Rounding@IOWA: Physician, Resident & Medical Student Well-Being: Before, During & After the Pandemic

Monday, February 15, 2021, 5:00 AM - Tuesday, February 15, 2022, 11:00 PM

In today's episode we'll discuss some of the many factors that contribute to provider well-being. We'll also discuss why it's important to help maintain positive provider well-being and resiliency to burn-out.

How to complete this course for credit:

1. Listen to the full podcast episode:  https://uiowace.libsyn.com/10-physician-resident-medical-student-well-being-before-during-after-the-pandemic
   
2. Register for the activity
   
3. Complete the 'Attestation of Completion'
   
4. Follow prompts to complete an evaluation.
   
5. Download your CE certificate.

References:

AMA Physician Burnout Calculator: https://edhub.ama-assn.org/steps-forward/interactive/16830405

DeChant, P. F., Acs, A., Rhee, K. B., Boulanger, T. S., Snowdon, J. L., Tutty, M. A., Sinsky, C. A., & Thomas Craig, K. J. (2019). Effect of Organization-Directed Workplace Interventions on Physician Burnout: A Systematic Review. Mayo Clinic Proceedings: Innovations, Quality & Outcomes, 3(4), 384–408. https://doi.org/10.1016/j.mayocpiqo.2019.07.006
 
DePierro, J., Katz, C. L., Marin, D., Feder, A., Bevilacqua, L., Sharma, V., Hurtado, A., Ripp, J., Lim, S., & Charney, D. (2020). Mount Sinai’s Center for Stress, Resilience and Personal Growth as a model for responding to the impact of COVID-19 on health care workers. Psychiatry Research, 293(113426), 113426. https://doi.org/10.1016/j.psychres.2020.113426

Duarte, D., El-Hagrassy, M. M., Couto, T. C. E., Gurgel, W., Fregni, F., & Correa, H. (2020). Male and Female Physician Suicidality: A Systematic Review and Meta-analysis. JAMA Psychiatry, 77(6), 587–597. https://doi.org/10.1001/jamapsychiatry.2020.0011
 
Dutheil, F., Aubert, C., Pereira, B., Dambrun, M., Moustafa, F., Mermillod, M., Baker, J. S., Trousselard, M., Lesage, F.-X., & Navel, V. (2019). Suicide among physicians and health-care workers: A systematic review and meta-analysis. PLOS ONE, 14(12), e0226361. https://doi.org/10.1371/journal.pone.0226361
 
Dyrbye, L. N., West, C. P., Sinsky, C. A., Goeders, L. E., Satele, D. V., & Shanafelt, T. D. (2017). Medical Licensure Questions and Physician Reluctance to Seek Care for Mental Health Conditions. Mayo Clinic Proceedings, 92(10), 1486–1493. https://doi.org/10.1016/j.mayocp.2017.06.020

(This is the article Dr Banerjee quoted from in the episode)
Edmondson, E.K., Kumar, A. A., & Smith, S. M. (2018) Creating a Culture of Wellness in Residency. Academic Medicine 93(7): 966-968. https://doi.org/10.1097/ACM.0000000000002250

Mata, D. A., Ramos, M. A., Bansal, N., Khan, R., Guille, C., Di Angelantonio, E., & Sen, S. (2015). Prevalence of depression and depressive symptoms among resident physicians: a systematic review and meta-analysis. JAMA - Journal of the American Medical Association, 314(22), 2373–2383. https://doi.org/10.1001/jama.2015.15845

Pappa, S., Ntella, V., Giannakas, T., & Giannakoulis, V. G. (2020). Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain, Behaviour, and Immunity, 88(January), 901–907. https://doi.org/10.1016/j.bbi.2020.05.026
 
Pearman, A., Hughes, M. L., Smith, E. L., & Neupert, S. D. (2020). Mental Health Challenges of United States Healthcare Professionals During COVID-19. Frontiers in Psychology, 11(August), 1–7. https://doi.org/10.3389/fpsyg.2020.02065
 
