scholarly journals Parental health in fellowship trainees: Fellows’ satisfaction with current policies and interest in innovation

2020 ◽  
Vol 16 ◽  
pp. 174550652094941
Author(s):  
Ariela L Marshall ◽  
Virginia Dines ◽  
Andrea Wahner Hendrickson ◽  
Rahma Warsame ◽  
Gita Thanarajasingam ◽  
...  
Keyword(s):  
Medical Education ◽  
Return To Work ◽  
Graduate Medical Education ◽  
Day Care ◽  
Parental Leave ◽  
Well Being ◽  
Health Policies ◽  
Parental Health ◽  
Part Time ◽  
Health And Well Being

Background: Parenthood during medical training is common and impacts trainee well-being. However, current graduate medical education parental health policies are often limited in scope. We explored current fellowship trainees’ knowledge of/satisfaction with current policies as well as interest in potential changes/additions to existing policies. Methods: Fellowship program directors/coordinators at a three-site academic institution were surveyed and information was collected from 2015 to 2019 regarding fellow demographics and parental health policies. We distributed an electronic survey to fellows containing Likert-type-scale questions rating knowledge/level of satisfaction with current parental health policies and interest in potential additions/modifications to current policies. Results: Thirty-five of 47 (74%) fellowship programs responded. An average of 11% of female fellows and 15% of male fellows took parental leave during the study period. Three (9%) of the programs had at least one additional parental health policy beyond institutional graduate medical education policies. In the fellow survey, 175 of 609 fellows responded (28.7%), of which 84 (48.6%) were female. Although 89.1% agreed/strongly agreed that parental health is an important part of health and well-being for fellows, only 32% were satisfied/very satisfied with current policies (no significant sex-related differences). Fellows reported the following potential interventions as important/very important: 79.2% increased (paid) maternity leave (72.7% male, 86.7% female, p = 0.02), 78% increased (paid) paternity leave (76.4% male, 81.9% female, p = 0.37), 72.3% part-time return to work (60.2% male, 84.3% female, p = 0.0005), 63% coverage for workup/management of infertility (52.3% male, 74.7% female, p = 0.002), and 79.9% on-site day care (70.7% male, 89.2% female, p = 0.003). Conclusions: Parental health includes multiple domains, not all of which are covered by current policies. Fellows feel that parental health is an important part of overall health and well-being, but most are not satisfied with current policies. Expanded access to parental leave and new policies (part-time return to work, infertility management, and on-site day care) are opportunities for innovation.

Residency Training and Continuing Medical Education in School Health

PEDIATRICS ◽  
1993 ◽  
Vol 92 (3) ◽  
pp. 495-496
Author(s):  
Keyword(s):  
Medical Education ◽  
American Academy ◽  
Graduate Medical Education ◽  
Continuing Medical Education ◽  
School Health ◽  
Task Force ◽  
Well Being ◽  
Pediatric Practice ◽  
Graduate Medical ◽  
American Academy Of Pediatrics

Children between the ages of 5 and 18 spend a significant amount of their time in school. School health is a vital part of pediatric practice and an important concern for pediatric graduate medical education. There are few substantiated data, however, to suggest that residents entering pediatric practice or academic medicine are exposed to school health in a significant way. Many pediatricians, upon entering practice, find that they are consulted by school systems and parents whose children have problems related to school. Pediatricians find themselves unprepared for this new role and express the need for postgraduate education in school health.1-4 The American Academy of Pediatrics Task Force on Pediatric Education5 and the most recent report from the Pediatric Residency Review Committee have both underscored the appropriateness and importance of education in school health as an important part of the residency curriculum.6 The American Academy of Pediatrics believes that education in school health should be an important part of graduate medical education for pediatric residents and of continuing medical education for practicing pediatricians. Many advances in pediatrics that affect the well-being of the child relate directly to the school setting. Increased attention to federal legislation (Section 504 of PL 93-112, the Rehabilitation Act of 1973; parts B and H of PL 102-119, the Individuals with Disabilities Education Act), health education including education about the prevention of drug and alcohol abuse and acquired immunodeficiency syndrome, new approaches to screening and health services in the schools, immunization requirements, physical fitness, and knowledge about the school environment—all are important aspects of school health and areas in which many residents and/or pediatricians have had little or no training or experience.

scholarly journals Graduate Medical Education on the Frontlines during the COVID-19 Pandemic in New York City- A Response to Promote Well-being

2021 ◽  
Vol 3 (2) ◽  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Medical Education ◽  
Graduate Medical Education ◽  
Health Program ◽  
Mental Health Program ◽  
Well Being ◽  
The United States ◽  
Personal Factors ◽  
Graduate Medical

Introduction: The COVID-19 pandemic has driven many health care institutions in the United States beyond their capacity. Physicians-in-training in graduate medical education programs have suffered the strain of providing patient care during this unprecedented time of crisis. The significant prevalence of pre-existing resident and fellow burnout and depression makes the need for action by institutions to support the well-being of residents and fellows even more urgent. We aim to describe innovative adaptations our Office of Graduate Medical Education implemented with the support of institutional leadership as responses to promote the well-being of residents and fellows on the frontlines during the COVID-19 pandemic. Methods: The Office of Graduate Medical Education (GME), in collaboration with the Office of Well-being and Resilience, developed a set of resources and interventions to support trainees during the pandemic based on four major categories: workplace culture, personal factors and health, mental health support, and workplace efficiency and function. Examination of the capacity of existing services and gaps that needed to be filled in the rapidly evolving early days of the COVID pandemic led to a robust growth in resources. For example, the already established Student and Trainee Mental Health program was able to expand and adapt its role to serve trainee needs more effectively. Results: We expanded resources to target trainee well-being across a broad array of domains within a short time frame. With investment in access to the Student and Trainee Mental Health program, utilization increased by 25.7%, with 1,231 more visits in 2020 compared to the number of visits in 2019, prior to the COVID-19 pandemic. The creation of Recharge Rooms had a positive impact on the well-being of health care workers. After a single fifteen-minute experience in the Recharge Room, an average 59.6% reduction in self-reported stress levels was noted by users. Other interventions were noted to be helpful in regular town hall meetings with trainees. Conclusion: Addressing trainee well-being is an essential aspect of a crisis response. The Mount Sinai Health System was able to care for the physical, mental, psychosocial, and safety needs of our trainees thanks to the collaborative effort of a pre-existing institutional well-being program and the GME Office. The ability to implement such a response was enabled by our well-being foundation, which allowed leadership at the highest institutional level and the Office of GME to provide support in response to this unprecedented crisis.

Stress and Burnout in Neurology

2020 ◽  
pp. 4-35
Author(s):  
Marsha W. Snyder
Keyword(s):  
Medical Education ◽  
Positive Psychology ◽  
Positive Affect ◽  
Cognitive Skills ◽  
Well Being ◽  
Positive Relationships ◽  
Positive Health ◽  
Healthcare Crisis ◽  
Health And Well Being

Stress and burnout are epidemic in medicine in general and neurology in particular. This has resulted in a healthcare crisis because burned-out physicians are subject to multiple adverse personal outcomes and are more likely to make mistakes in their work. The seeds of this crisis are found in the earliest stages of medical education and acculturation. Resilience is produced by a set of cognitive skills that can be taught and nurtured, building on a strengths-based rather than a deficit-based approach. Positive health and well-being is built on positive affect, engagement, positive relationships, meaning, and accomplishment (PERMA for short) according to the formulation of Martin Seligman, the father of positive psychology. PERMA and positive psychology form the framework for combating stress and burnout in neurology.

scholarly journals Interest in part-time graduate medical education programs

1980 ◽  
Vol 55 (5) ◽  
pp. 447-9
Author(s):  
A I Sutnick ◽  
G L Burkett ◽  
I W Gabrielson
Keyword(s):  
Medical Education ◽  
Graduate Medical Education ◽  
Education Programs ◽  
Graduate Medical ◽  
Part Time

scholarly journals To Match or Not: Factors Influencing Resident Choice of Graduate Medical Education Program

2012 ◽  
Vol 4 (2) ◽  
pp. 159-164 ◽  
Author(s):  
Alisa Nagler ◽  
Kathryn Andolsek ◽  
Joanne Schlueter ◽  
John Weinerth
Keyword(s):  
Medical Education ◽  
Training Program ◽  
Graduate Medical Education ◽  
Or Education ◽  
Graduate Medical ◽  
Factors Influencing ◽  
Medical Education Program ◽  
Part Time ◽  
Duke University ◽  
Choice Location

