AIAMC National Initiative VI:Capstone Presentations

Call Group Four

GME Across All Programs:

Meaning in Work, Work-Life Integration and

Social Support & Community at Work

Rincon

Call Group Four Teams

Ascension Providence Rochester (Crittenton), Rochester Hills, MI

Aurora Health Care – OB/GYN, Milwaukee, WI

Aurora Health Care – Radiology, Milwaukee, WI

Baylor University Medical Center, Dallas, TX

Main Line Health System, Bryn Mawr, PA

OSF Healthcare, Peoria, IL

Virginia Mason Medical Center, Seattle, WA

Ascension Providence Rochester (Crittenton)

R. Brent Stansfield, Rose Natheer, Tess McCready, Sherryl Wissman,

Danielle Fabry, Lucinda Wenzlick, Jacob Salman, Firas Ido, Vera Pochtarev,

Tsveti Markova

Institutional and Resident-Led Wellness Interventions

Capstone Questions

1. What did you hope to accomplish?

2. What were you able to accomplish?

3. Knowing what you know now, what might you do differently?

4. On a scale of 1 to 10 (with “1” meaning nothing and “10” meaning everything) how much of what you set out to do was your team able to accomplish?

Objective

Methods

Results

Conclusion

To build a culture of wellness through institutional support and resident-led initiatives.

Engage residents to lead initiatives. Make institutional resources available. Apply quantitative (Resident Wellness Scale) and qualitative assessments: compare 3 Ascension programs to 4 non-intervention programs.

Resident Self-Care increased in Ascension programs over time and compared to controls. Residents report positive impact of wellness activities.

Convergence: the union of institutional authority and motivated stakeholders drives cultural change

Questions / Comments

Aurora Health Care – OB/GYN

Naomi Light, MD, Morgan Altinok, DO, Carla Kelly, DO, MMM, Deborah Simpson, PhD

OB/GYN Resident Well-Being Focused on Workload & Wellness Time: Measured Using a 3-Item Well-Being

Check-in Card

Capstone Questions

1. What did you hope to accomplish?

2. What were you able to accomplish?

3. Knowing what you know now, what might you do differently?

4. On a scale of 1 to 10 (with “1” meaning nothing and “10” meaning everything) how much of what you set out to do was your team able to accomplish?

OB/GYN RESIDENT WELLBEING FOCUSED ON WORKLOAD & WELLNESS TIME: MEASURED USING A 3-ITEM WELL-BEING CHECK-IN CARD

Naomi Light, MD, Morgan Altinok, DO, Deb Simpson PhD, Carla Kelly, DO, MMMDepartment of Obstetrics and Gynecology, OBGYN Residency Program, Milwaukee, Wisconsin

RESULTS• Overall: Most spend insufficient time

spent on wellbeing; gradual over time• At baseline, residents report their work is

meaningful• Mayo Wellbeing Index: Positive trend

initially, then in winter trended negatively

AIMS AND METHODS

Aim #1: Resident well being interventions• Limits to weekday rounding for residents• Limits to weekend postpartum rounding• No service obligations on Sundays, and no

residents on night float for two months• Quarterly wellness mornings

Aim #2: Data sets to evaluate interventions• Well Being Check-In Cards (WBCIC)• Mayo Wellbeing Index (MWBI)

Between 22-60% of practicing physicians are reported to have experienced burnout. Contributors to burnout include workload demands, lack of control and flexibility, and ”check box requirements” (surveys, module reqs, paperwork).

Duty hour limitations were implemented for patient safety, however also associated in increased resident quality of life.

DISCUSSION/LESSONS LEARNED• Workload interventions and wellness mornings do have a

positive impact on wellbeing (seasonal variation)• 3-item WBCIC provides o Baseline & on-going process measures o Overlaps with MWBI item on work/life balanceo Supports continuous improvement with national

comparisons for Ob/Gyn residents/faculty (annual)• No faculty data• Prioritizing and facilitating timely completion of WBCIC and

MWBI by all faculty and residents• Use of MWBI provides a baseline benchmark

Questions / Comments

Aurora Health Care – Radiology

Mason Brown, MD, S. Reimer, MD, N. Patel, MD, N. Dickson, DO, W. MacDonald, MD,

Department of Radiology, Aurora St. Luke’s Medical Center, Milwaukee, Wisconsin

Efficacy of Well-Being Self-Awareness and Departmental Interventions within a Single Radiology Residency Program

Capstone Questions

1. What did you hope to accomplish?

2. What were you able to accomplish?

3. Knowing what you know now, what might you do differently?

4. On a scale of 1 to 10 (with “1” meaning nothing and “10” meaning everything) how much of what you set out to do was your team able to accomplish?

