University of Calgary, Department of Emergency Medicine, Alberta, Canada.
Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota.
West J Emerg Med. 2018 Mar;19(2):342-345. doi: 10.5811/westjem.2017.11.36240. Epub 2018 Feb 19.
Burnout, depression, and suicidality among residents of all specialties have become a critical focus for the medical education community, especially among learners in graduate medical education. In 2017 the Accreditation Council for Graduate Medical Education (ACGME) updated the Common Program Requirements to focus more on resident wellbeing. To address this issue, one working group from the 2017 Resident Wellness Consensus Summit (RWCS) focused on wellness program innovations and initiatives in emergency medicine (EM) residency programs.
Over a seven-month period leading up to the RWCS event, the Programmatic Initiatives workgroup convened virtually in the Wellness Think Tank, an online, resident community consisting of 142 residents from 100 EM residencies in North America. A 15-person subgroup (13 residents, two faculty facilitators) met at the RWCS to develop a public, central repository of initiatives for programs, as well as tools to assist programs in identifying gaps in their overarching wellness programs.
An online submission form and central database of wellness initiatives were created and accessible to the public. Wellness Think Tank members collected an initial 36 submissions for the database by the time of the RWCS event. Based on general workplace, needs-assessment tools on employee wellbeing and Kern's model for curriculum development, a resident-based needs-assessment survey and an implementation worksheet were created to assist residency programs in wellness program development.
The Programmatic Initiatives workgroup from the resident-driven RWCS event created tools to assist EM residency programs in identifying existing initiatives and gaps in their wellness programs to meet the ACGME's expanded focus on resident wellbeing.
所有专业住院医师的倦怠、抑郁和自杀倾向已成为医学教育界的一个关键焦点,尤其是在研究生医学教育中的学习者。2017 年,毕业后医学教育认证委员会(ACGME)更新了共同项目要求,更加关注住院医师的幸福感。为了解决这个问题,2017 年居民健康共识峰会(RWCS)的一个工作组专注于急诊医学(EM)住院医师项目中的健康计划创新和举措。
在 RWCS 活动前的七个月里,计划倡议工作组在健康思维库中进行了虚拟会议,这是一个由北美 100 个 EM 住院医师项目的 142 名住院医师组成的在线居民社区。一个由 15 人组成的小组(13 名住院医师,2 名教师协调员)在 RWCS 会议上会面,开发了一个面向项目的公共、集中的倡议库,以及帮助项目确定其整体健康计划中的差距的工具。
创建了一个在线提交表格和中央健康倡议数据库,并向公众开放。到 RWCS 会议时,健康思维库成员已为数据库收集了最初的 36 项倡议。基于一般工作场所、员工幸福感需求评估工具以及 Kern 的课程开发模型,创建了一个基于居民的需求评估调查和实施工作表,以帮助住院医师项目制定健康计划。
由居民驱动的 RWCS 活动的计划倡议工作组创建了工具,以帮助 EM 住院医师项目确定其健康计划中的现有举措和差距,以满足 ACGME 对住院医师幸福感的扩大关注。