The COVID-19 pandemic has changed our world in many ways, and for trainees in medicine, the new day-to-day experience of residency continues to adapt and take shape. COVID-19 has undoubtedly affected clinical experiences and educational curricula for residencies. Personal wellbeing for EM residents has become even more important with the new stressors of being on the frontlines. How has the resident experience changed in the ED? How are residents dealing personally and professionally with the new state of things? What strategies, interventions, and resources that residents are utilizing to combat burnout?
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…)
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!
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
On behalf of the ALiEM Wellness Think Tank (WTT), we are thrilled to announce our partnership again with Essentials of Emergency Medicine (EEM). On May 13, 2019 during the WTT Resident Wellness Day (an EEM preday event featuring acclaimed author Dr. James Dahle of White Coat Investor fame), we also will launch the first-ever Wellness Innovation Plenary Session focusing on residency-level initiatives. This is your chance, as a resident, to give an oral presentation at a national conference. Deadline: January 7, 2019.
Many residencies and departments in medicine have started or are thinking about starting local wellness newsletters and handouts. In an effort to help reduce redundancy and facilitate more global information-sharing , the resident-driven ALiEM Wellness Think Tank has decided to launch our own email-based newsletter series. Periodically, we will send out a short article discussing personal wellness, tips for maintaining wellness in your professional life, and ideas to promote wellness within a residency program. Sign up below, and feel free to share with your colleagues. If you have ideas and suggestions for content, please feel free to contact us.
The Wellness Think Tank created a podcast with wellness expert Dr. Shahina Braganza from the Gold Coast in Australia. Facilitated by Dr. Annahieta “AK” Kalantari and joined by EM residents Dr. Alecia Gende and Dr. Adrienne Taren, the conversation covers a broad range of topics including the concepts behind Emotional Contagion, Dr. Braganza’s published “oneED” program1, and the challenges of adopting wellness initiatives in the ED. We present the podcast and highlights below.