Introduction: Promoting resilience is key during intern year as residents transition to becoming clinical providers. Residents consistently demonstrate a decline in empathy and an increase in burnout throughout training. Interventions involving mindfulness, stress management, and small-group discussions can reduce burnout. We created a curriculum to normalize the intern experience and provide debriefing opportunities to further improve resilience and decrease burnout. Methods: Thirty-two interns met monthly, one-on-one, with a pediatric chief resident to discuss personal, professional, and emotional well-being and complete just-in-time resilience exercises. After 6 and 12 months, we conducted follow-up surveys containing 5-point Likert questions and open-ended questions to determine interns' perceptions of the initiative. Results: We obtained response rates of 44% (14 interns) and 38% (12 interns) for the 6-and 12-month surveys, respectively. Interns found the sessions helpful for normalizing the intern experience (6 months: 4.6 ± 0.7, 12 months: 4.8 ± 0.5), stress management (6 months: 4.0 ± 1.0, 12 months: 4.3 ± 0.7), and feeling connected to program leadership (6 months: 4.6 ± 0.9, 12 months: 5.0 ± 0.0). Thematic analysis identified normalizing the intern experience, ability to express concerns, and mentorship as benefits. Discussion: Normalization of the intern experience and targeted wellness and resilience exercises can have a positive impact on interns' satisfaction with program support for their well-being. Through a time-limited intervention, chief residents can be utilized in a mentorship role that is well received by interns and rewarding for the chief residents.
PurposeThe ‘Helmet Smart at Head Start (HS)’ program was developed to promote helmet use among preschool children and to train caregivers about helmet safety and proper helmet fit.MethodsWe developed a 3 min audiovisual podcast on helmet safety and proper fit. Events were held at two local HS centres in collaboration with Safe Kids. Each child received an adjustable helmet while caregivers watched the podcast and completed pre- and post- surveys assessing helmet-related attitudes and practices. A sample of caregivers were surveyed again 3 months after the event. Descriptive statistics were used for analysis.ResultsIn March 2016, over 200 children participated in the program. 50 caregivers viewed the podcast and completed the surveys. Pre-intervention, caregivers reported that their child did not always wear a helmet when using a bicycle (55%), tricycle (71%), or scooter (70%). Over 57% acknowledged their child did not own a helmet. After viewing the podcast, caregiver’s comfort level in fitting a helmet increased from 78% to 94%. In an end-of-school-year, 3 month-post-event survey of caregivers (n=40) there was a reported continued increase in the percentage of children who always wore a helmet when riding a bicycle (45% to 86%), tricycle (29% to 61%), and scooter (30% to 81%).ConclusionAt an educational helmet safety event held in collaboration with community partners, injury prevention information was shared asynchronously and rapidly using on-demand videos. Providing children access to helmets appears to be a critical component in the promotion of helmet use in resource-poor settings.SignificanceCommunity initiatives at HS centres with interactive, hand-on demonstrations and on-demand audiovisual materials can effectively disseminate injury prevention information that may lead to sustained home behaviour changes.
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