• Acad Med · Jul 2018

    Creating a Culture of Wellness in Residency.

    • Emma K Edmondson, Anupam A Kumar, and Stephanie M Smith.
    • E.K. Edmondson is a third-year internal medicine/pediatrics resident, Hospital of the University of Pennsylvania/Children's Hospital of Philadelphia, Philadelphia, Pennsylvania. A.A. Kumar is a postdoctoral research fellow, Division of Cardiology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania. S.M. Smith is a first-year pediatric hematology/oncology fellow, Lucile Packard Children's Hospital at Stanford, Palo Alto, California.
    • Acad Med. 2018 Jul 1; 93 (7): 966-968.

    AbstractDespite increased awareness and recognition of the prevalence of physician burnout and the associated risks of depression and suicide, there is a paucity of actionable guidelines for residency programs to mitigate these risks for their residents. In this Invited Commentary, the authors acknowledge that, although there are inherent barriers to resident wellness, there are numerous modifiable barriers that present opportunities for programs to enable culture change and improve resident well-being. The authors frame the discussion with a personal narrative written by a resident in their internal medicine program who experienced burnout, depression, and suicidality during his intern year. They aim to inspire residency programs and hospital leadership to identify and intervene upon the modifiable barriers to wellness for residents in their programs in order to shape meaningful cultural change.

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