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Background Burnout, depression, and risk of suicide are pressing issues in pediatric residency programs. Novel strategies to mitigate burnout and promote resiliency are needed. Objective To reduce rates of burnout in our program at Rush University Medical Center, we initiated a multi-faceted approach in July, 2017, including a Wellness/Study Rotation in the PL-2 year, widely acknowledged as the most taxing year of training. Ultimately, our aim is to promote a more resilient workforce, serving the well-being of both the residents and their patients. Design Methods A number of wellness activities were enhanced or initiated. A Wellness/Study rotation was created for PL-2s that includes: scheduling appointments with healthcare providers, covering for other residents who have important healthcare appointments, check-in with staff psychologist, defined Board review, self-care (exercise, meditation), scheduled meetings with academic and QI advisors, and jeopardy call. Before and after the creation of the rotation, we participated in the Pediatric Resident Burnout-Resilience Study Consortium (PRB-RSC) survey, which includes multiple scales of stress and resilience including the Maslach Burnout Inventory (MBI). Results In 2017 (pre-intervention), 55% of pediatric residents completed the PRB-RSC survey, compared to 90% in 2018. The percent of residents experiencing burnout, defined as scoring high on the emotional exhaustion and/or depersonalization scale of the MBI, fell from 59% (2017 survey) to 39% (2018 survey) after the implementation of the Wellness/Study rotation. PL2 residents experienced the greatest improvement. Their rates of burnout fell from 80% to 30%. Conclusions The Rush Pediatrics Wellness Curriculum includes multiple interventions to prevent and mitigate burnout and promote resiliency. This innovative model, including the Wellness/Study rotation, appears to have decreased our rate of burnout. Future challenges include decreasing burnout rates among all residents, defining the most effective interventions, and creating a culture of wellness among both residents and faculty. |
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