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Giving and Receiving Feedback
A Live One-on-One Zoom Course 
6 Category 1 AMA credits pending

Receiving Feedback

As physicians, our greatest fear is making mistakes that could harm patient care. Allegations of suboptimal performance trigger profound distress, hindering our ability to focus on patient care. This distress is influenced by the Fight-Flight-Freeze or Fawn (FFFF) system, which floods us with stress hormones like adrenaline and cortisol. This primitive response can override our rational thinking, making it difficult to receive feedback calmly. Inquiry-Based Stress Reduction (IBSR) helps us approach feedback with wisdom and compassion by questioning our beliefs about the feedback, the giver, and our own weaknesses. This enables us to engage with feedback constructively, identify areas for improvement, and enhance our performance.

Giving Feedback

Providing feedback can be just as daunting, if not more so, than receiving it. Many physicians feel unprepared for this aspect of management, leading to stress and negative emotions. Avoidance tactics, such as taking on extra tasks to sidestep potential confrontation, are common. Unfortunately, this means that correcting inadequate performance often takes a backseat to avoiding discomfort.

However, Inquiry-Based Stress Reduction (IBSR) can help alleviate these fears. By questioning underlying beliefs about the recipient, the impact of feedback, and the potential negative consequences of giving feedback, physicians can approach the process with a clearer and calmer mindset.

This communication style is not only the most effective way to deliver feedback but also increases the likelihood that it will be received as intended.

Week  1

The stress response  - How the mind reacts under stress.

   Fight or Flight

   The default mode

Inquiry: Receiving feedback: the basics 

Healthy Habits: Morning and evening routines 

Week 2  

Stress Response 2: levels of conciousness

Inquiry: recognizing underlying beliefs of receiving feedback

Healthy habits: Meditation

Week 3 
Get to know your Saboteurs
    How do you show up when you feel attacked? 
     Review of the ten saboteurs
Inquiry: Are your thoughts accurate?
Healthy habits: Self Facilitation
Week 4
Understand your strengths 
    The Sage mind
Inquiry: Giving feedback, the basics
Healthy habits: Gratitude
Week 5
Personal vs Impersonal Mind
   Neuroscience of flow states
   No self, no problem: new understandings of wellness
Inquiry: Receiving feedback 2: Recognizing underlying beliefs about giving feedback
Healthy Habits: Breathwork 
Week 6
Left/right Brain differences
   The left brain interpreter
   Right brain dominant systems
Inquiry: using IBSR in other feedback situations
Healthy Habits: Self Compassion
To enroll please email or call (505) 269-4097
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Marie Wagner Brown, MD
Pediatric ENT Surgeon

Working with Lara changed my life. Her understanding of the mind and piercing questions pull the rug from under my stress and unhappiness. I wish I'd had these insights earlier in my career!

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Katie Lopez, MD

Lara was my lifeline during my lawsuit. She kept me accountable for healthy habits which I still practice! Through her mindset change exercises, I was able to use the malpractice experience to become happier and healthier. 

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Jose Avitia, MD
Medical Oncologis

Lara's wisdom and insights have helped me navigate the stress of my busy practice. I always see things differently after talking to her. 

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