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Humanism Rounds: A Multifaceted "Back to Bedside" Initiative to Improve Meaning at Work for Internal Medicine Residents.
Kaplan, Jennifer M; Agrawal, Suchi; Kumar, Disha; Xu, Ann; Staggers, Kristen A; Symmes, Anna G; Styskel, Reina U; Styskel, Brett; Agrawal, Anoop; Rose, Stacey R.
Afiliación
  • Kaplan JM; Section of Endocrinology, Department of Internal Medicine, Baylor College of Medicine, Houston, TX USA.
  • Agrawal S; Department of Internal Medicine, Baylor College of Medicine, Houston, TX USA.
  • Kumar D; Section of Gastroenterology, Department of Internal Medicine, Baylor College of Medicine, Houston, TX USA.
  • Xu A; Department of Internal Medicine, Baylor College of Medicine, Houston, TX USA.
  • Staggers KA; Institute for Clinical and Translational Research, Baylor College of Medicine, Houston, TX USA.
  • Symmes AG; Department of General Internal Medicine, East Carolina University, Greenville, NC USA.
  • Styskel RU; Division of Hospital Medicine, Cleveland Clinic Foundation, Cleveland, USA.
  • Styskel B; Department of Gastroenterology, Hepatology and Nutrition, Cleveland Clinic Foundation, Cleveland, OH USA.
  • Agrawal A; Departments of Medicine and Pediatrics, Baylor College of Medicine, Houston, TX USA.
  • Rose SR; Section of Infectious Diseases, Department of Internal Medicine, Baylor College of Medicine, Houston, TX USA.
Med Sci Educ ; 34(3): 601-607, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38887413
ABSTRACT

Introduction:

Burnout is an increasingly prevalent problem among resident physicians. To address this problem, the Accreditation Council on Graduate Medical Education (ACGME) created the Back to Bedside initiative, supporting resident-driven projects focused on increasing direct interactions with patients. In 2017, Baylor College of Medicine (BCM) Internal Medicine Residency received a Back to Bedside grant to develop and implement "Humanism Rounds," a multifaceted program which sought to promote personal connections between residents and patients and foster reflection about patients' non-clinical stories, with the hopes of reducing burnout and increasing residents' sense of meaning at work. Materials and

Methods:

Between 2018 and 2020, internal medicine residents were instructed on and encouraged to participate in Humanism Rounds. The program included three components taking a "human history," bedside rounds focused on non-clinical concerns, and sharing patient stories with colleagues ("celebrations"). Residents were surveyed using institutional and ACGME surveys regarding burnout, meaning at work, and the clinical learning environment.

Results:

Three hundred eleven institutional (response rate, 74%) and 328 AGCME (response rate, 78%) surveys were completed and analyzed. Residents who actively engaged with Humanism Rounds reported more meaning and fulfillment at work (p < 0.001). During the period of this project, ratings of the learning environment and personal callousness improved among subgroups of residents.

Conclusions:

Baylor College of Medicine Internal Medicine residents who engaged with Humanism Rounds reported more meaning and fulfillment in their work. This program describes a low-cost model for other specialties and institutions to strengthen human connections and improve residents' experience during training. Supplementary Information The online version contains supplementary material available at 10.1007/s40670-024-02017-9.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Med Sci Educ Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Med Sci Educ Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos