ACGME Well-Being Podcast
The Accreditation Council for Graduate Medical Education (ACGME)'s Well-Being podcast series addresses a variety of strategies for enhancing well-being among members of the graduate medical education community. Hosted by ACGME Vice President for Well-Being Dr. Stuart Slavin, the series explores mental health and well-being from the perspectives of key stakeholders and well-being experts.
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Growing in GME: Bret Stevens and Reanna Benedict on Community, Mentorship, and Lifelong Learning
06/30/2026
Growing in GME: Bret Stevens and Reanna Benedict on Community, Mentorship, and Lifelong Learning
In this episode, Dr. Stuart Slavin is joined by Bret Stevens, director of medical education and associate designated institutional official (DIO) at McLaren Oakland, and Reanna Benedict, director of GME operations and assistant DIO at Lexington Health. Drawing on their leadership experience and service on the ACGME's Coordinator Advisory Group, they explore how community-building and professional development can strengthen job satisfaction, resilience, and long-term success for program coordinators and other GME professionals. Bret and Reanna discuss the importance of building connections at the institutional, regional, and national levels, particularly for those working in smaller programs or organizations with limited local support. They share practical strategies for engaging with professional organizations, seeking mentorship, developing peer networks, and creating opportunities for collaboration and learning. The conversation also highlights the value of giving back to the GME community through mentoring others, sharing resources, and fostering a culture of continuous improvement. The discussion further examines the evolving skills needed in the coordinator role, including navigating new technologies, leveraging residency management systems, leading difficult conversations, and supporting learners through challenging situations. Throughout the episode, the speakers emphasize the importance of asking for help, embracing lifelong learning, and extending compassion to oneself while navigating the complexities of GME. Listeners will gain practical insights into how community, mentorship, and ongoing professional growth can enhance both the coordinator experience and the broader clinical learning environment. Podcast Chapters (00:00) – Intro & Guest Introduction (00:45) – Community and Professional Development in GME (04:00) – Finding Support Through Professional Networks (05:28) – The Value of Conferences and Peer Learning (07:25) – Mentorship, Leadership, and Giving Back (09:02) – Overcoming Imposter Syndrome (10:50) – Growth Mindset and Continuous Improvement (13:27) – Embracing Change and Lifelong Learning (14:50) – Technology, AI, and Working Smarter (17:15) – Creating Coordinator Communities (20:16) – Developing Communication and Leadership Skills (25:00) – Self-Compassion and Final Reflections (25:38) – Closing & Resources
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Navigating the Coordinator Role: Julie Beckerdite and Carrie Racsumberger on Communication, Boundaries, and Building Strong Relationships
06/16/2026
Navigating the Coordinator Role: Julie Beckerdite and Carrie Racsumberger on Communication, Boundaries, and Building Strong Relationships
In this episode, Dr. Stuart Slavin is joined by Julie Beckerdite, director of education for the Departments of Pathology and Psychiatry, and Carrie Racsumberger, fellowship program manager in the Department of Pathology - both at Mass General Brigham. Together, they share insights from their work on the ACGME Coordinator Advisory Group in a practical conversation on the relationships that shape the program coordinator role in graduate medical education (GME). Drawing on their experience, Beckerdite and Racsumberger discuss how interactions with residents, fellows, faculty members, and program leaders can be both a major source of satisfaction and a source of ongoing challenge. They share strategies for setting expectations early, communicating effectively, and addressing common issues like delayed responses, professionalism concerns, and recurring administrative demands. They also emphasize the importance of establishing clear boundaries with the support of leadership while maintaining a respectful, collaborative approach that promotes accountability and teamwork. The conversation highlights the meaningful connections coordinators build with residents/fellows, and the important role they play in supporting professional development and fostering psychological safety within programs. Throughout the discussion, Beckerdite and Racsumberger emphasize perspective-taking, consistency, and the value of strong relationships in navigating difficult situations. Listeners will gain practical insights into how intentional communication and clear role definition can strengthen team culture and enhance the coordinator experience in GME. Podcast Chapters (00:00) – Intro and Guest Introduction (00:45) – Focus on Coordinator Well-Being and Relationships (02:10) – Managing Task Completion and Setting Expectations (04:41) – Using Leadership Support and Accountability (06:45) – Coordinator Role in Professionalism and Recruitment (09:20) – Setting Boundaries and Defining the Coordinator Role (11:45) – Finding Satisfaction in Resident Relationships (13:25) – Managing Difficult Interactions and Perspective (15:52) – Growth, Meaning, and Supporting Trainees (16:26) – Psychological Safety and Connection (17:23) – Coordinators as Leaders (18:20) – Closing and Resources
