Physician Burnout Workshop Tweet Stream #AAFP2014

Posted by Dike Drummond MD

physician-burnout-workshop-AAFP-AAFP2014_optPhysican Burnout Workshop the AAFP Scientific Assembly in Washington DC

Here is the Twitter stream on the day of our Burnout Proof Workshop on the main stage at the AAFP Scientific Assembly.

The room held 4000 and we packed it out. Here is what the people had to say live and in person during the live workshop and the book signing for our new book, "Stop Physician Burnout - what to do when working harder isn't working" the next day.

281 tweets and 37 attached images from attendees are below. This is one of the highest and best uses of Twitter and the next best thing to being there.

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beforetheevent

Jen BrullFri at 12:31 PM

Mic check with @dikedrummond #backstage at #AAFP2014. (He's awesome, BTW.) #almosttime

 @dikedrummond: #AAFP2014 4PM Main Stage. Everything you always needed to know about physician burnout (but somehow got left off the curriculum)

Dike Drummond MD OtherFri at 10:30 AM

Prevent physician burnout - EMR Secrets revealed (Hint: EMR is actually not a "problem") #AAFP2014 4PM Main Stage

Jen BrullFri at 10:33 AM

Shh! -> RT @dikedrummond: Prevent physician burnout - EMR Secrets revealed (Hint: EMR is actually not a "problem") #AAFP2014 4PM Main Stage

Jen BrullFri at 12:26 PM

Signing "the first book for someone I didn't personally know." (For me!) @dikedrummond #AAFP2014

backstagebooksigning

Jen BrullFri at 12:43 PM

A little chat #backstage with @dikedrummond at #AAFP2014. He is going to "teach us how to fish" in just a few mins. 

SocialMediaScribes

Kim Yu, MD, FAAFPFri at 12:46 PM

@dikedrummond ready to give Closing Session at 4pm #AAFP2014 Beat Physician Burnout! #fmrevolution 

BackstageBookSigning2

Mike Sevilla, MDFri at 1:06 PM

#AAFP2014 @dikedrummond waiting backstage...

Anne Montgomery, MDFri at 1:06 PM

About to hear from @dikedrummond about preventing physician burnout! 

Tochi Iroku-MalizeFri at 1:08 PM

@dikedrummond @AAFPAssembly @NYSAFP : ID threat to docs, fill hole in medec, use burnout, lower stress 

Mike Sevilla, MDFri at 1:08 PM

#AAFP2014 @dikedrummond opens his talk on Physician Burnout        

HandupHMOY

Kim Yu, MD, FAAFPFri at 1:08 PM

#AAFP2014 @dikedrummond gives objectives 

objectives

sarah catherineFri at 1:08 PM

'I'm not sure how much longer I can go on like this...'@dikedrummond #AAFP2014 #preventburnout

Brad FoxFri at 1:10 PM

@dikedrummond wants to prevent the Number 1 threat to physicians. Burnout. He tells his story like in "AA" #AAFP2014

onstage

Mike Sevilla, MDFri at 1:11 PM

#AAFP2014 @dikedrummond: I took a one month sabbatical, came back, and at that point I walked away. I was confused and felt all alone

Tochi Iroku-MalizeFri at 1:11 PM

@AAFPAssembly @NYSAFP @dikedrummond discussing how he realized he was burnt out & took 1 month sabbatical. He quit but says you shouldn't. 

Jen BrullFri at 1:11 PM

If you are at a burn out moment in your life, DON'T QUIT. It won't help. @dikedrummond #AAFP2014

Mike Sevilla, MDFri at 1:12 PM

#AAFP2014 @dikedrummond: 2011 The Happy MD.com launch; 4484 physician members in 63 countries 

Mike Sevilla, MDFri at 1:13 PM

#AAFP2014 @dikedrummond: The Happy MD.com 

THMDhomepage-#AAFP2014-physician-burnout-tools

Brad FoxFri at 1:13 PM

Thehappymd.com has nearly 4,500 members in 63 countries. @dikedrummond #AAFP2014 

Kim Yu, MD, FAAFPFri at 1:14 PM

#Physician burnout speaker @dikedrummond has 10k hits on TheHappyMD.com which launched in 2011 #AAFP2014 

Mike Sevilla, MDFri at 1:14 PM

#AAFP2014 @dikedrummond: Number One Threat To Doctors: The Epidemic of Burnout of Doctors; Plus, the nurses have burnout too

Brad FoxFri at 1:14 PM

The nurses hurt just as much as us @dikedrummond #AAFP2014

Mike Sevilla, MDFri at 1:14 PM

#AAFP2014 @dikedrummond: “Don’t worry I’ll talk about EMR.” Applause and groans erupt from audience

Jen BrullFri at 1:14 PM

Anyone at risk for DNA transfer from a patient during the day is at risk for #burnout. @dikedrummond #AAFP2014 

Kim Yu, MD, FAAFPFri at 1:15 PM

1 in 3 docs suffer from burnout @dikedrummond #AAFP2014 

Kim Yu, MD, FAAFPFri at 1:10 PM

@dikedrummond "how many haven't had a date night in 3 mths? That stops next week!" #AAFP2014 #burnout 

Kevin WangFri at 1:15 PM

@drkkyu @mrsbrull @dikedrummond Date night? How about just a date? :-)

Tochi Iroku-MalizeFri at 1:16 PM

@AAFPAssembly @NYSAFP @dikedrummond : #1 threat to docs is physician burnout, 1 in 3 docs is facing burnout.

Brad FoxFri at 1:18 PM

Even though it is common, Burnout IS NOT normal. @dikedrummond #AAFP2014

Robyn LiuFri at 1:18 PM

Burnout is a disorder of energy metabolism. @dikedrummond #AAFP2014

Kevin WangFri at 1:18 PM

"Burnout is common but it's not NORMAL!" @dikedrummond #AAFPAssembly #AAFP2014 #happyfamilydoctors

Tochi Iroku-MalizeFri at 1:18 PM

@AAFPAssembly @NYSAFP @dikedrummond : burnout though common is not normal. 

Mike Sevilla, MDFri at 1:18 PM

#AAFP2014 @dikedrummond: Stress Vs Burnout: If stress, able to recover. If burnout, it’s a downward spiral 

Tochi Iroku-MalizeFri at 1:19 PM

@AAFPAssembly @NYSAFP @dikedrummond : energy in burnout vs stress. In stress can recover. 

Kim Yu, MD, FAAFPFri at 1:19 PM

Burnout effects your energy. But it's more like Star Wars, the Force! @dikedrummond #AAFP2014 

Jen BrullFri at 1:19 PM

Learning the difference between #stress and #burnout with @dikedrummond at #AAFP2014

burnoutvstress

Mike Sevilla, MDFri at 1:16 PM

#AAFP2014 @dikedrummond: The enlightened CFO should be pounding the table to talk about physician burnout 

Dr. Keri Orstad Fri at 1:19 PM

“@drmikesevilla: #AAFP2014 @dikedrummond: The enlightened CFO should be pounding the table to talk about physician burnout” Hear hear! 

Brad FoxFri at 1:20 PM

Stress v Burnout? Stress you can recover....Burnout is a downward spiral that can go fast or very slowly @dikedrummond #AAFP2014 

Robyn LiuFri at 1:20 PM

Burnout inventory: 1) Exhaustion; 2) Depersonalization; 3) Lack of efficacy. #AAFP2014 @dikedrummond 

Brad FoxFri at 1:20 PM

"We have to vent, it's healthy." No, it is part of the downward spiral. @dikedrummond #AAFP2014 

Tochi Iroku-MalizeFri at 1:20 PM

@AAFPAssembly @NYSAFP @dikedrummond : Maslach Sx of burnout 1. Cant do anymore 2. Depersonalization 3. Lack of efficacy 

Stephanie Chow MDFri at 1:21 PM

Worldwide 1 in 3 docs have burnout @dikedrummond keynote: Burnout is a disorder of energy metabolism, but it's not the Kreb Cycle! #AAFP2014 

Tochi Iroku-MalizeFri at 1:22 PM

@AAFPAssembly @NYSAFP @dikedrummond : in burnout you cannot recharge your battery because you do not ever really stop 

EGB

Brad FoxFri at 1:22 PM

All good things come when you have a positive balance in your energetic balance. @dikedrummond #AAFP2014

Mike Sevilla, MDFri at 1:23 PM

#AAFP2014 @dikedrummond: All good things happen when you have a positive Energetic Bank Account

 Cantgivewhatyouaintgot

Jen BrullFri at 1:23 PM

If you overdraw your energy bank account, you don't stop, you accelerate the downward spiral (overdraft). @dikedrummond #AAFP201

Kim Yu, MD, FAAFPFri at 1:23 PM

@dikedrummond "You are not a bunny, you are not ok...You can't give what you ain't got!" #AAFP201 

Tochi Iroku-MalizeFri at 1:23 PM

@AAFPAssembly @NYSAFP @dikedrummond : good things come when you maintain a pos bal. You can't gv what you don't hv. 

Jen BrullFri at 1:23 PM

You can't give what you ain't got. @dikedrummond #AAFP2014

Brad FoxFri at 1:23 PM

First law of burnout: YOU CAN'T GIVE WHAT YOU AIN'T GOT. @dikedrummond #AAFP2014 

Kevin WangFri at 1:23 PM

"You can't give what you ain't got" How to maintain a positive balance! @dikedrummond #happyfamilydoctors #preventmdburnout #AAFP2014 

Tochi Iroku-MalizeFri at 1:24 PM

@AAFPAssembly @NYSAFP @dikedrummond : exhaustion needs deposits in phys energy acct. 

 

Tochi Iroku-MalizeFri at 1:25 PM

@AAFPAssembly @NYSAFP @dikedrummond : compassion fatigue needs deposit in emotional energy acct (healthy relatnships, quality time w imp pp)

Brad FoxFri at 1:25 PM

Compassion Fatigue: Deposit by devoting time to relationships. @dikedrummond #AAFP2014 

Mike Sevilla, MDFri at 1:25 PM

RT @DrRedmo: Compassion Fatigue: Deposit by devoting time to relationships. @dikedrummond #AAFP2014 

Jen BrullFri at 1:25 PM

Simple deposits to your emotional energy account: time with people you love. @dikedrummond #AAFP2014 

Tochi Iroku-MalizeFri at 1:25 PM

@AAFPAssembly @NYSAFP @dikedrummond : "whats the use" spiritual energy acct- deposits are reg connection with purpose. 

Kim Yu, MD, FAAFPFri at 1:25 PM

@dikedrummond "Stop and breathe. Is there someone you'd like to spend more time with?" #AAFP2014 

Rosh ReviewFri at 1:26 PM

Getting educated by @TheHappyMD at #AAFP2014

viewfromthehall

Mike Sevilla, MDFri at 1:26 PM

#AAFP2014 @dikedrummond: What’s your balance in your physical, emotional, and spiritual bank accounts?

3accounts

AAFP AssemblyFri at 1:27 PM

Are you spending quality time with the important people in your life? @dikedrummond at #AAFP2014 

Mike Sevilla, MDFri at 1:27 PM

RT @AAFPAssembly: Are you spending quality time with the important people in your life? @dikedrummond at #AAFP2014 

Brad FoxFri at 1:27 PM

If you feel a lack of efficacy, reconnect with your purpose. Work, family, religion etc. @dikedrummond #AAFP2014 

Alvin B. LinFri at 1:27 PM

Shout out to toughest #FamilyMedicine Residency: Contra Costa Regional Medical Center by @DikeDrummond @AAFPAssembly ow.ly/DiZin

Jen BrullFri at 1:27 PM

Holy smokes! @dikedrummond is teaching us all that we have to #MakeHealthPrimary in our own lives! #AAFP2014 

Tochi Iroku-MalizeFri at 1:27 PM

@AAFPAssembly @NYSAFP @dikedrummond : burnout pathophysiology in physical, emotional and spiritual accts 

Mike Sevilla, MDFri at 1:27 PM

RT @mrsbrull: Holy smokes! @dikedrummond is teaching us all that we have to #MakeHealthPrimary in our own lives! #AAFP2014 

Stephanie Chow MDFri at 1:27 PM

#AAFP2014 @dikedrummond: You can't give what you ain't got. Avoid burnout, must recharge by filling your physical & emotional bank accounts

Mike Sevilla, MDFri at 1:28 PM

#AAFP2014 @dikedrummond: Physician Burnout Causes

4causesof-physician-burnout

Tochi Iroku-MalizeFri at 1:29 PM

@AAFPAssembly @NYSAFP @dikedrummond : physician burnout has multiple causes. Practice, job, life and conditioning.

Brad FoxFri at 1:30 PM

Burnout causes 1 #stress The practice of clinical medicine is stressful "This is like talking to fish about water" @dikedrummond #AAFP2014

Kim Yu, MD, FAAFPFri at 1:30 PM

@dikedrummond "Nobody wants to see me!" #AAFP2014 

Mike Sevilla, MDFri at 1:30 PM

#AAFP2014 The high energy @dikedrummond rockin it at AAFP Assembly 

mainstageandscreen

Kim Yu, MD, FAAFPFri at 1:32 PM

Loud applause for @dikedrummond "If I had a Star Trek transporter so you can get beamed from room to room & not need to document" #AAFP2014 

Tochi Iroku-MalizeFri at 1:33 PM

@AAFPAssembly @NYSAFP @dikedrummond : burnout in practice -bad things happen. write it down- reflective practice 

Mike Sevilla, MDFri at 1:33 PM

#AAFP2014 @dikedrummond: Your Job & the practice adds layers to the stress/burnout 

jobstresses

Tochi Iroku-MalizeFri at 1:34 PM

@AAFPAssembly @NYSAFP @dikedrummond : JOB as cause of burnout - multiple stress layers 

Kim Yu, MD, FAAFPFri at 1:34 PM

@dikedrummond "Some people have babies in residency, that's crazy!" #AAFP2014 

Alvin B. LinFri at 1:36 PM

Burnout pathophysiology: physical, emotional & spiritual @DikeDrummond @AAFPAssembly #AAFP2014 Causes: practice, job, life & conditioning 

Tochi Iroku-MalizeFri at 1:36 PM

@AAFPAssembly @NYSAFP @dikedrummond : Burnout due to LIFE- what is going on in your life right now? 

Jen BrullFri at 1:35 PM

Some people have babies in residency. Now that's crazy. @dikedrummond #guessiamalittlecrazy #lovemykids #AAFP2014 

Anne Montgomery, MDFri at 1:36 PM

@mrsbrull @dikedrummond All 3 women in my residency were pregnant/trying at graduation; babies in first year of practice. I think crazier. 

Kim Yu, MD, FAAFPFri at 1:37 PM

No one shows you the off switch! @dikedrummond #AAFP2014 

AAFP AssemblyFri at 1:37 PM

No one has shown you the 'OFF' switch... but wait, there's more! @DikeDrummond #AAFP2014 

Jen BrullFri at 1:38 PM

The patient comes first. A myth we need to put down. The patient comes first only when we are with the patient. @dikedrummond #AAFP2014 

Mike Sevilla, MDFri at 1:38 PM

#AAFP2014 @dikedrummond: Well Trained Physicians Subconscious Conditioning

conditioning

Jen BrullFri at 1:32 PM

If you have a gut-wrenching story, write it down. Tell someone. Start to heal. @dikedrummond #AAFP2014 

Natasha Bhuyan, MDFri at 1:36 PM

RT @mrsbrull: If you have a gut-wrenching story, write it down. Tell someone. Start to heal. @dikedrummond #AAFP2014 

David Wallinga, MDFri at 1:38 PM

@mrsbrull @dikedrummond My sister-in-law had inapproriate abx prescribed for routine sinusitis, developed C diff and almost died. 

Tochi Iroku-MalizeFri at 1:40 PM

@AAFPAssembly @NYSAFP @dikedrummond :burnout Conditioning - denies humanity, block awareness, stops from seeking help 

Brad FoxFri at 1:38 PM

The patient comes first when you are with the patient. The patient DOES NOT always come first. @dikedrummond #AAFP2014 

sarah catherineFri at 1:40 PM

@DrRedmo @dikedrummond palpable discomfort with this one... #AAFP2014 

Robyn LiuFri at 1:41 PM

When faced with obstacles, physician conditioning to buckle down, work harder, & show no weakness doubles down. @dikedrummond #AAFP2014 

Brad FoxFri at 1:41 PM

First steps to avoid burnout: Notice how you are feeling. Normal people do that. @dikedrummond #AAFP2014 

Tochi Iroku-MalizeFri at 1:41 PM

@AAFPAssembly @NYSAFP @dikedrummond : 1st steps are to notice how you're feeling, ask for help, mk u & family priority, create balance 

Jen BrullFri at 1:41 PM

First steps: notice how you are feeling; ask for help if you need it; prioritize family; create balance. @dikedrummond #AAFP2014 

Kim Yu, MD, FAAFPFri at 1:41 PM

"Notice how you're feeling, normal people do that!" @dikedrummond #AAFP2014 

Dario LizarragaFri at 1:42 PM

@drkkyu @dikedrummond tell me how you're feeling! 

@AAFPAssembly @NYSAFP @dikedrummond : mk small changes @ work via job tweaks and using teams

Brad FoxFri at 1:15 PM

1 in 3 physicians in any office is burned out on any given day. @dikedrummond #AAFP2014 

Jennifer AloffFri at 1:16 PM

RT @DrRedmo: 1 in 3 physicians in any office is burned out on any given day. @dikedrummond #AAFP2014  

Alvin B. LinFri at 1:42 PM

1) Notice how you're feeling 2) Tell someone, ask for help 3) Make family your priority @DikeDrummond @AAFPAssembly #AAFP2014 

Scott Nass, MD MPAFri at 1:42 PM

The pt can't always come 1st if we r to prevent physician burnout - @dikedrummond. Is this c/w current Fellow oath? #AAFPCOD #AAFP2014 

Tochi Iroku-MalizeFri at 1:43 PM

@AAFPAssembly @NYSAFP @dikedrummond : 1st steps for colleague: who are u concerned abt? Reach out, come from heart, expect denial. 

Tochi Iroku-MalizeFri at 1:44 PM

@AAFPAssembly @NYSAFP @dikedrummond : ask "how are you doing?" They will deny so be persistent bc you could save their life. 

Mike Sevilla, MDFri at 1:44 PM

#AAFP2014 @dikedrummond: Your outreach to a concerned burned out colleague “Could Save Their Life" 

Kevin WangFri at 1:44 PM

@drmikesevilla @dikedrummond That is some powerful stuff. 

Jen BrullFri at 1:45 PM

Worried about someone? Reach out, come from your heart, expect denial, be persistent. @dikedrummond #AAFP2014 

Kim Yu, MD, FAAFPFri at 1:45 PM

Take your doctor hat off and ask "How are you doing?" Be persistent and brave. Your outreach could save a life. @dikedrummond #AAFP2014 

Jen BrullFri at 1:17 PM

Burnout is BAD. Although COMMON, it is not normal. @dikedrummond #AAFP2014 

Bich-May NguyenFri at 1:20 PM

@mrsbrull Physician burnout is kinda normal"...many are burned out and frustrated ow.ly/DiYcC 

Jen BrullFri at 1:30 PM

@bicmay You need to be in this room! @dikedrummond #aafp2014 

Bich-May NguyenFri at 1:45 PM

@mrsbrull @dikedrummond Too many conference to follow! I'm physically at #NPA14. Burnout hit me after 1st yr out of residency. (1/2) 

Dike Drummond MD OtherFri at 1:45 PM

"You can't give what you aint got" the first law of physician burnout. The patient cannot always come first. #AAFP2014 

Kevin WangFri at 1:45 PM

@dikedrummond How are you tweeting this while talking with us?! #impressed 

Tochi Iroku-MalizeFri at 1:46 PM

@AAFPAssembly @NYSAFP @dikedrummond : vulnerability is a concept of being honest, open & truthful only in a hostile or abusive culture. 

Robyn LiuFri at 1:46 PM

RT @drmikesevilla: #AAFP2014 @dikedrummond: Your outreach to a concerned burned out colleague “Could Save Their Life" 

Mike Sevilla, MDFri at 1:46 PM

#AAFP2014 @dikedrummond: The abusive culture (workaholic) is what we need to attack 

Jen BrullFri at 1:46 PM

The only time being honest about how you feel is vulnerable is in an abuse culture. @dikedrummond #AAFP2014 

Brad FoxFri at 1:47 PM

@dikedrummond askes people in the Balcony for a wave #cheapseats #AAFP2014 

Tochi Iroku-MalizeFri at 1:47 PM

@AAFPAssembly @NYSAFP @dikedrummond : audience just realized the room has a balcony full of participants! 

Mike Sevilla, MDFri at 1:48 PM

#AAFP2014 @dikedrummond challenges the audience to reach out to a colleague your respect: “What Is Your Burnout Story?" 

Kim Yu, MD, FAAFPFri at 1:48 PM

@dikedrummond "Think of someone you respect & ask them "Tell me your burnout story." #AAFP2014 

Tochi Iroku-MalizeFri at 1:48 PM

@AAFPAssembly @NYSAFP @dikedrummond : everyone has a burnout story. Ask the pp you respect their story. 

Stephanie Chow MDFri at 1:48 PM

#AAFP2014 @dikedrummond: Doctors are programmed to respond that they are "fine." Expect this yet do persistent outreach if you suspect need. 

Brad FoxFri at 1:48 PM

I invite you to ask the people that you respect for their burnout story. @dikedrummond #AAFP2014 

Bich-May NguyenFri at 1:46 PM

@mrsbrull @dikedrummond I didn't recognize it in myself. Practicing IRL was a lot different than I expected. (2/2) 

Jen BrullFri at 1:49 PM

@bicmay @dikedrummond Lots of resources on the web page thehappymd.com + free consult. 

Tochi Iroku-MalizeFri at 1:50 PM

@AAFPAssembly @NYSAFP @dikedrummond : after 7 or 8 yrs if medical training you sometimes forget abt free will. That's when burnout occurs. 

Tochi Iroku-MalizeFri at 1:51 PM

@AAFPAssembly @NYSAFP @dikedrummond : 3 steps to build an ideal practice. 

 Robyn LiuFri at 1:51 PM

Dr @dikedrummond demonstrates the tracks that physicians are trucking down. We forgot we have free will. #AAFP2014

onrails

Jen BrullFri at 1:51 PM

Don't discount my suggestions just because they are simple. Use them. @dikedrummond #AAFP2014 

Mike Sevilla, MDFri at 1:52 PM

#AAFP2014 @dikedrummond: Nobody cares about your ideal practice. Only you do (or should)... 

Brad FoxFri at 1:52 PM

If you had a magic wand, what would be your ideal practice description. WRITE IT DOWN. Take time & include all. @dikedrummond #AAFP2014 

Todd ShafferFri at 1:53 PM

#AAFPAssembly #AAFP2014 @dikedrummond Thanks for asking the ideal practice question because most Drs don't even know 

Mike Sevilla, MDFri at 1:53 PM

#AAFP2014 @dikedrummond: The Venn Diagram of Happiness: What’s your current overlap

venn

Mike Sevilla, MDFri at 1:53 PM

#AAFP2014 @dikedrummond tells the burnout story instagram.com/p/ujKLbsJ1b5/ 

Jen BrullFri at 1:53 PM

You must sort out what you would run towards (ideal job) before you can be happy. @dikedrummond #AAFP2014 

Tochi Iroku-MalizeFri at 1:54 PM

@AAFPAssembly @NYSAFP @dikedrummond : write down what you WANT in an ideal practice. Build Venn diag & overlap. 

Anne Montgomery, MDFri at 1:54 PM

What is the current overlap in the VENN diagram of your ideal job and your current job? @dikedrummond #AAFP2014 

Alvin B. LinFri at 1:54 PM

Make use of #burnout 1) ideal practice description 2) venn of happiness 3) master plan question @DikeDrummond @AAFPAssembly #AAFP2014 

Jen BrullFri at 1:55 PM

Make changes from your current state to your ideal practice one at a time. @dikedrummond #AAFP2014 

Anne Montgomery, MDFri at 1:55 PM

Take one item on your master plan and take action. Baby steps. Use team. @dikedrummond #aafp2014 

Tochi Iroku-MalizeFri at 1:56 PM

@AAFPAssembly @NYSAFP @dikedrummond : pick 1 item from master plan @ time & use team, celebrate and tweak. 

Mike Sevilla, MDFri at 1:57 PM

#AAFP2014 @dikedrummond: Work On Your Master Plan Weekly 

IJD

Anne Montgomery, MDFri at 1:57 PM

Celebrate all progress, tweak and adjust. @dikedrummond #AAFP2014 

Tochi Iroku-MalizeFri at 1:57 PM

@AAFPAssembly @NYSAFP @dikedrummond : always acknowledge staff for efforts not just skill. 

Jen BrullFri at 1:57 PM

Work ON your practice, not in it. @dikedrummond #AAFP2014 

Brad FoxFri at 1:57 PM

No problem can be solved from the same level of consciousness that created it. @dikedrummond #AAFP2014 

Mike Sevilla, MDFri at 1:57 PM

#AAFP2014 @dikedrummond: You must pull yourself out of your practice to work on those problems 

Brad FoxFri at 1:58 PM

You have to be OUT of your practice to work ON it. @dikedrummond #AAFP2014 

Tochi Iroku-MalizeFri at 1:58 PM

@AAFPAssembly @NYSAFP @dikedrummond : work ON practice not just IN it. Update ideal practice desc @ least quarterly. Beware dilemmas. 

Kim Yu, MD, FAAFPFri at 1:51 PM

I had an ideal practice, I just didn't get reimbursed! #AAFP2014 @dikedrummond 

Dr. Keri Orstad Fri at 1:58 PM

@drkkyu @dikedrummond So it was *almost* ideal. Reimbursement is part of that greater ideal. 

Alvin B. LinFri at 1:58 PM

Take action (baby steps) on Master Plan; work ON your practice, not IN it @DikeDrummond @AAFPAssembly #AAFP2014 

360 Live MediaFri at 1:59 PM

"Can't solve the problems of your practice in your practice. Work on it, not in it" - @dikedrummond @AAFPAssembly

Anne Montgomery, MDFri at 1:59 PM

Problem + Solution = No Problem! @dikedrummond #AAFP2014 

Brad FoxFri at 1:59 PM

"I wish I was a pointing abscess doctor" @dikedrummond #AAFP2014 

Mike Sevilla, MDFri at 1:59 PM

#AAFP2014 @dikedrummond: A dilemma is NOT a problem

Jen BrullFri at 1:59 PM

Wherever you struggle, ask yourself: is this a problem or a dilemma? A problem has a solution. @dikedrummond #AAFP2014 

Mike Sevilla, MDFri at 2:00 PM

#AAFP2014 @dikedrummond: Dealing with a dilemma 

ProbvDilemma

Tochi Iroku-MalizeFri at 2:01 PM

@AAFPAssembly @NYSAFP @dikedrummond : problem vs dilemma. Problems have solns. Dilemma's hv 2 horns so define balance pt. Create strategy. 

Alvin B. LinFri at 2:01 PM

Problem + Solution = No Problem @DikeDrummond @AAFPAssembly #AAFP2014 Dilemma is NOT a problem; no simple solution; must find balance point 

Brad FoxFri at 2:01 PM

The 400 pound obese diabetic patient?...You can't lance the pus out of that one. @dikedrummond #AAFP2014 

Mike Sevilla, MDFri at 1:54 PM

#AAFP2014 @dikedrummond: To align this practice more with your ideal practice, what would you change? This is your master plan 

Karen Fitzpatrick MDFri at 2:02 PM

Start with designated paper signer @drmikesevilla: #AAFP2014 @dikedrummond: For your ideal practice, what would you u change? 

Mike Sevilla, MDFri at 2:02 PM

#AAFP2014 @dikedrummond: EMR Strategy: Step one: Stop being a hater 

emr-strategy-prevent-physician-burnout

KarenFri at 2:02 PM

@swchow @dikedrummond I love this! 

Stephanie Chow MDFri at 1:56 PM

#AAFP2014 @dikedrummond: What's your ideal job description? Venn diagram of happiness? Master Plan to make changes? Remember your Free Will!

Brad FoxFri at 2:03 PM

Strategy to solve the EMR dilemma => STOP BEING A HATER! @dikedrummond #AAFP2014

Anne Montgomery, MDFri at 2:03 PM

EHR: piles of paper charts would shame you into doing them. Can easily hide 3000 charts in a laptop. @dikedrummond #AAFP2014 

Tochi Iroku-MalizeFri at 2:05 PM

@AAFPAssembly @NYSAFP @dikedrummond : create strategy - metrics and dashboard. 

Brad FoxFri at 2:04 PM

I tried to give @dikedrummond my chair. #AAFP2014 #fail 

AAFP AssemblyFri at 2:05 PM

@DrRedmo @dikedrummond Next time! 

Jen BrullFri at 2:06 PM

Demonstrating how to become an #EHR power user...watch the people who go home on time! @dikedrummond #AAFP2014 

umpire

Anne Montgomery, MDFri at 2:07 PM

EHR: if it isn't for continuity, billing, or CYA, don't put it in the chart! Minimize data entry. #AAFP2014 @dikedrummond 

Kim Yu, MD, FAAFPFri at 2:07 PM

@dikedrummond Watch a power user & learn a few tricks & ask for smart sets #AAFP2014 #EHRs #NoNeedForSemiColons 

Tochi Iroku-MalizeFri at 2:07 PM

@AAFPAssembly @NYSAFP @dikedrummond : EMR for billing, medicolegal and continuity. If not needed for these 3 do not put in record. 

Mike Sevilla, MDFri at 2:07 PM

RT @AnneMont: EHR: if it isn't for continuity, billing, or CYA, don't put it in the chart! Minimize data entry. #AAFP2014 @dikedrummond 

Brad FoxFri at 2:08 PM

In your EHR note do you need complete sentences? Do you need perfect spelling? Do you EVER need to touch the ; ? NO @dikedrummond #AAFP2014 

Tochi Iroku-MalizeFri at 2:09 PM

@AAFPAssembly @NYSAFP @dikedrummond : EMR strategies-use power user, min data set, use software, team documtn, scribe 

Jen BrullFri at 2:10 PM

Great strategies for being happy with your #EHR in the office. @dikedrummond #AAFP2014 

Alvin B. LinFri at 2:11 PM

Chart for billing, #CYA & continuity: nothing else matters! no need for semicolon or complete sentence @DikeDrummond @AAFPAssembly #AAFP2014 

Tochi Iroku-MalizeFri at 2:11 PM

@AAFPAssembly @NYSAFP @dikedrummond : EMR monitoring syst - always is 85%, never is 15% 

Mike Sevilla, MDFri at 2:12 PM

#AAFP2014 @dikedrummond: Work Life Balance : The Schedule Hack 

Sherry ReynoldsFri at 2:12 PM

Great Seattle Doc @dikedrummond how to prevent hidden epidemic - 1/3 of Providers suffer Burnout #AAFP2014 

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Mike Sevilla, MDFri at 2:14 PM

#AAFP2014 @dikedrummond: If you only carry your work calendar with you (not family/iife calendar), Work will be the only thing that’s done 

Alvin B. LinFri at 2:08 PM

If you hate your #EMR #EHR, become a power user @DikeDrummond @AAFPAssembly #AAFP2014 Find power user in your office & watch/ask for hints 

Charles Webster MD Fri at 2:14 PM

.@alvinblin @AAFPAssembly @dikedrummond much easier if #EHR workflow is customizable chuckwebster.com/2013/07/health… #AAFP2014 

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Mike Sevilla, MDFri at 2:15 PM

#AAFP2014 @dikedrummond: Create your life hack calendar, including life, family, work, exercise, etc - and take a picture of it 

Brad FoxFri at 2:15 PM

Minimum date nite schedule is 2/month and the last thing you do on your date nite is schedule your next date nite. @dikedrummond #AAFP2014 

Mike Sevilla, MDFri at 2:16 PM

#AAFP2014 @dikedrummond: Use schedule hack weekly; Practice saying NO 

Tochi Iroku-MalizeFri at 2:16 PM

@AAFPAssembly @NYSAFP @dikedrummond : schedule hack. Plan wk ahead w family. Weekly bucket list. Use NO when poss. 

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Alvin B. LinFri at 2:17 PM

Practice saying "NO" w/elegance & grace @DikeDrummond @AAFPAssembly #AAFP2014 Always carry LIFE calendar - achieve work-life balance

Mike Sevilla, MDFri at 2:18 PM

#AAFP2014 Practicing saying "NO" to Burnout @dikedrummond @mrsbrull 

Tochi Iroku-MalizeFri at 2:18 PM

@AAFPAssembly @NYSAFP @dikedrummond : scheduled spontaneity. Block off an hour to do something unplanned. 

Mike Sevilla, MDFri at 2:19 PM

#AAFP2014 Practicing saying "NO" to Burnout @mrsbrull @dikedrummond 

ToffleresqueFri at 2:20 PM

The patient is in their hands. “@drmikesevilla: #AAFP2014 Practicing saying "NO" to Burnout @mrsbrull @dikedrummond ” 

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Jen BrullFri at 2:20 PM

Practice boundary rituals. Separate work from home. Release "doctor" and come all the way home. @dikedrummond #AAFP2014 

Stephanie Chow MDFri at 2:21 PM

#AAFP2014 Bingo! @dikedrummond: Avoid Burnout = Schedule spontaneity! Schedule your Date Night. Schedule that nap! @sycinnyc @elise_bender 

Tochi Iroku-MalizeFri at 2:21 PM

@AAFPAssembly @NYSAFP @dikedrummond : develop a boundary ritual to change roles. Shut doc off so you can recharge. 

Brad FoxFri at 2:21 PM

Shut the doctor off so that you can recharge. Stop being a doctor and start being you. @dikedrummond #AAFP2014 

Tochi Iroku-MalizeFri at 2:23 PM

@AAFPAssembly @NYSAFP @dikedrummond : finding partners. "a" partners telling partner "you're goinnfirst". 

AAFP AssemblyFri at 2:26 PM

What do YOU feel is the most important thing you learned today at #AAFP2014? Share with us! 

Jen BrullFri at 2:28 PM

@AAFPAssembly Calendar with my family in mind, turn off the doctor when I come home. #worklifebalance @dikedrummond #AAFP2014 

Tochi Iroku-MalizeFri at 2:29 PM

@AAFPAssembly @NYSAFP @dikedrummond : w creative destruction of med, PC is returning- need to work smart. 

Robyn LiuFri at 2:29 PM

Stole my answers! @mrsbrull: @AAFPAssembly Calendar with my family in mind, turn off the doctor when I come home. @dikedrummond #AAFP2014 

Kevin WangFri at 2:29 PM

Going to what I learned about #preventmdburnout & take it back to my FM residency program! #happyfamilydoctors #AAFP2014 #AAFPAssembly 

Kevin WangFri at 2:29 PM

@shawshing Thank you, @dikedrummond!! 

Anne Montgomery, MDFri at 2:30 PM

@dikedrummond Thanks for wonderful talk today. Trying to remember if I knew you at Mayo, think so. MMS '86. 

Tochi Iroku-MalizeFri at 2:31 PM

@AAFPAssembly @NYSAFP @dikedrummond : get rid of gerbil wheel. become leaders & allow primary care to mk it happen. 

Brad FoxFri at 2:31 PM

@blackweldermd needs this slide just put up by @dikedrummond #AAFP2104 

Tochi Iroku-MalizeFri at 2:32 PM

@AAFPAssembly @NYSAFP @dikedrummond : #healthisprimary but remember that your health is primary. You can't gv what you don't hv. 

Robyn LiuFri at 1:30 PM

Talking to docs about why clinical practice is stressful is like talking to a fish about water. #AAFP2014 @dikedrummond 

LibraryOfMedicineFri at 2:34 PM

@rliumd @dikedrummond Do you have any helpful strategies to improve upon the stress? 

Kim Yu, MD, FAAFPFri at 2:29 PM

@dikedrummond We need to fill the physician leadership vacuum. #HealthIsPrimary #AAFP2014 #fmrevolution 

Andrew Carroll MDFri at 2:42 PM

@drkkyu @mrsbrull @dikedrummond What vacuum is he talking about? 

Charles Webster MD Fri at 3:09 PM

.@dikedrummond Just say no to #EHR Hate reminds me of 80s/90s Just Say No To Drugs campaign: Mixed results… addictiontreatmentmagazine.com/addiction-news… #AAFP2014 

Rosh ReviewFri at 2:49 PM

Amazing talk by @TheHappyMD at #AAFP2014 Learn to say "No" Seems so easy, but we never do it. 

KP Fam Med ResidencyFri at 6:02 PM

RT @RoshReview: Amazing talk by @TheHappyMD at #AAFP2014 Learn to say "No" Seems so easy, but we never do it. @dikedrummond 

KP Fam Med ResidencyFri at 6:04 PM

RT @AAFPAssembly: Big shout out to @dikedrummond on a GREAT presentation! #AAFP2014 You ROCKED the HOUSE @TheHappyM 

AAFP AssemblyFri at 2:41 PM

Big shout out to @dikedrummond on a GREAT presentation at #AAFP2014!! You ROCKED the HOUSE!

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Family Practice MgmtFri at 2:27 PM

On calendaring: To create life balance you have to plan for it. – Dike Drummond, MD #AAFP2014 

KP Fam Med ResidencyFri at 6:06 PM

“@FPMJournal: On calendaring: To create life balance you have to plan for it. – Dike Drummond, MD #AAFP2014” @TheHappyMD 

TCAFPFri at 2:18 PM

#AAFP2014 Dr. Drummond - working on work-life balance...if you only carry your work calendar, only work is going to get done. 

KP Fam Med ResidencyFri at 6:09 PM

RT @tcafp: #AAFP2014 @TheHappyMD on work-life balance-if you only carry your work calendar, only work is going to get done. @scpmgmdwellness 

Jen BrullFri at 2:15 PM

Don't forget your LIFE CALENDAR and carry it with you like you do your work calendar. @dikedrummond #AAFP2014 

KP Fam Med ResidencyFri at 6:10 PM

“@mrsbrull: Don't forget your LIFE CALENDAR and carry it with you like you do your work calendar. @dikedrummond #AAFP2014” @scpmgmdwellness 

Anne Montgomery, MDFri at 1:48 PM

Drummond: everyone in this audience has a burnout story. Coolest people say "which one?" #AAFP2014 

KP Fam Med ResidencyFri at 6:16 PM

RT @AnneMont: @dikedrummond everyone in this audience has a burnout story. Coolest people say "which one?" #AAFP2014 @scpmgmdwellness 

Brad FoxFri at 1:45 PM

If you are concerned that someone is burned out, your outreach could save their life. @dikedrummond #AAFP2014 

KP Fam Med ResidencyFri at 6:17 PM

“@DrRedmo: If you are concerned that someone is burned out, your outreach could save their life. @dikedrummond #AAFP2014” @scpmgmdwellness 

KP Fam Med ResidencyFri at 6:21 PM

Via @drkkyu: @dikedrummond Continue to notice your energy accounts #AAFP2014 @scpmgmdwellness 

Kim Yu, MD, FAAFPFri at 1:28 PM

@dikedrummond Continue to notice your energy accounts #AAFP2014 

Kosta DeligiannidisFri at 6:23 PM

Pic with @dikedrummond after his fantastic physican burnout talk at #AAFP2014 

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Robyn LiuFri at 1:36 PM

Some have 2! RT @mrsbrull: Some people have babies in residency. Now that's crazy. @dikedrummond #guessiamalittlecrazy #lovemykids #AAFP2014 

Anne KittendorfFri at 6:26 PM

@rliumd @mrsbrull @dikedrummond BEFORE work hour restrictions....... 

Jen BrullFri at 6:27 PM

@Akittendorf @rliumd @dikedrummond If I could give thumbs up on twitter, I would give this one TWO! 

Anne Montgomery, MDFri at 2:12 PM

"Always" is 85%, "Never" is 15%. Don't try to be perfect. @dikedrummond #AAFP2014 

sarah catherineSat at 2:38 AM

Fav from yesterday “@AnneMont: "Always" is 85%, "Never" is 15%. Don't try to be perfect. @dikedrummond #AAFP2014” 

Anne Montgomery, MDFri at 2:31 PM

#HealthIsPrimary for physicians, too. We can't give what we don't got. #AAFP2014 @dikedrummond 

Charles W Smith, MDSat at 4:38 AM

Amen to that! RT @AnneMont: #HealthIsPrimary for physicians, too. We can’t give what we don’t got. #AAFP2014 @dikedrummond 

Brad FoxSat at 5:00 AM

@dikedrummond is giving an 8 am lecture. We were drinking the Kool Aid yesterday, what is coming today? #AAFP2014 

Brad FoxSat at 5:03 AM

@dikedrummond We go into a profession that requires a skill set that we can never master. Another reason why we burnout. #AAFP2014 

Brad FoxSat at 5:05 AM

@dikedrummond One Minute Mindfullness, the way to "be present" with your patients even when you don't know if you can. #AAFP2014 

Brad FoxSat at 5:14 AM

The goal for today is to teach a research-proven single breath mindfulness technique. @dikedrummond #AAFP2014 

