{"id":6592,"date":"2017-12-07T07:00:20","date_gmt":"2017-12-07T12:00:20","guid":{"rendered":"https:\/\/feminem.org\/?p=6592"},"modified":"2018-11-19T08:27:12","modified_gmt":"2018-11-19T13:27:12","slug":"no-brainer-encouragement-tools-help-accomplish-goals","status":"publish","type":"post","link":"https:\/\/feminem.org\/2017\/12\/07\/no-brainer-encouragement-tools-help-accomplish-goals\/","title":{"rendered":"It\u2019s A No Brainer! Encouragement and Tools to Help You Accomplish Your Goals"},"content":{"rendered":"<p>We have invested blood, sweat, tears, many years and enormous financial resources for the privilege of practicing emergency medicine.\u00a0 We work really hard and make heroic efforts to stave off death, even when failure seems all but certain. \u00a0\u00a0When it comes to our own wellness and career longevity, however, we haven\u2019t always applied the same resources and, as we are all aware, EM physicians are suffering from <a href=\"https:\/\/wire.ama-assn.org\/life-career\/report-reveals-severity-burnout-specialty\">burnout at rates unparalleled in medicine<\/a>.\u00a0 My group, Emergency Physicians Professional Association (EPPA), embarked on a wellness initiative in 2016 to understand the scope of the problem and ways in which we could support our partners in work-life balance and career longevity. We are a democratic and independent group and have always placed a high value on fairness.\u00a0 Historically, this has manifested in policies that treat everyone equally.\u00a0 It became clear, though, that physicians face different obstacles to wellness and have different needs. \u00a0As Wendy Laine, our Wellness Director states, \u201cWellness and job satisfaction mean something different now than in the past.\u201d \u00a0This was the impetus that led us to create an EPPA women\u2019s group and hold our first EPPA Women\u2019s Conference last year.\u00a0 It was a great success and two of the many action items that came from the conference were to:<\/p>\n<ul>\n<li>To create and get approval for a policy to improve scheduling around parental leave.<\/li>\n<li>To create of a parental leave FAQ sheet to be distributed to all candidates and available to all providers to obviate the need to request this information.<\/li>\n<\/ul>\n<p>I am proud to say that we have accomplished both of those aims and our group adopted a new parental leave scheduling policy and created a FAQ sheet.\u00a0 Allow me to share with you the approach, tools and methods we used, so we can see more, and eventually all, physicians working under improved policies.<\/p>\n<p><strong>The Approach and Process:<\/strong><\/p>\n<ol>\n<li><strong>Identify and prioritize the problems to solve.<\/strong>Brainstorm the lists of problems and prioritize the work. Select an owner to lead each effort and assigned realistic due dates for first steps.<\/li>\n<\/ol>\n<p>We utilized a management consulting framework to prioritize our work based on relative scores for impact\/value, ease of implementation and cost.\u00a0 We chose to implement \u201clow hanging fruit\u201d (e.g. a Facebook group) that were easy to implement as well as investing in selected high impact problems such as a parental leave policy.\u00a0 Here is an example from our conference:<\/p>\n<p><a href=\"https:\/\/feminem.org\/wp-content\/uploads\/2017\/11\/No-Brainer-Pic-1.png\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-6874 aligncenter\" src=\"https:\/\/feminem.org\/wp-content\/uploads\/2017\/11\/No-Brainer-Pic-1-300x187.png\" alt=\"\" width=\"622\" height=\"388\" srcset=\"https:\/\/feminem.org\/wp-content\/uploads\/2017\/11\/No-Brainer-Pic-1-300x187.png 300w, https:\/\/feminem.org\/wp-content\/uploads\/2017\/11\/No-Brainer-Pic-1-600x374.png 600w, https:\/\/feminem.org\/wp-content\/uploads\/2017\/11\/No-Brainer-Pic-1.png 648w\" sizes=\"(max-width: 622px) 100vw, 622px\" \/><\/a><\/p>\n<ol start=\"2\">\n<li><strong>Define and describe the scope of the problem. <\/strong>Define the problem you wish to solve and describe the reasons it is worth solving. Quantify the problem and the benefits of your solution if this is possible. Acknowledge the risks and possible drawbacks, as well, to show that you have taken these into account. Provide strategies for risk mitigation (e.g. limits, policy for instances of abuse, opt-out, etc.)