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Expanding Access to Mental Health Care: Dr. Daniel Saddawi‑Konefka on Reducing Barriers and Changing Culture
06/02/2026
Expanding Access to Mental Health Care: Dr. Daniel Saddawi‑Konefka on Reducing Barriers and Changing Culture
In this episode, Dr. Stuart Slavin welcomes Dr. Daniel Saddawi‑Konefka, associate professor of anesthesia at Harvard Medical School and co-founder of the Emotional PPE Project, for a thoughtful conversation on improving access to mental health care for health care professionals. Dr. Saddawi‑Konefka shares the origins of the Emotional PPE Project, created during the COVID‑19 pandemic to connect clinicians with free, confidential, and accessible mental health support, and outlines its dual focus on immediate care and long‑term cultural change. The discussion explores the complex, multi‑layered barriers that prevent physicians and physician learners from seeking care, including stigma, fears around confidentiality and professional consequences, and persistent logistical challenges such as time, cost, and access. Dr. Saddawi‑Konefka highlights how deeply ingrained cultural norms in medicine can discourage help‑seeking, but emphasizes the importance of system‑level reform, leadership, and education in shifting those patterns. The conversation further examines the role of leadership and local culture in promoting psychological safety, normalizing vulnerability, and encouraging timely support for mental health needs. Dr. Saddawi‑Konefka also introduces the concepts of hedonic and eudaimonic well‑being, illustrating how both comfort and meaning are essential to sustaining fulfillment in medicine. Throughout the episode, listeners will gain practical insights into how reducing barriers, improving access to care, and fostering supportive environments can help health care professionals thrive while delivering high‑quality patient care. Podcast Chapters (00:00) – Intro and Guest Introduction (00:48) – Origins of the Emotional PPE Project (01:57) – Mission: Removing Barriers to Care (03:53) – Scale & Access to Mental Health Support (05:03) – Key Barriers: Culture, Stigma, and Logistics (07:27) – Generational Shifts & Ongoing Stigma (08:22) – Culture Change in Medicine (10:26) – Systems, Leadership & Multi-Level Solutions (12:55) – Education & Understanding Mental Health (17:38) – Leadership & Role Modeling Vulnerability (20:02) – Meaning vs. Comfort in Well-Being (23:26) – Final Reflections & Takeaways (23:59) – Closing & Resources
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Understanding Physician Health Programs: Support, Safety, and Misconceptions
05/19/2026
Understanding Physician Health Programs: Support, Safety, and Misconceptions
In this episode, Dr. Stuart Slavin welcomes Dr. Chris Bundy, executive medical director of the Washington Physician Health Program and chief medical officer of the Federation of State Physician Health Programs, for a comprehensive conversation on the role of Physician Health Programs (PHPs) in supporting physicians and protecting patient safety. Dr. Bundy explains how PHPs have evolved over the past several decades, their dual mission of rehabilitation and public protection, and the range of issues they address, including mental health, substance use, and cognitive concerns. The discussion explores common misconceptions about PHPs, including fears around confidentiality, licensing board involvement, and program burden, while clarifying the voluntary and supportive nature of these programs. Dr. Bundy also highlights the various pathways into PHPs, from self-referral to recommendations by colleagues or treatment providers, and shares outcome data demonstrating high rates of sustained recovery. The conversation further examines the role of the Federation of State Physician Health Programs in advancing standards, research, and collaboration across states, as well as ongoing efforts to improve transparency, reduce barriers to care, and expand awareness. Throughout the episode, listeners will gain a clearer understanding of how PHPs fit into the broader health care ecosystem as a trusted resource that enables physicians to seek help, return to safe practice, and maintain long-term well-being. Podcast Chapters (00:00) – Intro & Guest Background (01:23) – What Are Physician Health Programs (PHPs)? (04:17) – The Dual Role: Supporting Physicians & Protecting Patients (06:19) – Pathways to PHPs: Voluntary vs. Referred Participation (08:36) – Outcomes: Recovery Rates and Effectiveness (11:02) – Addressing Concerns About Licensing Boards & Confidentiality (12:49) – Understanding Limits of Confidentiality (13:40) – Common Misconceptions About PHPs (15:56) – Financial and Structural Challenges in PHP Care (19:04) – The Importance of PHPs in the Healthcare System (20:00) – The Federation of State PHPs: Role and National Efforts (25:08) – Resources, Collaboration, and Final Message of Hope
