Stamm Brian, Yu Margaret, Lineback Christina M, Bega Danny
Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
J Med Educ Curric Dev. 2020 Dec 7;7:2382120520978238. doi: 10.1177/2382120520978238. eCollection 2020 Jan-Dec.
Burnout has become an increasingly recognized problem in higher medical education and is particularly prevalent within the field of Neurology and its training programs. Many previously reported wellness initiatives in other residencies focused mainly on community/team building. We developed a comprehensive Wellness Curriculum (WC) and established a new role of Resident Wellness Liaison in order to facilitate wellness across the department and training program. Here we present a 6-step outline of our WC which can easily be adapted to the needs of other programs. The steps include creating a Wellness Committee with a Resident Wellness Liaison, identification and optimization of institutional resources, identifying and troubleshooting barriers to wellness, providing education and reflection on wellness, showing appreciation to each other, and assessing the impact of the implemented strategies. In order to measure the impact of our WC and to perform a needs assessment for future directions, we posed questions-grounded in the theory of drivers of burnout and engagement-to our residents (N = 24) at a noon conference in the summer of 2020. Interventions implemented at our institution have been very well received by residents, as evidenced by their comments and feedback. Themes that were highlighted by residents include enjoying flexibility, having a welcoming social support system at work, and being able to find meaning in the day-to-day work. The creation of a comprehensive WC is a feasible and meaningful intervention for addressing resident wellness in a Neurology training program and could be adapted to other programs.
职业倦怠在高等医学教育中已成为一个日益受到认可的问题，在神经病学领域及其培训项目中尤为普遍。此前在其他住院医师培训项目中报道的许多健康倡议主要侧重于社区/团队建设。我们制定了一项全面的健康课程（WC），并设立了住院医师健康联络官这一新角色，以促进整个科室和培训项目的健康。在此，我们介绍我们的WC的6个步骤概述，该概述可轻松适应其他项目的需求。这些步骤包括创建一个由住院医师健康联络官组成的健康委员会、识别和优化机构资源、识别和解决健康障碍、提供关于健康的教育和反思、相互表达感激之情，以及评估所实施策略的影响。为了衡量我们的WC的影响并对未来方向进行需求评估，我们在2020年夏天的一次午间会议上，向我们的住院医师（N = 24）提出了基于职业倦怠和敬业度驱动因素理论的问题。我们机构实施的干预措施受到了住院医师的热烈欢迎，他们的评论和反馈证明了这一点。住院医师强调的主题包括享受灵活性、在工作中有一个热情的社会支持系统，以及能够在日常工作中找到意义。创建一个全面的WC是解决神经病学培训项目中住院医师健康问题的一种可行且有意义的干预措施，并且可以适用于其他项目。
