Reducing Burnout Among Radiology Trainees: A Novel Residency Retreat Curriculum to Improve Camaraderie and Personal Wellness – 3 Strategies for Success

Haber, Matthew A; Gaviola, Glenn C.; Mann, Jessica; Kim, Ji-Soo; Malone, Fiona; Matalon, Shanna A.; Chikarmane, Sona A.; Uyeda, Jennifer W.

doi:10.1067/j.cpradiol.2019.09.001

Cited by 18 publications

(9 citation statements)

References 16 publications

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“…39 There have been a number of attempts to improve psychological wellness through educator conferences and in residency curricula. 10,11,40 These have generally focused on individual wellness and include mindfulness, journaling, self-reflection, stress management, and gratitude activities. 7 While these do provide potential skills for trainees to use throughout their careers, so far these individual approaches have only met with marginal success.…”

Section: Challenges With Wellnessmentioning

confidence: 99%

“…8,9 Interventions have included mindfulness training, guided reflection, wellness days, art therapy, and gratitude exercises. [9][10][11] Unfortunately, the intense focus and widespread efforts have been largely unsuccessful, with one meta-analysis showing only a 10% reduction in burnout with intervention. 12 Organizational efforts such as changes in call schedules, team communication, teamwork, and workload have demonstrated modest efficacy but there are challenges in implementing these in different settings based on organization-specific resources, drivers, needs, and cultures.…”

Section: Introductionmentioning

confidence: 99%

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Shifting Focus from Burnout and Wellness toward Individual and Organizational Resilience

Vercio

Loo

Green

et al. 2021

Teaching and Learning in Medicine

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Issue: Burnout is reported to be epidemic among physicians and medical trainees, and wellness has been the predominant target for intervention in academic medicine over the past several years. However, both burnout and wellness suffer from a lack of standardized definition, often making interventions difficult to generalize and extrapolate to different sites. Although well-meaning, current frameworks surrounding wellness and burnout have limitations in fully addressing the challenges of improving physician mental health. Wellness as a framework does not inherently acknowledge the adversity inevitably experienced in the practice of medicine and in the lives of medical trainees. During a crisis such as the current pandemic, wellness curricula often do not offer adequate frameworks to address the personal, organizational, or societal crises that may ensue. This leaves academic institutions and their leadership ill-equipped to appropriately address the factors that contribute to burnout. More recently, resilience has been explored as another framework to positively influence physician wellness and burnout. Resilience acknowledges the inevitable adversity individuals encounter in their life and work, allowing for a more open discussion on the tensions and flexibility between facets of life. However, emphasizing personal resiliency without addressing organizational resiliency may leave physicians feeling alienated or marginalized from critical support and resources that organizations can and should provide. Evidence: Despite intense focus on wellness and burnout, there have not been significant positive changes in physicians' mental health. Many interventions have aimed at the individual level with mindfulness or other reflective exercises; unfortunately these have demonstrated only marginal benefit. Systems level approaches have demonstrated more benefit but the ability of organizations to carry out any specific intervention is likely to be limited by their own unique constraints and may limit the spread of innovation. We believe the current use of these conceptual lenses (wellness and burnout) has been clouded by lack of uniformity of definitions, an array of measurement tools with no agreed-upon standard, a lack of understanding of the complex interaction between the constructs involved, and an over-emphasis on personal rather than organizational interventions and solutions. Implications: If the frameworks of burnout and wellness are limited, and personal resilience by itself is inadequate, what framework would be helpful? We believe that focusing on organizational resilience and the connecting dimensions between organizations and their physicians could be an additional framework helpful in addressing physician mental health. An organization connects with its members along multiple dimensions, including communication, recognition of gifts, shared vision, and sense of belonging. By finding ways to positively affect these dimensions, organizations can create change in the culture and mental health of physicians and tr...

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Section: Challenges With Wellnessmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Shifting Focus from Burnout and Wellness toward Individual and Organizational Resilience

Vercio

Loo

Green

et al. 2021

Teaching and Learning in Medicine

View full text Add to dashboard Cite

show abstract

“…With the focus on wellbeing and avoiding burnout, early data suggest benefits of 'a retreat' during training. 13 It may be a post to undertake before key choices are made, or when a career has hit difficulty, but there are no moments in life where reflection is wasted .…”

Section: You Will Have Time To Refl Ect and Consider Future Career Pamentioning

confidence: 99%

Ten reasons why every junior doctor should spend time working in a remote and rural hospital

Fox

Corstorphine

Frazer

et al. 2020

Future Healthcare Journal

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Large and particularly urban hospitals no longer offer a true general medical take. For very good reasons, acute myocardial infarction and stroke are hived off to subspecialty services. 4 In a wider context, major trauma, oncology, paediatrics and obstetrics are often not co-located with acute medicine. These are understandable but artificial silos and, as a junior doctor, being exposed to the complete spectrum of medicine provides a holistic perspective and a very broad clinical challenge. Everything learnt at medical school (and quite a lot that wasn't) may be needed. The importance of generalism is being revisited in medical training, not least with the introduction of the 3-year internal medicine training programme, but nowhere can offer better general experience than a small remote or rural hospital. 5,6

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“…The increasing rate of burnout among medical professionals is a source of concern for hospital administrators and professional societies [ 3 , 4 ], which is particularly high within radiology [ 5 , 6 ]. Burnout, like distraction, has been linked to increased medical error [ 4 ], clinician job dissatisfaction, and turnover [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…Burnout, like distraction, has been linked to increased medical error [ 4 ], clinician job dissatisfaction, and turnover [ 7 ]. In addition, radiology trainees and fellows experience significantly higher rates of burnout compared with their peers in other specialties, potentially due to the unique demands of radiology practice [ 5 , 8 , 9 ]. Because radiologists spend much of their time in the reading room, it follows that the space’s layout should proactively facilitate the work requirements and the well-being of the people working there.…”

Section: Introductionmentioning

confidence: 99%

Optimizing Radiology Reading Room Design: The Eudaimonia Radiology Machine

Larsen

Hailu

Sheldon

et al. 2021

Journal of the American College of Radiology

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Physical and mental stressors on radiologists can result in burnout. Although current efforts seek to target the issues of burnout and stress for radiologists, the impact of their physical workspace is often overlooked. By combining evidence-based design, human factors, and the architectural concept of the Eudaimonia Machine, we have developed a redesign of the radiology reading room that aims to create an optimal workspace for the radiologist. Informed by classical principles of well-being and contemporary work theory, Eudaimonia integrates concerns for individual wellness and efficiency to create an environment that fosters productivity. This layout arranges a work environment into purposeful spaces, each hosting tasks of varying degrees of intensity. The improved design addresses the radiologist’s work requirements while also alleviating cognitive and physical stress, fatigue, and burnout. This new layout organizes the reading room into separate areas, each with a distinct purpose intended to support the range of radiologists’ work, from consultation with other health care providers to reading images without interruption. The scientific principles that undergird evidence-based design and human factors considerations ensure that the Eudaimonia Radiology Machine is best suited to support the work of the radiologists and the entire radiology department.

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Reducing Burnout Among Radiology Trainees: A Novel Residency Retreat Curriculum to Improve Camaraderie and Personal Wellness – 3 Strategies for Success

Cited by 18 publications

References 16 publications

Shifting Focus from Burnout and Wellness toward Individual and Organizational Resilience

Shifting Focus from Burnout and Wellness toward Individual and Organizational Resilience

Ten reasons why every junior doctor should spend time working in a remote and rural hospital

Optimizing Radiology Reading Room Design: The Eudaimonia Radiology Machine

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