<\/li>\n<li><strong>Benchmark to identify best practices and norms. <\/strong>Gather data to identify norms and best practices.\u00a0 \u201cBenchmarking\u201d is measuring an organization\u2019s policies, performance, etc and comparing with peers to identify how the organization is performing currently and how or where it can improve performance.\u00a0 This data can be very persuasive to drive change and often helps you improve your proposed solution.\u00a0 Information on similar groups in your geography is most impactful, but don\u2019t forget to look to other industries and professions for ideas as we in medicine tend to lag far behind industry. In preparing our proposal, I posted to FeminEM asking for members to share their parental leave scheduling.\u00a0 It took me a few seconds and I received a wealth of helpful information from providers across the country. \u00a0Some of the methods we used include:<\/li>\n<\/ol>\n<ul>\n<li>Internet searches and websites such as www.glassdoor.com<\/li>\n<li>Collection of employer direct mailings and journal article advertisements<\/li>\n<li>Social media \u201csurveys\u201d on Facebook in groups such as FeminEM, PMG and EMDocs<\/li>\n<li>Email surveys of residency class colleagues<\/li>\n<li>Survey of friends and family in other comparable industries such as consultants, accountants, lawyers, etc.<\/li>\n<li>Articles from trade journals such as <a href=\"http:\/\/www.acepnow.com\/article\/emergency-medicine-workforce-needs-women-physicians\/\">this excellent article<\/a> by Kathleen Clem, MD, FACEP.<\/li>\n<\/ul>\n<p>This is data, even if it is descriptive.<\/p>\n<ol start=\"4\">\n<li><strong>Make the case: <\/strong>Decide whether you will be more effective submitting a written proposal or creating a powerpoint and presenting in person. Target the audience of decision makers with a succinct and logical presentation. \u00a0\u00a0This is the document (link) we drafted which included the problem, proposed solution and benchmarking data.<\/li>\n<li><strong>Find a champion (or be the champion): <\/strong>\u00a0\u201cSocialize\u201d your proposal with leaders within your group to build support before you submit it formally.\u00a0 Don\u2019t exclude potential opponents &#8211; have the conversation with them to understand their concerns and propose ways you might mitigate perceived risks. Include them if you create a workgroup to develop a proposal. \u00a0Submit the proposal for consideration to the committee or leader with the power to make the change.\u00a0 Ask for a timeline for consideration of the proposal. \u00a0Be a steady advocate and remind people if the proposal is languishing.<\/li>\n<\/ol>\n<p><strong>A few other tips for getting things done: <\/strong><\/p>\n<ul>\n<li><strong>Be optimistic:<\/strong> Don\u2019t succumb to nihilism and give up before you even start.\u00a0 You might be surprised at how easy it is to accomplish some of your aims, but it probably won\u2019t happen unless you start.\u00a0 Many goals are harder to accomplish but worth the effort.<\/li>\n<li><strong>Recognize your power: <\/strong>My group, EPPA, has more than 170 partners with varying opinions but a common goal of enjoying long and fulfilling careers and the power to make choices to support this.\u00a0 There are many different work arrangements but as EM providers, if we work together we actually have great leverage to change the norms and expectations for our profession.\u00a0 Our jobs will never be outsourced abroad and our work can\u2019t be consolidated to a few centers.\u00a0 It takes a lot of sacrifice, hard work and bravery to do our job and our ranks our limited.\u00a0 Most importantly, our work has great value.\u00a0 <a href=\"http:\/\/journals.sagepub.com\/doi\/10.1177\/0020731417734498\">ED visits continue to increase and now surpass primary care visits.<\/a>\u00a0As Dr. Stephen Gau wrote on EMDocs: \u201cWE are the vanguard that society turns to in their hour of greatest need.\u201d\u00a0 Groups like FeminEM, PMG and EMDocs are free and rich sources of information, education and encouragement, and can facilitate revolutionary change by allowing us to share information openly, support one another, build consensus and convince us that we are not alone in our struggles.\u00a0 Get involved in these groups \u2013 you can start as a lurker with no commitment but I suspect you soon be inspired to contribute and do more.<\/li>\n<li><strong>Take a seat at the table: <\/strong>Women need to take on leadership roles. If we don\u2019t step up and involve ourselves, our perspective and concerns will not be heard and we will be poorly positioned to drive the changes that could improve our work and our lives.\u00a0 If you have an internal voice telling you that you aren\u2019t qualified, just ignore it.\u00a0 Do what you did when you mastered your fears about doing your first LP, central line or the multitude of other things you now do without a second thought. \u00a0If you are at a time in your life when you can\u2019t take on a major role, then actively seek out smaller, defined roles that still allow you to contribute, build trust and understand how your organization works to get things done.\u00a0 If you are already in leadership, actively mentor and encourage other women to get involved.\u00a0 Ask them to consider applying when there is a role they could take on.\u00a0 Suggest women physicians to other leaders when they are recruiting for assistance. \u00a0These small actions add up and pay dividends.<\/li>\n<\/ul>\n<p>As a parting thought, <strong>don\u2019t underestimate your power<\/strong> and <strong>don\u2019t overestimate the challenge<\/strong>.\u00a0 You can do it!<\/p>\n<p style=\"text-align: center;\"><a href=\"https:\/\/feminem.org\/wp-content\/uploads\/2017\/11\/No-Brainer-Pic-2.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-6875\" src=\"https:\/\/feminem.org\/wp-content\/uploads\/2017\/11\/No-Brainer-Pic-2-298x300.png\" alt=\"\" width=\"298\" height=\"300\" srcset=\"https:\/\/feminem.org\/wp-content\/uploads\/2017\/11\/No-Brainer-Pic-2-298x300.png 298w, https:\/\/feminem.org\/wp-content\/uploads\/2017\/11\/No-Brainer-Pic-2-100x100.png 100w, https:\/\/feminem.org\/wp-content\/uploads\/2017\/11\/No-Brainer-Pic-2-150x150.png 150w, https:\/\/feminem.org\/wp-content\/uploads\/2017\/11\/No-Brainer-Pic-2-32x32.png 32w, https:\/\/feminem.org\/wp-content\/uploads\/2017\/11\/No-Brainer-Pic-2-50x50.png 50w, https:\/\/feminem.org\/wp-content\/uploads\/2017\/11\/No-Brainer-Pic-2-64x64.png 64w, https:\/\/feminem.org\/wp-content\/uploads\/2017\/11\/No-Brainer-Pic-2-96x96.png 96w, https:\/\/feminem.org\/wp-content\/uploads\/2017\/11\/No-Brainer-Pic-2-128x128.png 128w, https:\/\/feminem.org\/wp-content\/uploads\/2017\/11\/No-Brainer-Pic-2.png 394w\" sizes=\"(max-width: 298px) 100vw, 298px\" \/><\/a><\/p>\n<p>References:<\/p>\n<p><a href=\"#_ednref1\" name=\"_edn1\"><\/a><a href=\"#_ednref2\" name=\"_edn2\"><\/a>David Marcozzi, Brendan Carr, Alisha Liferidge, Nicole Baehr, Brian Browne. Trends in the Contribution of Emergency Departments to the Provision of Health Care in the USA. <em>International Journal of Health Services<\/em>, 2017; 002073141773449 DOI: <a href=\"http:\/\/dx.doi.org\/10.1177\/0020731417734498\">10.1177\/0020731417734498<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>We have invested blood, sweat, tears, many years and enormous financial resources for the privilege of practicing emergency medicine.