Virginia Research Day 2021

Faculty Research Cl inical

Caroline Moon Thompson, LPC, LSATP; Amber Stephens, DO Corresponding author: caroline.thompson@lpnt.net 01 Identifying Wellness Options and Measuring Resilience and Burnout Trends in a Residency

According to a comprehensive literature review regarding burnout in residency, IsHak, Lederer, Mandili, Nikravesh, Seligman, Vasa, Ogunyemi, Bernstein (2009), physician burnout is often associated with depression, risk of medical errors, and may have negative effects on patient safety. Furthermore, burnout erodes job satisfaction, overall wellbeing and can lead to disharmony in interpersonal relationships. ACGME recognizes the importance of identifying burnout in resident trainees and provides guidelines in the promotion of wellness in residency programs. Various workplace-driven interventions are designed to assist residents in early recognition and whole person wellness. These may include: lectures on topics about physician burnout prevention, resilience, communication among team members, time management, physical and emotional wellbeing, monthly Balint groups, physicians suicide prevention discussion, substance use disorders and the medical community and stress management skills. This poster examines the Sovah Health Family Medicine Residency Program wellness planning efforts and a basic analysis of the self-administered Abbreviated Maslach Burnout Inventory (aMBI) and

the Brief Resilience Scale (BRS) administered during the 2019-2020 academic year. In addition, there will be discussion regarding the threat of COVID 19 on the overall process of wellness in the Residency. The Sovah Health Family Medicine Residency Program Wellness plan for the 2019-2020 Academic year included scheduling ACGME suggested wellness topics and team building activities during strategic times of the year, securing funding for planned wellness events and a retreat in late fall, residency planning of lighter wellness get togethers during the darker winter months and utilizing two self-rating inventories for self-administration each quarter to determine potential burnout and resilience trends. The two self-administered burnout inventories were distributed during a wellness event in July, October, January, and May of the 2019-2020 academic year. The aMBI (which differs from a full 33 item Maslach Burnout Inventory) was selected to identify burnout scores along two burnout scales (Emotional Exhaustion and Depersonalization and a third scale noting Personal Accomplishment. The BRS was selected to determine the perception of one’s ability to “bounce back” indicating resilience.

Notable results show the overall average resident responses for the aMBI Depersonalization Scale increases each training year. The averaged resident responses for aMBI Personal Accomplishment remained consistent across gender and training year. The BRS averaged resident responses were in the normal range (3.00-4.30) during the administration time frames. The sample results provide an established baseline for comparison to residents in future academic years. 1. Ishak WW, Lederer S, Mandili C, Nikravesh R, Seligman L, Vasa M, Ogunyemi D, Bernstein CA. Burnout during residency training: a literature review. J Grad Med Educ. 2009 Dec;1(2):236-42. 2. https://www.acgme.org/What-We-Do/Initiatives/ Physician-Well-Being

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