Reigniting Your Motivation: A Practical Approach to Self-Determination Theory (Wellness Committee-Sponsored)
Learning Objectives:
- Describe the three basic tenets of Self-determination Theory (autonomy, competence, and relatedness) and understand how they relate to intrinsic and extrinsic motivation.
- Identify factors that either support or undermine motivation in different contexts in the work environment.
- Develop realistic strategies for promoting autonomy in workplace environments.
- Apply practical tools related to the Self-determination Theory focusing on autonomy, competence, and relatedness to enhance physician wellbeing in the workplace.
Presenters:
- Saadia Akhtar, MD
- Al'ai Alvarez, MD
- Amanda J. Deutsch, MD
- Maia Winkel, MD
- Christine R. Stehman, MD
- Rita A. Manfredi, MD
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Saadia Akhtar, MD
Senior Associate Dean for Trainee Well-Being in Graduate Medical Education
Icahn School of Medicine at Mount Sinai
Saadia Akhtar, MD, is a professor of emergency medicine and medical education and senior associate dean for trainee well-being in graduate medical education at the Icahn School of Medicine at Mount Sinai. Since 2018, she has served as associate dean for trainee well-being in graduate medical education, overseeing several successful initiatives to enhance the well-being of residents and clinical fellows. These initiatives include establishing a GME well-being survey to assess the needs of residents and fellows, expanding the GME Well-being Champion program, and creating the GME Clinical Work Intensity Matching Grant Program.
In 2024, Dr. Akhtar was promoted to senior associate dean for trainee well-being in GME, continuing to lead efforts to address resident and fellow burnout. She supports collaborative initiatives to create and integrate well-being curricular activities in training programs, raise awareness of existing resources for residents and fellows, and enable GME Well-being Champions to enhance the efficiency and culture of the training environment. She is also a leading faculty member of the Office of Well-Being and Resilience.
Dr. Akhtar previously served as the director of the emergency medicine residency program at Mount Sinai Beth Israel. She is a former president of the Council of Residency Directors in Emergency Medicine (CORD) and an oral board examiner for the American Board of Emergency Medicine (ABEM). She has received numerous awards, including the ACGME Parker J. Palmer Courage to Teach Award for program director excellence and the CORD Michael P. Wainscott Program Director Award. She is the course co-director for the Collaborative for healing and Renewal in Medicine (CHARM) national GME Well-being Leaders Certificate Course. Dr. Akhtar completed a combined residency in emergency medicine and internal medicine at Mount Sinai Beth Israel and served as chief resident in her final year of training.
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Al'ai Alvarez, MD
SAEM Nominating Committee Member
Stanford Emergency Medicine
My long-term interest is to study the intersection of Medical Education, Process Improvement (Quality and Clinical Operations), Representation (Diversity), and Well-being (Inclusion/Belonging) through human-centered design. My academic and professional experience has provided me with an excellent background in understanding the drivers for professional fulfillment in medicine and its interplay on efficiencies of care, the culture of wellness, and personal resilience, as highlighted by Stanford WellMD’s Professional Fulfillment Model. Specifically, my work investigates the role of self-compassion and resilience in promoting belongingness and overcoming isolation and loneliness in medicine exacerbated by experiences of medical harm, vicarious trauma, implicit bias, microaggressions, and imposter phenomenon.
I graduated from the faculty fellowship at the Stanford Byers Center for Biodesign, where I explored the role of mindfulness in resuscitations. Furthermore, I co-directed and organized the inaugural High-Performance Resuscitation Teams Summit in May 2022 in Chicago, IL, in collaboration with Mayo Clinic and the Mission Critical Teams Institute, to understand commonalities among high-performing teams in healthcare, aerospace, sports, military, special operations, and fire rescue.
As an attending EM physician, I served as the Assistant Medical Director on Quality Education and Clinical Operations at the Santa Clara Valley Medical Center Emergency Department (ED), the busiest ED in Northern California. This role offered me direct insight into drivers of burnout through inefficiencies in clinical practice and the need for a culture of wellness, especially in quality improvement and peer review. As an Associate Residency Program Director at the Stanford Emergency Medicine Residency Program (2015-2021), I led initiatives to enhance personal resilience while advocating for improving the clinical and learning environment to improve well-being and professional fulfillment.