\u00a0 We work really hard and make heroic efforts to stave off death, even when failure seems all but certain. \u00a0\u00a0When it&#8230;<\/p>\n","protected":false},"author":210,"featured_media":6878,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_mi_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":"","_jetpack_memberships_contains_paid_content":false,"jetpack_publicize_message":"Dr. Amy Cho shares real life tips for making change in your workplace! @AWAEM @AAWEPSection","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false}}},"categories":[1,2],"tags":[33,90,29],"coauthors":[321],"jetpack_publicize_connections":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>It\u2019s A No Brainer! Encouragement and Tools to Help You Accomplish Your Goals - FemInEM<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/feminem.org\/2017\/12\/07\/no-brainer-encouragement-tools-help-accomplish-goals\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"It\u2019s A No Brainer! Encouragement and Tools to Help You Accomplish Your Goals - FemInEM\" \/>\n<meta property=\"og:description\" content=\"We have invested blood, sweat, tears, many years and enormous financial resources for the privilege of practicing emergency medicine.\u00a0 We work really hard and make heroic efforts to stave off death, even when failure seems all but certain. \u00a0\u00a0When it...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/feminem.org\/2017\/12\/07\/no-brainer-encouragement-tools-help-accomplish-goals\/\" \/>\n<meta property=\"og:site_name\" content=\"FemInEM\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/groups\/1383586405303463\/\" \/>\n<meta property=\"article:published_time\" content=\"2017-12-07T12:00:20+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2018-11-19T13:27:12+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/feminem.org\/wp-content\/uploads\/2017\/11\/shutterstock_449337643-1024x683.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"683\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Amy Cho, MD\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@amychomd\" \/>\n<meta name=\"twitter:site\" content=\"@feminemtweets\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Amy Cho, MD\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"7 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/feminem.org\/2017\/12\/07\/no-brainer-encouragement-tools-help-accomplish-goals\/\",\"url\":\"https:\/\/feminem.org\/2017\/12\/07\/no-brainer-encouragement-tools-help-accomplish-goals\/\",\"name\":\"It\u2019s A No Brainer! 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She graduated with her MD and MBA from the University of Michigan and completed her residency at Advocate Christ Medical Center in Chicago. In her career before medical school, she worked as a management consultant with Bain &amp; Co. and as a product manager with Convio, a venture-funded software company. She is interested in improving medicine by applying the best practices from other industries. She feels called to advocate for physicians and recently worked up the courage to start writing and publishing. She created her blog The High Yield Script to give women physicians tools and resources to make life easier. Outside of her paid work, she spends her time with her husband Lawrence (they met at business school orientation - Go Blue!) and raising her four young children.","sameAs":["https:\/\/x.com\/amychomd"],"url":"https:\/\/feminem.org\/author\/amy-cho-md\/"}]}},"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"https:\/\/feminem.org\/wp-content\/uploads\/2017\/11\/shutterstock_449337643-scaled.jpg","_links":{"self":[{"href":"https:\/\/feminem.org\/wp-json\/wp\/v2\/posts\/6592"}],"collection":[{"href":"https:\/\/feminem.org\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/feminem.org\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/feminem.org\/wp-json\/wp\/v2\/users\/210"}],"replies":[{"embeddable":true,"href":"https:\/\/feminem.org\/wp-json\/wp\/v2\/comments?post=6592"}],"version-history":[{"count":0,"href":"https:\/\/feminem.org\/wp-json\/wp\/v2\/posts\/6592\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/feminem.org\/wp-json\/wp\/v2\/media\/6878"}],"wp:attachment":[{"href":"https:\/\/feminem.org\/wp-json\/wp\/v2\/media?parent=6592"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/feminem.org\/wp-json\/wp\/v2\/categories?post=6592"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/feminem.org\/wp-json\/wp\/v2\/tags?post=6592"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/feminem.org\/wp-json\/wp\/v2\/coauthors?post=6592"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}