Emotional Intelligence: Aligning Intent & Impact
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My Assumptions Physicians are leaders Practicing medicine is different than studying it You accept that you need other humans in order to achieve your professional goals Humans have the ability to change thoughts and behavior » Their own » Those of others Industry change is occurring at an unprecedented speed and amount
“ Physician leaders are working in rapidly evolving systems and must respond to increasing and changing demands. Emotional Intelligence correlates significantly and positively with job performance beyond that which can be explained by cognitive ability and other personality factors. ” (Monroe & English, 2013)
What is Emotional Intelligence? Emotional Intelligence is not about being nice all the time — it is about being honest. Emotional Intelligence is not ‘touchy feely’— it is about being aware of your own feelings and the feelings of others. Emotional Intelligence is not about being emotional — it is about being smart with your emotions.
“ We are being judged by a new yardstick; not just how smart we are, or by our training and expertise, but also how well we handle ourselves and each other. ” -- Daniel Goleman, Ph.D.
How’s your day? What do you notice about differences between ‘ good ’ days and ‘ bad ’ days?
Elements of Good Days Compassion — Genuine connection with others Capacity — The ability to manage the planned and the unexpected Clarity — Of goals & direction
Compassion
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A Physician’s Impact Being ‘ on stage ’ Having the loudest voice Setting a tone Changing a mood Creating ‘ truths ’ Modeling what is acceptable
Mood Contagion Unintentional imitation of mood behavior Induces mood state Induces behavioral congruence The person with the most power sets the tone (Neumann & Strack, 2000)
Emotional Intelligence (EI) IQ and technical skills are considered ‘ threshold capabilities ’ — they are entry level requirements, or “ what helps you get the job ” EI is proving to be the strongest indicator of success in the work world – contributing to leadership success as much as 85-90% * Nadler, Reldan S., Leading with Emotional Intelligence
Emotional Intelligence (EI) PERSONAL Self Self Management COMPETENCE Awareness SOCIAL Social Relationship COMPETENCE Awareness Management
Learning Emotions Growing up Medical school Practice Life events
Emotional Abundance Empathy — Creating understanding & support Humor — Creating space for learning and growth Courage — Taking risks and sticking with it Vulnerability — Revealing and making mistakes Optimism — Encouraging hope & innovation
Emotional Avoidance Creating distractions- Mindless behaviors, addictions, electronics, crammed schedule Choosing a default- Anger, joking, sadness, blame Shutting off - Disconnecting from any emotion
Cultivating Compassion Perform an emotional check up Clarify & own your desired impact Seek feedback Admit that you’re a leader Enact forgiveness toward yourself and others
Capacity
Carrying Capacity
Carrying Capacity The maximum population of a given species that can survive indefinitely in a given environment Dependent on the conditions and resources available in the specific area, and the consumption habits of the species Measures sustainability within these changing conditions
Change Capacity Your ability to sustain a changing environment given the current conditions and resources » Time, effort, skills, motivation, heartiness, personality, focus
At Risk One-third to one-half of physicians meet burnout criteria Physician job dissatisfaction is the most powerful predictor of departure Work hours or a lack of career fit to one's values, life goals, or passion increases risk of dissatisfaction 1. Shanafelt TD, West CP , Sloan JA, et al. Career fit and burnout among academic faculty. Arch Intern Med . 2009;169:990 – 995. 2. Shanafelt TD, Boone S, Tan L, et al. Burnout and satisfaction with work-life balance among U.S. physicians relative to the general U.S. population. Arch Intern Med . 2012;172(18):1 – 9.
At Risk Physician satisfaction is strongly linked to patient satisfaction as measured through standardized patient satisfaction surveys Physicians professional fulfillment positively correlated with patient adherence to medication, exercise, and diet regimens 1. Shanafelt TD, West CP , Sloan JA, et al. Career fit and burnout among academic faculty. Arch Intern Med . 2009;169:990 – 995. 2. Shanafelt TD, Boone S, Tan L, et al. Burnout and satisfaction with work-life balance among U.S. physicians relative to the general U.S. population. Arch Intern Med . 2012;172(18):1 – 9.
On Resilience “The capacity of an entity— such as a person, an institution, or a system — to withstand sudden, unexpected shocks, and (ideally) to be capable of recovering quickly afterwards. Resilience implies both strength and flexibility; a resilient structure would bend, but would be hard to break. ” — Jamals Cascio
Learned Optimism! helplessness
“We are what we repeatedly do.” --Aristotle
Are you a human being…
Or are you a human doing?
Building Your Capacity Recognizing what is in and out of your control or influence Taking care of your basic needs — food, water, shelter Maintaining energy, optimism and forward movement; don’t dwell Assessing your will and skill — start small with incremental changes
Clarity
Cultivating Attention Attention is constantly under assault from internal and external stimuli Effective leadership is based on knowing what to focus on Cultivating the ability to harness one’ s attention is a differentiator Focused leaders can command a full range of their own attention You can ’ t be mindful if you ’ re mindfull
Imagine if you could… Be in touch with your internal world, Control your impulses, Be aware of how others see you Weed out distractions What would be possible?
The Dangers of Distraction In 2011, 1.3 million auto accidents in the U.S. involved cell phones – about 23% of all crashes, killing 3,331 people For drivers 15-19 years old involved in fatal crashes, 21% of the distracted drivers were distracted by the use of cell phones. Text messaging while driving makes the chance of an accident 23 times more likely. Sending or receiving a text takes a driver’s eyes off the road for an average of 4.6 seconds; at 55mph, that’s the equivalent of driving the length of an entire football field, blind. (Disalvo, 2013)
What causes distractions? Our inability to manage interruptions 24/7 access to technology/each other Unclear boundaries Lack of focus on a reasonable number of items/people/tasks All goals become urgent or emergent Constantly shifting priorities
An epidemic Medical errors would rank 5 th on the list of top ten causes of death in the US Lack of effective communication and collaboration as leading contributor to medical errors A contributing factor to ineffective communication is distractions (speed, multiple priorities, etc.) (Joint Commission, 2005)
If you don’t know what’s important, how will anyone else?
Barriers to collaboration Working in silos Autonomy Low trust Poor communication Power Unclear roles/responsibilities/accountability Disruptive behavior
Which best describes you & your team? Owners Renters Clock View work as goal- punchers/watchers based Use words like ‘they,’ Use words like ‘we’ ‘them’ and and ‘us’ ‘management’ Serve as connectors Say ‘that’s not my job’ within the Meet minimum organization and standards ambassadors of the Expect leaders to fix company things and have all the answers Pursue excellence Develop solutions
Providing Clarity Ensure priorities are clear on a regular (daily, weekly, monthly) basis Provide people with a clear path to a brighter future Make ownership desirable Model and celebrate the wins
Can EI be learned?
An Equation for Change Willingness + Ability = Change
A Sucker’s Choice You don’ t have to choose between thinking & feeling Value both forms of intellect Learn to integrate and leverage strengths of both
This will just be a little uncomfortable…
Building EI Muscles Minimize distractions through cultivating mindfulness Perform a brief emotional check up Check in with others directly and through observation Air, food, water, shelter Engage optimism Watch yourself from the outside Find an outlet Take accountability Exercise forgiveness & empathy
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