Continuing Medical Education (CME)
Course Number MMC08008A-F

• Overview
• Objectives
• Accreditation
• Course Outline
• Chairs
• Faculty
• Registration & Fees
• MBSR Current Class Schedule
• MBSR Registration Form

Overview

Objectives

1. Increase physician self-awareness during interactions with patients and colleagues in the healthcare environment.
2. Increase mental concentration during procedures and other tasks in a clinical setting.
3. Enhance physician wellness and job satisfaction.
4. Increase physician understanding of mind-body therapies (e.g., meditation, yoga, MBSR).

At the conclusion of this activity, participants should be able to:

1. List and describe various aspects of mind-body medicine.
2. Describe the physiological and psychological basis of stress reactivity.
3. Understand how mindfulness practice can reduce the negative effects of stress.
4. Practice mindfulness in a variety of settings.
5. Apply self-awareness during difficult communication situations.
6. Compare and contrast passive, passive/aggressive, aggressive, and mindful communication styles.

Accreditation

UCSF designates this education activity for a maximum of 14 category 1 credits toward the AMA Physician's Recognition Award. Physicians should only claim credit commensurate with the extent of their participation in the activity.

The American Nurses Credentialing Center accepts AMA PRA category 1 credit issued by organizations accredited by the ACCME.

This educational activity is recognized by the California Board of Psychology as meeting the continuing education requirements toward license renewal for California psychologists. California psychologists are responsible for reporting their continuing education credit to MCEP. Psychologists from other states should check with their respective licensing board.

This course meets the qualifications on an hour-for-hour basis of continuing education credit for MFTs and/or LCSWs (per AMA PRA category 1 credit assignment of 14 credits) as required by the California Board of Behavioral Sciences. Approval No. PCE 1272.

The AAFP invites comments on any activity that has been approved for AAFP CME credit. Please forward your comments on the quality of this activity to cmecomment@aafp.org

Course Outline

The program consists of 31 hours of in-class education activities including:

1. required 2 ½ hour free evening informational session;
2. a ½ hour one-to-one interview with the instructor prior to 1st class;
3. two 3 hour evening sessions (week #s 1 and 8);
4. six 2 ½ hour evening sessions (week #s 2 - 7);
5. and an all day retreat on a Saturday (7 hours).

Also, 40 - 60 minutes of homework each day is required.

Each of the evening sessions will follow a general outline to include:

• Welcome and Overview (10 minutes)
• Self-awareness exercise (10 minutes)
• Group Discussion or Didactic (60 minutes)
• Break (10 minutes)
• Experiential Mindfulness Exercise (60 minutes)
• Note: Week #1 includes an extra ½ hour in the beginning for introductions/course overview and week #8 includes an extra ½ hour at the end for course wrap-up.

Free Informational Session (2 ½ hours)

One-to-one interview with instructor (1/2 hour)

Session 1: Introduction to MBSR. Begin to establish group rapport; introduce MBSR and guidelines for participation; allow time for personal introductions, i.e., each person's expectations for the program, positive things about themselves; perform guided body scan; discuss 'homework'; and close with meditation. (3 hours)

Session 2: Perception and appraisal. Group discussion of homework experiences; perform guided body scan; discuss the concept of appraisal, and mental factors in the appraisal of stress; meditation; and announce homework. (2 ½ hours)

Session 3: Being Present. Perform mindful yoga; discuss progress, homework experiences, mindful movement, mindfulness in daily life, etc.; close with meditation. Session focuses on practicing mindfulness in everyday life, and strategies for the transfer of such skills in real-life stressful situations. (2 ½ hours)

Session 4: Commitment. Open with meditation and focus on breath, body sensations, and sound; discuss homework experience and mindfulness in daily life; perform mindful movement; discuss stress and how to deal with the shadow side of stress, pain, and darkness; discuss stress reactivity versus responding consciously; and close with meditation. This session focuses on the theme of mindfulness practice as a means of reducing the negative effects of stress reactivity as well as the development of more effective ways of responding positively and pro-actively to stressful situations and experiences. The physiological and psychological bases of stress reactivity are reviewed and discussion is directed toward the use of mindfulness as a way of eliminating or reducing the negative effects of stress reactivity. (2 ½ hours)

Session 5: Responding to Stress. Perform guided meditation with focus on letting go of self-judgments, expectations, analyses, etc.; review fundamentals of mindfulness practice; meditate with focus of observing thoughts as mental events; discuss observations of reacting to stressful events during the week; and close with meditation. This session emphasizes the capacity of the participant to adapt more rapidly and effectively to everyday challenges and stressors. (2 ½ hours)

Session 6: Communication. Open with meditation; discuss homework experience and meditation experiences outside of classes; discuss upcoming all-day retreat; discuss difficult communications and passive, aggressive, and assertive patterns; discuss expressing feelings effectively and barriers to doing so; perform aikido exercises as a metaphor for mindfulness in communication; and close class with meditation. (2 ½ hours)

All Day Retreat: A Day of Mindfulness. This will include: awareness of breathing meditation; yoga exercises; walking meditation, and standing and sitting meditations. (7 hours)
The outline for the day is as follows:

Session 7: Feeling at Home Wherever We Are. Open with meditation; ask participants to change seats in the room several times and look at the room from different perspectives - discuss subconscious activity that influences our choices; discuss all-day retreat, e.g., reactions and responses, likes and dislikes, feelings afterwards, what participants learned about themselves; perform walking meditation; discuss mindfulness; and close with meditation. (2 ½ hours)

Session 8: Keeping up the Momentum. Open with meditation and body scan; discuss progress thus far and allow each participant to discuss benefits he/she has derived from the program, what each person has learned about him- or herself; obstacles to growth and healing, etc.; and review entire course. (3 hours)

Chairs

Kevin Barrows, MD

Ellen Hughes, MD

Faculty/Instructors

Charlie Johnson

Bonnie O'Brien Jonsson, MS

Registration & Fees

The Osher Center for Integrative Medicine currently offers a Mindfulness Based Stress Reduction program for the public, patients, faculty and staff. The registration fee for this class is $330 plus a $35 materials fee. A 10% discount off the $330 registration fee is currently available for all UCSF faculty, staff, and students. For health professionals who would like to receive continuing education credits for participation in this class, an additional $110 will be charged.

• MBSR Current Class Schedule
• MBSR Registration Form