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Internal Medicine Residency Program
Training Overview: Resilience
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We believe that supporting the development of the resilient physician is a critical aspect of training the internist of the future. Our commitment to wellbeing and resilience stems from our core values and resilience is integrated into most of the program structure. Additionally, we recognize the value of having designated time for fostering wellbeing and thus have dedicated training in resilience into our curriculum. Our focus on resilience includes:
The Wellness Committee
The Wellness Committee is a committee developed by residents with the support of chief residents and program directors. It is comprised of housestaff from all post-graduate years as well as two to three faculty mentors. The committee has both educational and social activities promoting physician wellbeing. Examples of activities include organized walks along the Buttermilk Trail, Wellness Bingo competitions for resident teams, group runs, ice skating, yoga classes, making Valentine’s Day cards for team members and patients, and more!
Retreats offer the opportunity for reflection, team-building, teaching, and leadership skills in a setting removed from the clinical environment.
All of the core values contribute to the development of the resilient physician, including:
The structure of our program allows us to incorporate and fosters resilience in our trainees while in the clinical environment, engaging in academic requirements, and working one-on-one with faculty.
Coaching: Program leadership, core faculty, and chief residents employ coaching methods to help our residents develop habits to promote and maintain wellness and resilience. Coaching topics include personal wellness and prioritization of responsibilities. Additionally, the program builds schedules and conferences to support resident success in finding balance between academic and clinical responsibilities at work.
Curriculum: We have dedicated training in resilience skills, reflection, and fostering the patient-clinician relationship into our curriculum. We use systematic, root cause analysis to help trainees process stressful clinical events and medical error in various components of the curriculum, including resilience skills training, Morbidity Mortality & Improvement conference, and the QI rotation. Our program and institution prioritize ensuring patient safety and event reporting in a non-punitive environment.
Advisors: Core advisors guide and support residents in advancing across milestones based on the individual learner. This method promotes the success of all trainees in the face of challenges, which helps build professional resilience. Advisors review self-assessments of burnout and wellbeing which is completed by the learner and aid in monitoring duty hours.
[View Image]All residents develop their skills in reflecting on, in, and for action. Our program believes that the practice of reflecting builds resilience, thus decreasing burnout, fatigue, anxiety and stress. We believe in supporting the development of the resilient physician. All interns engage in a year-long resilience curriculum comprised of monthly small and large group “diastole” sessions to learn micro-skills for developing resiliency and complete corresponding blog assignments. Additionally, categorical and combined program interns participate in a four week-long reflection curriculum which is embedded into their Ambulatory rotation. During weekly sessions, interns practice various modes of purposeful reflection and create a digital story. Senior residents participate in monthly Balint groups, which are led by Balint-trained faculty members and foster building the doctor-patient relationship.
All residents participate in the following programs:
resilience graphic [View Image]
resilience graphic [View Image]