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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. A Design Thinking, Systems Approach to Well-Being Within Education and Practice: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25151.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. A Design Thinking, Systems Approach to Well-Being Within Education and Practice: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25151.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. A Design Thinking, Systems Approach to Well-Being Within Education and Practice: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25151.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. A Design Thinking, Systems Approach to Well-Being Within Education and Practice: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25151.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. A Design Thinking, Systems Approach to Well-Being Within Education and Practice: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25151.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. A Design Thinking, Systems Approach to Well-Being Within Education and Practice: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25151.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. A Design Thinking, Systems Approach to Well-Being Within Education and Practice: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25151.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. A Design Thinking, Systems Approach to Well-Being Within Education and Practice: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25151.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. A Design Thinking, Systems Approach to Well-Being Within Education and Practice: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25151.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. A Design Thinking, Systems Approach to Well-Being Within Education and Practice: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25151.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. A Design Thinking, Systems Approach to Well-Being Within Education and Practice: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25151.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. A Design Thinking, Systems Approach to Well-Being Within Education and Practice: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25151.
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Page xiii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. A Design Thinking, Systems Approach to Well-Being Within Education and Practice: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25151.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. A Design Thinking, Systems Approach to Well-Being Within Education and Practice: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25151.
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Below is the uncorrected machine-read text of this chapter, intended to provide our own search engines and external engines with highly rich, chapter-representative searchable text of each book. Because it is UNCORRECTED material, please consider the following text as a useful but insufficient proxy for the authoritative book pages.

A Design Thinking, Systems Approach to Well-Being Within Education and Practice PROCEEDINGS OF A WORKSHOP Patricia A. Cuff and Erin Hammers Forstag, Rapporteurs Global Forum on Innovation in Health Professional Education Board on Global Health Health and Medicine Division PREPUBLICATION COPY: UNCORRECTED PROOFS

THE NATIONAL ACADEMIES PRESS 500 Fifth Street, NW Washington, DC 20001 This activity was supported by contracts between the National Academy of Sciences and Academic Collaborative for Integrative Health, Academy of Nutrition and Dietetics, Accreditation Council for Graduate Medical Education, Aetna Foundation, American Academy of Nursing, American Association of Colleges of Nursing, American Association of Colleges of Osteopathic Medicine, American Association of Colleges of Pharmacy, American Board of Family Medicine, American Board of Obstetrics and Gynecology/American College of Obstetricians and Gynecologists, American Council of Academic Physical Therapy, American Dental Education Association, American Medical Association, American Nurses Credentialing Center, American Occupational Therapy Association, American Osteopathic Association, American Physical Therapy Association, American Psychological Association, American Society for Nutrition, American Speech-Language-Hearing Association, Association of American Medical Colleges, Association of American Veterinary Medical Colleges, Association of Schools and Colleges of Optometry, Association of Schools and Programs of Public Health, Association of Schools of the Allied Health Professions, Athletic Training Strategic Alliance, Council on Social Work Education, Ghent University, Health Resources and Services Administration, Jonas Nursing and Veterans Healthcare, Josiah Macy Jr. Foundation, Michigan Center for Interprofessional Education, National Academies of Practice, National Association of Social Workers, National Board for Certified Counselors and Affiliates, National Board of Medical Examiners, National Council of State Boards of Nursing, National League for Nursing, Office of Academic Affiliations—Veterans Health Administration, Organization for Associate Degree Nursing, Physician Assistant Education Association, Society for Simulation in Healthcare, THEnet—Training for Health Equity Network, Uniformed Services University of the Health Sciences, University of Toronto, and Weill Cornell Medicine–Qatar. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project. International Standard Book Number-13: 978-0-309-XXXXX-X International Standard Book Number-10: 0-309-XXXXX-X Digital Object Identifier: https://doi.org/10.17226/25151 Additional copies of this publication are available for sale from the National Academies Press, 500 Fifth Street, NW, Keck 360, Washington, DC 20001; (800) 624-6242 or (202) 334-3313; http://www.nap.edu. Copyright 2018 by the National Academy of Sciences. All rights reserved. Printed in the United States of America Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2017. A design thinking, systems approach to well-being within education and practice: Proceedings of a workshop. Washington, DC: The National Academies Press. doi: https://doi.org/10.17226/25151. PREPUBLICATION COPY: UNCORRECTED PROOFS

The National Academy of Sciences was established in 1863 by an Act of Congress, signed by President Lincoln, as a private, nongovernmental institution to advise the nation on issues related to science and technology. Members are elected by their peers for outstanding contributions to research. Dr. Marcia McNutt is president. The National Academy of Engineering was established in 1964 under the charter of the National Academy of Sciences to bring the practices of engineering to advising the nation. Members are elected by their peers for extraordinary contributions to engineering. Dr. C. D. Mote, Jr., is president. The National Academy of Medicine (formerly the Institute of Medicine) was established in 1970 under the charter of the National Academy of Sciences to advise the nation on medical and health issues. Members are elected by their peers for distinguished contributions to medicine and health. Dr. Victor J. Dzau is president. The three Academies work together as the National Academies of Sciences, Engineering, and Medicine to provide independent, objective analysis and advice to the nation and conduct other activities to solve complex problems and inform public policy decisions. The National Academies also encourage education and research, recognize outstanding contributions to knowledge, and increase public understanding in matters of science, engineering, and medicine. Learn more about the National Academies of Sciences, Engineering, and Medicine at www.nationalacademies.org. PREPUBLICATION COPY: UNCORRECTED PROOFS

Consensus Study Reports published by the National Academies of Sciences, Engineering, and Medicine document the evidence-based consensus on the study’s statement of task by an authoring committee of experts. Reports typically include findings, conclusions, and recommendations based on information gathered by the committee and the committee’s deliberations. Each report has been subjected to a rigorous and independent peer-review process, and it represents the position of the National Academies on the statement of task. Proceedings published by the National Academies of Sciences, Engineering, and Medicine chronicle the presentations and discussions at a workshop, symposium, or other event convened by the National Academies. The statements and opinions contained in proceedings are those of the participants and are not endorsed by other participants, the planning committee, or the National Academies. For information about other products and activities of the National Academies, please visit www.nationalacademies.org/about/whatwedo. PREPUBLICATION COPY: UNCORRECTED PROOFS

PLANNING COMMITTEE ON A DESIGN THINKING, SYSTEMS APPROACH TO WELL-BEING WITHIN EDUCATION AND PRACTICE1 MARY JO KREITZER (Co-Chair), University of Minnesota ZOHRAY TALIB (Co-Chair), George Washington University KENNITA R. CARTER, Health Resources and Services Administration SARA J. CZAJA, University of Miami KATHRIN (KATIE) ELIOT, Saint Louis University ELIZABETH GOLDBLATT, Academic Collaborative for Integrative Health CATHERINE L. GRUS, American Psychological Association AVIAD (ADI) HARAMATI, Georgetown University PINAR KESKINOCAK, Georgia Tech University SANDEEP “SUNNY” P. KISHORE, Icahan School of Medicine at Mount Sinai MARYANNA KLATT, The Ohio State University KIMBERLYN LEARY, Harvard University TED MASHIMA, Association of American Veterinary Medical Colleges ANGELO MCCLAIN, National Association of Social Workers RICHARD W. VALACHOVIC, American Dental Education Association MEGHAN M. WALSH, Hennepin County Medical Center JOHN WEEKS, The Integrator Blog Consultants JOANNA M. CAIN, University of Massachusetts School of Medicine AMY APARICIO CLARK, Aetna Foundation DARLA SPENCE COFFEY, Council of Social Work Education RACHEL DEUSSOM, FHI 360 PATRICIA HINTON WALKER, Uniformed Services University of the Health Sciences ERIC HOLMBOE, Accreditation Council for Graduate Medical Education RONALD KALUYA, Counseling and Support Services, Kampala, Uganda BEVERLY MALONE, National League for Nursing DIANA NYIRENDA, United Nations Development Programme, Lilongwe, Malawi KENNETH R. PELLETIER, University of California San Francisco, School of Medicine RAJATA RAJATANAVIN, Mahidol University WENDI K. SCHWEIGER, National Board for Certified Counselors International SIDDHARTH ASHVIN SHAH, Greenleaf Integrative Strategies STEPHEN C. SHANNON, American Association of Colleges of Osteopathic Medicine DEBORAH E. TRAUTMAN, American Association of Colleges of Nursing ADRIENNE WHITE-FAINES, American Osteopathic Association 1 The National Academies of Sciences, Engineering, and Medicine’s planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteurs and the institution. PREPUBLICATION COPY: UNCORRECTED PROOFS v

XUEJUN ZENG, Peking Union Medical College PREPUBLICATION COPY: UNCORRECTED PROOFS vi

GLOBAL FORUM ON INNOVATION IN HEALTH PROFESSIONAL EDUCATION1 CASWELL EVANS (Co-Chair), University of Illinois at Chicago College of Dentistry DEBORAH POWELL (Co-Chair), University of Minnesota MALCOLM COX (Co-Chair Emeritus), University of Pennsylvania, formerly U.S. Department of Veterans Affairs SUSAN SCRIMSHAW (Co-Chair Emeritus), The Sage Colleges FRANK ASCIONE, University of Michigan TIMI AGAR BARWICK, Physician Assistant Education Association DAVID BENTON, National Council of State Boards of Nursing JOANNA CAIN, University of Massachusetts School of Medicine KATHY CHAPPELL, American Nurses Credentialing Center STEVEN CHESBRO, American Physical Therapy Association AMY APARICIO CLARK, Aetna Foundation THOMAS WARREN CLAWSON, National Board for Certified Counselors, Inc., and Affiliates DARLA SPENCE COFFEY, Council on Social Work Education DARLENE CURLEY, Jonas Nursing and Veterans Healthcare JAN DE MAESENEER, Ghent University MARIETJIE DE VILLIERS, Stellenbosch University KATHRIN (KATIE) ELIOT, Academy of Nutrition and Dietetics ELIZABETH (LIZA) GOLDBLATT, Academic Collaborative for Integrative Health CATHERINE GRUS, American Psychological Association NEIL HARVISON, American Occupational Therapy Association PATRICIA HINTON WALKER, Uniformed Services University of the Health Sciences ERIC HOLMBOE, Accreditation Council for Graduate Medical Education ELIZABETH HOPPE, Association of Schools and Colleges of Optometry EMILIA IWU, Jonas Nursing and Veterans Healthcare PAMELA JEFFRIES, George Washington University SANDEEP (SUNNY) KISHORE, Young Professionals Chronic Disease Network KATHLEEN KLINK, Veterans Health Administration ANDREW MACCABE, Association of American Veterinary Medical Colleges LAURA MAGAÑA VALLADARES, National Institute of Public Health LUCINDA MAINE, American Association of Colleges of Pharmacy BEVERLY MALONE, National League for Nursing MARY E. (BETH) MANCINI, Society for Simulation in Healthcare ANGELO MCCLAIN, National Association of Social Workers LEMMIETTA G. MCNEILLY, American Speech-Language-Hearing Association MARK MERRICK, Commission on Accreditation of Athletic Training Education DONNA MEYER, Organization of Associate Degree Nursing JOEL NELSON, Health Resources and Services Administration 1 The National Academies of Sciences, Engineering, and Medicine’s forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteurs and the institution. PREPUBLICATION COPY: UNCORRECTED PROOFS vii

