IntroductionBurnout, depression, and suicidality among residents of all specialties have become a critical focus of attention for the medical education community.MethodsAs part of the 2017 Resident Wellness Consensus Summit in Las Vegas, Nevada, resident participants from 31 programs collaborated in the Educator Toolkit workgroup. Over a seven-month period leading up to the summit, this workgroup convened virtually in the Wellness Think Tank, an online resident community, to perform a literature review and draft curricular plans on three core wellness topics. These topics were second victim syndrome, mindfulness and meditation, and positive psychology. At the live summit event, the workgroup expanded to include residents outside the Wellness Think Tank to obtain a broader consensus of the evidence-based toolkits for these three topics.ResultsThree educator toolkits were developed. The second victim syndrome toolkit has four modules, each with a pre-reading material and a leader (educator) guide. In the mindfulness and meditation toolkit, there are three modules with a leader guide in addition to a longitudinal, guided meditation plan. The positive psychology toolkit has two modules, each with a leader guide and a PowerPoint slide set. These toolkits provide educators the necessary resources, reading materials, and lesson plans to implement didactic sessions in their residency curriculum.ConclusionResidents from across the world collaborated and convened to reach a consensus on high-yield—and potentially high-impact—lesson plans that programs can use to promote and improve resident wellness. These lesson plans may stand alone or be incorporated into a larger wellness curriculum.

Introduction Better use of administrative data is essential to enhance understanding about the family justice system, and characteristics and outcomes for children and families. The Nuffield Family Justice Observatory Data Partnership supports this aim through analyses of core family justice datasets. When a child is involved in family court proceedings in Wales, Cafcass Cymru are employed to represent a child’s best interests.  This paper provides an overview of the Cafcass Cymru data, and linkage to population level health and other administrative datasets held within the Secure Anonymised Information Linkage (SAIL) Databank. Two data linkage example analyses are described. Further research opportunities are outlined. Methods Cafcass Cymru data was transferred to SAIL using a standardised approach to provide de-identified data with Anonymised Linking Fields (ALF) for successfully matched records. Three cohorts were created: all individuals involved in family court applications; all individuals with an ALF allowing subsequent health data linkage; and all individuals with a Residential Anonymised Linking Field (RALF) and Lower Super Output Area (LSOA) enabling area level deprivation analysis. Results Cafcass Cymru data are available containing 12,745 public law applications between 2011 and 2019, with 52,023 applications from 2005 to 2019 for private law. The overall match rate was 80%, with variations observed by time, law type, roles, gender and age. Forty per cent had hospital inpatient admissions 2 years prior or after application receipt at Cafcass Cymru, of which 27% were for emergency admissions; 54% had an emergency department attendance and 61% an outpatient appointment during the same period. Individuals involved in public or private law applications were more likely to reside in deprived areas. Conclusion The Nuffield Family Justice Observatory Data Partnership will enhance research opportunities to better understand the family justice system and outcomes for children and families. Population level Cafcass Cymru data can be accessed through the SAIL Databank. Forthcoming data acquisition will also facilitate further analyses and insight.

IntroductionNow widespread in emergency medicine (EM) residency programs, asynchronous curriculum (AC) moves education outside of classic classrooms. Our program’s prior AC had residents learning in isolation, achieving completion via quizzes before advancing without the benefit of deliberate knowledge reinforcement. We sought to increase engagement and spaced repetition by creating a social AC using gamification.MethodsWe created a website featuring monthly options from textbooks and open-access medical education. Residents selected four hours of material, and then submitted learning points. Using these learning points, trivia competitions were created. Residents competed in teams as “houses” during didactic conference, allowing for spaced repetition. Residents who were late in completing AC assignments caused their “house” to lose points, thus encouraging timely completion.ResultsCompletion rates prior to deadline are now >95% compared to ~30% before intervention. Surveys show increased AC enjoyment with residents deeming it more valuable clinically and for EM board preparation.ConclusionSocially synchronized AC offers a previously undescribed method of increasing resident engagement via gamification.

As part of the Accreditation Council for Graduate Medical Education requirements, residents must participate in structured didactic activities. Traditional didactics include lectures, grand rounds, simulations, case discussions, and other forms of in-person synchronous learning. The COVID-19 pandemic has made in-person activities less feasible, as many programs have been forced to transition to remote didactics. Educators must still achieve the goals and objectives of their didactic curriculum despite the new limitations on instructional strategies. There are several strategies that may be useful for organizing and creating a remote residency didactic curriculum. Educators must master new technology, be flexible and creative, and set rules of engagement for instructors and learners. Establishing best practices for remote didactics will result in successful, remote, synchronous didactics; reduce the impact of transitioning to a remote learning environment; and keep educators and learners safe as shelter-at-home orders remain in place.

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