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Wellness Challenges and Burnout Contributors: A Systematic Approach to Issue Identification & Program Development

Purpose: To implement an institutionally-specific process to: A: Identify wellness challenges/burnout contributors. Develop a systematic approach to wellness programming prioritized by Maslow need level

Background: Addressing wellness challenges/burnout contributors (WC/BC) is critically important to both providers and the patients they treat.

Methods: A representative task force was assembled.  Using mind-mapping, members developed a comprehensive list of WC/BC issues and related factors.  These were then mapped by members to Maslow need levels ranging from physiologic (level 1) to transcendence (level 8). PDs were then queried regarding wellness programming in their residencies to generate a “menu” of institutionally-available programming. Gaps were then identified by mapping WC/BC issues to available PD-reported programming.  Highest priority was given to program development for WC/BC issues with lowest Maslow levels for which there was no programming available.

Results: From October, 2016-May, 2017, the task forced include 20 representatives from 7 departments and the GME Office and included residency/fellowship PDs, residents, and staff.  Through mind-mapping work, 12 categories of WC/BC issues and 38 related factors were identified. While all GME program directors reported having WC/BC programming in place, the majority (57%) of this was informal support around “healthy lifestyles”.  For 34 of 38 factors (89%) identified, no programming was reported. Notably, when mapping factors to Maslow need level, 30 of 38 (80%) mapped to basic Maslow levels 1-4.  Program development was recommended for WC/BC factors with lowest Maslow levels for which no institutional programming was in place.

Discussions: An institutionally-specific approach to identifying WC/BC issues and prioritizing them for resource development by Maslow level was successfully implemented.

Topics: CREOG & APGO Annual Meeting, 2018, Student, Resident, Faculty, Clerkship Director, Clerkship Coordinator, Osteopathic Faculty, Residency Director, Residency Coordinator, Patient Care, Medical Knowledge, Professionalism, Systems-Based Practice & Improvement, GME, CME, UME, Quality & Safety, Problem-Based Learning, General Ob-Gyn,

General Information

Student,Resident,Faculty,Clerkship Director,Clerkship Coordinator,Osteopathic Faculty,Residency Director,Residency Coordinator,
Patient Care,Medical Knowledge,Professionalism,Systems-Based Practice & Improvement,
Quality & Safety,Problem-Based Learning,
Clinical Focus
General Ob-Gyn,

Author Information

AnnaMarie Connolly, MD, University of North Carolina

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