Preti, E., Di Mattei, V., Perego, G., Ferrari, F., Mazzetti, M., Taranto, P., Di Pierro, R., Madeddu, F., & Calati, R. (2020). The Psychological Impact of Epidemic and Pandemic Outbreaks on Healthcare Workers: Rapid Review of the Evidence. Current Psychiatry Reports, 22(8). https://doi.org/10.1007/s11920-020-01166-z

Ripp, J., Peccoralo, L., & Charney, D. (2020). Attending to the Emotional Well-Being of the Health Care Workforce in a New York City Health System during the COVID-19 Pandemic. Academic Medicine, 95(8), 1136–1139. https://doi.org/10.1097/ACM.0000000000003414

Rotenstein, L. S., Ramos, M. A., Torre, M., Segal, J. B., Peluso, M. J., Guille, C., Sen, S., & Mata, D. A. (2016). Prevalence of Depression, Depressive Symptoms, and Suicidal Ideation Among Medical Students. JAMA, 316(21), 2214. https://doi.org/10.1001/jama.2016.17324
 
Salazar de Pablo, G., Vaquerizo-Serrano, J., Catalan, A., Arango, C., Moreno, C., Ferre, F., Shin, J. Il, Sullivan, S., Brondino, N., Solmi, M., & Fusar-Poli, P. (2020). Impact of coronavirus syndromes on physical and mental health of health care workers: Systematic review and meta-analysis. Journal of Affective Disorders, 275, 48–57. https://doi.org/10.1016/j.jad.2020.06.022

Schwenk, T. L., Davis, L., & Wimsatt, L. a. (2010). Depression, Stigma, and Suicidal Ideation in Medical Students. JAMA, 304(11), 1181. https://doi.org/10.1001/jama.2010.1300
 
Sen, S., Kranzler, H. R., Krystal, J. H., Speller, H., Chan, G., Gelernter, J., & Guille, C. (2010). A Prospective Cohort Study Investigating Factors Associated With Depression During Medical Internship. Archives of General Psychiatry, 67(6), 557. https://doi.org/10.1001/archgenpsychiatry.2010.41

Shanafelt, T., Ripp, J., & Trockel, M. (2020). Understanding and Addressing Sources of Anxiety among Health Care Professionals during the COVID-19 Pandemic. JAMA - Journal of the American Medical Association, 323(21), 2133–2134. https://doi.org/10.1001/jama.2020.5893
 
Shechter, A., Diaz, F., Moise, N., Anstey, D. E., Ye, S., Agarwal, S., Birk, J. L., Brodie, D., Cannone, D. E., Chang, B., Claassen, J., Cornelius, T., Derby, L., Dong, M., Givens, R. C., Hochman, B., Homma, S., Kronish, I. M., Lee, S. A. J., … Abdalla, M. (2020). Psychological distress, coping behaviors, and preferences for support among New York healthcare workers during the COVID-19 pandemic. General Hospital Psychiatry, 66, 1–8. https://doi.org/10.1016/j.genhosppsych.2020.06.007

AMA PRA Category 1 Credits™ (1.00 hours), Non-Physician Attendance (1.00 hours)

1. Understand the importance of planning for and maintaining their own well-being and that of their peers.
2. Recognize the impact of the COVID-19 pandemic on student, resident and physician well-being.
3. Help build systems of support that encourage well-being among students, resident physicians and practicing physicians as we pull out this horrible pandemic.

The University of Iowa Roy J. and Lucille A. Carver College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

CME Credit Designation
The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credits^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses
Effective March 18, 2020, Iowa nurses may use participation in ACCME-accredited education toward their CE requirement for licensure. A certificate of participation will be available after successful completion of the course. (Nurses from other states should confirm with their licensing boards that this activity meets their state's licensing requirements.)

Other Health Care Providers
A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.)

Financial Disclosures
Dr. Gerard Clancy, the guests and the members of the planning committee for Rounding@IOWA have no relevant financial relationships to disclose.