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Using Well‑Being Data to Drive Change: Nick Yaghmour and Greg Wallingford on Turning ACGME Survey Results into Action
05/05/2026
Using Well‑Being Data to Drive Change: Nick Yaghmour and Greg Wallingford on Turning ACGME Survey Results into Action
In this episode, Dr. Stuart Slavin is joined by Nick Yaghmour, director of Resident Experience, Well‑Being, and Milestones Research at the ACGME, and Dr. Greg Wallingford, assistant professor of Internal Medicine and assistant dean for Professional Fulfillment and Well‑Being at Dell Medical School. Together, they explore how the 12 well‑being items included in the ACGME annual Resident/Fellow and Faculty Surveys can be thoughtfully interpreted, and responsibly used, to support residents, fellows, faculty members, and programs. The conversation explores the origins and intent of the well‑being items, their role as signals rather than diagnostic measures, and the importance of keeping the data separate from accreditation decisions. Dr. Wallingford shares an institution‑level approach for translating survey results into meaningful action, highlighting the value of local context, deeper inquiry, and iterative improvement. Through concrete examples, the discussion illustrates how data‑informed processes can empower program leaders, strengthen trust, and drive sustainable change in the clinical learning environment. The episode also previews upcoming enhancements to ACGME well‑being reporting designed to make results more accessible and actionable for programs and institutions. Podcast Chapters (00:00) – Introduction and Welcome (00:31) – Guest Introductions: Nick Yaghmour and Greg Wallingford (01:12) – Purpose and Origins of the ACGME Well‑Being Survey Items (02:32) – Who Receives the Survey Results and How They Are Used (03:17) – What the 12 Well‑Being Items Measure and What They Do Not (04:20) – Using the Data at the Program and Institutional Levels (06:03) – Limitations, Bias, and Responsible Interpretation of Results (11:07) – From Survey Data to Action: An Institutional Starting Point (15:47) – Supporting Program Leaders Through Training and Process (19:34) – Program‑Level Examples: Turning Feedback into Action (22:29) – Transparency, Communication, and Building Trust with Trainees (24:10) – “Stacked Change” and Continuous Quality Improvement in GME (25:04) – Making Data More Actionable: Upcoming Reporting Enhancements (28:03) – Closing Reflections and Encouragement for Program Leaders
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Supporting Program Coordinator Well‑Being: Melanie Pigott and Cindy Thompson on Workload, Flexibility, and Burnout
03/10/2026
Supporting Program Coordinator Well‑Being: Melanie Pigott and Cindy Thompson on Workload, Flexibility, and Burnout
In this episode, Dr. Stuart Slavin is joined by Melanie Pigott, the residency coordinator of the emergency medicine program at the Medical University of South Carolina, and Cindy Thompson, a senior program administrator for the orthopaedic surgery program at West Virginia University, for a focused conversation on program coordinator well‑being in graduate medical education. Program coordinators play a vital role in GME programs, yet their roles have become increasingly complex, demanding, and pressured—often with little margin for rest or recovery. Drawing on their years of experience and leadership on the ACGME's Coordinator Advisory Group, Pigott and Thompson reflect on the realities of the role and share practical, experience‑based strategies to reduce stress and sustain fulfillment. The conversation explores key drivers of coordinator well‑being, including managing workload through clear expectations and communication, improving efficiency through automation and shared resources, navigating hybrid and flexible work arrangements, and coping with the constant pressure of year‑round deadlines and evolving responsibilities. Throughout the discussion, the speakers emphasize the importance of professional community, peer support, self‑compassion, and giving oneself grace in a role defined by high standards and service to others. This episode launches a new series dedicated