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Harvard Medical School

Reflection and Resilience: Principles and Practice for Clinicians

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Description

The complexity of current medical practice and the associated increase in physical and emotional demands on health care professionals are undeniable. This professional development course aims to help medical and mental health professionals increase clinical effectiveness, improve teamwork, and reduce stress.

The course provides participants with knowledge of the scientific basis of peer supervision, empathy, reflection, and self-care practices in order to improve patient-centered clinical care. It provides an intensive experience through direct participation in Balint groups (a method of group peer supervision), reflective writing, and other resiliency strategies. The course is led by a distinguished medical and psychiatric faculty with three decades of clinical and teaching experience. Learning is enhanced by the small group setting and the opportunity to learn from international colleagues representing a range of disciplines.

The goal of the course is to help learners develop reflection and self-care skills that they can bring back and incorporate into their practice environment. After this one-week experience, participants will have the confidence and knowledge to begin to implement and develop Balint groups and other resiliency practices in their local settings. The beautiful course setting in an Italian country retreat offers a memorable and nurturing learning environment.

Learning Objectives

Upon completion of this activity, participants will be able to:

  • Analyze the new neuroscience research on peer supervision in the areas 1) empathy, 2) resiliency, 3) personal narrative, and 4) emotional disclosure.
  • Apply practices of multicultural sensitivity in treatment settings.
  • Evaluate the scientific foundations of the theory and practice of Balint groups.
  • Implement plans to develop Balint group practices in their local setting.
  • Develop self-care protocols including strategies for implementing a Balint group
  • Utilize principles of small group work for chronic disease management.
  • Perform a personal model of written reflection for improving clinical care, resiliency, and interdisciplinary organizational partnerships.

Agenda

Day 1

7:00 PM - 8:00 PM Registration Moderator: Matt Daly

8:00 PM - 10:00 PM
Meet & Greet, Evening Meal

Monday, April 8, 2019

8:00 AM - 8:45 AM Breakfast

9:00 AM - 10:30 AM
Orientation Meeting, Introductions Moderators: Richard Mollica, MD, MAR, Karen Carlson, MD, Andrew Elder, FRCGP, MB, D.Ed (Hon), Matt Daly, Penny Elder, MBPF

10:30 AM - 10:45 AM
Break

10:45 AM - 11:30 AM
Theory & Practice of Balint Groups Part 1 Speaker: Andrew Elder, FRCGP, MB, D.Ed (Hon)

11:30 AM - 11:45 AM
Break

11:45 AM - 12:30 PM
Theory & Practice of Balint Groups Part 2 Speaker: Andrew Elder, FRCGP, MB, D.Ed (Hon)

12:30 PM - 2:00 PM
Lunch

2:00 PM - 4:00 PM Balint Group and Clinical Case Presentation Moderators: Richard Mollica, MD, MAR, Karen Carlson, MD, Andrew Elder, FRCGP, MB, D.Ed (Hon), Matt Daly, Penny Elder, MBPF

4:15 PM - 7:30 PM Excursion: Visit Orvieto or Reflective Walk

8:00 PM - 10:00 PM
Evening Meal

Day 2

8:00 AM - 8:45 AM Breakfast

9:00 AM - 10:30 AM
Empathy and Resilience Speaker: Richard Mollica, MD, MAR

10:30 AM - 10:45 AM
Break

10:45 AM - 12:15 PM
Theory & Practice of Self-Care Speaker: Richard Mollica, MD, MAR

12:15 PM - 1:45 PM
Lunch

1:45 PM - 3:15 PM Balint Group and Clinical Case Presentation Moderators: Richard Mollica, MD, MAR, Karen Carlson, MD, Andrew Elder, FRCGP, MB, D.Ed (Hon), Matt Daly, Penny Elder, MBPF

3:15 PM - 3:30 PM Break

3:30 PM - 5:00 PM Practice of Empathic Reflection and Meditation Speakers: Richard Mollica, MD, MAR, Karen Carlson, MD

5:00 PM - 8:00 PM Break

8:00 PM - 10:00 PM
Evening Meal

Day 3

8:00 AM - 8:45 AM Breakfast

9:00 AM - 10:30 AM
Methods & Practice of Reflective Writing Part 1 Speaker: Matt Daly

10:30 AM - 10:45 AM
Break

10:45 AM - 12:15 PM
Methods & Practice of Reflective Writing Part 2 Speaker: Matt Daly

12:15 PM - 1:45 PM
Lunch

3:00 PM - 7:00 PM Excursion: Archeology Tour

8:00 PM - 10:00 PM
Evening Meal

Day 4

8:00 AM - 8:45 AM Breakfast

9:00 AM - 10:30 AM
Creating an Individual Self-Care Action Plan Moderator: Penny Elder, MBPF

10:30 AM - 10:45 AM
Break

10:45 AM - 12:15 PM
How To Start a Balint-Type Group or Self-Care System Moderators: Karen Carlson, MD, Andrew Elder, FRCGP, MB, D.Ed (Hon) Speakers: Richard Mollica, MD, MAR, Matt Daly, Penny Elder, MBPF

12:15 PM - 1:15 PM
Lunch

1:15 PM - 2:45 PM Balint Group and Clinical Case Presentation Moderators: Richard Mollica, MD, MAR, Karen Carlson, MD, Andrew Elder, FRCGP, MB, D.Ed (Hon), Matt Daly, Penny Elder, MBPF

3:30 PM - 6:30 PM Excursion: Olive Oil and Cheese Tasting

8:00 PM - 10:00 PM
Evening Meal

Day 5

8:00 AM - 8:45 AM Breakfast

9:00 AM - 10:30 AM
The Power of the Group: Group Visits Speaker: Karen Carlson, MD

10:30 AM - 10:45 AM
Break

10:45 AM - 12:15 PM
Implementing Self-Care Action Plans in the Workplace Moderator: Penny Elder, MBPF

12:15 PM - 1:45 PM
Lunch

1:45 PM - 3:15 PM Balint Group and Clinical Case Presentation Moderators: Richard Mollica, MD, MAR, Karen Carlson, MD, Andrew Elder, FRCGP, MB, D.Ed (Hon), Matt Daly, Penny Elder, MBPF

3:15 PM - 3:30 PM Break

3:30 PM - 4:00 PM Balint Group Final Reflection and Closing Moderators: Karen Carlson, MD, Andrew Elder, FRCGP, MB, D.Ed (Hon) Speakers: Richard Mollica, MD, MAR, Matt Daly, Penny Elder, MBPF

4:00 PM - 8:00 PM Consultations with Faculty and Peers

8:00 PM - 10:00 PM
Evening Meal

Day 6

8:00 AM - 9:00 AM Breakfast

9:00 AM - 11:00 AM
Departures

Who should attend

This course is targeted to Specialty and Primary Care Physicians, Nurses, Nurse Practitioners, Physician Assistants, and Psychologists.

Experts

Richard F. Mollica, MD, MAR is the Director of the Harvard Program in Refugee Trauma (HPRT) of Massachusetts General Hospital and Harvard Medical School. He received his medical degree from the University of New Mexico and completed his Psychiatry residency at Yale Medical School. While at Yale h...
Dr. Karen Carlson, MD is a board certified internist in Boston, Massachusetts. She is currently licensed to practice medicine in Massachusetts. She is affiliated with Massachusetts General Hospital and is an Associate Professor at Massachusetts General Hospital. Publications Carlson K, Callahan...
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