Systems and Research in Well-Being-Episode 1--Developing Local Systems to Support Physician Well-Being
Release Date: 11/21/2019
Understanding Depression and Suicide in Medical Residents: Insights from Dr. Srijan Sen
ACGME Well-Being Podcasts
In this episode, Dr. Stuart Slavin interviews Dr. Srijan Sen, professor of depression and neurosciences in the Department of Psychiatry and director of the Francis and Kenneth Eisenberg and Family Depression Center at the University of Michigan. They discuss Dr. Sen’s extensive research on depression in medical residents, exploring the relationship between depression and suicide. The conversation delves into the multifactorial nature of suicide, the impact of workplace conditions on mental health, and the importance of both treatment and prevention of depression. Dr. Sen shares insights on...
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Transforming Suicide Prevention in Medicine: Strategies from Dr. Christine Moutier and Dr. Sid Zisook
ACGME Well-Being Podcasts
In this episode, Dr. Stuart Slavin interviews Dr. Christine Moutier, chief medical officer at the American Foundation for Suicide Prevention, and Dr. Sid Zisook, professor of psychiatry at the University of California and director of the Physician Peer Support Program. They discuss their pioneering work in suicide prevention at the University of California, San Diego, including the development of the HEAR Program (Healer, Education, Assessment, and Referral). The conversation explores the multifaceted approach they took, including education, screening, and warm referrals, to support mental...
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Remembering Sarah: Navigating Grief and Advocacy in Medicine
ACGME Well-Being Podcasts
In this episode, Dr. Stuart Slavin interviews Dr. Alan Nager, professor of pediatrics and division director for emergency medicine and transport medicine at Children’s Hospital Los Angeles. They discuss the tragic loss of Dr. Nager’s daughter, Sarah, a pediatric resident who died by suicide. The conversation focuses on Sarah’s life, her passions, and her journey in medicine. Dr. Nager shares his insights on the pressures faced by medical residents and the importance of mental health support. They also explore strategies for creating supportive environments and reducing barriers to mental...
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Suicide Awareness and Prevention: A Conversation with Corey Feist
ACGME Well-Being Podcasts
In this episode, Dr. Stuart Slavin interviews Corey Feist, founder and CEO of the Dr. Lorna Breen Heroes’ Foundation. They discuss Corey’s involvement in suicide awareness and prevention initiatives following the tragic death of his sister-in-law, Dr. Lorna Breen. The conversation focuses on the immense pressures faced by health care professionals, particularly during the COVID-19 pandemic. Corey shares insights into the importance of mental health support, connection, and belonging in the medical field. They also discuss practical strategies for creating supportive environments and...
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Building Resilience: Preventive Interventions for Mental Health in Medicine
ACGME Well-Being Podcasts
In this episode, Dr. Stuart Slavin interviews Dr. Paul Chelminski from the University of North Carolina School of Medicine and Dr. Mukta Panda, CLER Field Representative at the ACGME. They discuss their involvement in well-being initiatives and their active roles in the Collaborative for Healing and Renewal in Medicine (CHARM). The conversation focuses on suicide prevention, exploring both immediate and preventive interventions. Both share their insights on the importance of connection, belonging, and finding meaning. They also discuss practical strategies for creating supportive environments...
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Facing Shame: Dr. Will Bynum on Transition Challenges in Graduate Medical Education
ACGME Well-Being Podcasts
In this episode, Dr. Stuart Slavin interviews Dr. Will Bynum, an associate professor of family medicine at Duke University. They discuss the challenges of transitions in graduate medical education, particularly from medical school to residency, and the associated risks to well-being and mental health. Dr. Bynum explains how transitions can heighten feelings of shame due to new responsibilities, uncertainties, and high expectations. He describes shame as a “fire” that can be ignited in these combustible environments, affecting self-esteem and identity. The conversation emphasizes the...
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Better Together: Drs. Tyra Fainstad and Adrienne Mann on Physician Coaching and Transition Challenges
ACGME Well-Being Podcasts
In this episode, Dr. Stuart Slavin interviews Drs. Tyra Fainstad and Adrienne Mann from the University of Colorado School of Medicine. They discuss their creation of the Better Together Physician Coaching Program, which aims to support medical professionals during transitions, particularly from medical school to residency. Dr. Fainstad shares her struggles with seeking approval and anxiety during transitions, while Dr. Mann discusses her challenges with burnout, infertility, and balancing professional and personal life. Both emphasize the importance of coaching in helping them reexamine...
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Under the Microscope: Dr. Jim Naples on Overcoming Surgical Yips and Transition Challenges
ACGME Well-Being Podcasts
In this episode, Dr. Stuart Slavin interviews Dr. Jim Naples, an assistant professor of otolaryngology at Harvard Medical School and residency director at Beth Israel Deaconess Medical Center. They discuss the challenges of transitioning from medical school to residency, focusing on Dr. Naples’ personal struggles with the “surgical yips” during his education and training. He describes the anxiety and pressure of being closely monitored in the operating room, which exacerbated his difficulties. Dr. Naples emphasizes the impact of the high-pressure environment on his performance and...
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Challeges Related to the Transition from Medical School to Residency: Two Resident Perspectives
ACGME Well-Being Podcasts
In this episode, Dr. Stuart Slavin discusses the challenges of transitioning from medical school to residency with Dr. Andrea Tou, a pediatric gastroenterology fellow at Children's Hospital of Philadelphia, and Dr. Andrew Sullivan, an occupational environmental medicine resident at the Uniformed Services University of the Health Sciences at Walter Reed National Medical Center. Dr. Tou shares her experience of moving from Canada to Europe for medical school and then to the US for residency, highlighting the isolation and lack of support she felt. Dr. Sullivan discusses the additional...
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Navigating Transitions: Dr. Jon Courand on Resident Well-Being and the Transition to Residency Risk Index
ACGME Well-Being Podcasts
In this episode, Dr. Stuart Slavin interviews Dr. Jon Courand, a pediatrician and Dean for Well-Being in GME at the University of Texas Health Science Center at San Antonio. They discuss Dr. Courand’s journey into resident and faculty well-being work, highlighting his creation of the Transition to Residency Risk Index. Dr. Courand shares his experiences as a program director and critical care attending physician, dealing with burnout and moral distress. He emphasizes the significant challenges residents face during the transition from medical school to residency, including severe...
info_outlinePracticing physicians have one of the most stressful jobs in the U.S., making them particularly susceptible to burnout. The impacts of prolonged burnout have enormous implications for physicians and their families, as well as their patients and the health care system itself. In this first of three interviews with Sydney Ey, PhD, Professor of Psychiatry at the Oregon Health and Science University School of Medicine, we explore that institution’s successful Resident and Faculty Wellness and Peer Support programs, which she helped establish. Dr. Ey discusses the specific strategies she found most effective in helping physicians grapple with their experience of stress and build their resilience. Dr. Ey’s experiences provide insights for Program Directors and others in the GME community seeking to establish their own systems of support for physicians and others working in the clinical learning environment. Dr. Ey discusses some common obstacles, as well as key facilitators, to the development of such programs that helped pave the way for the OHSU programs' success.