Abstract ID: 2169

Primary Topic: Faculty development/leadership
Secondary Topic: Interprofessional education

Tools to Encourage Resiliency in Healthcare Providers and Educators
Patricia Lebensohn, MD; Hilary McClafferty, MD; Mari Ricker, MD; Audrey J Brooks, PhD, , Tucson, AZ, United States

Category: Education

Late Breaker: No

Overview

The University of Arizona Center for Integrative Medicine developed an interactive, online Healthcare Professional Wellbeing curriculum. The Wellbeing curriculum focuses on building resiliency skills, teaching mindfulness techniques, and reflection activities that help reduce stress and decrease burnout. We will describe how we piloted the curriculum in multiple primary care educational training programs and community health centers. We will describe our experience piloting the curriculum with residency programs within our institution, collaborating with leaders across the organization, and implementing a large scale, multi-specialty Resident Wellbeing Training Program. We will explore the lessons learned from these endeavors and review our outcome data from this pilot program in the areas of hardiness, resiliency, gratitude, and burnout. Participants will explore their own self-care challenges and learn skills from the curriculum to improve their resiliency. Participants will discuss feasibility to implement the changes in their lives and how to adapt the program to their own institutions, and how they can most effectively act as agents of change within organizations. Emphasis will be placed on the need to address burnout prevention and wellness promotion among all heath care professionals, and at all levels of a health care organization, for meaningful change in the culture of burnout to occur.

Rationale

Burnout is highly prevalent and exceeds 46% among all specialties. Residency Programs have been mandated to address these unacceptably high burnout levels, and are in need of effective tools to help address burnout and promote wellbeing and resilience, and to teach residents the lifelong skills to prevent future burnout. ACGME has also identified Physician Wellbeing and the need to create transformative changes in the culture of medicine as a top priorities to be addressed by Graduate Medical Education. However, focusing efforts on the individual resident is insufficient, change in attitudes must occur at all levels, in every type of healthcare professional, and across the organizational structure for meaningful change in burnout prevention to occur. Therefore, programs are urgently needed to address underlying culture of burnout and unrealistic endurance in organizations, in conjunction with individual education and skill building in residents, faculty, and other healthcare professionals. The Healthcare Professional Wellbeing Course is designed to accomplish these objectives and was piloted with primary care educational training programs, with residents at a large academic institution, and with clinicians and staff at community health centers for this purpose.

Objectives

  1. Identify four elements of an evidence-based approach to healthcare professional well-being.
  2. List three interactive activities that can be implemented in the academic and/or clinical settings to build resiliency skills.
  3. Formulate the first steps of an action plan to begin to implement well-being activities personally and within your education or work setting.

Methods/Session Format

  1. Healthcare Professional Wellbeing Course Overview – Drs. Ricker, Lebensohn, 10 minutes
  2. Evaluation Results – Dr. Brooks 10 minutes
  3. Resiliency vs. Burnout – Completion of wellness assessments, challenges to self-care – Dr. McClafferty 15
  4. Small Group Activity: Participants will break into 3 groups and learn one of the resiliency practices from the curriculum – Drs. Lebensohn, McClafferty, Ricker -25 minutes
  5. Discussion: feedback on activity, how to implement in their lives/work setting: Dr. Lebensohn - 15 minutes,

Format: Oral presentation, completion of resiliency assessment, self-assessment of self-care practices, list of challenges to practicing self-care activities, small group activity to learn a resiliency practice, facilitated discussion

Outline

Drs. Ricker and Lebensohn will provide an overview of the Healthcare Professional Wellbeing Course, detailing the components of the course that guide participants to building resiliency skills, learn mindfulness techniques, and practice reflection activities that help reduce stress and decrease burnout. Dr. Brooks will provide an overview of the evaluation results, reviewing our outcome data in the areas of hardiness, resiliency, gratitude, and burnout. Dr. McClafferty will discuss the distinction between resiliency vs. burnout and moderate participant completion of wellness and self-care assessments. Drs. Lebensohn, McClafferty, and Ricker will lead 3 breakout groups teaching resiliency practices from the course. Dr. Lebensohn will moderate a discussion on feasibility of implementing resiliency practices and self-care strategies personally and within organizations, and how to act effectively as agents of change within organizations.

Materials to be Distributed

Wellness Assessment Surveys, handout with self-care self-assessment questions