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Background Patient care events that cause emotional distress are common during pediatric training. Research has demonstrated that ICU rotations have a significant impact on trainee burnout likely in part due to the number of distressing events that occur in that environment. Interventions have been proposed by the AAP for training on peer-debriefing as well interventions to decrease distress in the ICU. Objective: Perform a needs assessment in our training program to: examine what scenarios lead to distress, assess how they are able to process these events and, have their voices be heard on how they want to be debriefed. Methods Semi-structured interviews guided by open-ended questions were conducted with 15 trainees from our large academic pediatric training program. Demographic information was collected. Data was transcribed and analyzed using a phenomenological approach. The transcribed data was coded using an iterative approach and organized into themes. Results Interviews were conducted from Aug-Dec 2019. About half of our participants were female (8, 53%) and nearly all were senior residents PGY 2(8, 53%), PGY-3 (6, 40%). Trainees experienced distressing cases either in the NICU or PICU. Based on data analysis, these cases elicited feelings of shock, loneliness, helplessness, or fear. Currently, residents receive untrained support from their peers and families and are additionally challenged by the lack of protected time to debrief the event. A common theme revealed that the trainees expect a debrief from the service faculty to assist them in processing these events. The lack of intervention by the service faculty contributes to a higher level of distress in our trainees. When describing their ideal debrief, they all agreed that the emotional debrief should stand alone from a medical debrief. Conclusions Emotionally charged patient care events have a strong impact on trainees and lead to higher rates of burnout. We plan to use this data to support peer-training in debriefing, as well as to develop a framework for service faculty to use to debrief these events with our trainees. |
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