WARREN NEWTON, American Board of Family Medicine BJÖRG PALSDOTTIR, Training for Health Equity Network (THEnet) MIGUEL PANIAGUA, National Board of Medical Examiners RAJATA RAJATANAVIN, Mahidol University SCOTT REEVES, Kingston University & St. George’s, University of London EDWARD SALTZMAN, American Society for Nutrition LUCY SAVITZ, Kaiser Permanente NELSON SEWANKAMBO, Makerere University College of Health Sciences STEPHEN SHANNON, American Association of Colleges of Osteopathic Medicine JAVAID I. SHEIKH, Weill Cornell Medicine–Qatar SUSAN SKOCHELAK, American Medical Association RICHARD (RICK) TALBOTT, Association of Schools of the Allied Health Professions ZOHRAY TALIB, George Washington University MARIA TASSONE, University of Toronto GEORGE THIBAULT, Josiah Macy Jr. Foundation DEBORAH TRAUTMAN, American Association of Colleges of Nursing MICHELLE TROSETH, National Academies of Practice RICHARD (RICK) W. VALACHOVIC, American Dental Education Association ALISON J. WHELAN, Association of American Medical Colleges ADRIENNE WHITE-FAINES, American Osteopathic Association HOLLY WISE, American Council of Academic Physical Therapy XUEJUN ZENG, Peking Union Medical College BRENDA ZIERLER, University of Washington Health and Medicine Division Staff PATRICIA A. CUFF, Senior Program Officer AMBAR SAEED, Research Associate ANNA FAHLSTROM, Senior Program Assistant DANIEL CESNALIS, Financial Associate JULIE PAVLIN, Board Director, Board on Global Health PREPUBLICATION COPY: UNCORRECTED PROOFS viii

REVIEWERS This Proceedings of a Workshop was reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the National Academies of Sciences, Engineering, and Medicine in making each published proceedings as sound as possible and to ensure that it meets the institutional standards for quality, objectivity, evidence, and responsiveness to the charge. The review comments and draft manuscript remain confidential to protect the integrity of the process. We thank the following individuals for their review of this proceedings: KASEY FARRELL, Health Resources and Services Administration BEVERLEY MALONE, National League for Nursing KENYA MCRAE American Osteopathic Association STEPHEN C. SHANNON, American Association of Colleges of Osteopathic Medicine Although the reviewers listed above provided many constructive comments and suggestions, they were not asked to endorse the content of the proceedings nor did they see the final draft before its release. The review of this proceedings was overseen by CAROL PEARL HERBERT, University of British Columbia. She responsible for making certain that an independent examination of this proceedings was carried out in accordance with standards of the National Academies and that all review comments were carefully considered. Responsibility for the final content rests entirely with the rapporteurs and the National Academies. PREPUBLICATION COPY: UNCORRECTED PROOFS ix

PREPUBLICATION COPY: UNCORRECTED PROOFS x

CONTENTS ACRONYMS AND ABBREVIATIONS xiii 1 A DESIGN THINKING, SYSTEMS APPROACH TO WELL-BEING 1-1 2 CREATING A CULTURE OF WELL-BEING 2-1 3 BREAKOUT SESSION DISCUSSIONS 3-1 4 LEADERSHIP IN ORGANIZATIONAL RESILIENCE 4-1 5 BUILDING ON THE LESSONS LEARNED 5-1 APPENDIXES A WORKSHOP AGENDA A-1 B THE IMPORTANCE OF WELL-BEING IN THE HEALTH CARE B-1 WORKFORCE C LISTENING TO LEADERSHIP C-1 D SPEAKER BIOGRAPHICAL SKETCHES D-1 E FORUM-SPONSORED PRODUCTS E-1 PREPUBLICATION COPY: UNCORRECTED PROOFS xi

PREPUBLICATION COPY: UNCORRECTED PROOFS xii

ACRONYMS AND ABBREVIATIONS AIDS acquired immune deficiency syndrome APA American Psychological Association BOTA British Orthopaedic Trainees’ Association CCI Compassionate Care Initiative GDP gross domestic product HIV human immunodeficiency virus NASW National Association of Social Work OSU The Ohio State University PICU pediatric intensive care unit R2H Routine to Happiness RCVS Royal College of Veterinary Surgeons UVA University of Virginia VA U.S. Department of Veterans Affairs PREPUBLICATION COPY: UNCORRECTED PROOFS xiii

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The mental health and well-being of health professionals is a topic that is broad, exceptionally relevant, and urgent to address. It is both a local and a global issue, and affects professionals in all stages of their careers. To explore this topic, the Global Forum on Innovation in Health Professional Education held a 1.5 day workshop. This publication summarizes the presentations and discussions from the workshop.

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