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JULIE WELCH, MD
DEPARTMENT OF EMERGENCY MEDICINEINDIANA UNIVERSITY SCHOOL OF MEDICINE
IU HEALTH - METHODIST HOSPITAL EMTC
JLWELCH@IUPUI .EDU
Work-Life Integration
Work-Life Integration
Outline:
1. Why does it matter?2. Defining “Work-Life”3. Developing your Work-Life
Integration Strategy4. Tips and Tools
“Balance” “Integration”
Feeling derived from being whole and complete
Avoid viewing it as a scale of taking from one to give to another
Creating harmony in your life
Cultivating the areas of your life that are truly important
Mixture of…
Work-Life “Balance” & “Integration”
Why does it matter?
1. Workplace culture is changing
2. Major recruitment and retention issue
3. Research: Work Life Balance is a Priority
Why does it matter?
1. Workplace culture is changing Gender divide is narrowing : workforce 50%
women More dual-career couples
Shared child/family care responsibilities Generational issue no longer
Early career physicians want predictability Phased retirement
Why does it matter?
1. Workplace culture is changing
2. Major recruitment and retention issue Flexibility is #1 issue to keep good talent
Schedules Work Life Policies (Family leave, childcare, elder care,
benefits…)
Why does it matter?
1. Workplace culture is changing
2. Major recruitment and retention issue
3. Work Life Balance is a priority Theme of needs assessments of students, residents,
faculty
Do physicians succeed at work-life balance?
Failure of work life integration leads to: STRESS Spillover Crossover
Physicians are at higher risk of: Divorce Substance abuse Depression/ Anxiety Domestic Violence
Career Satisfaction: 79% Work-Life Balance Satisfaction: 37-48%
Career/ Life Satisfaction (3 studies of 8,094 physicians total)
Career Satisfaction: 79% Work-Life Balance Satisfaction: 37-48%
Factors that were NOT strong predictors of career satisfaction, work-life balance, or burnout:
• GENDER• AGE• SPECIALTY
Career/ Life Satisfaction (3 studies of 8,094 physicians total)
Career Satisfaction: 79% Work-Life Balance Satisfaction: 37-48%
+ predictors: Income Academic career
- predictors: Working > 50hr/wk Full owner practice Reliance on managed
care Uncontrollable lifestyle
Career/ Life Satisfaction (3 studies of 8,094 physicians total)
Career Satisfaction: 79%
Work-Life Balance Satisfaction: 37-48%
+ predictors: Control over schedule Working part time <40
hr/wk Married, partnered Having children
- predictors: Working full time >40
hrs/wk Divorced/separated
Career/ Life Satisfaction (3 studies of 8,094 physicians total)
Career Satisfaction: 79%
Work-Life Balance Satisfaction: 37-48%
+ predictors: Income Academic career
- predictors: Working > 50hr/wk Full owner practice Reliance on managed
care Uncontrollable lifestyle
+ predictors: Control over schedule Working part time <40
hr/wk Married, partnered Having children
- predictors: Working full time >40
hrs/wk Divorced/separated
Career/ Life Satisfaction (3 studies of 8,094 physicians total)
What does “Work-Life” mean to you?
“WORK” Career Activities Consider areas of:
Patient care Education Research Service
“LIFE” Relationships Personal well being
Physical Mental Spiritual Hobbies/ Passions
WORK: My Emergency Medicine Career
EM physician level one trauma centerAcademic faculty at a medical school
Primary patient care Educate Scholarship Service Mentor
Fellowship Dean’s Office of Faculty Development
WORK: My Emergency Medicine Career
Other EM opportunities during my career:
LIFE: My Other “Career”
Relationships Dual physician marriage (to an EM physician) Mother of 2 busy boys Sister, aunt, and daughter Network of friends, mentors, mentees
Personal well being musician, exercise, travel, cooking, church
“Work Life Integration” factors:
Work- Life
Understand what motivates you?
3 elements:
1. Autonomy2. Mastery3. Purpose
Develop your own plan: Individual Development Plan
&Work-Life Integration Strategy
Tools for Planning, Inspiring, and Integrating your
Professional & Personal Goals
IDP &
Work-Life Integration Strategy
1. Complete annually2. “SMART” (assess viability)3. Share with mentor/ spouse4. Reflect on advice5. Actively implement6. Follow progress and revise
Planning worksheet exercise: “Opportunity is Knocking”
Tool to objectively evaluate a new opportunity
10 Work Life Integration
Tips
Work-Life Integration Tips
1. Focus on your values and priorities. Make an Individual Development Plan Set and know your limits and boundaries With a new opportunity – don’t say “yes”
immediately Protect your time
Work-Life Integration Tips
2. Hone your time management skills. Find your time wasters Utilize all available time (listen to audio CME on
drive)
Work-Life Integration Tips
3. Get ORGANIZED! Keep a “TO DO” list, Prioritize, Retrograde plan Email Strategy
Empty inbox (4 D’s – do, delegate, delete, decision) Schedule time vs on-the-go phone/ipad (limit 2-3x day) Turn off interrupting dings
Work-Life Integration Tips
4. Find a “usable” calendar system. Easy, sharable, real-time, integrative
Share it with family and caregivers Plan your vacations/ personal/ family time in
advance Schedule time for yourself (exercise, spa,
writing)
Work-Life Integration Tips
5. Establish a mentor network. At work
Career guidance, advice, sponsorship, skill acquisition
At home make friends with other families in your
neighborhood.
Work-Life Integration Tips
6. Double Dip. With every project, find a second goal it could
satisfy. Turn a lecture or program into scholarship Combine the activities you love with your
family/friends.
Work-Life Integration Tips
7. Know the Work-Life Policies of your
employer.
Family Leave policies Part-time policies / flexibility in scheduling Childcare options (on-site, back-up sick care) Academic center – promotion and tenure clocks
Work-Life Integration Tips
8. Cultivate relationships with family and
friends. Family time, date-night, & “no electronic” times With your partner : communication is the key! Be accountable to someone in your life (mentor,
spouse, friend)
Work-Life Integration Tips
9. Invest in Family/Home Responsibilities.
Foster teamwork – coordinate/ delegate activities and chores.
Find reliable childcare and have backup. “Hire it done!” (house cleaning, yard work, food
delivery) Keep numbers for home/car repairs accessible.
Work-Life Integration Tips
10.Build Healthy Personal Habits. (physical, mental, spiritual well-being)
Exercise, eat healthy, sleeping habits Read, relax, hobby, music Let go of guilt & maintain a sense of humor!
JLWELCH@IUPUI .EDU
Questions: