Part I. The foundation of stress awareness and the steps for relaxation response
1. Recognizing a stressful event
2. Recognizing the toll stress takes on your body (how stress affects your thoughts, emotions, behaviour, relationships, and your physical state)
3. Eliciting the steps for the relaxation response
Part II. The foundation of cognitive and mindfulness strategies for coping with stress
4. Recognizing what core beliefs keep individuals in the stress response, which impedes effective coping with stress
5. Cognitive and mindfulness conceptualization
6. Coping strategies and behavioural experiments (identifying, evaluating, and responding to dysfunctional cognitions)
7. Recognizing compassion fatigue, vicarious trauma, and burnout
Part III. Action plans for the development of adaptive strategies for stressful situations
8. Facilitating completion of the action plan
9. Reviewing the action plan and its effectiveness after a set time period
10. Coping with burnout (resources for physicians to access)
11. Pushing back: recognizing and advocating for systemic change
Ana Hategan, MD
Associate Clinical Professor
Department of Psychiatry and Behavioural Neurosciences
McMaster University
Hamilton, ON, Canada
Karen Saperson, MBChB
Professor
Vice Chair
Department of Psychiatry and Behavioural Neurosciences
McMaster University
Hamilton, ON, Canada
Sheila Harms, MD
Associate Professor
Associate Chair, Education
Department of Psychiatry and Behavioural Neurosciences
McMaster University
Hamilton, ON, Canada
Heather Waters, MD
Associate Professor
Hamilton Site Director, Postgraduate Education
Department of Family Medicine
McMaster University
Hamilton, ON, Canada
This book aims to help identify pre-existing adaptive traits and positive perspectives in resident trainees, while challenging those that are less adaptive by building a formal curriculum for medical education that focuses on the humanistic aspects of medicine. Humanism in medicine is threatened by the false narrative that good physicians are superhumans who do not have their own needs. Written by experts in the field, this book is designed to be a concise, integrated guide to resilience during residency training. Through this guide, trainees learn (i) the usefulness of psychotherapeutic strategies for their own stress management and well-being; (ii) techniques and strategies that are useful in the practice of medicine; and (iii) to consider lifestyle modifications to improve physical and psychological health and well-being, through identification of positive and negative lifestyle factors influencing physicians’ response to stress.
Since it is designed for busy trainees and physicians, this volume meticulously provides easy-to-use, evidence-based learning tools and therapeutic techniques, including case studies, skill-building exercises, self-test questionnaires, illustrations, useful practice-reminder tips, and other features.
Humanism and Resilience in Residency Training is an excellent resource for all medical trainees and professionals who need to incorporate humanism and resilience in their practice, both for accreditation requirements and for personal well-being. This includes medical students and residents, psychiatrists, addiction medicine specialists, family physicians, medical education professionals, hospitalists, nurses, and all healthcare providers.