Currently, I am the Director of Well-Being and co-chair of the Human Potential Team at Stanford Emergency Medicine. I also serve as the Stanford EM Physician Wellness Fellowship Director. As the chair of the Stanford WellMD Physician Wellness Forum, I lead monthly discussions to understand how better to optimize clinical practice environments to improve well-being and professional work-life balance.
As Chair of the SAEM Wellness Committee (2022- ), we are spearheading the “October is #StopTheStigmaEM month,” which has been the most extensive campaign for SAEM, mobilizing national organizations in EM and leveraging social media to increase awareness and support efforts to humanize physicians, prioritize mental health, and normalize receiving mental health support.
Given my disparate physician leadership and clinical experience, I offer a unique and valuable perspective in serving on the Nominations Committee. I aim to continue fostering collaboration, empowerment, and self-compassion in academic emergency medicine's learning and work environment. This includes finding ways to recognize the work of academic EM physicians and EM bound trainees. -
Amanda J. Deutsch, MD
Thomas Jefferson University
Dr. Amanda J. Deutsch, MD is a Clinical Assistant Professor and Director of Well-Being for the Department of Emergency Medicine at Thomas Jefferson University. Dr. Deutsch earned her undergraduate degree at Harvard University. She subsequently completed her post-baccalaureate and did quality improvement research at Boston Children’s Hospital before starting her career as a medical student at the University of Iowa, where she is from. She completed an Emergency Medicine residency at the University of Pennsylvania, where she completed a track in Healthcare Leadership and Quality Improvement. She most recently completed a fellowship in Physician Wellness at Stanford Emergency Medicine. In her inaugural role as Director of Well-Being at the Department of Emergency Medicine at Thomas Jefferson University she combines her interests in clinical operations, process improvements and well-being.
Dr. Deutsch chairs the #StopTheStigmaEM subcommittee and hopes to normalize conversations around mental health for emergency medicine physicians, address barriers, and foster better mental health care for emergency medicine. Her interests include focusing on gratitude and appreciation to develop a sense of community and a team that can excel for their patients without the cost of their interests, self, and career. Dr. Deutsch loves to tweak process improvements to help foster well-being.
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Maia Winkel, MD
Stanford University
Maia Winkel, MD is the current Stanford Emergency Medicine Physician Wellness Fellow, as well as a Clinical Instructor at the Stanford School of Medicine. Prior to this, she completed Emergency Medicine residency at the Jacobi and Montefiore Medical Centers in the Bronx, NY, where she was Chief Resident. She holds a Masters in Bioethics from Columbia University.
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Christine R. Stehman, MD
Director of Wellness Education
University of Illinois College of Medicine at Peoria
Christine Stehman, MD is a visiting Clinical Associate Professor of Emergency Medicine at University of Illinois College of Medicine, Peoria where she serves as the Director of Wellness Education and Director of Faculty Development. She arrived in Peoria after following a circuitous route including two stops in Chicago separated by service in the US Navy including two combat deployments with the USMC, and fellowship training in Boston. Within the world of Emergency Medicine, outside of her clinical duties, she serves as a guest mentor for the ALiEM Faculty Incubator, a mentor for the CORD Mini-Fellowship in Wellness Leadership, as a member on a number of CORD and SAEM committees, and as a reviewer for a number of journals. In her non-emergency medicine life, she serves as a role model for what she teaches: taking time to travel, spend time with her friends, family and dogs, working out, and reading.
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Rita A. Manfredi, MD
Professor, Clinical Emergency Medicine
George Washington University School of Medicine and Health Sciences
Rita A. Manfredi, MD, is a Professor of Clinical Emergency Medicine at the George Washington University School of Medicine and Health Sciences. She started her career as a US Navy Flight Surgeon and completed an Emergency Medicine residency at the University of Massachusetts. She previously completed a fellowship in Health and Spirituality at the George Washington Institute for Spirituality and Health, recently became board-certified in Hospice and Palliative Medicine and is interested in integrating Palliative Medicine concepts into the care of patients in the ED. Dr. Manfredi is an active member of the SAEM Wellness Committee and has introduced a Storytelling in EM event at national SAEM conferences for the past 3 years. In 2021, Dr. Manfredi received ACEP’s Lifetime Achievement Award: The Pamela Benson Trailblazer Award for seminal contributions over time to the growth of the College and to the specialty of emergency medicine. Dr. Manfredi’s work in Wellbeing focuses on how the system or organization impacts the wellness of the individual health care provider.