scholarly journals 48.3 Addressing Well-Being, Burnout, and Professional Fulfillment in Child and Adolescent Psychiatry Trainees During the COVID-19 Pandemic Through Implementation of a Virtual Balint-Like Group: A Pilot Study

Author(s):  
Megan Chochol ◽  
Eric Pease ◽  
Cosima Swintak ◽  
Uma Anand
2020 ◽  
Author(s):  
Megan D. Chochol ◽  
Eric Pease ◽  
Cosima Swintak ◽  
Uma Anand

Abstract Objective: Physicians, including psychiatrists and psychiatry trainees, are at higher risk of burnout compared to the average working population. The COVID-19 pandemic heightens this risk. The purpose of this pilot was to enhance professional fulfillment and sense of professional support while decreasing risk of burnout in Child and Adolescent Psychiatry (CAP) trainees’ through virtual delivery of a novel Balint-based well-being curriculum.Methods: The pilot included six CAP trainees. The 8 fortnightly 60 minute sessions were co-facilitated by a psychologist and psychiatrist. Sessions combined emotional awareness skills with a Balint-based approach to case review. The authors assessed trainee well-being, professional fulfillment, and sense of professional support pre- and post-intervention with the Well-being Index (WBI), Stanford Professional Fulfillment Index (PFI), and the authors’ own supplemental survey questions assessing sense of professional support.Results: Trainees found the curriculum feasible and useful. Pre- and post-intervention surveys showed a 23.3% reduction in burnout (p=0.027) as well as significant improvements in happiness at work, enthusiasm toward work, sensitivity to others, and connectedness with colleagues. The authors found positive trends in additional aspects of professional fulfillment and sense of professional support.Discussion: A novel well-being curriculum focused on combining emotional awareness skills with a Balint-like approach enhances professional fulfillment and a sense of professional support and decreases the risk of burnout, even when delivered virtually. Virtual delivery is especially important as such platforms play prominent roles during COVID-19. This pilot demonstrates feasibility and utility, and supports the planned expansion of this low-cost, high-value intervention for trainee well-being.


Author(s):  
Michael G. Kölch ◽  
Marianne Klein ◽  
Veronika Knebusch ◽  
Arno Deister ◽  
Gereon Heuft ◽  
...  

Abstract. Objective: An initiative by scientific societies of psychiatry, child and adolescent psychiatry, psychosomatic medicine, and further associations established the Platform-Model for the development of a needs-based system for adequate personnel allocation in psychiatric inpatient and day clinic units. We present the development of the instrument and a pilot study to identify feasibility and limitations. Methods: The basis of the study was a threefold methodological approach. Paradigmatic case vignettes adequately reflecting symptomatology and circumstances were described and validated, working profiles were generated and validated, and a matrix representing different needs-based dimensions was developed. Through reference date surveys, patients were assigned to needs-based clusters and Psych-PV categories. The required treatment effort under consideration of guidelines or expert consensus was estimated in several rounds of expert panels (Delphi method). Results: The pilot study proves the feasibility of the Platform-Model. Methodological findings as well as limitations of the model were identified in order to further develop the Platform-Model. Conclusions: The Platform-Model cannot serve as a tool to describe clinical pathways, but it appears to be an adequate and practical tool for assessment of the required staffing level based on patient needs independent of diagnosis and setting.


Author(s):  
Kimberly D. Becker ◽  
Eric L. Daleiden ◽  
Sheryl H. Kataoka ◽  
Sarah M. Edwards ◽  
Karin M. Best ◽  
...  

1994 ◽  
Vol 51 (1) ◽  
pp. 87-104 ◽  
Author(s):  
Monique Ernst ◽  
Katherine A. Godfrey ◽  
Raul R. Silva ◽  
Enrique R. Pouget ◽  
Joan Welkowitz

2021 ◽  
Author(s):  
Stacey Pereira ◽  
Katrina Arcelia Munoz ◽  
Brent Small ◽  
Takahiro Soda ◽  
Laura Nicole Torgerson ◽  
...  

Objective: Psychiatric polygenic risk scores (PRS) have the potential to transform aspects of psychiatric care and prevention, but there are concerns about their implementation. We sought to assess child and adolescent psychiatrists' (CAP) experiences, perspectives, and potential uses of psychiatric PRS. Methods: A survey of 960 US-based practicing CAP. Results: Most respondents (54%) believed psychiatric PRS are currently at least slightly useful and 87% believed they will be so in five years. Yet, 77% rated their knowledge of PRS as poor or very poor. Ten percent have had a patient/family bring PRS to them, and 25% would request PRS if a patient/caregiver asked. Respondents endorsed different actions in response to a hypothetical child with a top 5th percentile psychiatric PRS but no diagnosis: 48% would increase prospective monitoring of symptoms, 42% would evaluate for current symptoms, and 4% would prescribe medications. Most respondents were concerned that high PRS results could lead to overtreatment and negatively impact patients' emotional well-being. Conclusion: Findings indicate emerging use of psychiatric PRS within child and adolescent psychiatry in the US. Thus, it is critical to examine the ethical and clinical challenges that PRS may generate and begin efforts to promote their informed and responsible use.


PsycCRITIQUES ◽  
2007 ◽  
Vol 52 (43) ◽  
Author(s):  
Marios Constantinou ◽  
Margarita Kapsou ◽  
Maria Karekla

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