Sharing Stories to Build Resilience: Articulating the Common Threads That Connect Us

Olson, Maren E.; Walsh, Meghan M.; Goepferd, Angela K.; Trappey, Bernard E.

doi:10.4300/jgme-d-18-00896.1

Cited by 8 publications

(8 citation statements)

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“…Narrative medicine practice also serves to foster a sense of community. In a story-telling venue, medical faculty and staff were invited to share stories from the hospital, and in doing so learned that they were “not alone” in their experiences [ 30 ]. In contrast to much of classical medical training, hierarchy is limited in the study of narrative.…”

Section: Utilizing Narrative To Develop Doctoring Skillsmentioning

confidence: 99%

Lessons in Stories: Why Narrative Medicine Has a Role in Pediatric Palliative Care Training

Lanocha

2021

Children

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Narrative medicine is introduced and explored as a potential tool for developing competency in medical training, including reduction of burnout, sustaining empathy, and allowing for reflective practice. Developing cultural humility, communication skills, ethics, community building, and advocacy are also reviewed as domains that may be bolstered by training in narrative. Applications specific to pediatric palliative care are suggested, along with avenues for further research.

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Section: Utilizing Narrative To Develop Doctoring Skillsmentioning

confidence: 99%

Lessons in Stories: Why Narrative Medicine Has a Role in Pediatric Palliative Care Training

Lanocha

2021

Children

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“…Several initiatives have been designed to address detachment and combat burnout by promoting social connection. Examples include reflection groups, structured social events, individual wellness check-ins by chief residents, resilience workshops, and sharing stories about patient care [6,7,8,9,10,11,12,13,14,15]. Many of these initiatives, while anecdotally beneficial, require considerable institutional resources and trainee time.…”

Section: Finding Meaning and Communitymentioning

confidence: 99%

“…A variety of anti-burnout strategies have been tried to enhance connection, with many in the form of story sharing about clinical care [1,6,7,9,15]. While anecdotally beneficial, these efforts may require sizeable time and resources to set up and lack specificity in regards to institutional and cultural aspects of detachment.…”

Section: A Low-effort Low-cost Approach To Foster Communication Connection and An Overall Healthy Educational Communitymentioning

confidence: 99%

Humanistic Stories About the Workplace and Resident Wellness: a Missing Connection?

2020

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Burnout is common among residents. A 2018 nation-wide survey of 50 medical schools found that 45% of residents experienced at least one major symptom of burnout, or a sense of detachment, emotional exhaustion and a blunted sense of accomplishment [1,2,3]. A 2019 systematic review revealed a 33.7% prevalence of burnout specifically among psychiatry residents [4]. Many factors contribute to burnout including patient complexity; volumes and workload; various and increasing tasks associated with patient care that may be perceived as "non-physician tasks"; large and complex hospitals; and institutional, interpersonal, and cultural detachment from the learning environment [5].During the course of a decade at one academic hospital-based psychiatry residency training program, trainees exhibited evidence of higher than expected rates of burnout as measured by the Accreditation Council for Graduate Medical Education (ACGME) survey as well as through internal observations and measures. Though most survey responses were comparable to other Graduate Medical Education (GME) programs' responses, psychiatry trainees reported a lower "sense of belonging" than other GME trainees. After reviewing survey results, consulting the literature, and obtaining feedback from residents, we hypothesized that psychiatry trainees in our large and complex hospital system may experience feelings of contextual detachment, which we define as feelings of separation from one's institutional, interpersonal, and cultural environment. Finding Meaning and CommunitySeveral initiatives have been designed to address detachment and combat burnout by promoting social connection. Examples include reflection groups, structured social events, individual wellness check-ins by chief residents, resilience workshops, and sharing stories about patient care [6,7,8,9,10,11,12,13,14,15]. Many of these initiatives, while anecdotally beneficial, require considerable institutional resources and trainee time. Furthermore, no study to date has explored story sharing on the institutional, interpersonal, Terms of use and reuse: academic research for non-commercial purposes, see here for full terms. http://www.springer.com/gb/openaccess/authors-rights/aam-terms-v1

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“…The event featured residents, fellows, and faculty sharing 750-word stories they had prepared in advance. We demonstrated that the approach was both feasible and well-accepted [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

The strength of our stories: a qualitative analysis of a multi-institutional GME storytelling event

Olson

Smith

Muhar

et al. 2021

Medical Education Online

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Context: Storytelling is a powerful tool for encouraging reflection and connection among both speakers and listeners. While growing in popularity, studying the benefits of formal oral storytelling events within graduate medical education remains rare. Our research question was: could an oral storytelling event for GME trainees and faculty be an effective approach for promoting well-being and resilience among participants? Methods: We used multiple approaches to gather perspectives from physician participants (storytellers and audience members) at an annual oral storytelling event for residents, fellows, and faculty from seven academic health systems in Minnesota. Data sources included short reflections written by participants during the event, an immediate post-event survey exploring participants' experiences during the event, social media postings, and targeted follow-up interviews further exploring the themes of connection and burnout that were raised in postevent survey responses. We performed a qualitative analysis using both deductive and inductive coding to identify themes. Results: There were 334 participants, including 197 physicians. At the event, 129 real-time written reflections were collected. There were also 33 Twitter posts related to the event.Response rate for the post-event survey was 65% for physicians, with 63% of physician respondents volunteering for targeted follow-up interviews. Of those, 38% completed the follow-up interview. Themes that emerged from the multi-modal qualitative analysis included a sense of connection and community, re-connection with meaning and purpose in work, renewal and hope, gratitude, and potential impact on burnout. Conclusion:The large turnout and themes identified show how an oral storytelling event can be a powerful tool to build community in graduate medical education. Qualitative analysis from multiple sources obtained both in real-time at the event and upon deeper reflection afterwards showed the event positively impacted the well-being of participants and that oral storytelling events can be an effective approach for promoting resilience in GME.

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Sharing Stories to Build Resilience: Articulating the Common Threads That Connect Us

Cited by 8 publications

References 0 publications

Lessons in Stories: Why Narrative Medicine Has a Role in Pediatric Palliative Care Training

Lessons in Stories: Why Narrative Medicine Has a Role in Pediatric Palliative Care Training

Humanistic Stories About the Workplace and Resident Wellness: a Missing Connection?

The strength of our stories: a qualitative analysis of a multi-institutional GME storytelling event

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