Strategies to Enhance Wellness in Emergency Medicine Residency Training Programs

Ross, Shana En; Liu, E. Liang; Rose, Christian; Chou, Adaira; Battaglioli, Nicole

doi:10.1016/j.annemergmed.2017.07.007

Cited by 30 publications

(35 citation statements)

References 50 publications

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“…The perception of control over one's life is a basic tenet of POS. We implemented a wellness committee, annual residency retreat, and wellness strategies such as “anchor sleep” and “clockwise shift rotation” have also been maintained . All residents are given a Dictaphone and senior residents are able to use a scribe.…”

Section: Discussionmentioning

confidence: 99%

Analysis of the Emergency Medicine Clinical Learning Environment

Feeser¹,

Zemore²,

Appelbaum³

et al. 2019

AEM Education and Training

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Background: Residencies are grappling with ways to identify methods to internally monitor and improve their learning environments. Building on prior work, the objective of this study was to determine emergency medicine (EM) internal evaluations of perceived organizational support and psychological safety and compare to the results from the Accreditation Council for Graduate Medical Education (ACGME) Resident Survey for the purpose of program improvement and to explore factors affecting residents' perception of their learning environment.Results: Institutional response rates were 63% for the internal learning environment survey and 96% for ACGME Resident Safety Survey. EM residents responded positively on the SPOS and PSS compared to other programs (ranked second highest scores on both scales). One-hundred percent of respondents agreed or strongly agreed on SPOS items: "Help is available from my department when I have a problem." "My department really cares about my well-being." "My department values my contribution to its well-being." Furthermore, EM had the highest overall training experience score (mean = 4.83) on the ACGME survey compared to the 18 other training programs. Qualitative responses suggest program strengths included supportive program leadership, positive working relationships with faculty, and emphasis on trainee wellness.Conclusions: Compared to other programs, EM has created a positive environment of safety and support as perceived by their residents. Internal surveys of the learning environment can help programs understand their culture for purposes of improvement and align with the ACGME survey.From the

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Section: Discussionmentioning

confidence: 99%

Analysis of the Emergency Medicine Clinical Learning Environment

Feeser¹,

Zemore²,

Appelbaum³

et al. 2019

AEM Education and Training

View full text Add to dashboard Cite

show abstract

“…Certainly mindfulness is a major strategy to enhance wellness in emergency medicine residency training programs [24]. Students who chose emergency medicine as their future specialization and participated in a mindfulness course during summer holiday clerkships noted changes in self-reported behaviors and attitudes that lasted for up to 6 months after intervention [25].…”

Section: Discussionmentioning

confidence: 99%

Non-technical skills of medical students in the course of pediatric emergency simulations are associated with their mindfulness: an observational cohort study

Chmielewski¹,

Łuczyński

Dobroch

et al. 2019

Preprint

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BackgroundHigh fidelity medical simulations allow for teaching medical skills in safe and realistic conditions. Pediatric teams of emergency departments work under extreme stress, which affects high-level cognitive functions, specifically attention and memory, and increases the already high stakes for young doctors. Lapses in attention increase the risk of serious consequences such as medical errors, failure to recognize life-threatening signs and symptoms, and other essential patient safety issues.Mindfulness as a process of intentionally paying attention to each moment with curiosity, openness and acceptance of each experience without judgment can potentially contribute to improving the performance of medical teams in conditions of pediatric emergency. The aim of the study was to determine whether the actions of medical students in the course of pediatric high fidelity simulations are related to their mindfulness. Participants and methodsA total of 166 standardized simulations were conducted among students of medicine in three simulation centers of medical universities, assessing: stress sensation, technical skills (checklists), non-technical skills (Ottawa Crisis Resource Management Global Rating Scale) and mindfulness using Five Facet Mindfulness Questionnaire. ResultsThe perception of stress among students was lower and more motivating if they were more mindful.Mindfulness of students correlated positively with avoiding fixation error, but negatively with listening to and managing the team. The lowest scores among non-technical skills were noted in the area of situational awareness (fixation error). In subsequent simulations of the same team, students' nontechnical skills improved, although no change was noted in their technical skills. ConclusionsThe results of our research indicate the relationship between the mindfulness of medical students and their non-technical skills and the perception of stress in pediatric emergency simulations. Further research is needed to show whether mindfulness training leads to any changes in this field.

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“…The most effective practices are arguably those that are simple, brief and embedded into daily workplace tasks. Engaging FACEMs as well as trainees is important – the wellness imperative extends throughout the continuum of training and having positive senior and junior role models is essential to ensuring this practice is maintained throughout a career in EM …”

Section: Legitimising the Wellness Methodsmentioning

confidence: 99%

“…Engaging FACEMs as well as trainees is importantthe wellness imperative extends throughout the continuum of training and having positive senior and junior role models is essential to ensuring this practice is maintained throughout a career in EM. 11,12 Anticipating and overcoming resistance will be an important and challenging aspect of any programme implementation. It is also crucial to undertake regular evaluation and modification of the programme.…”

Section: Legitimising the Wellness Methodsmentioning

confidence: 99%