Physician Burnout Workshop Tweet Stream #AAFP2014

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

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. 

Kim Yu, MD, FAAFPFri at 12:46 PM

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

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        

Kim Yu, MD, FAAFPFri at 1:08 PM

#AAFP2014 @dikedrummond gives 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

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 

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. 

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 

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

Jen BrullFri at 1:23 PM

If you overdraw your energy bank account, you don't stop, you accelerate the downward spiral (overdraft). @dikedrummond #AAFP2014 

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

Mike Sevilla, MDFri at 1:26 PM

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

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

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 

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 

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

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

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

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 

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 

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 

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 

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 

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 

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. 

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 ” 

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!

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 

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 

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

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

Jennifer AloffSat at 7:10 AM

Waiting for @dikedrummond book signing #AAFP2014 #AAFPAssembly

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! 

 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 

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! 

Tina Louise TannerSat at 9:12 AM

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

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