EFFICACY OF WELL-BEING SELF-AWARENESS AND DEPARTMENTAL INTERVENTIONS WITHIN A SINGLERADIOLOGY RESIDENCY PROGRAM

Mason Brown, M.D., S. Reimer, M.D., N. Patel, M.D., N. Dickson, M.D., W. MacDonald, M.D.Department of Radiology, Aurora St. Luke’s Medical Center, Milwaukee, Wisconsin

Success Factors: Decreased: resident burnout, overwhelming,

anxiety/irritation, emotional hardening, daytime sleepiness, compromised health Unchanged: job satisfaction, personal/family time Increased: Sense of resident and faculty connectivity

0% 10% 20% 30% 40%

Depression

Compromised Health

Daytime Sleeping

Emotional Hardening

Anxiety/Irritation

Overwhelmed

Burnout

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Well-Being Indexes Comparing Pre-Intervention and Post-Intervention

Pre-Intervention Post-Intervention

0 5 10

Faculty Connectivity

Resident Connectivity

Personal/Family Time

Implementation Effects

Job Meaningfulness

Scale of 1-10 (1 negative, 5 neutral, 10 positive)

Intr

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In

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nal

Fac

tors

Perception of Work Relationships and Job Satisfaction

Pre-Intervention Post-Intervention

INTERVENTIONS - QUALITY IMPROVEMENT PROPOSAL1) After-hours journal club at a local restaurant2) New resident welcome party hosted by faculty 3) Weekly CORE Radiology lecture series - team-based exercises + resident camaraderie

Barriers/Limitations: • Mayo Clinic Well-Being Index perceived negatively• Graduating and incoming resident survey data

consistencies• Individual statistics could not be utilized due to

anonymous design

Questions / Comments

Main Line Health System

Sandra Ross, LSW, Kelly Campanile, PsyD, Katherine Corvi, PsyD,

Jonah Klein, MD, Sharon Iannucci, Mgr GME, April Lockley, DO,

Vishal Shah, DO, Daniel Buckalew, Mgr Health and Productivity,

Barry D. Mann, MD, Chinwe Onyekere, MPH, Joseph A. Greco, MD

Improving Resident Wellness with FirstCall Assistance

Capstone Questions

1. What did you hope to accomplish?

2. What were you able to accomplish?

3. Knowing what you know now, what might you do differently?

4. On a scale of 1 to 10 (with “1” meaning nothing and “10” meaning everything) how much of what you set out to do was your team able to accomplish?

Questions / Comments

OSF Healthcare

Stimulating a Culture of Well-Being through a Professional Development Coaching Program

Capstone Questions

1. What did you hope to accomplish?

2. What were you able to accomplish?

3. Knowing what you know now, what might you do differently?

4. On a scale of 1 to 10 (with “1” meaning nothing and “10” meaning everything) how much of what you set out to do was your team able to accomplish?

Questions / Comments

Virginia Mason Medical Center

Jeffrey Rouse, MD, Meriah Moore, MD, Sarah Nobles, MD,

Alex Ajeto, MD, Kelly Hendershot, MD, Nicketti Handy MD,

Alvin Calderon, MD, Ryan Pong, MD, Jennifer Richards,

Joyce Lammert, MD, Gillian Abshire, RN & TL

Creating a Culture of Resident Wellbeing: Access,Support, and Connection

Capstone Questions

1. What did you hope to accomplish?

2. What were you able to accomplish?

3. Knowing what you know now, what might you do differently?

4. On a scale of 1 to 10 (with “1” meaning nothing and “10” meaning everything) how much of what you set out to do was your team able to accomplish?

Questions / Comments