moskowitz plenary
DESCRIPTION
TFME 2013 Organizational Professionalism ConferenceTRANSCRIPT
PETER S. MOSKOWITZ, M.D.EXECUTIVE DIRECTOR
CENTER FOR PROFESSIONAL & PERSONAL RENEWAL
PALO ALTO, CA
Foundation for Medical ExcellenceOctober 6, 2012
Maximizing Your Vital Resources:
Values-Based Time & Money Management
Disclosure Statement
• Peter S. Moskowitz, M.D. reports he has no relevant financial relationship with any commercial entity, other than his own consulting business, that provides products or services relevant to this presentation.
Maximizing Your Vital Resources
Learning Objectives At the conclusion of this presentation physicians will: 1. Address personal values surrounding time allocation. 2. Assess personal time allocation.
3. Clarify personal values surrounding money allocation. 4. Evaluate personal wealth management.
What is Your Career “APGAR”1. I am satisfied with my commitment to personal growth.
2. I have a strategy for dealing with career change.
3. I am satisfied that may career and life priorities are mine only and reflect my current values.
4. I am satisfied with the way I use my 168 hours/week.
5. I have a financial plan which reflects my goals.
6. I have balance between work and my private life.
7. I practice an effective stress management routine.
8. I know my personal purpose and values.
9. I have an effective mentor and support network.
10.I do not feel stuck in my life or career.Modified from: J.H. Pfifferling, Ph.D.
1 point for every “Yes” answer
0 point for every “No” answer
Add total points to get total APGAR SCORE
SCORE OF 9-10:
SCORE OF 6-8:
SCORE OF 5 or less:
High Level of Career Wellness
Significant Imbalances / Stress
Your Life and Career are in ChaosSeek Professional Help
Scoring Your Career “APGAR”
Modified from: J.H. Pfifferling, Ph.D.
Why the Fuss about Time & Money?
• Both can be sources of great stress
• Good management required for renewal
• Docs don’t have great stress toolboxes
• Life & practice conditions, effecting time and money, are changing rapidly
STRATEGIES FOR PERSONAL RENEWAL• Assess Values and Purpose Annually• Institute Personal Wellness - Healthy Diet - Regular Aerobic Exercise - Consistent Sleep - Preventative Medicine - Regular Fun• Manage Your Stress Effectively (healthy coping)• Balance Your Life• Develop a Support Network• Manage Your Time and Money Strategically• Build Good Communication Skills
Copyright CPPR
2012
The Old Rules vs
The New Rules
• The Linear Rule
• The Outside-In Rule
• Learning is just for
kids Rule
• The Steady State
Rule
• The Circular Rule
• The Inside-Out Rule
• Learning isn’t just for
kids Rule
• Endless Change Rule Copyright CPPR 2012
The Linear Rule
Be honest and
work hard and
you will
experience…
PROGRESS
HAPPINESSHAPPINESS
SECURITYSECURITY
SUCCESSSUCCESS
The Circular RuleA CHAPTER OF
YOUR LIFE
NEW BEGINNING
External ChangeExternal Change• Dreams & PlansDreams & Plans
• AccomplishmentsAccomplishments• Decline & DiscordDecline & Discord
Internal RenewalInternal Renewal• HealingHealing
• New Goals & PurposeNew Goals & Purpose• TrainingTraining
A LIFE TRANSITION BETWEEN CHAPTERS
ENDING
The Outside-In RuleFamily
Work, CareerWork, Career
VoluntaryVoluntary
Groups,Groups,
Professional Professional Associations,Associations,
National RolesNational Roles
Community,Community,
ChurchChurch YOUYOU
The Inside-Out RuleFamily
Work, CareerWork, Career
VoluntaryVoluntary
Groups,Groups,
Professional Professional Associations,Associations,
National RolesNational Roles
Community,Community,
ChurchChurch YOUYOU
Global Roles Global Roles and Citizenshipand Citizenship
Winning at Life Winning at Life Works Best from the Works Best from the INSIDE-OUTINSIDE-OUT
The Learning-is-for-Kids Rule
AdulthoodChildhood
Launching
Elderhood
Working, Doing and Caring
Learning
Retired
The Learning-isn’t-just-for-Kids Rule
Human SkillsKnowledge & Information
Technical Skills
Values & Leadership
The Steady-State Rule
AdulthoodChildhood
Work + Love creates progress, reaching self-perpetuating levels of happiness, success, and security that get better and better with time.
