There are a number of personal attributes characterizing the professional identity of “physician.” We are dedicated to patients, committed to lifelong learning, and responsible for a variety of other professional obligations. Each requires physicians to be highly accountable – obligated or willing to accept responsibility for one’s actions. In this post we present examples of how we’ve adopted peer accountability as a strategy to help us with the myriad responsibilities and obligations at the heart of our profession. Just in time for the New Year – we challenge each of our readers to consider finding an “accountability partner” in 2020!
To address the growing issue of physician suicide, the Council of Emergency Medicine Residency Directors (CORD), in collaboration with AAEM, ACEP, ACOEP, EMRA, RSA, RSO and SAEM, annually join forces to help highlight the issues and drive change.
At ALiEM Wellness Think Tank, we tackle resident issues such as preventing suicide and burnout, enhancing resilience, and promoting overall quality of life. Suicide is an important topic that affects our physicians and the future of our specialty. We advocate a culture of support, transparency and openness. If you, or someone you know is exhibiting signs of depression or suicidal ideation, please seek help immediately. Together, we can make the cultural shift to support mental health awareness in medicine and decrease depression and suicide rates.(more…)
Last month, ALiEM launched a one-of-a-kind social media contest on Instagram to find the most innovative emergency medicine residency education program. Dozens of residency programs from around the country shared incredible didactic, simulation and wellness initiatives. At the end of our contest period, one residency program stood out from the rest.
Join us in congratulating the winner of ALiEM ‘Gram’ Rounds 2019: Loma Linda Emergency Medicine
We were impressed with Loma Linda’s novel approach to simulation and ability to disseminate practical clinical pearls. Be sure to visit our Instagram page @aliemteam, and check out story highlights to see all contest submissions. To learn more about the magic behind Loma Linda’s EM program, see our highlight below.
We are thrilled to announce the open call for the fourth class of the ALiEM Wellness Think Tank. Every year has a different ambitious focus and this upcoming year is no different. We are lead by a 4-person powerhouse team (Dr. Simiao Li-Sauerwine, Dr. Sarah Mott, Dr. Katie Rebillot, and Dr. Sneha Shah). Want to learn more about it? Think you have what it takes to make the 30-member cut? Membership is free, if invited. Applications are due June 14, 2019. Read all about it and apply on the Wellness Think Tank home page.
UPDATE: Deadline extended to July 15, 2019 to allow for incoming EM interns to also apply!
More women than men entered medical school in the United States for the first time in 2017. Will this generation also set new trends in parenting during their training? One study suggests that 40% of female residents plan to have a child while in residency.1
Can our graduate medical education system withstand even a modest increase in the number of resident parents? Can your hospital?
In March 2017, our ALiEM Wellness Think Tank launched an ambitious initiative to try to identify the prevalence rate of U.S. emergency medicine (EM) resident burnout across the country. No study to date had been done to assess this. Amazingly we got a response from over 1,500 confirmed U.S. EM residents from 193 residency programs purely through our social media, email listservs, and Wellness Think Tank outreach efforts. We measured burnout using the Maslach Burnout Inventory-Human Services Survey (MBI-HSS). This 22-item MBI-HSS is the most common, validated tool used to measure burnout in healthcare professionals. It assesses 3 subscale domains:
- Emotional exhaustion (EE), which means being emotionally depleted at work
- Depersonalization (DP), which means a lack of feelings or negative, cynical feelings towards others
- Personal accomplishment (PA), which is a positive sense of self-evaluation and success at work.
A combination of high EE, high DP, and/or low PA scores are correlated with burnout.1,2 This post reviews some of the highlights from our study, High Prevalence of Burnout among Emergency Medicine Residents across the US, which was recently accepted by Annals of Emergency Medicine and published online.3
Burnout is a well-known syndrome characterized by poor self-care, dehumanization, exhaustion, and reduced effectiveness. The study of wellness and resilience among emergency medicine (EM) providers and trainees has recently blossomed, largely as a consequence of recent tragedies of physician suicide, provider distress, and an increased awareness the impact burnout has on both personal and professional domains. While there are ongoing discussions on practices to best address burnout, methods have focused on promoting resilience, mindfulness, and provider engagement.1