ATS 2021 will feature presentations of original research from accepted abstracts. Mini Symposia and Thematic Poster Sessions are abstract based sessions.
Please use the form below to browse scientific abstracts and case reports accepted for ATS 2021. Abstracts presented at the ATS 2021 will be published in the Online Abstract Issue of the American Journal of Respiratory and Critical Care Medicine, Volume 203, May 3, 2021.
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Implementation of a Multi-Component Wellness Program for Pulmonary and Critical Care Fellows
Session Title
TP12 - TP012 MEDICAL EDUCATION IN PULMONARY AND CRITICAL CARE MEDICINE
Abstract
A1537 - Implementation of a Multi-Component Wellness Program for Pulmonary and Critical Care Fellows
Author Block: T. E. Lincoln1, J. Chiarchiaro2; 1Pulmonary, Allergy, and Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States, 2Pulmonary, Allergy, and Critical Care Medicine, Univeristy of Pittsburgh Medical School, Pittsburgh, PA, United States.
Rationale: Physician burnout has significant consequences on physician health and associations with poor quality of care and economic costs to the healthcare system. Epidemiologic studies show that approximately one-half of intensivist have a high level of burnout which is even greater among trainees. In response, the AGCME has emphasized wellness for trainees. Our objective was to develop and implement a multicomponent fellow wellness intervention to mitigate burnout. Methods: We targeted key contributors to wellness, including stress management, connecting with others, and self-efficacy. We addressed challenges at various levels of training with components including; a little/big sibling program, process group, career coaching, and an education committee. The little/big sibling program pairs first-year with second- or third-years fellows who serve as informational and emotional support. Then, a psychiatrist was recruited to hold monthly process groups with first- and second-year fellows and one-on-one career coaching sessions with third-year fellows. Lastly, an educational committee was formed in which class representatives bring challenges to light and participate in fellowship-level decision-making. The intervention was implemented July 1st, 2020. We collected data from 21 Pulmonary and Critical Care Fellows at the University of Pittsburgh Medical Center. After 5 months, we assessed satisfaction using Likert-scale questions. To further assess the program, we collected baseline, January to April 2020, and short-term follow-up data, October 2020-Dcember 2020, using the Maslach Burnout Inventory for General Use (MBI-GS). The MBI-GS is a 16-item scale assessing the subscales of exhaustion, cynicism, and professional efficacy. The question responses included never, sometimes, usually, more than expected and always, indicating scores of 0-4, respectively. We analyzed data using descriptive statistics. Results: Of 21 fellows, 14 (67%) responded to the satisfaction survey, 21 (100%) to the baseline assessment MBI-GS, and 17 (81%) to the follow-up MBI-GS. Participating fellows were most satisfied with the career coaching (89% satisfied or very satisfied) and little/big sibling (83% satisfied or very satisfied) components of the intervention. Overall, 64% of fellows were satisfied with the program, 29% were neither satisfied or dissatisfied, and 7% were dissatisfied. Regarding the MBI-GS, mean responses, including overall and dimensional scoring, were stable from pre- to post-intervention. Conclusion: This multicomponent intervention was feasible to implement and overall acceptable to fellows. Burnout scores did not significantly change over the initial run-in phase of the program. Future directions include continued monitoring of MBI-GS and qualitative assessment to explore fellow physicians’ perspective on how to best support wellness.
Author Block: T. E. Lincoln1, J. Chiarchiaro2; 1Pulmonary, Allergy, and Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States, 2Pulmonary, Allergy, and Critical Care Medicine, Univeristy of Pittsburgh Medical School, Pittsburgh, PA, United States.
Rationale: Physician burnout has significant consequences on physician health and associations with poor quality of care and economic costs to the healthcare system. Epidemiologic studies show that approximately one-half of intensivist have a high level of burnout which is even greater among trainees. In response, the AGCME has emphasized wellness for trainees. Our objective was to develop and implement a multicomponent fellow wellness intervention to mitigate burnout. Methods: We targeted key contributors to wellness, including stress management, connecting with others, and self-efficacy. We addressed challenges at various levels of training with components including; a little/big sibling program, process group, career coaching, and an education committee. The little/big sibling program pairs first-year with second- or third-years fellows who serve as informational and emotional support. Then, a psychiatrist was recruited to hold monthly process groups with first- and second-year fellows and one-on-one career coaching sessions with third-year fellows. Lastly, an educational committee was formed in which class representatives bring challenges to light and participate in fellowship-level decision-making. The intervention was implemented July 1st, 2020. We collected data from 21 Pulmonary and Critical Care Fellows at the University of Pittsburgh Medical Center. After 5 months, we assessed satisfaction using Likert-scale questions. To further assess the program, we collected baseline, January to April 2020, and short-term follow-up data, October 2020-Dcember 2020, using the Maslach Burnout Inventory for General Use (MBI-GS). The MBI-GS is a 16-item scale assessing the subscales of exhaustion, cynicism, and professional efficacy. The question responses included never, sometimes, usually, more than expected and always, indicating scores of 0-4, respectively. We analyzed data using descriptive statistics. Results: Of 21 fellows, 14 (67%) responded to the satisfaction survey, 21 (100%) to the baseline assessment MBI-GS, and 17 (81%) to the follow-up MBI-GS. Participating fellows were most satisfied with the career coaching (89% satisfied or very satisfied) and little/big sibling (83% satisfied or very satisfied) components of the intervention. Overall, 64% of fellows were satisfied with the program, 29% were neither satisfied or dissatisfied, and 7% were dissatisfied. Regarding the MBI-GS, mean responses, including overall and dimensional scoring, were stable from pre- to post-intervention. Conclusion: This multicomponent intervention was feasible to implement and overall acceptable to fellows. Burnout scores did not significantly change over the initial run-in phase of the program. Future directions include continued monitoring of MBI-GS and qualitative assessment to explore fellow physicians’ perspective on how to best support wellness.
