Massachusetts Medical Society: Episode 8: When the Going Gets Tough - Recalibrate

Episode 8: When the Going Gets Tough - Recalibrate

When the Going Gets Tough - Recalibrate

Course Overview

Les and Marie take stock of their first 6 conversations with well-being experts, and they reflect on Marie’s ability to effectively incorporate the torrent of new information, skills and techniques into the everyday flow of a busy life at work and home.  Marie acknowledges how difficult it is to translate knowledge into habit formation, and they discuss the importance of accountability, consistency and practice, all of which support positive behavior change. In a demonstration of mentorship and coaching, Les inspires Marie to attempt to make one consistent positive change, and to monitor her own progress just as she would monitor the progress of a patient. He models a client-centered, positive psychology approach that allows for experimentation and learning, alleviating the kind of self-criticism and pressure that many physicians inflict upon themselves.  Les helps Marie identify a potentially helpful accountability partner at work. Les and Marie acknowledge that because physician burnout is a byproduct of factors beyond the control of individual physicians, many future MedPEP episodes will focus on interventions that are team-based, organizational or systemic. As an individual who aspires to become more empowered and personally effective, Marie is interested in applying what she is learning at the level of her team, work-group and organization.

Learning Objectives

  • Begin to integrate, assimilate and apply the MedPEP protagonist’s learning into the fabric of one’s personal and professional life.  
  • Identify and apply positive, client-centered approaches for self-improvement and the reduction of occupational stress and pressure, understanding that in order to provide the best help to patients physicians should also attend to their own very human personal needs. 


Les Schwab, MD
I’m a primary care physician with more than 35 years of experience in medical practice and health care organizational leadership. In these roles I’ve been responsible for clinical operations, quality and safety, practice design, leadership training, and building the quality of the physician workforce.

I’ve practiced and managed in the public sector, private practice, and multispecialty group practice environments. Most recently, I served as the chief medical officer at Harvard Vanguard Medical Associates, a 600-physician multispecialty practice in eastern Massachusetts.

I studied biology at Harvard as an undergraduate, completed medical school at Stanford, and returned to Harvard Medical School for my internal medicine training. Since becoming a trained and certified coach, I have launched a coaching and consulting practice that focuses on performance improvement and leadership development.

As a Harnisch Scholar at the Institute of Coaching in Boston, I am the principal investigator of a grant to improve primary care physician morale and engagement through coaching interventions.  I am also a core faculty member of the Managing Workplace Conflict: Improving Leadership and Personal Effectiveness course of Physician Health Services, Inc.

Course Fees

Massachusetts Medical Society (MMS) Member: Free       
Non-MMS Member: Free       
Allied Health Professionals: Free



CME Credit

1.00 AMA PRA Category 1 Credit™

Accreditation Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Massachusetts Medical Society and Physician Health Services, Inc. The Massachusetts Medical Society is accredited by the ACCME to provide continuing medical education for physicians. 

AMA Credit Designation Statement

The Massachusetts Medical Society designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity meets the criteria for the Massachusetts Board of Registration in Medicine for risk management study.

National Commission on Certification of Physician Assistants (NCCPA).
Physician Assistants may claim a maximum of 1.00 Category 1 credit for completing this activity. NCCPA accepts AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society.

Exam/Assessment: Please respond to the reflective statement at the end of the course to receive AMA PRA Category 1 Credits.

MOC Approval Statement
Through the American Board of Medical Specialties ("ABMS") ongoing commitment to increase access to practice relevant Maintenance of Certification ("MOC") Activities through the ABMS Continuing Certification Directory, this activity has met the requirements as an MOC Part II CME Activity (apply toward general CME requirement) for the following ABMS Member Boards:

Allergy and Immunology
Family Medicine
Medical Genetics and Genomics
Nuclear Medicine
Physical Medicine and Rehabilitation
Plastic Surgery
Preventive Medicine
Psychiatry & Neurology
Thoracic Surgery

Activity Term

Original Release Date: January 24, 2019        
Review Date: January 24, 2021           
Termination Date: January 24, 2022

System Requirements

Windows 10      
Mac OSX 10.6 higher

IE 11+      
Firefox 18.0+ 
Chrome latest version      
Safari 12+

iOS devices beginning with OS version 10 or higher (includes, iPhone, ipad and iTouch devices)

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