to supporting program coordinators and offers valuable insights for coordinators, program leaders, and institutions seeking to create healthier, more sustainable working environments for those who support medical learners every day. Podcast Chapters (00:00) – Introduction and Welcome (00:55) – Guest Introductions: Melanie Pigott and Cindy Thompson (01:46) – Growing Workload and Burnout Risk in Program Coordination (02:29) – Setting Expectations, Boundaries, and Communication Norms (05:14) – Improving Efficiency Through Automation and Shared Tools (09:03) – Community, Peer Support, and Asking for Help (10:14) – Hybrid and Flexible Work Models in GME (14:57) – Managing Ongoing Work Pressure and Emotional Labor (17:05) – Organization, Delegation, and Letting Go of Perfectionism (21:03) – Closing Thoughts and Resources
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Building a Culture of Well‑Being: Dr. Kristen Demertzis on Systemic Change in Medical Training
02/03/2026
Building a Culture of Well‑Being: Dr. Kristen Demertzis on Systemic Change in Medical Training
In this episode, Dr. Stuart Slavin speaks with Dr. Kristen Demertzis, clinical psychologist and director of GME Well‑Being at Northwell Health. They explore how thoughtful, system‑level approaches can strengthen the well‑being of residents, fellows, faculty members, and program leaders across a large academic health system. Dr. Demertzis shares her journey into resident well‑being work, the importance of early culture‑setting during orientation, and how fostering psychological safety and shared vulnerability helps residents and fellows feel supported. She discusses a range of initiatives—reflective discussions, stigma‑reduction efforts, wellness check‑ins, and enhanced access to mental health resources—that promote connection, normalize help‑seeking, and improve awareness of available support. The conversation also highlights how data‑informed decision‑making, cross‑department collaboration, and continuous evaluation are driving meaningful improvements in resident/fellow experience. Listeners will gain insight into how intentional culture‑building and system-wide engagement can create healthier, more resilient learning environments in medical education. Podcast Chapters 00:00 – Introduction and Welcome 01:00 – Dr. Demertzis’ Journey into Resident Mental Health Advocacy 03:06 – Dr. Demertzis’ Leadership as Director of GME Well‑Being and Committee Integration 04:57 – Expanding GME Well‑Being: Multi‑Role Leadership in Culture and Orientation 07:51 – Establishing Culture and Psychological Safety 08:39 – Addressing Mental Health Stigma and Implementing Wellness Checks 12:27 – Launching Digital Well‑Being Tools: Website and App Enhancements 13:40 – Using Data to Drive System-Wide Well‑Being Improvements 16:28 – Closing Thoughts and Resources
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Empowering Medical Teams: Dr. Kerri Palamara on Transforming Residency Through Coaching and Connection
01/20/2026
Empowering Medical Teams: Dr. Kerri Palamara on Transforming Residency Through Coaching and Connection
In this episode, Dr. Stuart Slavin welcomes Dr. Kerri Palamara, Gill and Allan Gray Family Endowed Chair and associate professor of medicine at Harvard Medical School, to discuss the evolution and impact of physician coaching in graduate medical education. Dr. Palamara shares how her journey led to developing scalable, faculty-driven coaching programs that foster psychological safety, agency, and authentic connection among residents and faculty. The conversation explores the distinctions between mentoring and coaching, the core skills required for effective coaching, and the positive ripple effects on wellbeing, resilience, and departmental culture. Drawing on principles of positive psychology and self-determination theory, Dr. Palamara illustrates how structured coaching interventions can reduce burnout, enhance fulfillment, and empower clinicians to find their voice—even within challenging healthcare systems. Through practical insights and research-backed outcomes, this episode highlights how investing in coaching transforms not only individuals but the entire medical learning environment, making thriving possible for all. Podcast Chapters (00:00) – Intro and Welcome (00:13) – Guest Background: Dr. Kerri Palamara (00:54) – Discovering Coaching: Faculty Engagement & Residency Curriculum (02:33) – Rethinking Support: Creating a Coaching Culture (04:12) – Mentoring vs. Coaching: Key Differences (05:20) – Building Psychological Safety and Boundaries (06:13) – Core Coaching Skills: Listening, Reflecting, Asking Questions (07:42) – Positive Psychology and Strength-Based Approaches (09:40) – Training Faculty as Coaches: Logistics & Curriculum (11:37) – Scalability and Feasibility of Coaching Programs (12:25) – Impact on Coaches, Residents, and Department Culture (14:27) – How Much Coaching is Enough? (15:16) – Tolerating Uncertainty and Medical Errors (15:50) – Addressing Systemic Challenges & Fatalism (16:50) – Handling Coach-Resident Mismatches (18:03) – Authentic Connection and Deep Listening (18:28) – Agency, Autonomy, and Self-Determination Theory (21:00) – Closing Thoughts and Resources
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Creating Thriving Workplaces: Dr. Greg Guldner on Applying Self-Determination Theory to Graduate Medical Education
01/06/2026
Creating Thriving Workplaces: Dr. Greg Guldner on Applying Self-Determination Theory to Graduate Medical Education
In this episode, Dr. Stuart Slavin speaks with Dr. Greg Guldner, director of GME Well-Being and assistant dean for Graduate Medical Education at Loma Linda University Health. They discuss how self-determination theory (SDT)—the most widely researched framework for understanding human motivation—can guide meaningful, system-level change in medical education and training. Dr. Guldner explains how autonomy, belonging, competence, and deep meaning (the “ABCDs” of well-being) form the foundation for a healthier workplace culture. Through practical examples and data-driven outcomes, he illustrates how leaders can redesign environments, policies, and interactions to enhance connection, motivation, and fulfillment for both residents and faculty members, creating conditions where everyone can truly thrive in their work. Podcast Chapters (00:00) – Intro and Welcome (00:14) – Guest Background: Dr. Greg Guldner (00:56) – Workplace Well-Being vs. Wellness (01:57) – Why Focus on the Work Environment (02:25) – The Role of Self-Determination Theory (SDT) in Well-Being Interventions (03:36) – Self-Determination Theory: Origins and Impact (05:05) – The Basic Psychological Needs (06:18) – Finding Meaning in the Workplace (07:18) – Autonomy: What It Really Means (10:23) – The Five Steps to Understanding Autonomy (11:38) – Belonging Interventions (15:02) – Competence: Growth and Mastery (18:00) – Feedback and Intervention (18:31) – Meaningful Work: High-Impact Interventions (21:04) – What about Faculty? (21:41) – Measuring Success: Data and Dashboards (25:42) – Closing Thoughts and Resources
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Flourishing in Medicine: Dr. Kimara Ellefson on Meaning, Connection, and Culture Change
12/16/2025
Flourishing in Medicine: Dr. Kimara Ellefson on Meaning, Connection, and Culture Change
In this episode, Dr. Stuart Slavin speaks with Dr. Kimara Ellefson, national director of Strategy and Partnerships for the Kern National Network for Flourishing in Health (KNN). Together they explore how the concept of flourishing—defined as “a wholeness of being and doing”—can transform the culture of medicine beyond burnout prevention toward purpose, belonging, and growth. Dr. Ellefson discusses KNN’s framework of caring, character, and practical wisdom, and shares how institutions can cultivate environments that nurture both individual and collective well-being. The conversation highlights measurement strategies; resident-led initiatives; and the power of small, everyday actions to create meaningful, lasting change in health care. Podcast Chapters (00:00) – Intro & Welcome (00:14) – Guest Background: Dr. Kimara Ellefson (00:55) – What Is Flourishing and Why It Matters (02:48) – Moving Beyond Burnout: What can we do? (04:16) – Residents: Connection & Belonging (05:02) – About the Kern National Network (KNN) (05:54) – KNN’s Framework for Flourishing (07:45) – Kimara’s Professional Journey & Personal Insights (09:27) – Engaging with KNN (10:00) – Measuring Flourishing: Tools and Challenges (12:28) – Avoiding Reductionism in Measurement (14:12) – Innovative Projects in GME: Flourishing in Action (17:38) – Aspirations for Flourishing in Healthcare (20:31) – Message for the Listeners: Everyday Change (21:38) – Closing Thoughts & Resources
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Motivation, Meaning, and Medicine: Dr. Adam Neufeld on Applying Self-Determination Theory to Well-Being
12/02/2025
Motivation, Meaning, and Medicine: Dr. Adam Neufeld on Applying Self-Determination Theory to Well-Being
In this episode, Dr. Stuart Slavin speaks with Dr. Adam Neufeld, family physician and clinical assistant professor at the University of Calgary. Drawing on his research in Self-Determination Theory (SDT), Dr. Neufeld explains how autonomy, competence, and relatedness—the three universal psychological needs—shape motivation, engagement, and well-being in medical education and practice. Together they explore how supporting these needs can foster authentic motivation, enhance learning environments, and counteract burnout. Dr. Neufeld also clarifies common misconceptions about autonomy, shares practical strategies for educators and leaders, and discusses how small changes in communication and structure can transform both teaching and workplace culture. Podcast Chapters (00:00) – Intro & Guest Background (01:08) – Introducing Self-Determination Theory (SDT) (01:50) – Core Psychological Needs: Autonomy, Competence, and Relatedness (03:25) – SDT and Its Connection to Well-Being and Flourishing (04:46) – Applying SDT to Healthcare and Medical Training (03:25) – SDT, Motivation Quality, and Flourishing (04:46) – Applying SDT in Healthcare and Medical Training (05:36) – Balancing Humanistic Values and Performance Outcomes (06:57) – Redefining Autonomy: Independence, Volition, and Confidence (09:49) – Supporting Autonomy in Learning and Program Culture (13:00) – How Institutional Culture Impacts Motivation and Engagement (16:03) – The Motivation Continuum: From External Pressure to Intrinsic Drive (19:58) – Shifts Toward Extrinsic Motivation in Learners and Faculty (23:50) – Closing Remarks & Resources
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Shifting the Lens: Dr. Elliott Higgins on Measuring System-Level Influencers of Well-Being in Health Care
11/18/2025
Shifting the Lens: Dr. Elliott Higgins on Measuring System-Level Influencers of Well-Being in Health Care
In this episode, Dr. Stuart Slavin speaks with Dr. Elliott Higgins, director of Health and Well-Being for UCLA’s Department of Anesthesiology and Perioperative Medicine. Together they explore the development of the Well-Being Influencers Survey for Health Care (WISH)—a validated, non-proprietary tool that measures the organizational conditions shaping clinician well-being. Dr. Higgins discusses how WISH shifts the focus from individual burnout to systemic factors such as transparency, fairness, and psychological safety, offering leaders actionable insights to drive meaningful change. The conversation highlights how data-driven, collaborative research can reframe accountability, empower departments to tailor interventions, and move the national dialogue from burnout awareness toward system-level solutions that enhance both workforce and patient care. Podcast Chapters (00:00) – Intro & Guest Background (01:06) – Elliott’s Path to Medicine & Well-Being (02:28) – Introducing the WISH Survey (05:35) – Local Influencers & One Size Doesn’t Fit All (06:31) – Multicenter and Multispecialty WISH Studies (11:07) – Early Findings: Organizational Justice & Transparency (12:28) – Psychological Safety in Anesthesiology (13:38) – Future Directions: Validation & Qualitative Work (16:03) – Using WISH Iteratively to Drive Change (17:55) – Accessing WISH (19:11) – Multicenter Collaboration & Team Effort (19:28) – Framing Thought: Shifting Accountability to Systems (21:22) – Closing Remarks & Resources
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Empowering Faculty Leadership: Dr. Saadia Akhtar and the Well-Being Champion Model
11/04/2025
Empowering Faculty Leadership: Dr. Saadia Akhtar and the Well-Being Champion Model
In this episode, Dr. Stuart Slavin speaks with Dr. Saadia Akhtar, professor of emergency medicine and senior associate dean for Trainee Well-Being and GME at the Icahn School of Medicine at Mount Sinai. They explore the evolution of Mount Sinai’s GME Well-Being Champion Program—an initiative that empowers faculty champions across specialties and sites to identify local challenges and drive meaningful improvements in workplace culture and efficiency. Dr. Akhtar shares how the program fosters collaboration, builds community, and supports learners and champions through structured debriefs, system-level feedback, and professional development. This model offers a scalable, data-informed approach to improving well-being in medical education. Podcast Chapters (00:00) – Intro & Guest Background (01:01) – Origins of the Well-Being Champion Program (03:54) – Wellbeing Is Local: One Size Doesn’t Fit All (04:37) – Champion Roles & Reporting Structure (06:13) – Monthly Debriefs & Report Outs (08:01) – Champion Independence from Program Leadership (09:05) – Trainee Support & Resource Sharing (10:34) – Collaboration with Program Directors & Champions' Role (13:42) – Professional Development & Lecture Series (15:40) – Stipends, Recognition & Career Growth (17:23) – Champion-Led Initiatives & Impact (21:00) – Reaching Institutions with Limited Resources (23:20) – The Iterative Continuous Quality Improvement Approach (25:14) – Final Reflections (26:16) – Closing & Resources
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The Hidden Stress of Leadership: Addressing the Well-Being of GME Leaders with Dr. Sydney Ey
10/21/2025
The Hidden Stress of Leadership: Addressing the Well-Being of GME Leaders with Dr. Sydney Ey
