Abstract Details

Title Making Well Neurologists: A Multifaceted Program for Neurology Trainee and Faculty Wellbeing

Topic Research Methodology, ��ɫ��, and History

Presentation(s) P2 - Poster Session 2 (5:30 PM-6:30 PM)

Poster/Presentation
Number 4-006

Objective To reduce burnout in neurology physicians (residents, fellows, and faculty) using a program focused on wellness, mentorship, and fostering interpersonal connection through team formation and dedicated time for monthly wellness workshops, and community building events.

Background Physician burnout is of growing concern and associated with increased medical errors and lower quality patient care^1,2. In national surveys, neurology trainees and faculty have high rates of burnout^3,4. Wellness programs that include both mentoring and social components have been positively perceived by trainees ^5,6.

Design/Methods

Teams of 4-6 participants from each career level (residents, fellows, and faculty) were invited to participate in monthly wellness workshops and social events. Efficacy of the program was evaluated using validated instruments for burnout, professional fulfillment (PF) and compassionate self-improvement (CSI)⁷. Scales for peer support were also used. Scores for each category were compared at baseline (BL), 4 months (4m), and 10 months(10m) of program participation using multiple comparisons ANOVA and odds ratio (Chi-square).

Results Fifty-three neurology trainees and faculty participated in the program. Survey response rate was high (BL =74%, 4m=57%, 10m=55%). There was a sustained decrease in participants experiencing burnout (BL=33, 4m=28 (p=0.009), 10m=27 (p=0.0026)) largely driven by a decrease in interpersonal disengagement (BL=28, 4m=23 (p=0.0078), 10m=22 (p=0.0019)). Over 10 months, the odds of such decrease was 3.9 (95% CI: 1.2 – 11.8). There were increases in CSI (BL=44, 4m=54 (p=0.0056), 10m=52 (p=0.024)) and PF (BL=60, 4m=65 (p=0.0259), 10m=69 (p=0.001)). Over 10 months, the odds of such an increase in PF was 4.6 (95% CI 1.6-13.1). Peer support was high throughout the program (BL=73, 4m =73 (p=0.849), 10m=77 (p=0.14)). Consistent with previous studies, there were lower rates of burnout and higher rates of PF among faculty compared to residents.

Conclusions This program effectively reduced physician burnout through longitudinal wellness workshops and community building activities.

Authors/Disclosures
Rebecca K. Miller-Kuhlmann, MD (Stanford University Hospitals and Clinics) PRESENTER	Dr. Miller-Kuhlmann has nothing to disclose.
Nicholas M. Murray, MD	Dr. Murray has nothing to disclose.
Shefali Dujari, MD (Stanford University School of Medicine)	Dr. Dujari has nothing to disclose.
Amanda Sandoval Karamian, MD (The University of Utah, Department of Pediatrics)	The institution of Dr. Sandoval Karamian has received research support from Pediatric Epilepsy Research Foundation.
	No disclosure on file
Elaine Su, MD (Kaiser Los Angeles Medical Center)	No disclosure on file
Nina Bozinov, MD (Kootenai Health)	Dr. Bozinov has nothing to disclose.
Tresa McGranahan, MD (Scripps Cancer Center)	Dr. McGranahan has nothing to disclose.

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