We invited positive psychology practitioner, Jordyn Feingold, MAPP to share her tips on improving well-being while in medical school. Jordyn, in a week-long series, will explore the concepts of REVAMP—a novel approach to well-being.  Here, she discusses the sixth and final element of the model: positive emotions. 

Our final REVAMP element, positive emotions, brings us to perhaps the most basic tenet of positive psychology: feeling good everyday. I believe that the explicit pursuit of positive emotions can be both a prophylactic and palliative intervention against medical student burnout and distress.

Positive emotions such as joy, gratitude, serenity, interest, hope, pride, amusement, inspiration, awe, and love produce human flourishing. They don’t just bring about well-being in the fleeting moments in which they occur—rather, science reveals that positive emotions help individuals to build enduring personal physical, intellectual, and psychological resources. Positive emotions may be both protective against physical health outcomes and are absolutely crucial for psychological resilience.

While I will not delve into all of the physical health benefits of positive emotions here (the research in this domain is quite robust and promising), I will focus on resilience—an aspect of positive emotions that is absolutely essential for medical practitioners to deliver optimal patient care.

Resilience is defined as the ability to grow and thrive in the face of challenges and bounce back from adversity. A range of observational and longitudinal studies support the association between resilience and positive emotions. This suggests that resilient people have optimistic, zestful, energetic approaches to life and are curious and open to new experiences.

Resilient people are able to successfully cope with adversity because they use positive emotions to their advantage. For instance, resilient people use techniques like humor, creative exploration, relaxation, and optimistic thinking as ways of coping, all of which rely on the ability to cultivate the positive emotions of amusement, interest, contentment, and hope. Additionally, resilient people are not only skilled at cultivating positive emotions within themselves, but they also tend to be skilled in bringing out positivity in others.

Negative emotions are an inevitable part of the human experience—and certainly medical care. When we rely on positivity in the face of adversities, though, we can protect ourselves physically and mentally against the strains of daily life, including the practice of medicine. Medical students should never deny, suppress, or ignore the negative emotions induced by personal circumstances or the daily grinds of our work, as they are a necessary part of the human experience. Instead, we can practice cognitive strategies to cultivate positive emotions so that we can learn and grow from our difficulties.

I challenge you to try out the following two exercises to bolster positive emotions and improve resilience. See if they are effective in helping to bring about positive emotions  when you’re stressed out.

Activity 1: Three Good Things

The Exercise:

  • Each night for a week before going to sleep, write down three things that went well that day.
  • After each positive event on the list, answer in your own words, “Why did this good thing happen?”
  • Pay attention to whether your outlook about life events changes as they happen.
  • Reflect on whether this exercise made you more attuned to positive experiences as they unfolded.

Activity 2: The “ABC’s”

The Exercise:

  • On two sheets of paper, create a three-column table.
  • Label the first table “Retrospective ABC’s”, and the second “Prosepctive ABC’s.”
  • In the first table, think about a recent event that was particularly activating for you. (i.e., You were yelled at by your supervisor; You failed an exam.)
  • Describe your beliefs/emotions in the moment.
  • Write the consequences of your emotions and behaviors.
  • Reflect: In what ways were those thoughts/beliefs productive? In what ways were these beliefs counterproductive?
  • On the second table, we will think through how to avoid the negative consequences by modifying our thoughts/ beliefs.
  • Work backwards beginning with the consequences and ending with the activation.
  • Reflect: How can changing your thoughts/beliefs positively impact your emotions and behaviors? How can you integrate my ABCs into challenging work in your profession? In your everyday life?

ABOUT THE AUTHOR

Jordyn Feingold_HeadshotJordyn Feingold is a first-year medical student at the Icahn School of Medicine. She is passionate about integrating the science of well-being into medicine and creating cultures that enable practitioners and patients to thrive. Jordyn completed her undergraduate studies in Health and Societies as well as her Master’s of Applied Positive Psychology (MAPP) at the University of Pennsylvania. For more information about positive psychology or the REVAMP theory, reach out to her at: Jordyn.Feingold@icahn.mssm.edu.

How to Save a Life: Confessions from the Front Line

As is the case with most medical schools, the institution at which I receive my medical education is home to a myriad of student interest groups for nearly every clinical specialty.There’s your standard fare of IMIG, PIG, and SIG (for internal medicine, pediatrics, and surgery respectively), but then there are a few that are a bit more esoteric, such as the Transplant Surgery Interest Group (TSIG).
read more

Race and Racism in Medicine: An Evening with Dr. Mary T. Bassett

When we invited Dr. Mary T. Bassett, commissioner of the New York City Department of Health and Mental Hygiene, to speak about racism in the health care system at the Icahn School of Medicine at Mount Sinai (ISMMS), we knew that it would be a powerful conversation.
read more

A Modern Family of Medicine

Whenever anyone asks how many siblings I have, I just start laughing. It’s not a very straightforward story, but the direct answer is incredibly high; something like 27. 
read more

Inspiring Innovation One High School Student at a Time

As the health care sector continues to face new challenges every day like rapidly rising costs and an increasing prevalence of chronic disease, the need for innovation is becoming exceedingly apparent. Now more than ever, we need people to disrupt the status quo and develop revolutionary innovations aimed at solving some of our most unsolvable problems. 
read more

We Are Not Throwing Away Our Spot

It started with a simple Facebook post in October 2016.
read more

Still Waiting for Someone to Pinch Me

The White Coat Ceremony is a rite of passage for beginning medical students that creates a psychological contract for professionalism and empathy in the practice of medicine. Slavena Salve Nissan, MD Candidate 2020, reflects on the ceremony's impact on her first step towards becoming a doctor. 
read more

It Takes a Village to Raise a Drag Queen

Earlier this year, oSTEM at Mount Sinai and the Stonewall Alliance hosted the first Mount Sinai Charity Drag Race. As one of the organizers, I can honestly say that the inception of this event started as a joke. Hosting a drag competition at a Hospital/Graduate School/Medical School was a nice thought, but it would be an over the top event that we definitely didn’t have the means to bring it into fruition. Thinking of planning such an enormous event was a little intimidating, but we figured that we could gauge interest from the Mount Sinai Community. We were shocked by the enthusiasm we received, so we kept on rolling with the punches. 
read more

Shape the Times

On Thursday, September 13, the Icahn School of Medicine at Mount Sinai celebrated its twenty-first annual White Coat Ceremony welcoming the Class of 2022. 
read more

Queer and Here: Leading Urban Youth with Pride

I was five years old when I knew for the first time that I was slightly... different. I had gotten into my mom’s closet, tried on her black strappy high heels, and found a beautiful dark red lipstick in her makeup bag. At the time, I thought that it was perfectly normally for any five year-old boy to strut up and down their parent’s bedroom in high heels, rocking the imaginary runway but alas— years later I discovered it wasn’t a shared experienced amongst my peers. 
read more

Fukushima

Over this past summer, after my first year of medical school, I decided to live in Fukushima for two months in order to understand how mental health is affected by large-scale disasters. My first days, and subsequent impressions, in Fukushima left me quite confused about its spirit and reputation.
read more

How to Save a Life: Confessions from the Front Line

As is the case with most medical schools, the institution at which I receive my medical education is home to a myriad of student interest groups for nearly every clinical specialty.There’s your standard fare of IMIG, PIG, and SIG (for internal medicine, pediatrics, and surgery respectively), but then there are a few that are a bit more esoteric, such as the Transplant Surgery Interest Group (TSIG).
read more

Race and Racism in Medicine: An Evening with Dr. Mary T. Bassett

When we invited Dr. Mary T. Bassett, commissioner of the New York City Department of Health and Mental Hygiene, to speak about racism in the health care system at the Icahn School of Medicine at Mount Sinai (ISMMS), we knew that it would be a powerful conversation.
read more

Pitching Novel Ideas for Sustainable Solutions

Doctors do incredible things; they treat disease and improve the health of their patient populations.  Unfortunately, this has come at a price. Literally.
read more

Inspiring Innovation One High School Student at a Time

As the health care sector continues to face new challenges every day like rapidly rising costs and an increasing prevalence of chronic disease, the need for innovation is becoming exceedingly apparent. Now more than ever, we need people to disrupt the status quo and develop revolutionary innovations aimed at solving some of our most unsolvable problems. 
read more

Skipping the Gym to Walk with a Doc

In a city where gym memberships run as high as $200 a month (with restrictive hours and the long term commitments), two of the Icahn School of Medicine at Mount Sinai’s best qualities really come to a fore: 
read more

We Are Not Throwing Away Our Spot

It started with a simple Facebook post in October 2016.
read more

Still Waiting for Someone to Pinch Me

The White Coat Ceremony is a rite of passage for beginning medical students that creates a psychological contract for professionalism and empathy in the practice of medicine. Slavena Salve Nissan, MD Candidate 2020, reflects on the ceremony's impact on her first step towards becoming a doctor. 
read more

Looking In

Every year, students at the Icahn School of Medicine write Op-Ed articles about topics in health care and advocacy to culminate InFocus 4. Charlotte Austin's article, “Looking In” was one of the 10 exemplary articles selected to appear in the  Physicians as Advocates—InFocus 4, and focuses on marginalized identities. We share her story. 
read more