Resiliency Through Writing

Flashback Friday: Building Resiliency Through Writing
Orginially published: December 1, 2019
In this episode, Dr. Alex Kaminsky meets with Dr. Stephanie Benjamin to discuss personal and medical journaling as an active means to stave burnout and build resiliency.
Host
Alexander Kaminsky, MD
University of California San Francisco – Fresno
PGY4
@Alex_KamskyEM
EMRA*Cast Episodes
Guests
Stephanie Benjamin, MD
EMS/Disaster Fellow
Author: “Love, Sanity, or Medical School” https://www.thirdyear.org/
Hospital Affiliation: UC-San Diego
Twitter:@StephBenjaminMD
Overview:
In this episode Dr. Kaminsky sits down with veteran journal writer, award winning author, lecturer and current EMS/disaster fellow Dr. Stephanie Benjamin to discuss tangible ways to combat burnout: beyond the buzzwords and by actively building resiliency via personal or medical journaling. Dr. Benjamin discusses the strong medical origins to journaling, her own path and experiences into writing, the evidence-based physical and mental benefits of writing and how residents can delve into combating burn-out in a meaningful and realistic way. What we do is HARD. What we see is difficult. We need outlets to cognitively offload and unpack. Journaling is one way to actively (or passively) practice mindfulness outside of meditation and yoga.
Key Resources / References:
- https://www.acep.org/who-we-are/50Years/WhatsYourMoment/first-place-stephanie-b-benjamin-md5/
- Baikie K. A., Geerligs L., Wilhelm K. Expressive writing and positive writing for participants with mood disorders: An online randomized controlled trial. J Affect Disord. 2012; 136: 310–319. 10.1016/j.jad.2011.11.032
- Baker JR, Moore SM. An opportunistic validation of studies on the psychosocial benefits of blogging. 2011; 10.1089/cyber.2010.0202. Epub 2010 Nov 3. PMID:21117978
Key Points:
- Journaling has deep roots in medicine. From Queen Victoria’s personal physician, to modern day
- Medical culture and education have deep roots in separating emotion from patient interactions and experiences. Journaling and having meaningful and purposeful reflection go against the way we are trained, even today.
How to Journal:
- Step 1: There are no rules. This is for YOU, not public consumption
- Step 2: Be HONEST with yourself. This is a time for reflection and cognitive off-loading. You’re human. Recognize your own success, experience and shortcomings.
- Step 3: Avoid the existential questions at first. Start small, work your way up.
- Step 4: Writer’s Block? Find a prompt. Answer a pointed question. Doodle. It doesn’t matter.
Remember, just a couple times per month is enough to reap the physical and psychologic benefits of journaling. Do it!
Related Content

Oct 14, 2020
On the Edge of Chaos: ED Operations
The ED has been called an "operation existing on the edge of chaos." Join EMRA*Caster Kate Joyce and Henry Ford Hospital ED Medical Director and Vice Chair of Operations Dr. Seth Krupp as they walk that chaotic edge. We'll be talking about how EDs keep things moving and what residents interested in operations can do to get involved.

Oct 14, 2020
The Difficult Airway with Colin McCloskey
It's the EM resident's responsibility to learn and perfect the basics of the airway - including those difficult cases. On this episode of EMRA*Cast, host Matt Dillon, MD, shares insight and 4 key lessons from Colin McCloskey, MD, board-certified in both anesthesiology critical care medicine and emergency medicine.

Oct 14, 2020
MAP 65: A Goldilocks Story
EMRA*Cast host Matt Dillon puts MAP65 under a microscope with sepsis researcher/CCM expert Emily Brant and EMRA CritCare Vice Chair Dustin Slagle in this #EMRACritCare + #EMRAcast journal club collab. Find out what we’re learning about the studies influencing the Surviving Sepsis campaign and critical care medicine in America.