October 23-25, 2026
Freestone Inn — Mazama, Washington
Starting at $900
Early bird pricing ends June 15
Eligible for 15 AMA Category 1 CME Credits
From Sacrifice to Renewal:
A Transformative Retreat for Confluence Health Physicians and APP’s
Many healthcare providers enter medicine with a sense of mission and a desire to serve. In choosing this path, we enter into a culture of self-sacrifice for the benefit of our patients, often at the expense of our own well-being. In addition, we face the challenges of working within the flawed macro and micro systems of modern healthcare that lead to increased administrative burdens, pressure to increase productivity, reduce autonomy, and grow systemic complexity. This combination of stressors can lead to isolation, resentment, and burnout, pulling us even further from our goal to serve. We cannot care for our patients while neglecting ourselves.
• An opportunity for physicians and advanced practice providers to step away from the demands of clinical practice and reconnect with the deeper meaning of their work.
• Experienced through guided discussion, reflection, and shared experience.
• Designed to provide personal renewal and practical strategies for navigating the challenges of modern healthcare
• An opportunity to grow a community of support within the Confluence Physician and APP family.
❋ This Retreat Is:
You will:
Explore ways to restore personal energy, strengthen resilience, and reconnect with the sense of mission that drew you to medicine.
Discuss strategies to build fortitude and personal well-being as a basis for successfully navigating the current healthcare environment.
Share leadership skills to engage your clinical team, colleagues, and leaders.
❋ Course Objectives
You will:
Experience personal and professional renewal.
Integrate proven, effective self-care practices into your daily life.
Access your own strengths in order to develop gifts in yourself and in those around you.
Employ new approaches to listening, making you more present to yourself, your family, patients, and colleagues.
Utilize newly acquired tools to be an agent of change.
❋ Course Outcomes
Over the course of the weekend, participants will engage in:
• Facilitated group conversations
• Reflective exercises
• Coaching discussions
• Time for personal reflection
• Opportunities for meaningful peer connection
The retreat will also incorporate contemplative practices such as mindfulness meditation and Qi Gong. All activities are optional and designed to cultivate greater awareness and inner spaciousness.
The Retreat Experience
The retreat will include between 15 and 30 participants.
A minimum of 15 participants must be registered by the deadline for the retreat to proceed.
Location
Freestone Inn
Mazama, Washington
Dates
October 23–25, 2026
Arrival
Friday at 5:00 PM
Departure
Sunday at 12:00 PM
Meals and snacks are provided beginning with dinner on Friday and concluding Sunday morning.
Retreat Details
Early Registration
Register by June 15, 2026 at 5 PM PT
$900 per participant
Regular Registration
Register by September 23, 2026
$1,100 per participant
The retreat fee includes all retreat activities, meals, and materials. Lodging is arranged separately.
Have questions or need more information? Contact Dr. Joe Sherman at joe@joeshermanmd.com or Dr. Makrina Shanbour at j.makrina.shanbour@confluencehealth.org
❋ Registration & Pricing
Participants may obtain up to 15 AMA Category 1 CME credits through CMEfy’s reflective learning platform.
❋ Continuing Medical Education
Lodging at the Freestone Inn is booked separately from retreat registration.
After registering for the retreat, participants should reserve their room directly through the Freestone Inn using the accommodation button provided below.
A block of rooms has been reserved for retreat participants for two nights (October 23–25).
Single rooms are limited. Come with a colleague and share a cabin or a suite!
Booking tips:
• If you plan to stay longer than two nights, reserve your room using the link and then contact the Freestone Inn directly to extend your stay.
• If you only need one night, please book the two-night reservation through the link and then contact the front desk to adjust your reservation.
• Because other guests and events may also be booking at the inn, we recommend making your lodging reservation as early as possible.
To adjust or extend a reservation, please contact the Freestone Inn directly:
Phone: 509-996-3906
Email: info@freestoneinn.com
❋ Lodging
Your Facilitators
Dr. Makrina Shanbour is a practicing hospitalist and Director of Physician and APP Experience at Confluence Health with a deep commitment to restoring joy and meaning in medicine.
Through coaching, process improvement, and program development, she works to create systems that support clinicians as whole humans.
She lives in Wenatchee with her husband, 17-year-old son, and an old standard poodle who reminds her daily of the importance of taking time to play.
Makrina Shanbour, M.D.
Joe Sherman, M.D.
Dr. Joe Sherman is a board-certified pediatrician, physician coach, healthcare consultant, and seasoned medical leader with over 37 years of clinical experience.
A Master Certified Physician Development Coach and trained facilitator through the Center for Courage and Renewal, his work focuses on clinician well-being, leadership development, and career discernment. He integrates frontline clinical insight with a deep commitment to helping physicians reconnect with meaning and fulfillment in their work.
Words From Past Attendees
“Joe has a gift for providing structure in a way that allows everyone to have their input while still maintaining the goals for each session. He exhibited calm, warmth, acceptance, and openness to all members in the group.”
— Clinical Psychologist, Behavioral Health Team“Joe did an amazing job of creating a safe space where things could be said which needed to be said and heard by everyone on the team.”
— Social Worker, Pediatric Palliative Care Team“Joe is an excellent facilitator. He levels the playing field with his attendees. He has you risk opening to his creative ideas. I always leave his sessions feeling a deep sense of joy!”
— Chaplain, Adult Palliative Care TeamRENEW YOUR ENERGY, RECAPTURE JOY, AND PREPARE TO BE A CHANGE AGENT.
Your Questions, Answered
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Yes.
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Your retreat registration includes:
Meals and snacks
Coaching sessions
Retreat materials
Group activities
The cost of lodging is separate from the retreat registration.
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You can use this link to book your room.
A block of rooms has been reserved for retreat participants for two nights (October 23–25).
Booking tips:
• If you plan to stay longer than two nights, reserve your room using the link and then contact the Freestone Inn directly to extend your stay.
• If you only need one night, please book the two-night reservation through the link and then contact the front desk to adjust your reservation.
• Because other guests and events may also be booking at the inn, we recommend making your lodging reservation as early as possible.
To adjust or extend a reservation, please contact the Freestone Inn directly:
Phone: 509-996-3906
Email: info@freestoneinn.com
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Yes, but unless the family member/partner is a physician or APP, they may not participate in the retreat sessions but may participate in any social activities.
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Yes. We support CMEfy’s Learner+ program as a clinician-centric CME/CE reflective learning platform.
All health Professionals participating in this retreat can use their educational experiences to obtain a maximum of 15 AMA Category 1 CME credits.
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Yes. We understand that life challenges emerge, and changes happen. If an emergency arises, and a cancellation is needed before September 23rd, we will do our best to fill in the reservation with another physician. We will be glad to refund the entire amount if the registration is replaced. No refunds will be granted after September 23rd.
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Contact Dr. Joe Sherman at joe@joeshermanmd.com or Dr. Makrina Shanbour at j.makrina.shanbour@confluencehealth.org