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Well-Being in Graduate Medical Education: A Call for Action.

Abstract Job burnout is highly prevalent in graduate medical trainees. Numerous demands and stressors drive the development of burnout in this population, leading to significant and potentially tragic consequences, not only for trainees but also for the patients and communities they serve. The literature on interventions to reduce resident burnout is limited but suggests that both individual- and system-level approaches are effective. Work hours limitations and mindfulness training are each likely to have modest benefit. Despite concerns that physician trainee wellness programs might be costly, attention to physician wellness may lead to important benefits such as greater patient satisfaction, long-term physician satisfaction, and increased physician productivity. A collaborative of medical educators, academic leaders, and researchers recently formed with the goal of improving trainee well-being and mitigating burnout. Its first task is outlining this framework of initial recommendations in a call to action. These recommendations are made at the national, hospital, program, and nonwork levels and are meant to inform stakeholders who have taken up the charge to address trainee well-being. Regulatory bodies and health care systems need to be accountable for the well-being of trainees under their supervision and drive an enforceable mandate to programs under their charge. Programs and individuals should develop and engage in a "menu" of wellness options to reach a variety of learners and standardize the effort to ameliorate burnout. The impact of these multilevel changes will promote a culture where trainees can learn in settings that will sustain them over the course of their careers.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title academic medicine : journal of the association of american medical colleges
Publication Year Start




PMID- 28471780
OWN - NLM
STAT- Publisher
DA  - 20170504
LR  - 20170504
IS  - 1938-808X (Electronic)
IS  - 1040-2446 (Linking)
DP  - 2017 May 02
TI  - Well-Being in Graduate Medical Education: A Call for Action.
LID - 10.1097/ACM.0000000000001735 [doi]
AB  - Job burnout is highly prevalent in graduate medical trainees. Numerous demands
      and stressors drive the development of burnout in this population, leading to
      significant and potentially tragic consequences, not only for trainees but also
      for the patients and communities they serve. The literature on interventions to
      reduce resident burnout is limited but suggests that both individual- and
      system-level approaches are effective. Work hours limitations and mindfulness
      training are each likely to have modest benefit. Despite concerns that physician 
      trainee wellness programs might be costly, attention to physician wellness may
      lead to important benefits such as greater patient satisfaction, long-term
      physician satisfaction, and increased physician productivity. A collaborative of 
      medical educators, academic leaders, and researchers recently formed with the
      goal of improving trainee well-being and mitigating burnout. Its first task is
      outlining this framework of initial recommendations in a call to action. These
      recommendations are made at the national, hospital, program, and nonwork levels
      and are meant to inform stakeholders who have taken up the charge to address
      trainee well-being. Regulatory bodies and health care systems need to be
      accountable for the well-being of trainees under their supervision and drive an
      enforceable mandate to programs under their charge. Programs and individuals
      should develop and engage in a "menu" of wellness options to reach a variety of
      learners and standardize the effort to ameliorate burnout. The impact of these
      multilevel changes will promote a culture where trainees can learn in settings
      that will sustain them over the course of their careers.
FAU - Ripp, Jonathan A
AU  - Ripp JA
AD  - J.A. Ripp is associate professor, Department of Medicine, Icahn School of
      Medicine at Mount Sinai, New York, New York. M.R. Privitera is professor,
      Department of Psychiatry, and director, Medical Faculty and Clinician Wellness
      Program, University of Rochester Medical Center, Rochester, New York. C. West is 
      professor, Department of Medicine, Mayo Clinic, Rochester, Minnesota. R. Leiter
      is fellow, Harvard Interprofessional Palliative Care Fellowship Program, Boston, 
      Massachusetts. L. Logio is vice chair for education and residency program
      director, Joan and Sanford I. Weill Department of Medicine, Weill Cornell Medical
      College, New York, New York. J. Shapiro is director, Center for Professionalism
      and Peer Support, Brigham and Women's Hospital, Harvard Medical School, Boston,
      Massachusetts. H. Bazari is director, Morton N. Swartz, MD Initiative, and
      program director emeritus, Department of Medicine, Massachusetts General
      Hospital, Boston, Massachusetts.
FAU - Privitera, Michael R
AU  - Privitera MR
FAU - West, Colin
AU  - West C
FAU - Leiter, Richard
AU  - Leiter R
FAU - Logio, Lia
AU  - Logio L
FAU - Shapiro, Jo
AU  - Shapiro J
FAU - Bazari, Hasan
AU  - Bazari H
LA  - eng
PT  - Journal Article
DEP - 20170502
PL  - United States
TA  - Acad Med
JT  - Academic medicine : journal of the Association of American Medical Colleges
JID - 8904605
EDAT- 2017/05/05 06:00
MHDA- 2017/05/05 06:00
CRDT- 2017/05/05 06:00
AID - 10.1097/ACM.0000000000001735 [doi]
PST - aheadofprint
SO  - Acad Med. 2017 May 2. doi: 10.1097/ACM.0000000000001735.

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