Toward the Quadruple Aim

Abstract

Objective: To assess the effect of a faculty development program (Mentoring and Professionalism in Training [MAP-IT]) that fosters humanism in medicine on elements of burnout and the development of resilience. Participants and Methods: The cohort of participants was drawn from a cross-section of disciplines and represented a diverse group of health professionals, including physicians, nurses, physician assistants, pharmacists, psychologists, social workers, and chaplains. The 106 participants were divided into 12 groups, each of which was facilitated by two or three leaders. Each group completed the MAP-IT curriculum from October 1, 2017, through July 31, 2018. All participants and leaders completed the Connor-Davidson Resilience Scale and the Maslach Burnout Inventory (assessing emotional exhaustion, depersonalization, and personal accomplishment) before and after completion of the program. Results: The participants' scores for emotional exhaustion and depersonalization remained unchanged following the completion of the MAP-IT curriculum. However, their scores for personal accomplishment and resilience increased significantly and approximated those of the leaders. Conclusion: The MAP-IT program has shown effectiveness both in fostering resilience and a sense of personal accomplishment. The time is ripe for institutional programming to create and foster the personal tools needed to prevent burnout and its sequelae.

A Model for Strengthening Mentors: Frames and Practices

“…Organizations struggle to recruit and retain a qualified workforce [ 1 , 2 ]. The mentor–mentee relationship remains a central strategy of developing, supporting and retaining an organization’s employees while developing tomorrow’s leaders [ 3 ]. Employees’ loyalty to their organizations is enhanced if they perceive a culture that promotes their careers, compensates them fairly, and is psychologically safe [ 4 ].…”

A Scoping Review of Health Care Faculty Mentorship Programs in Academia: Implications for Program Design, Implementation, and Outcome Evaluation

“…92 Other potential targets for program outcome evaluation include measuring career satisfaction metrics to ensure that achievement-based outcomes did not come at the cost of burnout and have a focus on personal accomplishment and resilience. 4 Our review also found that mentor program leadership would be well advised to include data on return on investment and clear linkage of resource choices for program activities; this will be relevant to institutional leaders when deciding to support a program. Few programs included any data on this topic.…”

“…92 Other potential targets for program outcome evaluation include measuring career satisfaction metrics to ensure that achievement-based outcomes did not come at the cost of burnout and have a focus on personal accomplishment and resilience. 4…”

“…and reduced risk of burnout. [2][3][4][5] Mentoring programs can also help develop internal candidates to assume leadership roles, thereby retaining high-quality faculty who desire career growth and avoiding costly external recruitment processes. 6 For all these reasons, academic institutions have been advised to prioritize the implementation of mentoring programs to increase role model availability and improve the quality of developmental programming for faculty doing teaching, service, and research.…”

Investigating practice-level and individual factors of advanced practice registered nurses and physician assistants and their relationship to resilience

“…Interventional and qualitative studies aimed at building resilience and reducing job stressors have suggested that organizations consider implementation of strategies that foster collegial relationships (Agarwal et al, 2020; Menzin et al, 2020). Workplace culture and a sense of community within the work environment are posited as ways to improve resilience and job satisfaction, as well as in reducing the intent to leave and isolation (Huey & Palaganas, 2020; Poghosyan et al, 2020).…”