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.
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.
Confronting Stress Before and After High Acuity Shifts: A Discussion with Performance Psychologist Dr. Jason Brooks
It’s almost the end of your sixth shift in a row. You are trying to finish up notes when you hear an overhead page. You find yourself in the middle of a pediatric code that has a poor outcome and you have 5 minutes to spend with the family before being pulled into another patient’s room. You have no time to address the difficult case you just encountered. As an emergency physician, this may happen on a daily basis but some cases hit closer to home. How do you recover after these shifts, and how do you prepare for the next difficult patient encounter? Members of the ALiEM Wellness Think Tank recently spoke with performance psychologist Dr. Jason Brooks about how to mend these wounds and improve performance in the workplace. We provide a summary of our conversation and link to the podcast.
We are set to wrap-up the 3rd Annual Emergency Medicine Wellness Week. The ALiEM Wellness Think Tank (WTT) collaborated with CanadiEM, ACEP, and the Canadian Association of Emergency Physicians (CAEP) to encourage participation from EDs across North America and around the world. Many of you shared your individual and group successes, which have helped to build collective wellness across the specialty. We are proud to present some of the Wellness Week highlights, and remain hugely motivated to participate in this important movement! When you’re done reading, be sure to welcome today’s newly matched EM interns with the hashtag #WelcometoEM!