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

3/30/2016 Background • Burnout among residents Supporting Provider – 50-80% across fields of medicine Resilience by Upping Compassion and Empathy • Stress reduction and empathy trainings – Evidenced Based 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 Three Departments, three programs, Methods one primary goal: resident wellness • Pre-Assessment – Interviews/Focus Groups • Adaptation • Pilot Training – Voluntary and Compulsory • FCM: R1s From July-July 12 hours live curricular time, R2s – Live Sessions &Online Materials 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 1

3/30/2016 ACGME and AAMC Medical Learning Objectives Education Competencies ( good for everyone ) � Stress Reduction � Patient Care � Clear Communication (giving and receiving) � Professionalism � Professional Empathy � Interpersonal Skills and Communication � Emotion Awareness/Intelligence � 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 2

3/30/2016 Preliminary Results • Online course evaluations-feasibility and content • Mixed Method Longitudinal Assessment – Interviews and Psychometrically Validated Survey Instruments • Ecological Momentary Assessment of Emotion Ekman, 2015 Background Conclusions • We need more pilots, and ongoing longitudinal assessment to build the case for wellness curriculum Empathic Empathic Empathy Empathy Burnout Burnout • Training for residents in wellness in an issue distress distress with growing interest- UCSF can be a pioneer! • Adapting the training for your department 3

3/30/2016 Background Felt Experience of Burnout Emotional Exhaustion Fatigue from emotions of the work Compassio Compassio Not feeling able to Lack of Efficacy, Meaning Empathy Empathy Meaning Meaning n n complete the job Not able to feel meaning in the job Depersonalization, Cynicism Loss of sense of identity in the job Unfeeling or uncaring stance Maslach, Leiter & Jackson 2012, Maslach, Jackson & Leiter, 1996 empathic lack of emotional motivation empathy efficacy withdrawal distress 4