In this episode, Dr. Stuart Slavin speaks with Dr. Sydney Ey, clinical psychologist and founder of the Oregon Health & Science University (OHSU) Consult Service for Leaders and Teams. Together, they explore the emotional toll leadership can take within graduate medical education (GME), especially during crises like the COVID-19 pandemic. Dr. Ey discusses how the consult service offers psychological first aid, peer support, and guidance to leaders facing stress, isolation, and moral distress. She highlights the importance of proactive outreach, institutional backing, and the ripple effect of supporting those in leadership roles. The conversation underscores how compassion, trust, and visibility can create a healthier culture in academic medicine. Podcast Chapters (00:00) – Intro & Guest Background (01:30) – Origins of the OHSU Consult Service (03:53) – Leadership Isolation & Support Needs (05:52) – Supportive Listening Sessions (08:55) – Who Can Access the Consult Service? (11:43) – Consult Service Structure (13:19) – Coaching vs. Psychological First Aid (15:24) – Role of Mental Health Professionals & Trust (17:16) – Outreach, Engagement, and Utilization (22:31) – Barriers & Challenges (25:31) – Final Thoughts (27:10) – Closing & Resources
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Understanding Depression and Suicide in Medical Residents: Insights from Dr. Srijan Sen
09/13/2024
Understanding Depression and Suicide in Medical Residents: Insights from Dr. Srijan Sen
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 effective preventive measures and strategies to create supportive environments in medical education.
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Transforming Suicide Prevention in Medicine: Strategies from Dr. Christine Moutier and Dr. Sid Zisook
09/13/2024
Transforming Suicide Prevention in Medicine: Strategies from Dr. Christine Moutier and Dr. Sid Zisook
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 health among physicians and other health care workers. Both share insights on the importance of addressing stigma, creating supportive environments, and implementing comprehensive mental health programs.
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Remembering Sarah: Navigating Grief and Advocacy in Medicine
09/13/2024
Remembering Sarah: Navigating Grief and Advocacy in Medicine
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 health care in the medical field.
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Suicide Awareness and Prevention: A Conversation with Corey Feist
09/13/2024
Suicide Awareness and Prevention: A Conversation with Corey Feist
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 reducing barriers to mental health care for health care workers.
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Building Resilience: Preventive Interventions for Mental Health in Medicine
09/13/2024
Building Resilience: Preventive Interventions for Mental Health in Medicine
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 and reducing barriers to mental health care in the medical field.
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Facing Shame: Dr. Will Bynum on Transition Challenges in Graduate Medical Education
08/15/2024
Facing Shame: Dr. Will Bynum on Transition Challenges in Graduate Medical Education
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 importance of addressing these issues to support residents’ mental health.
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Barriers to Mental Health Help-Seeking in Graduate Medical Education with Dr. Greg Guldner
08/15/2024
Barriers to Mental Health Help-Seeking in Graduate Medical Education with Dr. Greg Guldner
In this episode, Dr. Stuart Slavin and Dr. Greg Guldner discuss mental health and well-being in graduate medical education (GME). They highlight the reduced stigma among current residents/fellows but note the persistent underutilization of mental health services. Dr. Guldner explains barriers such as time constraints, prioritization issues, and the impact of depression on seeking help. He emphasizes the importance of addressing these barriers, especially during stressful periods of transition in GME. Despite advancements like teletherapy, many residents and fellows still do not seek the help they need, often due to internal and external stigmas and logistical challenges.
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Navigating Transitions: Dr. Jon Courand on Resident Well-Being and the Transition to Residency Risk Index
08/15/2024
Navigating Transitions: Dr. Jon Courand on Resident Well-Being and the Transition to Residency Risk Index
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 wellness issues that often go unnoticed by program directors.
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Challeges Related to the Transition from Medical School to Residency: Two Resident Perspectives
08/15/2024
Challeges Related to the Transition from Medical School to Residency: Two Resident Perspectives
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 challenges of moving locations and the lack of support in a transitional internship. Both emphasize the importance of addressing mental health and well-being during these critical transition periods in graduate medical education.
