Bidwell J, La Fratta T, Simpson D, Eull N. Strengthening the culture of well-being in graduate medical education. Poster presented at: Aurora Scientific Day; May 22, 2019; Milwaukee, WI.
Poster presented at: Aurora Scientific Day; May 22, 2019; Milwaukee, WI.
Background: Physician burnout is a safety, quality, and workforce issue. As a result, well-being is an Accreditation Council on Graduate Medical Education’s (ACGME) accreditation requirement for the sponsoring institution and individual programs. Aurora Health Care’s graduate medical education (GME) leaders convened a retreat of key stakeholders (program directors, resident council leaders, system leaders) to develop a well-being strategic plan. Each program completed the ACGME’s Inventory of Elements of Your Program’s Well-Being plan, and GME leaders completed Inventory of Elements of Your Institution’s Well-Being plan. At the retreat cross-cutting findings were identified, with action items identified.
Purpose: To improve our resident/fellow well-being scores through the development of clear GME protocols, procedures, and initiatives with pre/post metrics.
Methods: Major GME strategic action items focused on aligning physician contracts with teaching roles, procuring funds for a medical education well-being position, developing direct access for trainees to behavioral health, developing a systemwide budget for ensuring a standard for adequate time and space for pursuing wellbeing, and developing a crisis communication protocol. The impact of our interventions was measured by the evidence-based Mayo Well-Being Index (MWBI) and the ACGME’s well-being survey.
Results: All action items have been implemented, including appointment of a 0.80 FTE well-being director. Our resident/fellow wellness scores were positive. MWBI results showed a 4.6% decrease (17.3% to 12.7%) of residents/fellows (n=158) reporting high levels of distress over the last 11 months, well below the national average of 34.9% (>1700 residents/fellows). Our ACGME well-being survey results were within normal range per national metrics.
Conclusion: All GME action items were completed, with the percentage of at-risk scores decreasing by 4.6% over an 11-month period. Going forward, GME will continue to monitor MWBI and ACGME scores and support residency/program-specific interventions as part of a continuous improvement.