Methods one primary goal: resident wellness Pre-Assessment - - PowerPoint PPT Presentation

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Supporting Provider Resilience by Upping Compassion and Empathy

Eve Ekman PhD, MSW, Osher Center for Integrative Medicine Jyothi Marbin MD, Pediatric Leadership for the Underserved Clauida Mooney MD, Family and Community Medicine Ryan Laponis MD, Department of General and Internal Medicine, PRIME

Background

• Burnout among residents

– 50-80% across fields of medicine

• Stress reduction and empathy trainings

– Evidenced Based

Three Departments, three programs,

• ne primary goal: resident wellness
• FCM: R1s From July-July 12 hours live curricular time, R2s

January-July 4 hours live curricular time

• PLUS: R1s,R2s, R3s, From November-July, Monthly 1.5 hours
• DGIM: R2s, R3s, From January-July, Every other month, total 8

hours live

Methods

• Pre-Assessment

– Interviews/Focus Groups

• Adaptation
• Pilot Training

– Voluntary and Compulsory – Live Sessions &Online Materials

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Learning Objectives

Stress Reduction Clear Communication (giving and receiving) Professional Empathy Emotion Awareness/Intelligence

ACGME and AAMC Medical Education Competencies ( good for everyone)

Patient Care Professionalism Interpersonal Skills and Communication Social Skills Team Work Resilience and Adaptability Service Orientation Cultural Competence

Sample Session

“Working with Anger and Compassion” (55 min) 5 min attention practice for full body awareness 10 min didactic on emotion of anger. 20 min group sharing recent episodes of anger 5 min didactic on compassion after anger 10 min closing check-in 5 min compassion practice

Ekman, 2015

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Ekman, 2015

Preliminary Results

• Online course evaluations-feasibility and

content

• Mixed Method Longitudinal Assessment

– Interviews and Psychometrically Validated Survey Instruments

• Ecological Momentary Assessment of Emotion

Conclusions

• We need more pilots, and ongoing

longitudinal assessment to build the case for wellness curriculum

• Training for residents in wellness in an issue

with growing interest- UCSF can be a pioneer!

• Adapting the training for your department

Empathy Empathy Empathic distress Empathic distress Burnout Burnout Background

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Empathy Empathy Compassio n Compassio n Meaning Meaning

Background Felt Experience of Burnout

Emotional Exhaustion Lack of Efficacy, Meaning Depersonalization, Cynicism Fatigue from emotions of the work Loss of sense of identity in the job Unfeeling or uncaring stance Not feeling able to complete the job Not able to feel meaning in the job

Maslach, Leiter & Jackson 2012, Maslach, Jackson & Leiter, 1996

motivation empathy empathic distress lack of efficacy emotional

withdrawal