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Under the Microscope: Dr. Jim Naples on Overcoming Surgical Yips and Transition Challenges
08/15/2024
Under the Microscope: Dr. Jim Naples on Overcoming Surgical Yips and Transition Challenges
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 the importance of addressing these challenges in medical education.
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Better Together: Drs. Tyra Fainstad and Adrienne Mann on Physician Coaching and Transition Challenges
08/15/2024
Better Together: Drs. Tyra Fainstad and Adrienne Mann on Physician Coaching and Transition Challenges
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 their thoughts and integrate their personal and professional lives effectively.
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The Role of Belonging in Well-Being
05/05/2022
The Role of Belonging in Well-Being
In this episode of the AWARE Podcast’s Cognition and Well-Being series, Stuart Slavin, MD, MEd and Anne Gravel Sullivan, PhD discuss the relationship between belonging and well-being with Dr. Mukta Panda, MD, MACP, FRCP-London. Dr. Panda, who is the Assistant Dean for Well-Being and Medical Student Education, as well as a Professor of Medicine at the University of Tennessee College of Medicine at Chattanooga, reflects upon her own struggle with well-being and how it ultimately led her to study the importance of a personal sense of belonging. Additionally, they analyze how well-being can be achieved when students and physicians can comfortably be their authentic selves, rather than attempting to fit into the molds that they feel pressured into being.
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Reshaping Our Perception and Responding to Shame in Graduate Medical Education
04/01/2022
Reshaping Our Perception and Responding to Shame in Graduate Medical Education
In this episode of the AWARE Podcast's Cognition and Well-Being series, Stuart Slavin, MD, MEd, ACGME's Senior Scholar for Well-Being, discusses the concept and experience of shame with Dr. Will Bynum, MD, Associate Professor of Family Medicine at the Duke School of Medicine. Dr. Bynum speaks to his own relationship with shame over the course of medical school and residency. He then explores the ways in which his experience allowed him—and those of us working in graduate medical education to rethink the standard approaches to working through shame at both the personal and institutional levels. Additionally, they discuss the role of self-conscious emotions such as shame, guilt, and pride from the perspective of residents striving for excellence in graduate medical education.
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Navigating Well-Being in Omicron’s Wake
02/11/2022
Navigating Well-Being in Omicron’s Wake
In this discussion, ACGME Senior Scholar for Well-Being Stuart Slavin checks in on the mental health and emotional wellness of residents, faculty and others at institutions that sponsor training programs across the US. Well-Being scholars Mukta Panda (University of Tennessee-Chattanooga), Jonathan Ripp (Icahn School of Medicine at Mount Sinai), and Larissa Thomas (University of California—San Francisco) join him to examine the multiple impacts Omicron has left in its wake, including implications for reimagining graduate medical education for the future. The team explores some system and individual strategies the GME community can cultivate in response to these impacts, while acknowledging the ongoing need to be creative, resourceful and supportive in unprecedented times.
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Developing a Comprehensive Approach to Clinician Well-Being at Sponsoring Institutions
12/20/2021
Developing a Comprehensive Approach to Clinician Well-Being at Sponsoring Institutions
Lyuba Konopasek, MD, Senior Associate Dean for Education at the Frank Netter School of Medicine at Quinnipiac University, discusses her efforts to develop a comprehensive approach to addressing issues that impact resident and faculty well-being. As the former DIO at New York Presbyterian, Dr. Konopasek drew on business literature and her lived experiences in the GME community to construct her “Recognize, Respond and Refer” model for mitigating burnout, anxiety and other forms of distress among clinicia
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Systems and Research in Well-Being: Transitions to Practice and Fellowship
11/05/2021
Systems and Research in Well-Being: Transitions to Practice and Fellowship
Dr. Stuart Slavin, ACGME Senior Scholar for Well-Being, joins pediatric hospitalist Dr. Anu Gorukanti and neurologist Dr. Jeffrey Dewey, who launched their careers as specialists during the pandemic, to discuss the common challenges presented in the transition from residency to fellowship or practice. They explore what impact these challenges have on graduates, how the pandemic has amplified them, and share their personal insights on how residents and fellows can prepare for these challenges.
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