Brad FoxSat at 5:16 AM

We had a 2 minute each talk out session with another person in the room again and B managed to go first again. @dikedrummond #AAFP2014 

Brad FoxSat at 5:17 AM

Preventing burnout: there is always an inner game=> Who are you being? and an outer game => What are you doing? @dikedrummond #AAFP2014 

Brad FoxSat at 5:24 AM

Presence is the first step in Patient Satisfaction. Your Full Presence and Undivided Attention. @dikedrummond #AAFP2014 

Brad FoxSat at 5:25 AM

"How many of you have never meditated? In 10 minutes you won't be able to say that." @dikedrummond #AAFP2014 

Brad FoxSat at 5:31 AM

Thoughts and feelings distract us. Mindfulness is the ability to be aware of this and bring yourself back. @dikedrummond #AAFP2014 

Brad FoxSat at 5:35 AM

We are going to learn the squeegee breath today. @dikedrummond #AAFP2014 

Brad FoxSat at 5:37 AM

There is not anything I teach that I don't do. @dikedrummond #AAFP2014 

Brad FoxSat at 5:42 AM

Use the SqueeGee Breath prn when you have any Unsupportive thought. @dikedrummond #AAFP2014 

Brad FoxSat at 5:43 AM

Check out bjfogg.com. He is the guy at Stanford who makes millions making smart phone apps addictive. @dikedrummond #AAFP2014 

Brad FoxSat at 5:47 AM

Practice makes perfect is an unsupported thought. It always has been and it always will be. "Practice makes BETTER" @dikedrummond #AAFP2014 

Brad FoxSat at 5:53 AM

Find people who were in the 8 am lecture on Mindfulness. We are all SqueeGee Breath teachers now! @dikedrummond #AAFP2014 

Brad FoxSat at 5:57 AM

There are courses on meditation and mindfulness everywhere. I think they have it in the East Coast too. @dikedrummond #AAFP2014 

Brad FoxSat at 5:58 AM

Your practice will eat you alive if you aren't aware. Be mindful and present with the people in your life. @dikedrummond #AAFP2014 

Duke Carlson, M.D.Sat at 6:22 AM

The SqueeGee breath. A great FP tool for preventing burnout. Use it a lot! @dikedrummond #AAFP2014

Duke Carlson, M.D.Sat at 6:29 AM

Decrease distractions and reduce burnout with office redesign. #AAFP2014 @dikedrummond youtu.be/vvDtt66Ssd8 

DOCiZSat at 7:02 AM

“@DrRedmo: Preventing burnout: there What are you doing? @dikedrummond #AAFP2014” <~ #DirectPrimaryCare was my cure! Life is good!

AAFP AssemblySat at 7:05 AM

Dr. Dike Drummond: I love you ALL! This is my 1st book signing! It's only been out a week!! #AAFP2014 @dikedrummond 

Rosh ReviewSat at 7:08 AM

Book signing with @TheHappyMD we all have something to learn 

physician-burnout-book-signing-dike-drummond

Duke Carlson, M.D.Sat at 7:09 AM

Free burnout prevention guides in the expo center. Thanks #AAFP2014 @dikedrummond !!! 

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Jennifer AloffSat at 7:10 AM

Waiting for @dikedrummond book signing #AAFP2014 #AAFPAssembly

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AAFP AssemblySat at 7:12 AM

I think the line to the @dikedrummond book signing actually stretches 3/4 of the convention floor at #AAFP2014! Wow! 

physician-burnout-author-dike-drummond

 Lisa PetriSat at 7:36 AM

Book signing by the charismatic @dikedrummond Check out his book #StopPhysicianBurnout #AAFP2014  

Brad FoxSat at 7:50 AM

Got the book. Hope I can find The Practice and avoid the Burnout Thanks #AAFP2014 & @dikedrummond for caring about me 

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Patty serenoSat at 8:43 AM

@AAFPAssembly @dikedrummond inspirational speaker 

AAFP AssemblySat at 7:20 AM

It seems each member has a story to share w/ @dikedrummond. He's definitely connected with #AAFP2014 members! 

physician-burnout-author-signing-fans

Tina Louise TannerSat at 9:12 AM

A good book, a cupcake, and a moment of mindfulness @dikedrummond @AAFPAssembly #aafp2014 #inspirecreatelead @drkkyu       

Stop-physician-burnout-book-cupcake-portrait                    

Dr. Keri Orstad Sat at 11:37 AM

Battling migraine all day... At end of @dikedrummond talk on mindfulness my head feels better. Hooray for squeegee breath! #AAFP2014 

Sandra R CostaSat at 12:08 PM

#dpc talk w/ @innovadoc at #AAFP2014 is my first step to turning #burnout around. Thanks @dikedrummond and @TheHappyMD for making ideal real 

Mike Sevilla, MDFri at 1:32 PM

#AAFP2014 @dikedrummond: For painful experiences: Write your story down, and find a colleague to read it to. Healing starts here 

Si Baker-Goodwin EdDSat at 1:02 PM

@drmikesevilla @rliumd @dikedrummond and collect other physicians's such stories, and publish them! 

Tochi Iroku-MalizeFri at 1:12 PM

@AAFPAssembly @NYSAFP @dikedrummond in 2011 launched thehappymd.com to help other docs facing burn out. 

Si Baker-Goodwin EdDSat at 1:05 PM

MT @tilimd: @AAFPAssembly @NYSAFP @dikedrummond in 2011 launched thehappymd.com help other docs facing burn out. @TeamMDrs @choo_ek 

Brad FoxSat at 2:34 PM

Kinda scared to open my EHR. Not since 10/17 Thanks #AAFP2014 for giving me an excuse not to look & @dikedrummond for an excuse not to care. 

Dr. Jon IzbickiSat at 2:43 PM

“@DrRedmo: Kinda scared to open my EHR. Not since 10/17 Thanks @dikedrummond for an excuse not to care.” <~ that’s why he’s @TheHappyMD

 

               

Tags: dike drummond, Physician burnout, physician burnout coach, physician burnout workshop, AAFP, healthcare speaker, #AAFP2014, physician burnout speaker


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