Emer ergen ency M Medicin ine e Physic ician ian S Satis isfac actio ion and Wel elln lnes ess Com ommittee A Year ar i in Revie iew RAHUL SHARMA, MD, MBA, CPE, FACEP EMERGENCY PHYSICIAN-IN-CHIEF CHIEF, DIVISION OF EMERGENCY MEDICINE ASSOCIATE PROFESSOR OF CLINICAL MEDICINE NAT ATIONAL AC ACAD ADEMY O OF MEDIC ICIN INE A ACTIO ION COLLABORATIV IVE MA MAY 2 2, 201 2018
Our Mi Mission Sta tate tement Our goal was to establish a committee to better understand our providers' concerns and work with hospital leadership to maximize physicians' well-being and increase job satisfaction, while reducing stress and lowering the burnout epidemic plaguing our specialty. REALITY: HA HAPPY DOC DOCTORS A ARE THE THE KEY T TO O OP OPTI TIMIZING G PATI TIENT OU T OUTCOMES A AND P D PATI TIENT S T SATISFACTION
Burnout and E Emergen ency cy M Medici cine Emergency Providers are three times as likely to suffer • burnout compared to non-physician populations.* Chronic stressors can include: • Exposure to high intensity stress • Lack of social support at work • Challenging working conditions including high • volume Rapid decision making • * B E R B E RG ER E . E . P H Y P H YSI CI AN B U B U R NOU T. A NN NN E MERG M E M E D . 2 2 0 1 3 ; 6 1( 3 ) : A1 7 -A1 9. D O I O I : 1 0 . 10 1 6 /J. ANNEMERG M G MED. 2 0 13 . 0 1 .0 0 1 .
Effect cts o of B Burnou out? t? 1. Job performance declines 2. Physician attrition 3. Poor physical health and mental well-being 4. Tumultuous relationships at work and home 5. Negative attitudes spill into all areas of the workplace
Our P Plan f for C Chan ange Define Set Take Track Problems Objectives Action Progress
Maslac ach Burnout ut I Inven entory-Human S Ser ervice ces S s Sur urvey (MBI-HSS) a and nd Area eas s of Wo Worklife Survey ( (AWS WS) 1. Administered to faculty September 2016 and September 2017 2. Measured several factors including levels of emotional exhaustion, depersonalization, impact of workload and values in the organization 3. Individual results given to each provider for their own personal reflection
The Qu e Quadruple Aim* m* Improved Better Clinician Outcomes Experience Improved Lower Patient Costs Experience * B O D E N E NHE I E I ME R E R T, S I NSK NSKY C . F RO M T T R I PL E T E TO Q UA D A DRUPLE E A I M: C C A RE O E O F T H E E PATI EN ENT R EQ UI RES C A RE O O F F T HE P P ROVI DER. A A NN FA M M M E D. 2 0 1 2 0 1 4 ; 1 2 ( 1 2 ( 6 ) : 5 7 3 5 7 3 -6 .
Prog ogram am S Succes esses es Facu culty ty Formation of Physician Wellness and Satisfaction Committee at Weill Cornell Initiated 30 minute breaks Relax and Medical for all Attending all shifts restore Scribes (which PAs and Residents sessions are now doing as well) offered Staff scheduling Major office Peer Support Wellness/Recharge changes and timed renovations Program started for events for faculty breaks completed faculty
Prog ogram am S Succes esses es Reside denc ncy Wellness Theme Day planned for June 2018 Monthly Well-being lectures focused on shorter shift sleep, resilience, mindfulness and burn out 2.5 Day Outdoor Education Active big sib, little sib Family/Friends dinner Wilderness Retreat program for junior during Intern Orientation residents In Ithaca, NY
Re Results Improved Maslach Burnout Inventory (MBI) scores Improved staff engagement Improved operational efficiencies Published findings of wellness program in Physician Leadership Journal
Rechar arge O Outings – 8 events th this is y yea ear Boqueria, Ilili, Maya, Bar Felice, NYC Cruise, Resident Happy Hour, ACEP Dinner, Senior Resident Graduation Cruise
Off ffice Re Renovation-BE BEFORE RE
Off ffice Re Renovation-AF AFTER
Future G Goal als 1. Continued wellness events to promote feelings of community and family within the department 2. Open-ended survey to engage faculty for ideas to promote change; as David Rock wrote in 2009, “People rarely support initiatives they had no part in designing.” 3. Future presentations/publications to assess progress 4. Continue to support scheduling changes for providers as needed 5. Promote wellness on more national scale with ACEP and other organizations
Special th thanks t to th the New Y York P Presbyt yterian- Weill C Cornell M Medicine Physician W Wellness a and Sati tisfacti tion Committe ttee!! Renu Chawla Mital, MD Peter Steel, MD Lucy Willis, MD
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