Promoting Intern Resilience: Individual Chief Wellness Check-ins

Introduction Promoting resilience is key during intern year as residents transition to becoming clinical providers. Residents consistently demonstrate a decline in empathy and an increase in burnout throughout training. Interventions involving mindfulness, stress management, and small-group discussi...

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Autores principales:	Jason Fischer, Aviva Alpert, Priyanka Rao
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2019
Materias:	Residency Training Pediatrics Wellness Intern Resilience Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/3894cfa9cebc4f1fbd6a114302f35c1a
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spelling	oai:doaj.org-article:3894cfa9cebc4f1fbd6a114302f35c1a2021-11-22T14:00:09ZPromoting Intern Resilience: Individual Chief Wellness Check-ins10.15766/mep_2374-8265.108482374-8265https://doaj.org/article/3894cfa9cebc4f1fbd6a114302f35c1a2019-10-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10848https://doaj.org/toc/2374-8265Introduction Promoting resilience is key during intern year as residents transition to becoming clinical providers. Residents consistently demonstrate a decline in empathy and an increase in burnout throughout training. Interventions involving mindfulness, stress management, and small-group discussions can reduce burnout. We created a curriculum to normalize the intern experience and provide debriefing opportunities to further improve resilience and decrease burnout. Methods Thirty-two interns met monthly, one-on-one, with a pediatric chief resident to discuss personal, professional, and emotional well-being and complete just-in-time resilience exercises. After 6 and 12 months, we conducted follow-up surveys containing 5-point Likert questions and open-ended questions to determine interns' perceptions of the initiative. Results We obtained response rates of 44% (14 interns) and 38% (12 interns) for the 6- and 12-month surveys, respectively. Interns found the sessions helpful for normalizing the intern experience (6 months: 4.6 ± 0.7, 12 months: 4.8 ± 0.5), stress management (6 months: 4.0 ± 1.0, 12 months: 4.3 ± 0.7), and feeling connected to program leadership (6 months: 4.6 ± 0.9, 12 months: 5.0 ± 0.0). Thematic analysis identified normalizing the intern experience, ability to express concerns, and mentorship as benefits. Discussion Normalization of the intern experience and targeted wellness and resilience exercises can have a positive impact on interns' satisfaction with program support for their well-being. Through a time-limited intervention, chief residents can be utilized in a mentorship role that is well received by interns and rewarding for the chief residents.Jason FischerAviva AlpertPriyanka RaoAssociation of American Medical CollegesarticleResidencyTrainingPediatricsWellnessInternResilienceMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 15 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Residency Training Pediatrics Wellness Intern Resilience Medicine (General) R5-920 Education L
spellingShingle	Residency Training Pediatrics Wellness Intern Resilience Medicine (General) R5-920 Education L Jason Fischer Aviva Alpert Priyanka Rao Promoting Intern Resilience: Individual Chief Wellness Check-ins
description	Introduction Promoting resilience is key during intern year as residents transition to becoming clinical providers. Residents consistently demonstrate a decline in empathy and an increase in burnout throughout training. Interventions involving mindfulness, stress management, and small-group discussions can reduce burnout. We created a curriculum to normalize the intern experience and provide debriefing opportunities to further improve resilience and decrease burnout. Methods Thirty-two interns met monthly, one-on-one, with a pediatric chief resident to discuss personal, professional, and emotional well-being and complete just-in-time resilience exercises. After 6 and 12 months, we conducted follow-up surveys containing 5-point Likert questions and open-ended questions to determine interns' perceptions of the initiative. Results We obtained response rates of 44% (14 interns) and 38% (12 interns) for the 6- and 12-month surveys, respectively. Interns found the sessions helpful for normalizing the intern experience (6 months: 4.6 ± 0.7, 12 months: 4.8 ± 0.5), stress management (6 months: 4.0 ± 1.0, 12 months: 4.3 ± 0.7), and feeling connected to program leadership (6 months: 4.6 ± 0.9, 12 months: 5.0 ± 0.0). Thematic analysis identified normalizing the intern experience, ability to express concerns, and mentorship as benefits. Discussion Normalization of the intern experience and targeted wellness and resilience exercises can have a positive impact on interns' satisfaction with program support for their well-being. Through a time-limited intervention, chief residents can be utilized in a mentorship role that is well received by interns and rewarding for the chief residents.
format	article
author	Jason Fischer Aviva Alpert Priyanka Rao
author_facet	Jason Fischer Aviva Alpert Priyanka Rao
author_sort	Jason Fischer
title	Promoting Intern Resilience: Individual Chief Wellness Check-ins
title_short	Promoting Intern Resilience: Individual Chief Wellness Check-ins
title_full	Promoting Intern Resilience: Individual Chief Wellness Check-ins
title_fullStr	Promoting Intern Resilience: Individual Chief Wellness Check-ins
title_full_unstemmed	Promoting Intern Resilience: Individual Chief Wellness Check-ins
title_sort	promoting intern resilience: individual chief wellness check-ins
publisher	Association of American Medical Colleges
publishDate	2019
url	https://doaj.org/article/3894cfa9cebc4f1fbd6a114302f35c1a
work_keys_str_mv	AT jasonfischer promotinginternresilienceindividualchiefwellnesscheckins AT avivaalpert promotinginternresilienceindividualchiefwellnesscheckins AT priyankarao promotinginternresilienceindividualchiefwellnesscheckins
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Promoting Intern Resilience: Individual Chief Wellness Check-ins

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