Name
Poster 54 - Building a Culture of Wellbeing: The Fortify Resilience Initiative at UTRGV School of Medicine
Description

Introduction: The Fortify Resilience Initiative focuses on building and sustaining a culture of wellbeing in The University of Texas Rio Grande Valley (UTRGV) School of Medicine's Graduate Medical Education residency programs. To address the multitude of threats to physician wellness and mitigate the silent, but pernicious effects of burnout on these physician learners serving in the RGV, this initiative has strengthened existing wellbeing pathways while expanding additional solutions that work to sustain wellness and resilience. Methods/Project Description: This initiative maintains three key drivers (Access Strategy, Empowerment Initiatives, and System Redesign) that all work to address and enhance components central to wellbeing management. The premier driver provides continuous access to direct online clinical/coaching services, annual wellness check-ins, monthly live-online learning sessions with skill development practical labs to all medical residents and clinical faculty of the institution. The "Fortify Resilience" wellbeing mobile application, allowing users to periodically self-assess and receive suggestions to improve self-management has entered its pilot phase, while establishment of program-specific Wellness Committees through our focus group informed guide "Promoting Well-being & Preventing Ill-being within Program Committees: A Team Based Toolkit for Well-being Champions," continues as the project's second driver. A faculty development pathway to train faculty to full competency over current wellbeing methodologies is underway with an inaugural cohort, which aims at securing a lasting presence of institutional expertise, represents the third driver. Results/Outcomes: Following the introduction of these interventions, positive trends are observed in the individual wellbeing items of the annual provider wellness surveys for 2022 and 2023. Service utilization and attendance rates continue to grow per academic annum, with a rise in provider satisfaction rates, as insights into the adoption rates of individual medical specialties/program-specific responses to the interventions have been discerned through the project's rapid cycle quality improvement process. Conclusions: This initiative aims to signal a divergence from the practice of simply measuring the level of provider burnout present in the system to reinforce a focus on cultivating a systemic culture that advances the proponents of what actively and passively promotes provider wellbeing through prevention/promotion/protection intervention strategies targeted at individual, program, and system levels to address existing gaps that spread risk and vulnerability.

Date & Time
Friday, October 25, 2024, 5:00 PM - 6:30 PM
Content Level
All Audience
Tags
Innovations, Quality improvement programs, Self-care/Self-management
Session Type
Poster
Location Name
Lone Star Ballroom
Objective 1
Define causes of burnout currently inflicting physicians and the respective impact on patient outcomes that result due to the introduction of burnout.
Objective 2
Discuss the benefits that can be attained from promoting a positive culture of managing one's own mental health within a medical education program.
Objective 3
List the advantages from educating medical professionals on how to develop a reservoir of selfmanagement skills to utilize throughout their careers.
Content Reference 1
Dyrbye L, Shanafelt T. (2016) A narrative review on burnout experienced by medical students and residents. Med Educ.;50(1):132-149. doi:10.1111/medu.12927
Content Reference 2
Shanafelt T, Goh J, Sinsky C. (2017) The Business Case for Investing in Physician Well-being. JAMA Intern Med.177(12):1826-1832. doi:10.1001/jamainternmed.2017.4340
Content Reference 3
Dyrbye LN, Burke SE, Hardeman RR, et al. (2018) Association of Clinical Specialty With Symptoms of Burnout and Career Choice Regret Among US Resident Physicians. JAMA.;320(11):1114-1130. doi:10.1001/jama.2018.12615
Content Reference 4
Penwell-Waines, L., Runyan, C. Kolobova, I. Grace, A., Brennan, J. Ross, V., Buck, K., Schneiderhan, J. (2019) Making Sense of Family Medicine Resident Wellness Curricula: A Delphi Study of Content Experts. Fam Med. 51(8):670-676. doi: 10.22454/FamMed.2019.899425
Content Reference 5
Weiner, Stacy (2021) Doctors forgo mental health care during pandemic over concerns about licensing, s�gma. Association of American Medical Colleges. Retrieved from: htps://www.aamc.org/news-insights/doctors-forgomentalhealth-care-during-pandemic-over-concerns-about-licensing-stigma