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PURPOSE: Our primary aim was to evaluate the effects of a formalized wellness curriculum on the rate of burnout among University of New Mexico (UNM) obstetrics and gynecology (OBGyn) residents. Our secondary aim was to evaluate the effect of a wellness curriculum on rates of depression, alcohol abuse and suicide risk. BACKGROUND: Burnout is a pathological syndrome characterized by depersonalization, emotional exhaustion and a low sense of personal achievement. Burnout is a concern for resident physicians due to their heavy workload and low sense of autonomy. METHODS: A structured wellness curriculum was instituted at the start of the 2016 academic year. A 45-item survey, consisting of the Maslach Burnout Inventory Human Services Survey (MBI-HSS), personal health questionnaire-9 (PHQ9), suicide behaviors questionnaire-revised (SBQr), and the alcohol use disorders identification test (AUDIT), was to be administered at the start, midpoint, and end of the academic year. RESULTS: The study included 23 UNM OBGyn residents. Midpoint and end of curriculum surveys were collected as planned and demonstrated no difference in rate of burnout. Upon completion of the 2016 academic year 18 (78.2%) residents reported moderate to severe emotional exhaustion; 13 (59.1%) moderate to severe depersonalization; and 5 (21.7%) low personal achievement. SBQ-R identified 4 (18.2%) residents at high risk for suicide and AUDIT-C identified 15 (68.2%) at high risk for alcohol abuse. DISCUSSION: High rates of burnout, depression, alcohol abuse, and suicide risk did not change between the midpoint and end of a structured wellness curriculum.

INTRODUCTION: Endometrial polyps (EMPolyp) are a common cause of abnormal uterine bleeding (AUB). For over 30 years endometrial biopsy (EMB) has been an important tool in the work up of AUB. Occasionally the pathologic sample obtained from an EMB may note a "possible" EMPolyp. However, hysteroscopy is considered the "gold standard" for diagnosis of EMPolyps. Our study attempts to look at existence of an EMPolyp when suggested by EMB. METHODS:We reviewed all EMBs send to our pathology lab during the last full year (2014). All EMBs read as "endometrial polyp" or "suggestive of endometrial polyp" were analyzed. Demographic data and medical histories were obtained on these patients. Pre-EMB ultrasounds (US) and post EMB hysteroscopy operative notes, if available, were reviewed.RESULTS: An EMB suggestive for polyps was noted in 102 of 1,380 (7.4%) procedures done for AUB. The mean age was 47.3610.5 years and BMI 30.668.7 kg/m 2 . Diabetes was noted in 14/102 (13.7%) and hypertension in 36/102 (35.3%). In the 32 patients that underwent follow-up hysteroscopy, polyps were noted in 24. Thus EMB correctly identify the polyps in 75% of cases. Of the 23 Pre-biopsy US all but one correctly predicted the presence or absence of EMPolyp. CONCLUSION: An EMB finding suggestive of EMPolyp appears to overcall their existence. Even non-saline infusion sonography appears to be a better predicator than EMB in diagnosing the presence or absence of an EMPolyp.