The Endless Change Rule
MidlifeYoung Adulthood Elderhood
PHYSICIAN COPING SKILLS
• Work Harder
• Work Harder
• Work Harder
• Bitch, Bitch, Bitch
• Hope Things Change
• Isolate Copyright CPPR
2012
CHANGINGCAREER / LIFE EXPECTATIONS
• The Burden of Educational Debt
• The Cost of Home Ownership
• The Desire for a Balanced Life
• New Work Options
• Early Retirement
The CYCLE OF RENEWAL as a Model of
Life and Career Change
PHASE 1PHASE 1GO FOR ITGO FOR IT
PHASE 2PHASE 2THE DOLDRUMSTHE DOLDRUMS
PHASE 4PHASE 4GETTING READYGETTING READY
PHASE 3PHASE 3COCOONINGCOCOONING
MINITRANSITIONRESTRUCTURE YOUR CHAPTER
A LIFE CHAPTER
A LIFE TRANSITON
TheDisenchanted
Self
TheInnerSelf
ThePassionate
Self
TheHeroic
Self
THE CYCLE OF RENEWAL
PROLONGING “GO FOR IT”
• Engage in Continuous Learning
• Practice Effective Stress Management Balance Your Life!
• Strategic Use of Time and Money
• Schedule Frequent Fun!
Questions to Ponder:• In which phase of the Renewal Cycle are you with your various roles:
_______________________________Spouse/Partner_______________________________Parent_______________________________Friend_______________________________Physician_______________________________Community Leader_______________________________Other
• In which phase of the Renewal Cycle are you as a whole person?
• What are the key actions you can do to make the best use of your time in this phase?
• What are the key actions you can stop doing to make the best use of your time in this phase?
Reconnecting toYour Personal Values
Reconnecting toYour Personal Values
The Importance of Values
• values are our personal anchors as we are tossed about in the stormy, uncertain seas of life.
• values define our character and sense of self
• values help to establish meaning in our lives
Your Personal Values Questions to Ponder:
1. What is your most important personal value(s) regarding your time?
2. What is your most important personal value(s) about money?
It All Begins with a Re-evaluation
of Your Purpose
Question to Ponder:
What is YOUR Purpose?
Maximizing Your Limited Resources
Time Management
The Time Management MatrixUrgent Not Urgent
IACTIVITIES:
Crises
Pressing problems
Deadline-driven projects
IIACTIVITIES:
Prevention, PC activities*
Relationship building
Recognizing new opportunities
Planning, recreation
IIIACTIVITIES:
Interruptions, some calls
Some mail, some reports
Some meetings
Proximate, pressing matters
Popular activities
IVACTIVITIES:
Trivia, busy work
Some mail
Some phone calls
Time wasters
Pleasant activities
No
t Im
po
rta
nt
Imp
ort
an
t
[S. Covey: The Seven Habits of Highly Effective People]
I RESULTS:
• Stress• Burnout• Crisis management• Always putting out fires
II
IV
III
FOCUSING ON QUADRANT I
I II
IV
III RESULTS:• Short-term focus
• Crisis management
• Reputation-chameleon character
• See goals and plans as worthless
• Feel victimized, out of control
• Shallow or broken relationships
FOCUSING ON QUADRANT III
I II
RESULTS:
• Total irresponsibility
• Fired from jobs
• Dependent on others or institutions for basics
III IV
FOCUSING ON QUADRANTS III AND IV
I, III, IV II
RESULTS:
• Vision, perspective
• Balance
• Discipline
• Control
• Few crises
FOCUSING ON QUADRANT II
Values-Based Time Management
Questions to Ponder about Time
• Do you know how all of your 168 hrs/wk are spent?
• Are you happy with your time allocation?
• Do you spend your time in alignment with your values?
• If you could change one thing about your schedule, what would it be?
Maximizing Your Limited Resources
Money Management
Questions to Ponder:• What are your basic values around money?
• Are your expenses less than your income? Are you sure?
• What are your short/long term money goals?
• Are you on track to succeed with them?
• Is your family protected with a will, trust, and a durable power of attorney for health care?
Designing Your Personal Balance Plan
The Dali Lama on Man
When asked what surprised him most about humanity, the Dali Lama said,
“Man. Because he sacrifices his health in order to make money. He sacrifices money to recuperate his health. He is so anxious about the future that he does not enjoy the present. The result being that he does not live in the present or the future. He lives as if he is never going to die, and then
dies having never fully lived.”
PETER S. MOSKOWITZ, M.D.EXECUTIVE DIRECTOR
CENTER FOR PROFESSIONAL & PERSONAL RENEWAL
PALO ALTO, CA
FOUNDATION FOR MEDICAL EXCELLENCE
October 6, 2012
Maximizing Your Vital Resources:
Values-Based Time & Money Management