Abstract Details

Title Improving Neurology Resident Well-Being Through Appreciative Inquiry: Results of a Pilot Session

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

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

Poster/Presentation
Number 4-022

Objective To use Appreciative Inquiry (AI) to broadly characterize the core strengths of a thriving neurology training experience and immediately improve resident positivity and engagement.

Background A recent study has shown 73.5% prevalence of at least one symptom of burnout among neurology residents, suggesting a significant proportion of burnout among practicing neurologists begins in residency. AI is a well-established technique for increasing positivity and engagement among members of an organization and creating change by seeking to identify and amplify core strengths. Here we have applied AI to identify positive aspects at the heart of neurology residency training and delineate resident visions of the ideal training experience which can be leveraged to decrease burnout.

Design/Methods A 45-minute AI discussion was prompted by questions based on authoritative texts in the field. The discussion was tailored to topics raised by the participating residents, with the goal of identifying in as much detail as possible the assets of their residency experience that contributed to feelings of engagement and self-actualization. The session was recorded and qualitative analysis performed on an anonymized transcript. Pre- and post-session surveys assessed resident engagement, empowerment, and training satisfaction.

Results Nine residents participated. Sixty-seven percent showed a positive shift in at least one measure of engagement/positivity. Major themes regarding positive aspects of existing and ideal residency training included personal and professional growth, co-resident and faculty relationships, and enhanced patient contact. Eighty-nine percent of residents felt additional AI sessions would be useful.

Conclusions

A single AI session can immediately improve resident feelings of engagement and positivity, and residents enjoy this intervention. Residents view collegiality, supervised independence, mentorship, and meaningful patient contact among the most important requisites to thriving during residency. We are in the midst of a longitudinal AI intervention to better understand these themes and tailor training experiences accordingly.

Authors/Disclosures
Jeffrey Dewey, MD, MHS, FAAN (Yale School of Medicine, Department of Neurology) PRESENTER	Dr. Dewey has received personal compensation in the range of $500-$4,999 for serving as a Expert Medication Request Reviewer with Megallan.
Jason J. Sico, MD, FAAN	Dr. Sico has nothing to disclose.
Jeremy Moeller, MD, FAAN (Yale University)	Dr. Moeller has received publishing royalties from a publication relating to health care.

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