Episode 132

Hello Reader,

What Cultural Transformation Really Means with Dr. Trisha Vinatieri

This week on the podcast I spoke with Trisha Vinatieri, PsyD, a clinical and organizational psychologist and chief wellbeing officer in a large health system. She began her career treating veterans with PTSD and now works on the system factors behind clinician burnout.

Her turning point came during COVID, when she managed a PTSD team and her staff told her how burnt out they were. Her first instinct was to find them better coping tools. Then she realized these were people who teach patients about sleep, rest, and social support for a living. They did not lack skills. The problem was in the system around them.

That is the gap she sees most often with executives, who ask her for resilience training. In her words, that gives people tools to tolerate a broken system. She works from Stanford's model of occupational wellbeing, which has three parts: a culture of wellbeing, efficiency of practice, and personal resilience. Efficiency of practice covers the structural work: the electronic health record, staffing, and panel sizes that reflect how complex the patients are.

For leaders ready to start, she recommends two modules from the AMA's STEPS Forward. Listen, Sort, Empower takes a work group about three hours. Getting Rid of Stupid Stuff runs at the department level, takes five to eight hours, and needs protected time for the staff who lead it.

Personal resilience is one leg of a three-legged stool. Without culture and efficiency of practice, the stool does not stand, and clinicians who already know how to care for themselves end up blaming themselves.

Leaders set the culture by what they model, including leaving on time and not answering email at 2:00 in the morning.

Here's my question for you this week: what is the difference between a good day and a bad day in your work, and which part of it could your team change?

You can find Trisha at cliniciancareconsulting.com and on LinkedIn. Tell us what you'd like the podcast to take on next at hello@transforminghealthcarecoaching.com.

🎧 Listen to the podcast sneak peek episode below and listen to the full episode on YouTube, Apple, Spotify, Podbean, or Amazon Music.

Stay mindful and keep leading,
Lillian
Founder & CEO

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