BACKGROUND:
Stress and burnout impact physicians at all stages of training and practice, but resident physicians are particularly at risk. Resiliency skills may protect physicians from the dangers of stress and burnout and may provide improved coping skills.
METHODS:
The Department of Obstetrics and Gynecology conducted monthly meetings with the Residents to discuss resiliency topics in an off-site, private setting without judgment, evaluation consequences, or attending participation.
RESULTS:
During the 2015–2016 academic year, 12 sessions were conducted focusing on Communication Styles, Conflict Resolution, Leadership Skills, Difficult Patient Encounters, Physician Wellness, Resiliency, and Stress/Burnout Management. After completion, residents were anonymously surveyed and sessions were evaluated for effectiveness based on a Likert scale of 1–5. Eleven of 12 sessions returned a 4 or 5 rating, corresponding with a moderately or strongly agree from 100% of the residents. Only one session revealed one resident with a neutral response, or 3.
DISCUSSION:
Sessions explored difficult patient encounters, sentinel events, and interpersonal and professional conflicts. Positive mindfulness-based resilience interventions were discussed. Resident communication about perceived failures and stressors promoted positive discussion and insight. Sessions were almost all uniformly positively scored, with the highest ratings in communication styles, leadership/team-building, and conflict resolution. Resiliency is a key coping skill for physicians to maintain well-being. A residency resiliency curriculum has shown to be well-received in our institution and should be considered as integral in curricula as medical knowledge concepts.
Objective
To describe and demonstrate use of pediatric data collected by the All of Us Research Program.
Materials and Methods
All of Us participant physical measurements and electronic health record (EHR) data were analyzed including investigation of trends in childhood obesity and correlation with adult body mass index (BMI).
Results
We identified 19 729 participants with legacy pediatric EHR data including diagnoses, prescriptions, visits, procedures, and measurements gathered since 1980. We found an increase in pediatric obesity diagnosis over time that correlates with BMI measurements recorded in participants’ adult EHRs and those physical measurements taken at enrollment in the research program.
Discussion
We highlight the availability of retrospective pediatric EHR data for nearly 20 000 All of Us participants. These data are relevant to current issues such as the rise in pediatric obesity.
Conclusion
All of Us contains a rich resource of retrospective pediatric EHR data to accelerate pediatric research studies.
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