LaFratta, Tricia; Bidwell, Jacob; Su, Hsieng; Vijayakumar, Anu; Brill, John R.; Thompson, David B.; Ouweneel, Kristin; Nichols, Colleen; Eull, Nicole A.; Rivera, Kristin; Simpson, Deborah; Rapala, Kathryn; Lehmann, Will; and Battiola, Richard J., "Taking Well-Being Seriously – Our Clinical Learning Environment (CLE) Partnership Strategy" (2017). Aurora UW Family Medicine Faculty. 32.
Physician well-being has become a national issue as it impacts patient safety and quality of care, workforce and culture. Nationally and within our health care system there are multiplying discussions and emerging initiatives around well-being from the ACGME’s Symposium of Physician Well-Being and AHME’s webinars and academy conference to the AAMC’s and AIAMC’s annual meeting and workshops. The number of options and evidence-based strategies are bewildering. How much do you focus on the individual? What role does the environment redesign play? How can we turn these evolving discussions into an opportunity for GME? At Aurora Health Care, we have utilized our CLER-established partnerships - composed of system, hospital, physician education and GME leaders - to identity “shared pain points” and implement a consistent strategy across our hospitals/programs.
To utilize our CLER Synergy Group to coalesce and leverage the system/hospital well-being across the continuum of medical education.
Working with CLER synergy partners, resident council and physician education leaders we sought to identify current/pending initiatives around physician well-being. The synergy group reviewed the initiatives to determine initiatives that would cut across all levels of physician training.
Through our CLER Synergy group, chaired by our DIO, we are partnering with CMO’s, Medical Education Continuum Leaders, Resident Council & GME Leaders, and experts in well-being and medical education. Our multi-pronged strategy includes:
- Well-being is included as one of four options for GME Shared Noon Conference resident/faculty program teams to meet quality improvement project options during 2016-2017
- Assessment of Physicians and Residents/Fellows use of nationally available/established burnout inventory
- Make clinician satisfaction and well-being GME quality indicators
- Design and implement a CME – Performance Improvement Clinical Quality Improvement (CQI) activity (Part IV MOC Points) well-being initiative requiring both individual and environment change metrics available to all physicians and medical students
- Leverage well-being programs under development within the system (e.g., Employee Health)
- Utilizing data from burnout inventory to Identify and implement well-being initiatives using a train-the-trainer model for GME program leaders through a GME retreat
Utilizing our CLER Synergy Group to address physician well-being allows GME to be placed in a key leadership role within the organization as we align our initiatives with hospital/system priorities.