Abstract Background Little is known about the factors that influence applicants' decisions to select a graduate medical education training program. Programs may improve their recruitment by better understanding that process. Methods Following the Match for the years 2008 though 2010, an electronic survey was sent to 664 applicants to 15 Duke University graduate medical education programs. Those individuals were ranked high enough to match to Duke University but chose to match at another institution. We used quantitative and qualitative analyses to explore factors influencing candidates' decisions and to identify program and institutional improvements to better attract top candidates. Results Response rate was 63% (417/664). The quantitative analysis identified factors that were “very important” to applicants (current resident satisfaction, relationship between faculty and residents, collegiality of current residents, quantity and quality of faculty content/mentoring, faculty teaching expertise, diversity of patients and types of procedures, and location), and those that were “not important” to applicants (child care or education opportunities for children, salary, United States Medical Licensing Examination requirements, part-time training options, favorable environment for minorities or women). There were statistically significant differences among specialties. Qualitative analysis identified 3 themes as most influential in their choice: location, program relationships, and the interview experience. Conclusion The collection of 3 years of data across specialties identified factors that are important to applicants' choice of a training program. Some factors can be addressed quickly and with little effort, such as the format of the interview day. Others require programs and institutions to revisit their mission, priorities, and training culture to improve relationships between residents and faculty. Programs may wish to be more tactical in selecting the residents and faculty who meet with applicants and be more focused in planning how the interview time is used.

Avoidable mortality among parents whose children were placed in care in Sweden: a population-based study

2018 ◽  
Vol 72 (12) ◽  
pp. 1091-1098 ◽  
Author(s):  
Elizabeth Wall-Wieler ◽  
Bo Vinnerljung ◽  
Can Liu ◽  
Leslie L Roos ◽  
Anders Hjern
Keyword(s):  
Home Care ◽  
Well Being ◽  
Mortality Rates ◽  
Population Based ◽  
Matched Cohort ◽  
Avoidable Mortality ◽  
Population Based Study ◽  
Parental Health ◽  
Out Of Home Care ◽  
Health And Well Being

BackgroundSeparation from one’s child can have significant consequences for parental health and well-being. We aimed to investigate whether parents whose children were placed in care had higher rates of avoidable mortality.MethodsData were obtained from the Swedish national registers. Mortality rates among parents whose children were placed in care between 1990 and 2012 (17 503 mothers, 18 298 fathers) were compared with a 1:5 matched cohort of parents whose children were not placed. We computed rate differences and HRs of all-cause and avoidable mortality.ResultsAmong mothers, deaths due to preventable causes were 3.09 times greater (95% CI 2.24 to 4.26) and deaths due to amenable causes were 3.04 times greater (95% CI 2.03 to 4.57) for those whose children were placed in care. Among fathers, death due to preventable causes were 1.64 times greater (95% CI 1.32 to 2.02) and deaths due to amenable causes were 1.84 times greater (95% CI 1.33 to 2.55) for those whose children were placed in care. Avoidable mortality rates were higher among mothers whose children were young when placed in care and among parents whose children were all placed in care.ConclusionsParents who had a child placed in out-of-home care are at higher risk of avoidable mortality. Interventions targeting mothers who had a child aged less than 13 placed in care, and parents whose children were all placed in care could have the greatest impact in reducing avoidable mortality in this population.

scholarly journals Pregnancy and Parental Leave During Graduate Medical Education

2016 ◽  
Vol 91 (7) ◽  
pp. 972-978 ◽  
Author(s):  
Janis E. Blair ◽  
Anita P. Mayer ◽  
Suzanne L. Caubet ◽  
Suzanne M. Norby ◽  
Mary I. O’Connor ◽  
...  
Keyword(s):  
Medical Education ◽  
Graduate Medical Education ◽  
Parental Leave ◽  
Graduate Medical

The Medical Benefits of Work and the Health “Cost” of Unemployment

2020 ◽  
Vol 25 (1) ◽  
pp. 12-14
Author(s):  
James B. Talmage
Keyword(s):  
Mental Health ◽  
Return To Work ◽  
Work Ability ◽  
Adult Life ◽  
Premature Death ◽  
Well Being ◽  
Physical And Mental Health ◽  
Early Return ◽  
Consensus Statements ◽  
Health And Well Being

Abstract In 2011, the American Medical Association published the AMA Guides to the Evaluation of Work Ability and Return to Work (AMA's Return to Work), Second Edition, which began with a review of consensus statements attesting that, in general, work is good for a person's health and well-being. Since publication of AMA's Return to Work, the Australian Royal College of Physicians has issued a consensus statement about the negative health consequences of becoming unemployed and the health benefits of returning to work. Key points include: for most individuals, working improves general health and well-being and reduces psychological distress; even musculoskeletal and mental health conditions attributed to work can benefit from activity-based rehabilitation and an early return to suitable work; long-term work absence is harmful to physical and mental health and well-being; the negative effects of remaining away from work include stress on the worker's families, including children. Of the potential consequences of unemployment in mid-adult life, the worst is premature death. In causation research, unlike medical treatment studies, individuals cannot be randomly assigned to a group that is forced to remain at work and a group that is forced to be unemployed. Even so, causation research has found strong evidence for a protective effect of employment on depression and general mental health. In performing evaluations, physicians must accurately assess work ability and recognize the healthy benefits of work.

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