BACKGROUND: Comprehensive treatment models reduce distress and suicide risk in military, university, and community populations, but are not well studied with in medical trainees and physicians in practice. Physicians face unique internal and external barriers that limit access to psychological or psychiatric treatment, which may contribute to higher rates of burnout, depression, and suicide. OBJECTIVE: Our goal is to report on the feasibility and utilization of a wellness and suicide prevention program for residents, fellows, and faculty in an academic health center. METHODS: The program provides individual counseling, psychiatric evaluation, and wellness workshops for residents/fellows (N = 906) and faculty (N = 1400). Demand for services is demonstrated by the participation rate of eligible trainees. Acceptability within the target population is examined in a 2011 survey in which trainees (N = 116, 97% participation) and program directors (N = 23, 88% participation) rated their satisfaction. Start-up costs and funding sources to sustain a wellness program are outlined. RESULTS: Over 10 years, utilization of services grew from 5% in the program's first year (2004-2005) to a high of 25% of eligible trainees for 2013-2014, and faculty utilization grew to 6% to 8% for 2014-2015. Trainees and program directors reported a high level of satisfaction with this wellness program. Funding for clinic space and clinical staff is provided by the hospital via the graduate medical education budget. CONCLUSIONS: Increased utilization over 10 years, high satisfaction, and consistent institutional support suggest that this comprehensive model of care is feasible and valued.
BACKGROUND: Comprehensive treatment models reduce distress and suicide risk in military, university, and community populations, but are not well studied with in medical trainees and physicians in practice. Physicians face unique internal and external barriers that limit access to psychological or psychiatric treatment, which may contribute to higher rates of burnout, depression, and suicide. OBJECTIVE: Our goal is to report on the feasibility and utilization of a wellness and suicide prevention program for residents, fellows, and faculty in an academic health center. METHODS: The program provides individual counseling, psychiatric evaluation, and wellness workshops for residents/fellows (N = 906) and faculty (N = 1400). Demand for services is demonstrated by the participation rate of eligible trainees. Acceptability within the target population is examined in a 2011 survey in which trainees (N = 116, 97% participation) and program directors (N = 23, 88% participation) rated their satisfaction. Start-up costs and funding sources to sustain a wellness program are outlined. RESULTS: Over 10 years, utilization of services grew from 5% in the program's first year (2004-2005) to a high of 25% of eligible trainees for 2013-2014, and faculty utilization grew to 6% to 8% for 2014-2015. Trainees and program directors reported a high level of satisfaction with this wellness program. Funding for clinic space and clinical staff is provided by the hospital via the graduate medical education budget. CONCLUSIONS: Increased utilization over 10 years, high satisfaction, and consistent institutional support suggest that this comprehensive model of care is feasible and valued.
Authors: Kerry L Knox; Steven Pflanz; Gerald W Talcott; Rick L Campise; Jill E Lavigne; Alina Bajorska; Xin Tu; Eric D Caine Journal: Am J Public Health Date: 2010-05-13 Impact factor: 9.308
Authors: Jelle T Prins; Stacey M Gazendam-Donofrio; Ben J Tubben; Frank M M A van der Heijden; Harry B M van de Wiel; Josette E H M Hoekstra-Weebers Journal: Med Educ Date: 2007-08 Impact factor: 6.251
Authors: Colin P West; Liselotte N Dyrbye; Jeff T Rabatin; Tim G Call; John H Davidson; Adamarie Multari; Susan A Romanski; Joan M Henriksen Hellyer; Jeff A Sloan; Tait D Shanafelt Journal: JAMA Intern Med Date: 2014-04 Impact factor: 21.873
Authors: Douglas A Mata; Marco A Ramos; Narinder Bansal; Rida Khan; Constance Guille; Emanuele Di Angelantonio; Srijan Sen Journal: JAMA Date: 2015-12-08 Impact factor: 56.272
Authors: Sarah Pospos; Ilanit Tal Young; Nancy Downs; Alana Iglewicz; Colin Depp; James Y Chen; Isabel Newton; Kelly Lee; Gregory A Light; Sidney Zisook Journal: Acad Psychiatry Date: 2017-12-18
Authors: Kelly Williamson; Patrick M Lank; Nicholas Hartman; Dave W Lu; Natasha Wheaton; Jennifer Cash; Jeremy Branzetti; Elise O Lovell Journal: AEM Educ Train Date: 2019-10-06
Authors: Nicholas A Yaghmour; Timothy P Brigham; Thomas Richter; Rebecca S Miller; Ingrid Philibert; DeWitt C Baldwin; Thomas J Nasca Journal: Acad Med Date: 2017-07 Impact factor: 6.893