Humanism Rounds: A Multifaceted "Back to Bedside" Initiative to Improve Meaning at Work for Internal Medicine Residents.

Autor: Kaplan JM; Section of Endocrinology, Department of Internal Medicine, Baylor College of Medicine, Houston, TX USA., Agrawal S; Department of Internal Medicine, Baylor College of Medicine, Houston, TX USA., Kumar D; Section of Gastroenterology, Department of Internal Medicine, Baylor College of Medicine, Houston, TX USA., Xu A; Department of Internal Medicine, Baylor College of Medicine, Houston, TX USA., Staggers KA; Institute for Clinical and Translational Research, Baylor College of Medicine, Houston, TX USA., Symmes AG; Department of General Internal Medicine, East Carolina University, Greenville, NC USA., Styskel RU; Division of Hospital Medicine, Cleveland Clinic Foundation, Cleveland, USA., Styskel B; Department of Gastroenterology, Hepatology and Nutrition, Cleveland Clinic Foundation, Cleveland, OH USA., Agrawal A; Departments of Medicine and Pediatrics, Baylor College of Medicine, Houston, TX USA., Rose SR; Section of Infectious Diseases, Department of Internal Medicine, Baylor College of Medicine, Houston, TX USA.; Center for Professionalism, Baylor College of Medicine, Houston, TX USA.
Jazyk: angličtina
Zdroj: Medical science educator [Med Sci Educ] 2024 Mar 13; Vol. 34 (3), pp. 601-607. Date of Electronic Publication: 2024 Mar 13 (Print Publication: 2024).
DOI: 10.1007/s40670-024-02017-9
Abstrakt: Introduction: Burnout is an increasingly prevalent problem among resident physicians. To address this problem, the Accreditation Council on Graduate Medical Education (ACGME) created the Back to Bedside initiative, supporting resident-driven projects focused on increasing direct interactions with patients. In 2017, Baylor College of Medicine (BCM) Internal Medicine Residency received a Back to Bedside grant to develop and implement "Humanism Rounds," a multifaceted program which sought to promote personal connections between residents and patients and foster reflection about patients' non-clinical stories, with the hopes of reducing burnout and increasing residents' sense of meaning at work.
Materials and Methods: Between 2018 and 2020, internal medicine residents were instructed on and encouraged to participate in Humanism Rounds. The program included three components: taking a "human history," bedside rounds focused on non-clinical concerns, and sharing patient stories with colleagues ("celebrations"). Residents were surveyed using institutional and ACGME surveys regarding burnout, meaning at work, and the clinical learning environment.
Results: Three hundred eleven institutional (response rate, 74%) and 328 AGCME (response rate, 78%) surveys were completed and analyzed. Residents who actively engaged with Humanism Rounds reported more meaning and fulfillment at work ( p  < 0.001). During the period of this project, ratings of the learning environment and personal callousness improved among subgroups of residents.
Conclusions: Baylor College of Medicine Internal Medicine residents who engaged with Humanism Rounds reported more meaning and fulfillment in their work. This program describes a low-cost model for other specialties and institutions to strengthen human connections and improve residents' experience during training.
Supplementary Information: The online version contains supplementary material available at 10.1007/s40670-024-02017-9.
Competing Interests: Competing InterestsThe authors declare no competing interests.
(© The Author(s) 2024.)
Databáze: MEDLINE
Externí odkaz: