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Burnout & Shift Hygiene: Thoughtful Ways to Prepare For, Mindfully Complete, and End a Shift

Dr. Josh Kosowsky
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That sense of having no control over our workday is a big contributor to burnout. In this talk with Quint Studer, Dr. Josh Kosowsky, ER physician at Brigham and Women’s Hospital, discusses how a concept he calls “shift hygiene” helps us restore some control and reduces those stressors we can reduce. It means deliberately doing certain things before, during, and after a shift to improve our own experience and promote wellbeing in others. For instance, you’ll learn:

  • Before the Shift: How to clear your mind, center yourself on gratitude, and prepare yourself mentally and psychologically
  • During the Shift:  How (and why) to reduce interruptions, resist the urge to multitask during quiet moments, and stay “all in” with patients
  • After the Shift: How to get closure on patients, make a positive connection with colleagues, and build in sacred decompression time
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Dr. Josh Kosowsky
Senior Physician, Department of Emergency Medicine at Brigham and Women’s Hospital
Dr. Kosowsky is a Senior Physician in the Department of Emergency Medicine at Brigham and Women’s Hospital, where he has served in leadership for over a decade, including as Medical Director, Vice Chair for Clinical Affairs, and currently as Director for Patient Experience and Provider Engagement. He sits on the core faculty at Harvard Medical School, where he holds appointment as Assistant Professor of Emergency Medicine. Dr. Kosowsky is a graduate of Harvard College and Harvard Medical School, a Fulbright Scholar, a Diplomate of the American Board of Emergency Medicine, and a Fellow of the American College of Emergency Physicians. He has authored more than 3 dozen peer-reviewed publications and has written a highly acclaimed book on patient advocacy, When Doctors Don't Listen, which has been featured in The New York Times. Dr. Kosowsky has a wealth of experience as a consultant and coach with the former Studer Group, partnering with more than 100 emergency departments, hospitals, and health systems throughout the US and Canada to improve operations, quality of care, and patient experience.

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